Description

Discusses standards on member satisfaction, member rights & responsibilities, quality and accuracy of information, website functionality, interpreter services, policies and procedures, assessment of non-behavioral and behavioral healthcare complaints and appeals, and importance of analyzing data on member experience.

Learning Objectives:

• Discuss member protections within a member's rights and responsibilities statement and how the statement is distributed to members.
• Explain requirements for assessing the quality and accuracy of marketing information provided to members, subscribers, and prospective members, such as on pharmacy benefits and utilization management.
• Explain the depth of analysis required for ME, including member satisfaction, nonbehavioral and behavioral healthcare complaints and appeals, and the quality and accuracy of content provided via the Internet, email, member services, and interpreter services.
• Recall how the evaluation of member experience is related to the analysis of practitioner networks.

Length: 2 Hours

Price:

List Price for Non MHR Clients: $5,000

MHR Clients: [20% discount off List Price] $4,000