From Susan

As MHR is in the midst of our 32^nd year in business, I am pleased to present to you our updated Vision, which focuses on you, our treasured clients.

We empower healthcare organizations to reach their fullest potential through successful NCQA accreditation, driving excellence, and raising the bar in healthcare quality standards.

Empowering organizations has always been one of our main objectives. We train, coach, and share insights to enable you to succeed independently. This year, we expanded our communications to you in the form of newsletters, blogs, client-only webinars, additional training programs, and face-to-face connections at various conferences.    

Our next face-to-face connection will be on October 24 at NCQA’s Health Innovation Summit in Orlando, Florida, where I will be hosting a client dinner meeting.  If you have not yet responded, please send me an email to let me know you will be joining us.

Contact me to see how we can help you.

Susan K. Moore, President & CEO

NEWS

The Transformative Power of Music in Mental Well-Being

Drug Use Among Youth: Facts and Statistics

Making Care Primary: An Important Advance for Integrated Behavioral Health Care

Promoting Health Equity by Changing How We Pay for Care

Life in a Rural “Ambulance Desert” Means Sometimes Help Isn’t on the Way

Medicaid Enrollment and Unwinding Tracker

Idaho Prepares for Changes to Delivery of Behavioral Healthcare

Marijuana, Hallucinogen Use, Binge Drinking at All-Time High

How NCQA is Driving Health Equity Through Inclusive HEDIS Measures

Telehealth Firms Turning to Hybrid Model for Youth Mental Healthcare

KFF Tracking Poll July 2023:  Substance Use Crisis and Accessing Treatment

Putting Patients First: How Health Insurance Providers Are Improving Prior Authorization

CQMC Announces Updates to Eight Core Measure Sets

UPCOMING INDUSTRY EVENTS

September 12, 2023
Income, Poverty, and Health Insurance Coverage: 2022
The US Census Bureau

• Online News Conference 10 a.m. ET

September 27, 2023
Social Determinants of Health: Moving Beyond Data to Action
AHIP

• Webinar

September 27-28, 2023
Activate2023
Designing Consumer Journeys for Health Equity

• Minneapolis, MN

October 3-5, 2023
28^th Case Management Conference Annual
National Association of Case Management

• New Orleans, LA

October 4, 2023
Standing Outside the FHIR
AHIP

• Webinar

October 5, 2023
How to Go From Transactional to Transformational Utilization Management
AHIP

• Webinar

October 15-17, 2023
The 13^th Annual HEDIS® & Quality Improvement Summit
RISE

• New Orleans

October 17, 2023
Risk Adjustment Gets Useable Data At Last
AHIP

• Webinar

October 23-25, 2023
NCQA Health Innovation Summit
NCQA

• Orlando, FL

October 23, 2023
In Conversation: How Leading Health Insurance Providers Engage With LGBTQ+ Members
AHIP

• Webinar

October 25-26, 2023
PHA Innovation Summit
Population Health Alliance

• Washington, D.C.

November 9, 2023

Health Equity Accreditation Plus

NCQA

Live Webinar

November 14-15, 2023
Population Health Summit
RISE

• Tampa, FL

November 16, 2023
Race, Ethnicity, SOGI, Income, and Language in Patient Reg
NCQA

• Live Webinar

April 19-22, 2024
2024 National Conference American Case Management Association

• Nashville, TN

QUALITY INSIGHTS

Many of MHR’s Consultants are also NCQA Surveyors and undergo periodic training with NCQA.  Here are some brief insights from a recent session. 

• Three is the number of documents that must be in place when the Scope of Review indicates throughout the lookback period. We recommend documents at the beginning, middle, and end of your lookback period.
• Annual is the period of 12 months plus a 2-month grace period (12-14 months) to allow organizations to complete an activity after it is due and not before (i.e., not less than 12 months since the prior analysis). If you need to change your business cycle for less than 12 months during the look-back period, you must document the need in committee minutes AND discuss this with your NCQA surveyor. If you wish to change cycles, do it the year after your survey that is not included in the two-year look-back period.
• Preparing for a survey under the 2023 Health Plan Accreditation standards? Be sure to implement Corrections and Policy Changes within 90 calendar days of the Interactive Review Tool (IRT) release date, which is the same as the publishing date of the document.
• Undergoing a Single Site Multiple Entity (SSME) survey? QI 3 A on Continuity & Coordination of Medical Care is required to be reviewed at the Accreditable Entity Level for SSME, meaning a full quantitative and qualitative (Q&Q) analysis is required for each legal entity.

CALENDAR OF OBSERVANCES

Month Awareness Calendar for Population Health Management Activity Ideas

September

Hispanic Heritage Month (9/15-10/15)

Digital Toolkit for Suicide Prevention Month

October

National Bullying Prevention Month

Breast Cancer Awareness Month

Healthcare Quality Week (10/15-10/21/2023)

White Cane Safety Day (10/15)

Health Literacy Month

November

Great American Smoke Out (11/16/2023)

American Diabetes Month

December

World Aids Day (12/1)