101 for modernization of each step of the claims continuum. 4 separate discussion across:
There are limited seats on each roundtable, so we recommend you reserve your space as soon as possible. Please select two (email [email protected] to reserve).
A) Itemized Bill Reviews
Moderator: Toni Case, Vice President National Sales, Ceris
B) Price Transparency
Moderator: Dave Cardelle, Chief Strategy Officer, Advanced Medical Solutions
C) The Changing World of Payment Integrity As it Relates to Value Based Care
Moderator: Lacey Crowl, Director, Claims Operations, Longevity Health Plan
D) Leverage Data Sources To Assure Membership Data Accuracy
Moderator: Morgan Tackett, Vice President Product, CAQH & Sherri Richardson, Strategy & Program Director, COB, Carelon
E) Top 3 ways to handle provider abrasion and manage clinical expenses
Moderator: Bob Starman, SVP Payment Integrity Solutions, Sagility
Lacey Crowl
Lacey Crowl is the Director of Claims Operations for Longevity Health Plan, responsible for the accuracy of claims processing focused on Medicare members. Lacey has experience in the Commercial, Medicare and Medicaid environments, developing prospective and retrospective payment integrity solutions for both clinical and claim coding reviews. She has operated within various claims processing platforms to develop, code and implement new audit concepts while operating within the Managed Care space.
Toni Case
Morgan Tackett
Morgan Tackett is Vice President Product at CAQH. Over the last nine years, he has worked to build the portfolio of member and provider data solutions that CAQH offers to the industry. Prior to joining CAQH, Morgan spent 18 years at Blue Cross and Blue Shield of North Carolina, where he led teams in Member Service Operations, EDI Services, and Network Management. Morgan holds an MPH from the University of North Carolina at Chapel Hill.
Sherri Richardson
As a strategic leader in Program Integrity Health Insurer industry and having mastered the world of “coordination of benefits”, Sherri is passionate about helping our customers and peers navigate the complex world of healthcare. With a proven track record of success in optimizing program efficiency and minimizing cost of care for Members who are eligible/entitled to two health coverages, Sherri is dedicated to ensuring the industry processes are focused on minimizing members out of pocket and provider/insurers administrative costs.
Sherri has 30+ years Health Insurer Industry experience. Operational Excellence, mapping program Strategy is Her Leadership background includes leading highly productive operational teams and all functions of COB Operations within the Commercial, Medicare, Affordable Care Act, Medicaid, Subrogation and Senior market.
As an Elevance/Carelon Corporate Presenter, Sherri enjoys developing training and motivational material, as well as sharing her knowledge and best practices related to maximizing Health Coverage with members, groups, providers and other insurer peers.
Sherri’s experience in health insurance runs deeps, having the privilege of leadership at Elevance/Carelon for 30+ years, and mentoring from industry leaders. Sherri is a life-long learner and strongly encourages others to learn and grow through continued experiences and educational opportunities.
On a personal note; As a prior Fitness Trainer, Sherri enjoys Weight Training, Yoga, Aerial Silks, and Master Swimming. Oftentimes joins the local 5K runs and loves to cook.
Bob Starman
