June 27, 2023
1:30 – 3:00 p.m., Pacific Time
An LHPC members-only program

Registration is now closed.

Overview

Health plans must operate within the robust state and federal laws and regulatory requirements that govern managed care organizations. Plans are required by law to have compliance programs in place that are designed to keep them operating within a prescribed legal and regulatory framework, to reduce risk of non-compliance and ultimately to improve patient care. This makes compliance central to health plan success and sustainability.

No matter your role or position, every individual plays an important part in ensuring the health plan achieves and maintains compliance. Join us for this introductory webinar and learn the fundamentals of health care compliance, including:

• What is compliance and why is it important?
• Who is responsible for compliance?
• Who makes the rules and how are they implemented?
• How does compliance impact me?

Who should attend:
Health plan staff at all levels and across all departments who are new to managed care. The webinar would also be valuable to staff who are interested in learning about how compliance works within the health plan and the role they play in helping to achieve and maintain compliance.

Agenda

What is Compliance?

• Role of compliance in managed care
• Essential (and required) elements of a compliance program

Why is Compliance Important?

• Purpose and core principles of compliance
• How compliance teams work to mitigate and prevent risk
• What happens when incidents occur or if there are compliance findings

Who’s Responsible for Compliance?

• Compliance organizational structure
• Roles and responsibilities of health plan compliance departments

Who Makes the Rules & How are They Implemented?

• Regulatory oversight authorities — DHCS, DMHC, CMS
• How new rules and requirements are received, relayed and complied with

How Does Compliance Impact Me?

• Real-world examples of risk and compliance in practice
• Compliance is a team effort

Faculty

Ian Johansson, CHC
Chief Compliance Officer
Health Plan of San Mateo 

Heidi Arndt
Compliance Officer
Community Health Group

Registration

This is an LHPC members-only program.

Fees* (per connection)
Members                            $40     
Plan Registration^            $140
*Special registration pricing will be offered while health plan staff work remotely. Standard pricing will resume once staff return to work
on-site.
^ Select this option if plan staff will view the webinars communally on-site. Plans with multiple sites must register each site separately and identify whom at each site should receive the webinar access information upon registering. When registering, please enter unique email addresses for each additional site as the system may not allow duplicate logins.

Registration closed June 22 at 5:00 p.m.

Registration Confirmation: Registrants will receive two emails — a registration confirmation email and a separate email that contains access information for the webinar. 

Participating in the Webinar: You will only need a computer with an updated web browser (Google Chrome, Microsoft Edge, Mozilla Firefox or Safari are recommended). Participants may opt to listen to the webinar via telephone or device. 

Cancellation Policy: Cancellation notification must be submitted in writing to institute@lhpc.org seven or more days prior to the course date. Refunds will not be given after that date. Substitutions are encouraged. Payment will be due for registered individuals that do not attend the event and for which a cancellation notice is not received.