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Thursday, April 5 • 4:00pm - 5:00pm
Track 4: Evolving Third Party Liability (TPL) towards ‘Cost Avoidance’ and beyond ‘Pay & Chase’, exploring state modernization and procurement models.

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Track 4: Evolving Third Party Liability (TPL) towards ‘Cost Avoidance’ and beyond ‘Pay & Chase’, exploring state modernization and procurement models.

Third Party Liability is largest savings programs Medicaid Agencies have to control costs and manage budgets.  What are states doing to leverage TPL and incorporate real-time TPL verifications to assist states with eligibility and benefit plan decisions? This session will discuss state planning efforts and innovations to TPL and consider the following questions:

  • What are the available procurement options available to states?
  • How is TPL considered in the modular modernization of MMIS? Or Eligibility systems?
  • How can cost-avoidance be quantified/measured to support the saving value of real-time identification of TPL?
  • What methods can be used to ensure that MCOs are maximizing TPL and coordinating benefits?
  • Why should policymakers consider TPL in the upfront planning of Medicaid transformation or DSRIP projects?

avatar for Mary Fontaine

Mary Fontaine

Deputy Director Center for Health Care Financing, Umass Medical School
Mary joined UMass Medical School in 2000, and oversees operations and consulting services for TPL, benefit coordination, program compliance and fiscal integrity programs. She has played a critical role in building the Medical School's national reputation in this area, particularly... Read More →

avatar for Ciera Charles

Ciera Charles

MSHA, Michigan Department of Health and Human Services
Ciera Charles, MSHA, joined Michigan's Department of Health and Human Services, Health Insurance Liability Section as a Departmental Analyst in early 2017. Collaborating closely with third party payers, Ciera has worked to bring Michigan's third party coverage identification and subrogation... Read More →

Britt Graupner

Benefit Recovery Manager, Minnesota DHS
avatar for Deborah Grier

Deborah Grier

Vice President, HMS
Deb Grier, HMS Vice President Enterprise Product Management, has over 15 years of experience in working within the Coordination of Benefits product and service space. Her career has been heavily focus on working toward solutions for government-funded health and human services programs... Read More →
avatar for Denise Poley

Denise Poley

Senior Manager Health & Public Service, North America, Accenture
Denise Poley is a Senior Manager based in Charlotte, NC and leads Accenture’s Third Party Liability Offering.  Denise has over 25 years of experience in the public and private sectors including 15 years of leadership experience in state government.  Most notably, Denise served... Read More →

Thursday April 5, 2018 4:00pm - 5:00pm PDT
Key Ballroom 10