HICE CEO Update - May 2023

From: broadcast@iceforhealth.org 1
Date: 5/9/2023 5:53:55 PM
Subject: HICE CEO Update - May 2023

To HICE Participants
Welcome back to the bi-monthly CEO Update, designed to keep members apprised of the current happenings at HICE! Here is an update on what has been going on since my last report:

HICE 2023 Annual Conference – we are extremely excited to announce that we will be going back to an in-person conference this year! And for the first time, our conference will be held in Southern California at the beautiful Hyatt Regency Indian Wells Resort & Spa in the Coachella Valley. We are really looking forward to being together again and hope everyone can join us at this beautiful venue on December 4 & 5. Save the dates - there will be more to come on speakers, registration, etc. very soon!

2023 Operating Budget Funding Request Letters – as a 501(c)(3) non-profit organization, HICE relies on annual contributions from health plans, provider organizations and other health care industry entities to support educational and collaborative activities. We are very pleased to report that the industry stepped up in a big way to give HICE its best year of contributions yet! We are extremely grateful for this tremendous amount of support, and would like to recognize and thank all of our contributing organizations, which can be viewed here. We would also like to welcome new CEO Leadership Circle members Molina Healthcare, Blue Shield of California and Blue Shield of California Promise Health Plan!

Association Partnerships – monthly meetings continue between HICE and the California Association of Health Plans (CAHP), as well as America’s Physician Groups (APG). These discussions continue to be very beneficial on all sides and provide an excellent opportunity to stay aligned on collaborative work efforts for the industry and for HICE to stay at the forefront of upcoming regulatory requirements to better support and prepare for potential standardization around implementation, with discussions taking place related to the Office of Health Care Affordability, CalAIM, MLR reporting and more.

Health Net / IHA Medi-Cal Encounter Data Improvement Project – this project continues, with the current priority areas of focus being Newborn Identification and Alignment Across Submission Guides (Companion, Implementation, and Billing Guides). The development of best practice training materials is underway for these priority areas.
HICE Team / Website Updates

  • Compliance Team – as a reminder, this team currently has workgroups addressing IT Systems Integrity shared audits and Delegated Entity Compliance shared audits. These programs make it possible for health plans (with delegate permission) to share audit results for IT system integrity and security and for compliance programs with other plans, and both audit tools offer a single corrective action plan functionality. To learn more about these activities and how to join these money and time-saving shared audit processes, please contact the team co-leads, Beth Richardson at beth.richardson@blueshieldca.com or Mary Curry at mary.curry@tmmc.com. Based on user feedback, additional enhancements to both of these web-based tools were approved by the HICE Board of Directors, with the 2022 enhancements recently completed and additional enhancements for 2023 expected to be completed by June, which is just one example of how funding contributions to HICE are utilized to promote the betterment of the healthcare industry. There are also online training modules available on the HICE website that provide an overview of how each of these shared audit processes function.
  • Website Audit Review Process – as a main area of focus for HICE this year, the compliance review and development of an audit structure to ensure that all of the information on the website is up-to-date and meets the most current regulatory requirements has been underway, beginning with the health plan-specific letter templates that are currently housed in the website library. HICE has been working with those plans that have opted to continue to provide their specific letter templates to confirm that they have reviewed all of the templates to determine regulatory compliance and to provide contact information for the person(s) at their organization responsible for monitoring and managing these documents and authorized to certify the regulatory compliance of the materials. The templates for those plans that have completed that process are now back on the website and can be accessed here, with more expected to become available soon.
As we continue this website review process throughout 2023, we are looking at engaging with a compliance consultant and will keep HICE participants apprised of the audit schedule and how that may impact access to certain documents and/or areas of the website.

Until the next update, please feel free to contact me at mmyers@iceforhealth.org or at 530-562-4235, with any suggestions, questions or comments. Thank you!

Website development services provided by:
Click here for more information about Stone Six Solutions, Inc.
Stone Six Solutions