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From the CEO

Welcome to 2023! I hope the holidays were relaxing and enjoyable for you.

My first few months here have gone by quickly. I love my job. What I’ve observed is an overflow of dedication and effort by you to make sure our members, providers and others are serviced well. There’s a lot to be said for that, and it is appreciated.

As a reminder, AEP (Annual Election Period) goes from Oct 15th to Dec 7th. This is the most important time of the year for us. Roughly 2/3 of all members who sign up with us do so during this time period. I’m proud to say that ATRIO just had it’s BEST AEP ever. You all are to congratulate for this!! Thank you so much for serving this population.

I’m privileged to work here, and with each of you. What you do every day is recognized and appreciated.


Employee Spotlight

Jennifer Callahan

Jen Callahan is the Chief Operating Officer of ATRIO Health Plans. For the past 18 years, Jen has established herself as a trusted thought leader and helped shape the managed care industry with her innovative ideas and expertise. Jen has dedicated her career almost exclusively to managed care and is an industry leading expert in all areas of Medicare Advantage and Medicare Supplement programs.

Prior to joining ATRIO, she co-founded a field management organization, Keen Insurance Services, Inc. to create a provider-centric Medicare focused sales and distribution organization from the ground up. Prior to that, she held the position of Vice President, Medicare Product at Aetna, a CVS Health company where she oversaw the product development and implementation Aetna’s entire Medicare portfolio, contributing over $24 billion to Aetna’s revenue. Throughout her career, Jen has also held various leadership positions at Healthfirst, Inc. and Anthem, Inc. focused exclusively on Government sponsored business.

Jen received her MBA from North Carolina State University and earned her Bachelor of Science degree from Fordham University in New York. Jen currently resides in Waxhaw, a suburb of Charlotte, North Carolina with her husband, their three kids and pet cat. Jen loves spending time with her family and friends and hosting them at their home. Jen has also completed 3 marathons and has plans to run the Grandma’s Marathon in Duluth, MN in 2023!


New FACES of ATRIO!

Since the last issue of Scuttlebutt, the following folks have joined us at ATRIO. Please welcome:

  • Jennifer Callahan has joined us and transitioned into the position of Chief Operating Officer
  • Cecilia Silerio has joined us as a HEDIS Records Retrieval Specialist reporting to Victoria Lopez
  • Rachel Wolthausen has completed her contract period and has been hired directly as a Customer Service Specialist reporting to Candace Lowman
  • Erin Wyscaver has joined us as a Customer Service Specialist reporting to Candace Lowman

ANNIVERSARIES:

Celebrating anniversaries in January:

Steven Paulissen January 2 3 years
Joel Kuhl January 2 3 years
Endora Britt January 3 1 year
Jessica Assefa January 3 1 year
Victoria Lopez January 3 1 year
Caitlin Purdy January 22 5 years
Britni Shaddy January 22 3 years
Michelle Mitchell January 31 14 years

BIRTHDAYS:

Employee birthdays in January:

Donna Alexander January 1
Tamra Schrunk January 2
Kaitlin Walker January 5
Darci Juris January 8
Beverly Whitehouse January 9
Cecilia Silerio January 9
Sara Vaughn January 12
Pamela Miller January 13
Gregory McCauley January 14
Tawnya Garrison January 16
Patricia McKay January 25
Jeffery Fox January 29
Paul Moretti January 31

Employee Engagement

ATRIO has selected Motivosity as our employee engagement portal. You can use this site as a resource to celebrate milestones, recognize your peers and generally get to know your coworkers better!

This employee engagement resource was launched on October 14, 2022. If you did not receive/cannot find the registration email from Motivosity, please find resources to help you

here: S:\ATRIO_RESOURCES\Motivosity

Use the site, have fun, and recognize your peers for the great work you all do!

Thank you for all that each of you do for our members! ATRIO is successful because of employees like you!

Reminders

If you haven’t already, check out the ATRIO employee resources folder, which can be found here: S:\ATRIO_RESOURCES

These are just a few of the items you can reference:

  • Updated phone listing
    • Provides employee names, titles, phone numbers, office location
  • Employee Handbook
    • Provides holiday and PTO information, benefit information, work environment information, and much more
  • Forms
    • Peak award, Charity contribution and more

Insperity EAP (Employee Assistance Program) Brochure

November PEAK Award Winner Profile

Name: Jasmine Stone

Position: Risk Adjustment Coding Manager

ATRIO Start Date: November 9, 2015

About me: I was born and raised in Oregon. I have lived in Myrtle Creek for the past 15 years. I love to spend time with my two boys ages 19 & 17), and go on cruises with my partner. I am also a dedicated gamer and I love to read.

Advice to others: Don’t hesitate to take on tasks or projects that you’ve never done before, that is how you learn and grow! Related to that though, don’t be afraid to ask for help when you need it, your colleagues have so much to share.

December PEAK Award Winner Profile

Name: Jessica Villasnenor

Position: Office Manager & Sales Support

ATRIO Start Date: July 5, 2022

About me: I am a girl with a lot of hobbies; however, my motivation to become better has been the key to my performance. ATRIO has provided me with an opportunity and with this opportunity, I have chosen to listen so I can grow and help other to create long lasting relationships.

Advice to others: Sometimes life can be challenging, but it is up to us to become better and succeed. I hope this year is your year!


Sales

Even though AEP is over and 2023 has just begun, the Sales Team is putting the final touches on our OEP* Strategy.

In Q1, the team plans to connect with our strategic partners, recruit more agents, facilitate educational and sales meetings, and engage community partners that can helps us connect with Medicare Beneficiaries and Sales professionals that would like to add ATRIO Health Plans to their portfolio.

In the coming weeks, we will also be facilitating Agent Roundtable discussions. We do these roundtables to understand why agents continue to choose ATRIO for their clients, learn how we can improve our communication, training, onboarding, and provide benefits that our members need and our prospects demand.

We’re also gearing up to facilitate Patient Appreciation Events with our provider partners P3 and Saint Mary’s. During these events, we educate patients on their Medicare options, and they learn about important health-related topics. By providing the health- related topics, we can engage with our members and prospects and create long lasting relationships with the community.

With over 90 events planned in Q1 alone, the Sales Team is ready to make 2023 the best year in ATRIO history!

*In OEP, the Medicare Advantage Open Enrollment Period (MA OEP) is the time when beneficiaries can switch from one Medicare Advantage Plan to another, or switch from a Medicare Advantage Plan to Original Medicare with or without a Part D plan. The MA OEP occurs each year from January 1 through March 31, and changes take effect on the first of the month following the month you enroll. The beneficiary can only make one change during the MA OEP.


Member Communications & Marketing

  • All New Member welcome packets/ID cards have been mailed out and should have been received by members prior to 1/1. If for some reason they did not, members can use their confirmation of enrollment letter as their ID card.
  • Flex Card mailings to new and current members were delayed. All OR members should receive by mid-January. NV members will be further delayed unfortunately. We are researching the root cause of the delay.
  • Member Meetings are scheduled for weeks of January 9th, February 6th, and March 6th
    • Attendance at Oregon meetings has been very successful. I would like to point out that Gabriel (Gabe) Damico ran our Marion/Polk meeting in December and received a round of applause at the end. Go Gabe!
    • If super low attendance continues in Nevada, we may cancel the February and March member meetings due to cost and time associated for getting presenters out there.

Compliance

The Risky Business of Medicare Advantage

Medicare Advantage (MA) health plans are governed by a complex and stringent set of regulations designed to protect beneficiaries and ensure the delivery of high-quality care. One way ATRIO can maintain compliance with all requirements (and maintain our sanity), is by implementing a comprehensive risk management program. The Compliance department has recently kicked off the annual process of facilitating meetings with each of the operational leaders to complete their risk assessment of internal and delegated services. The risk assessment is an integral part of ATRIO’s compliance program and results are used to develop the Audit and Monitoring Plan each year.

Evaluating and understanding operational risk is important because it:

  • Reduces operational uncertainty;
  • Crucial for successful planning;
  • Reduces the likelihood of non-compliance.

Leaders can prepare for the meetings with Compliance by being ready to discuss controls you have in place to prevent non-compliance, monitoring to test the controls and for early detection of non- compliance, and any issues that would increase or decrease the compliance risks in your area. Risks identified by the risk assessment are scored and ranked to determine which risk areas will have the greatest impact on ATRIO.

Consider the following:

  • Applicable Medicare Requirements related to timeliness, accuracy, and member notifications
  • Vendor/FDR support, experience, and knowledge of requirements
  • How do the operational area’s activities impact the health, wellness, and finances of ATRIO’s members?
  • New requirements, staff, systems, processes
  • Complexities or vulnerabilities
  • Audit Readiness
  • Previous audit findings, monitoring deficiencies, compliance incidents
  • Service-level metrics

Once the risk assessment has been completed, a monitoring and auditing work plan must be developed. Compliance will coordinate with each department to develop a monitoring and auditing work plan based upon the results of the risk assessment. Keep in mind, risks may change and evolve with changes in the law, regulations, CMS requirements and operational matters. Therefore, there must be an ongoing review of potential risks of noncompliance and FWA and a periodic reevaluation of the accuracy of ATRIO’s risk assessments.

CMS has made it very clear that failing to stay in compliance with Medicare Advantage regulations can have serious impacts on health plan sponsors. The consequences for poor performance include financial penalties, lower Star Ratings, and changes to rebate percentages, risk adjustments, etc. Since CMS audit findings are publicly available, the ratings and CMS adverse audit results may impact member enrollment and re-enrollment decisions. Proactive management of operational compliance risk and effective risk mitigation strategies will help drive internal efficiencies at ATRIO and create positive member experiences.


Joke of the Month

There should be confetti in tires, so it’s still an okay day when there is a blow-out.

  • Last updated Jan 19, 2023