Ms. Hill oversees all managed care measurement and performance improvement activities at IPRO, including clinical studies, case review, audit and validation services and satisfaction surveys. As Vice President, Managed Care, she currently manages IPRO’s external quality review contracts in Pennsylvania, New York, Kentucky, Rhode Island, and Nebraska, and Medicare managed care projects.
Ms. Hill served on the CMS expert panel that advised on and contributed to the development of the mandatory and optional EQR protocols established in the Department of Health and Human Services’ final EQR rules. She also served on NCQA’s HEDIS® Users Group, providing comments and recommendations related to HEDIS development.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
Under the 13th Statement of Work, CMS has awarded IPRO two contracts to serve as the Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO) in both the Northeast (Region 1) and Mid-Atlantic (Region 2).