Osato Chitou

 

 Osato Chitou Gateway Health Plan

Osato F. Chitou, Esq., MPH

Medicare Compliance Officer, Gateway Health Plan, PA

   Chair of RISE Regulatory and Compliance Oversight Advisory Board

   Member of Executive Committee of the RISE Advisory Board

 

Ms. Chitou currently serves as Medicare Compliance Officer for Gateway Health Plan. Prior to joining Gateway, Ms. Chitou served as the Director of Medicare Compliance for Amida Care, a not for profit health plan in New York founded by several community based organizations.   Ms. Chitou is well versed in the industry having served as Director of Legal & Regulatory Affairs    for CarePoint Health Plans, a startup Medicare Advantage plan in Hudson County NJ, as well as served as compliance officer for Newark Beth Israel Medical Center, a 669-­‐bed regional care teaching hospital. Additionally, Ms. Chitou also served as a legal specialist charged with    overseeing Managed Care Organizations (MCOs) New Jersey market entry and exit including MCO applications, closee out activities, and procurement cycles at the NJ Department of Human Services. Ms. Chitou was also an associate in the Healthcare & Healthcare Privacy practice groups at Moses & Singer LLP. While there, her areas of concentration included state and federal health privacy issues and regulatory compliance with HIPAA and HITECH.

 

Osato was a freelance writer for The National Jurist and appeared as a featured guest on the award winning talk show Good Evening Ghana. She is also an adjunct professor at Rutgers School of Public Affairs and Administration and has taught the following courses: Law and Public Health, Leadership and Diversity, and Healthcare Management. Additionally, she serves as President of the Board of Trustees of the Alumni Association for Rutgers School of Lawe Newark, as well as on the Executive Board of Directors for the New Jersey Women Lawyers Association and is Coe Diversity Officer. Ms. Chitou is admitted to practice law in New York and New Jersey.OsatoF.Chitou,Esq.,MPHMs.ChitoucurrentlyservesasMedicareComplianceOfficerforGatewayHealthPlan.PriortojoiningGateway,Ms.ChitouservedastheDirectorofMedicareComplianceforAmidaCare,anotforprofithealthplaninNewYorkfoundedbyseveralcommunitybasedorganizations.Ms.ChitouiswellversedintheindustryhavingservedasDirectorofLegal&RegulatoryAffairsforCarePointHealthPlans,astartupMedicareAdvantageplaninHudsonCountyNJ,aswellasservedascomplianceofficerforNewarkBethIsraelMedicalCenter,a669-­‐bedregionalcareteachinghospital.Additionally,Ms.ChitoualsoservedasalegalspecialistchargedwithoverseeingManagedCareOrganizations(MCOs)NewJerseymarketentryandexitincludingMCOapplications,closee outactivities,andprocurementcyclesattheNJDepartmentofHumanServices.Ms.ChitouwasalsoanassociateintheHealthcare&HealthcarePrivacypracticegroupsatMoses&SingerLLP.Whilethere,herareasofconcentrationincludedstateandfederalhealthprivacyissuesandregulatorycompliancewithHIPAAandHITECH.OsatowasafreelancewriterforTheNationalJuristandappearedasafeaturedguestontheawardwinningtalkshowGoodEveningGhana.SheisalsoanadjunctprofessoratRutgersSchoolofPublicAffairsandAdministrationandhastaughtthefollowingcourses:LawandPublicHealth,LeadershipandDiversity,andHealthcareManagement.Additionally,sheservesasPresidentoftheBoardofTrusteesoftheAlumniAssociationforRutgersSchoolofLaweNewark,aswellasontheExecutiveBoardofDirectorsfortheNewJerseyWomenLawyersAssociationandisCoe DiversityOfficer.Ms.ChitouisadmittedtopracticelawinNewYorkandNewJersey.


Tags: Osato Chitou, Gateway Health Plan, Board

Log on to Your Rise Account

Forgot your password?
Create an Account

Association Sponsors

Latest Posts

Keep M.E.A.T. on Your List for a Healthy Audit

By Jeanmarie Loria, Advize Health, LLC If you’re reading this article, chances are you already know what HCC Coding is – but we’ll give you a refresher anyway. Hierarchical Condition Category (HCC) and Risk Adjustment Coding is a CMS-mandated payment model. This model works to identify those with chronic and other serious illnesses and prescribes a risk factor score to each patient, taking into consideration their ailments and other demographics. With every payment model comes a specific set of audit and review requirements that must be met to maintain the integrity of the system, and this is where MEAT (Monitor, Evaluate, Assess/Address, Treat) comes in handy. In a face to face visit M.E.A.T. maybe found in the chief complaint, history of present illness, review of systems, physical exam, assessment and/or plan....
Read More

Getting It Right: True North in Healthcare Reform

The movement to repeal and replace "ObamaCare" created so much political noise that clear thinking has been hard to come by. The 2010 legislation that created the marketplace for individuals and small business (the Affordable Care Act or ACA), has almost evolved into a political Rorschach test. The more that politicized options and alternatives to repealing, replacing, or repairing it were discussed, the harder it was to put into focus the original problems the legislation was designed to address. Nevertheless, the rancorous divisions over what needs to happen to fix problems in the individual insurance market remain a distraction from the real issue at hand: the cost of healthcare weighing down the economy and what we need to do to fix it. With all the intense debates swirling around this topic, an impression emerges that “solving the ObamaCare issues” is something that must be accomplished as an isolated matter, discrete and independent of other problems. The heated debates concentrate on the mechanics and tactics required to solve the "uninsured problem", the "under-insured problem", and for some, the federal budget problems created by the subsidies for low-income enrollees in these plans. This single-issue mono-vision obscures a reality that must be addressed. This perspective completely misses the fact that something is going on that is far more corrosive to the wellbeing of all of us as consumers of health care, as taxpayers, and as a nation: something that overshadows the tug ‘o war over ObamaCare. The critical and overlooked issue is that health care expenditures in the U.S are at least twice as expensive as other nations, which consume so much of the national economy...
Read More

Upcoming Conference

 

Qualipalooza: The 2nd Annual RISE Quality Leadership Summit 

This unique event incorporates three conferences presented side-by-side: the Star Ratings Strategic Planning Forum, the HEDIS Forum, and the CAHPS, HOS & Member Survey Forum. Register for one conference for an in-depth examination of a single area, or design your own event by opting for the all-access pass and choosing the sessions from each conference which correspond exactly to your interests.

More

Upcoming Webinar

Successful and Meaningful Techniques for Integrating Risk and Quality Interventions

Quality measurement and risk adjustment regulations are increasing and the financial impact upon health plans is progressively driving accountability and influencing profitability through payments, penalties, and bonuses. To improve performance and optimize risk and quality payments, Health Plans need to streamline processes, employ best practices for data capture, and focus on strategic interventions that use a member-centric approach.  

Connect With Us

Copyright © 2014 Resource Initiative & Society for Education. All rights reserved.