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Courtney Breece

Vice President, Product Management, Payer

A woman with blonde hair and blue eyes, wearing a blue top, smiles slightly at the camera. In the background, a bookcase filled with books and framed photographs hints at Courtney Breece’s inviting and thoughtful space.

Courtney Breece has served as the Product Owner for the analytics capabilities of the Inovalon ONE® Platform for 11 years. She drives Inovalon’s integrated approach to payer-related analytics for both quality measurement and risk adjustment. Ms. Breece oversees the product management, technical development, and policy oversight of Converged Quality, the industry’s leading performance measurement reporting application. Prior to joining the Inovalon team in 2012, she acted as the Assistant Director of NCQA’s Measure Validation department and managed the Certified HEDIS® Compliance Audit (CHCA) Program.

In her roles at NCQA, she worked closely with auditors, health plans, and vendors to craft measure and audit policy. She served as NCQA’s Contract Director for CMS’ HEDIS® Medicare Reporting contract for the delivery of Medicare data used in CMS’ MA 5-Star Health Plan Ratings program.   

Ms. Breece received her Bachelor of Science degree in Healthcare Administration with a concentration in Public Policy from the University of Maryland.

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Authored Content
INOvators logo with Courtney Breece headshot and title
Payer

Navigating Quality Measurement in 2026

In this INOvators episode, Courtney Breece breaks down the key trends and changes for quality measurement in 2026.

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A woman and a man in business attire sit at a desk in a bright office, reviewing documents related to the CMS Final Rule 2025. The woman discusses key points while the man listens attentively and examines the papers.
Payer

CMS Final Rule 2025: What To Know

The Centers for Medicare & Medicaid Services (CMS) has finalized updates to the Medicare Advantage (Part C) and Medicare Prescription Drug Benefit (Part D) Star Ratings program, as detailed in the document [CMS-4208-F]. These changes, effective June 3, 2025, with applicability for coverage beginning January 1, 2026, aim to enhance the evaluation of plan performance and quality.​ The Medicare Advantage changes impact the 34.4 million seniors enrolled in the upwards of 700+ Medicare contracts in 2025.

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A man working on a computer.
Payer

Preparing for dQMs: Your Checklist to Get Started

Many quality professionals are feeling anxious about the transition to digital quality measures (dQMs).

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A woman wearing glasses and a sleeveless blouse works on a laptop at her desk, possibly reviewing HEDIS MY2026 Public comment. A coffee mug sits beside her, with a large green plant and a bright window in the background.
Payer

HEDIS® MY 2026 Public Comments: Highlights for Quality Teams

NCQA recently shared proposed new measures and measure changes for MY 2026 for public comments. The following is a summary of the proposed measure changes and things to keep in mind as you submit your comments.

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Podcast promotional image featuring the title Recovering from 2024 Quality Measurement Reporting Challenges and Preparing for Changes in 2025, highlighting healthcare data security, with a photo of Courtney Breece, AVP, Product Management, Inovalon, on the right.
Payer

Recovering from 2024 Quality Measurement Reporting Challenges and Preparing for Changes in 2025

Many health plans are still recovering from last year's challenges, while some wonder what's in store now. Explore predictions and opportunities.

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A woman is working at her desk.
Payer

CMS 2026 Proposed Rules: Key Takeaways for Quality and Stars Managers

The Medicare landscape is poised for significant changes with the release of proposed rules from the Centers for Medicare & Medicaid Services (CMS) on November 25, 2024. These rules, set to impact the contract year 2026, aim to reshape key elements of Medicare Advantage (MA), Medicare Prescription Drug Programs (Part D), and other Medicare services. If implemented, the changes will have wide-ranging implications for quality and stars managers, presenting both challenges and opportunities to enhance care delivery and compliance.

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