Keys to Payer-Provider Collaboration on Population-Based Payment - On-Demand

Quick Overview

Presented on: September 30, 2014
Presented by: Steve Cardamone and Dick Salmon

Discover how payers and providers can work together to optimize care, improve quality, and maximize reimbursements.

Availability: In stock

Pubcode: YK093014D
Price: $279

Keys to Payer-Provider Collaboration on Population-Based Payment

Available ON-DEMAND

Implementing population health-based payment models and integrated care initiatives has the potential to improve clinical outcomes and drive down costs.

Join leaders from OhioHealth Group/Health4 and Cigna as they reveal which population-based payment models can be applied to patient care, and how payers and providers can work together to optimize care, improve quality, and maximize reimbursements. 

At the conclusion of this program, participants will be able to:

  • Gain insight on building population-health management programs
  • Better understand provider-payer partnerships and population-health-based contracting
  • Optimize clinically integrated care efforts
  • See new perspectives on crafting value-based healthcare delivery 
  • Discover new quality incentives for closing care gaps

 

Agenda

  • The Provider Prospective – OhioHealth Group/Health4
    • A PHO functioning as an ACO
    • Leveraging positive, collaborative relationships with payer partners
    • How to build a population health management portfolio
      • Value transformation in the health sector
      • The health system as an incubator of innovation
      • Total cost of care management 
    • The Payer Perspective – Cigna
      • Developing relationships with physician networks and engaging physicians at the point of care
      • Delivering value-based services
      • Institutionally embedded care management for chronic disease, emergency room utilization, and transitions of care
      • The role of patient-centered care transformation/patient-centered medical home
  • The Payer Perspective
    • The disruptive environment: new opportunities to engage patients and health care professionals in health improvement
      • Major disruptive forces
      • Impact of the ACA on physician, hospital and patient engagement
      • Core components of increasing physician, hospital and patient engagement
    • Delivery system-plan collaboration to achieve “Triple Rewards” for patients, healthcare professionals, and employers
      • Customized approach: physician organizations and hospital systems vary in type, size and capabilities requiring flexible models
      • Foundational elements of collaboration: consultative joint management, value-added informatics, clinical collaboration, and comprehensive rewards
      • Spectrum of models: Collaborative Accountable Care (large physician groups and integrated delivery systems), hospitals, specialty groups, and small physician groups
      • The employer perspective
    • Keys to success in total population health:  lessons learned from 100 Collaborative Accountable Care arrangements
      • Leveraging informatics to develop action plans for success and drive improvement
      • Enhancing the embedded care coordinator model and optimizing synergies with Plan resources
      • Driving innovation through best practice sharing
      • Engaging physicians with meaningful information and financial incentives
      • Financial rewards: models that progress from shared savings to shared risk
      • Growing mutual market share
    • Rewarding comprehensive hospital care
      • Metrics important to consumers and clients
      • Guidelines provided by employers
      • Initial program: reward for quality, affordability and experience of care improvement.
    • Engaging consumers
      • Current trends
      • Acceleration of opportunity due to ACA
      • Acceleration of opportunity due to technology

 

Meet the Speakers

Steve Cardamone, DO, MS

Chief Executive Officer

OhioHealth Group

Dick Salmon MD, PhD

National Medical Director

Performance Measurement and Improvement

Cigna

 

Who Should Participate?

CEOs, VPs of Finance, CFOs, CIOs, COOs, CMOs, group practice administrators, payers

 

 

Webcast system requirements and program materials:

To fully benefit from the webcast experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, Safari, with JavaScript enabled

Internet: 56K or faster Internet connection (high-speed recommended)
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices

Prior to the webcast, you will receive an e-mail with detailed system requirements, your log-in information, presentation slides, and other materials that you can print and distribute to all attendees at your location.

 

COULDN'T LISTEN LIVE?

No problem. The ON-DEMAND version is now available! Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $279 value!

 

PLEASE NOTE

Participation in the webcast is just $279 per site. All materials must be retrieved from the Internet.