Decoding Payer Contracting in a New Era of Population Health
Presented on 12/5/2012, 1:00-2:30 p.m. (ET)
For providers, population health management is the next step in healthcare reform, but to make that move providers must place greater emphasis on commercial payer contracts.
Innovative healthcare organizations such as Iowa Health System and Bellin Health System are already getting these programs off the ground. Join these leading organizations as they share best practices and lessons learned when establishing population
Register for Decoding Payer Contracting in a New Era of Population Health and participate in an interactive Q&A, plus a presentation offering lessons learned and best practices. You'll learn how to:
- Understand the intricacies of commercial contracting for patient populations
- Determine which payers and patients are best suited for this contracting opportunity
- Assess your organization's competencies and ability to put a population health management payer contract into place
We will have 45 minutes of presentation followed by 45 minutes of open-forum Q&A. The audience may also pre-submit questions to help guide the information provided during this webcast.
- Advantages/disadvantages of narrow and wide networks
- Assessing your organizational capabilities for these networks
II. Essentials to establish a pilot program
- Define the population
- Assess and build competencies and capabilities
- Gather data and benchmarks
- Classify the payment model (shared savings, pay-for-performance, fee-for-service)
- Ascertain how to market the program to payers, employers, and providers
- Select essential staff to participate
III. Define expectations of the relationship between payer and provider
- Identify who provides the data and metrics
- Establish data-driven goals
- Track and measure success
- Delineate both parties' roles and responsibilities
- Define the payment structure and level of risks
IV. Generate a payment model for participating providers
- Define the value stream and goals of the model (i.e., primary care capitation)
- Collaborate with providers to establish distributions
Pete Knox, MS, BS
Executive Vice President
Chief Learning and Innovation Officer
Bellin Health System
Pete Knox has been associated with Bellin Health System in Green Bay, Wis., for the past 31 years and has served in a variety of leadership roles. In his role of executive vice president and chief learning and innovation officer, Knox is responsible for population health strategies, physician networks, employer strategies, learning and innovation, and execution of strategy. In addition, he is a consultant for healthcare and non-healthcare organizations and is a senior fellow at the Institute for Healthcare Improvement.Â
Michael Murphy, FACHE, CMPE
Senior Vice President
President and CEO, Accountable Care
Iowa Health System
As senior vice president and president and CEO for accountable care, Michael Murphy leads the transition of Iowa Health System from a fee-for-service reimbursement environment to one that is rewarded for exceptional clinical care in a cost-effective fashion across the healthcare delivery continuum. He is responsible for the strategic development and execution of population health management initiatives, reimbursement methodologies, and the development and management of a high-performing clinical network of employed and aligned physicians in order to demonstrate value to patients, external stakeholders, payers, and the government.Â
Prior to joining Iowa Health, Murphy served as executive vice president for Health Networks at Trinity Health in Novi, Mich., where he led the accountable care development and clinical integration program.
WHO IS ATTENDING?
CEOs, VPs of finance, CFOs, CIOs, COOs, CMOs, group practice administrators, payers
WEBCAST SYSTEM REQUIREMENTS
To fully benefit from the Webcast experience, you will need a computer equipped with a Broadband Internet connection, a sound card, and speakers or headphones. Macromedia Flash player Version 8.0 or greater, a recommended screen resolution of 1024 x 768, and an Internet Browser (e.g. Internet Explorer). The use of AOL or wireless Internet connections is not recommended.
Participation in the Webcast is just $279 per site. All materials must be retrieved from the Internet. Live orders are assessed a $5 processing fee. CD and combo orders are charged $18 for shipping and handling.
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.
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