In-sourcing vs. Outsourcing Disease and Health Management

AUDIO CONFERENCE ON CD OR AUDIO ON-DEMAND

Sponsored by Health Plan Insider

presented on October 29, 2008

More health plans are bringing disease management (DM) services in-house as a way to reduce costs and improve member care. However, many managed care companies are struggling with which programs to bring in-house or whether to in-source all DM programs. During this audio conference, you will learn how two different companies—Horizon Blue Cross Blue Shield and Healthways—have approached it.

Find out the cost-effective ways to provide the best programs for members.

Listen to HCPro's 60-minute audio conference In-sourcing vs. Outsourcing Disease and Health Management: What's the Right Mix? You will hear about the benefits and disadvantages of choosing either option: A representative of a large health plan discusses how taking DM in-house can result in cost-savings and improved member outcomes, and a representative from one of the leading DM companies describes the types of services a major DM organization provides that are often difficult for a health plan to duplicate.

At the end of this audio conference, you and your staff will be able to:

• Learn what programs benefit from health plan intervention
• Find out the services that DM companies provide that are difficult to duplicate
• Identify the resources needed to administer DM programs in-house
• Contrast the advantages and disadvantages of outsourcing vs. in-sourcing disease management
• Establish innovative initiatives to improve clinical metrics

AGENDA

• In-sourcing
• Benefits of moving in-house
• When and how to choose which DM services to move in-house
• Which programs work better being in-sourced
• What is needed to in-source DM programs
• What initiatives were put into practice and what was the timeline
• In-sourcing Case Study: Horizon Blue Cross Blue Shield
• Outsourcing
• Benefits of using a disease management company
• Financial benefits
• Patient result benefits
• Call management systems and support tools
• Measurement reporting
• What are the trade-offs and what is the correct mix of in-sourced and outsourced programs?
• Outsourcing Case Study: Healthways
• Future of in-sourcing/outsourcing
• Is in-sourcing a fad or the future?
• How will health plans and DM companies find the right mix of programs
• Question and answer session

BONUS TOOLS

In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials and:

• Horizon BCBSNJ Health and Wellness Education Brochure: Program information about the 9 DM programs

These materials are provided with PDF links.

MEET THE SPEAKERS

Dexter W. Shurney, MD, MBA, MPH, Senior vice president/chief medical officer, Healthways. Dr. Shurney oversees the medical affairs aspects of program administration for core disease management programs, health and wellness. Prior to joining Healthways in 2005, he served as a key strategist in Health Policy for the biotechnology company Amgen. In addition, he is the former chief medical officer for BlueCross/BlueShield of Michigan. Dr. Shurney is board-certified in preventive medicine.

Premila Kumar, MD, PAHM, Manager of care management, Horizon Blue Cross Blue Shield. Dr. Kumar develops, administers, and oversees all clinical operations of the asthma, COPD, hepatitis C, multiple sclerosis, diabetes, coronary artery disease, and weight management & heart failure health education programs. Her experience includes serving as health education manager for disease management programs at CIGNA Health Care Tri-State Region.

WHO SHOULD LISTEN?

Professionals employed by health plans, health management companies, disease management companies, and technology vendors, who have the following titles:

• CEO/president/health plan administrator/COO/CMO/CFO
• Director of managed care
• VP of technology/ chronic disease/medical affairs/business development/disease management
• Director of care management/case management
• QM director/manager
• Health education program manager
• Medical Director
• Marketing
• Quality coordinator
• Program manager
• Nurse

PROGRAM MATERIALS

Program materials are provided with PDF links.

AUDIO ON-DEMAND

In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, an audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

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