Trends in Provider Sponsored Health Plans, co-sponsored by Health Plan Alliance

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Trends for Provider Sponsored Health Plans 
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While many health plans sponsored by national organizations have recently undergone significant consolidation, restructuring and realignment, provider sponsored health plans have been been responsible for much of current health plan and health system growth, innovation and transformation. The question at this juncture is, how are provider sponsored health plans positioned for 2017 and beyond, and what significant trends, issues, opportunities and challenges are they experiencing that will  influence and impact healthcare stakeholders going forward?

The need for alignment between payers and providers and addressing the key intersection points where health systems and their provider-sponsored health plans need to work in tandem are crucial considerations in the success of provider sponsored plans. Integrated Delivery Systems often include several business models and that can result in different cultures.  Along the path towards integrating providers and payers, the value of a common culture is a very important element to success.

This session is co-sponsored by the Health Plan Alliance, the organization that brings together health plans with similar values in collaborative ways to improve their performance and succeed in their markets. Since 1996 many of the nationís leading regional health plans have worked collaboratively through the Health Plan Alliance to improve their financial, operational and clinical performance, and enhance their market position. While members represent various business models, from provider-owned to cooperatives, and from government-owned to independent operations, all are regional health plans with strong provider ties.

This session builds on the Health Plan Alliance's perspective of the shared experiences, opportunities and challenges faced today by provider sponsored health plans and their integrated delivery systems. Please join us Wednesday October 5th, 2016 at 2 PM Eastern with Cathy Eddy from the Health Plan Alliance in the HealthcareWebSummit event: Trends in Provider Sponsored Health Plans.
Learning Objectives

After attending this webinar, attendees will be able to:

  1. Explore building strategic value for provider sponsored plans: by managing risk and premium dollars while moving to value-based reimbursement, incorporating population health and triple aim, and leveraging the health plan asset
  2. Examine growth opportunities and challenges in product lines, geographic markets, and back office services: including Medicaid expansion; Medicare Advantage; Duals; Public exchanges; Statewide markets, multi-state expansion;  and MSO services for other plans and providers
  3. Understand the opportunities and implications from changes in ownership including mergers, joint ventures, startups or purchasing/selling a plan
  4. Consider the need for alignment and key intersection points between payers and providers, to work together with governance; culture; customer experience; contracting strategy; risk adjustment; quality metrics; clinical integration; informatics and analytics; and technology assessment and IT infrastructure
  5. Ascertain the scope of applicable government oversight, involving regulations and agencies including: ACA, CMS, MACRA, NAIC, ORSA, CGAD and state regulatory agencies
  6. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group.
Who Should Attend

Interested attendees would include:

  • C-Suite Executives
  • Planning and Strategic Executives and Staff
  • Healthcare Innovation, Transformation and Reform Executives
  • Healthcare Payment Transformation Executives
  • Legal, Regulatory and Policy Executives and Staff
  • Provider Relations and Contracting Executives and Staff
  • Provider Network Operations Executives and Staff
  • Managed Care Executives and Staff
  • Business Intelligence Staff
  • Industry Analysts
  • Other Interested Parties

Attendees would represent organizations including:

  • Health Plans
  • Hospitals and Health Systems
  • Integrated Delivery Systems
  • Accountable Care Organizations
  • Provider Networks
  • Other Healthcare Providers
  • Government
  • Pharmaceutical Organizations
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Organizations
Trends in Provider Sponsored Health Plans, co-sponsored by Health Plan Alliance
  Individual Registration Fee: $195. Post-event materials, with video syncing slides and recorded audio, plus presentation pdf file: $45 for attendees; $240 for non-attendees after the event. Register online or download the event brochure.
Register Now   Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!
Cathy Eddy

Cathy Eddy
Health Plan Alliance

  Cathy K. Eddy is president of the Health Plan Alliance. Cathy developed the concept with the eight founding members, wrote the business plan, raised the initial capital and has been running the Alliance since its inception as COO, executive director and now as president.

Cathyís key roles with the organization include Board relations, strategic planning, recruitment of new members, financial and investment strategy, facilitation of educational programs, contract negotiations and management of staff of nine.

In addition to oversight of her own Board, Cathy has been a speaker and facilitator for numerous Boards. She addressed the challenges of health care reform, provider ownership, managed care trends, governance, accountable care, and future direction.

She received her MBA in health care management and insurance from the Wharton School at the University of Pennsylvania. She has a bachelorís degree in news/editorial journalism from Kent State University.
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