Value-Based Specialty Care: Anthemís Approach

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Value-Based Specialty Care: Anthemís Approach 
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Primary care has rightfully served as the foundation for implementing value-based payment across the US health care system. But a disproportionate share of health care costs actually stem from specialty care, including surgical care and visits to medical specialists.

Having successfully scaled its Enhanced Personal Health Care program, which rewards primary care providers who succeed in delivering patient-centered, value-based care, Anthem is expanding its work to base specialty care payments on quality and efficiency. Anthemís approach includes multiple programs across both commercial and government-sponsored business, designed to reward specialists for coordination with primary care, as well as for consistently high-quality, efficient care.

Anthemís approach will include not only bundled payment and pay-for-performance, but newer payment mechanisms that are designed to improve outcomes and make care more affordable, simpler and more accessible for consumers.

Please join us on Thursday September 20, 2018, at 1 PM Eastern as Anthemís Robert Krebbs and Erin Smith share Anthemís perspective on the way to incorporate the full medical neighborhood into a value-based health system in the HealthcareWebSummit event: Value-Based Specialty Care: Anthemís Approach.
Learning Objectives

After attending this webinar, attendees will be able to:

  1. Understand why specialty care must be part of the move to a value-based health care system
  2. Explore Anthemís multi-pronged approach to value-based contracting across the medical neighborhood
  3. Examine how value-based specialty care arrangements help consumers and employers
  4. Ascertain how specialty providers can succeed under value-based payment arrangements
  5. 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
  • Medical Directors
  • Managed Care Executives and Staff
  • Revenue Cycle Executives and Staff
  • Provider Network Executives and Staff
  • Value Based Care Executives and Staff
  • Planning and Strategic Executives and Staff
  • Business Intelligence Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Provider Networks
  • ACOs
  • Clinically Integrated Networks
  • Medical Groups
  • Hospitals and Health Systems
  • Health Plans
  • Employers
  • Government Agencies
  • Life Sciences Organizations
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Organizations
  Individual Registration Fee: $195. Post-event materials, with video of slides synchronized with speaker audio, plus presentation pdf file: $45 for attendees; $260 for non-attendees after the event. Register online or download the event flyer.
Register Now   Click here to register or call 209.577.4888. Corporate Site licensing also available. We look forward to your attendance!
Robert Krebbs

Robert Krebbs
Staff Vice President, Payment Innovation Strategy, Anthem, Inc.

  Robert Krebbs is Staff Vice President, Payment Innovation at Anthem where he is responsible for the design and execution of payment innovations related to hospitals, specialists, ancillary service providers, and special populations. Mr. Krebbs works with network physicians and facilities on innovative programs aimed at delivering healthcare value by promoting high quality, affordable care. His responsibilities include the management and oversight of the award winning Quality-In-Sightsģ: Hospital Incentive Program (Q-HIPģ), Anthemís expanding suite of bundled payment solutions and a diverse portfolio of member and provider facing value-based designation programs. He was a member of the leadership and development team at Anthem recognized with the John M. Eisenberg Patient Safety and Quality Award (Joint Commission & National Quality Forum) for the Q-HIP and Quality Physician Performance Program (Q-P3SM) value-based reimbursement programs.

Most recently heís been focused on leading the development of medical neighborhood programs at Anthem aimed at aligning with the American College of Physicianís Patient-Centered Medical Home Neighbor (PCMH-N) concept. This new suite of programs focuses on care coordination and shared outcomes between the unique teams of physicians (primary and specialty care) taking care of individual patients. The initial product of these efforts, Anthemís Patient Centered Specialty Care (PCSC) pilot program was awarded an evalu8 Innovations Award by the National Business Coalition on Health in late 2015. The latest addition to the program portfolio is the Behavioral Health Medical Integration Program (BHMIP), which provides financial incentives to behavioral health providers for integration activities with primary care partners.

Mr. Krebbsí interest in advancing high value care solutions extends to participation in multi-stakeholder efforts, including serving on the Board of Directors (now the Steering Committee) of the American Joint Replacement Registry, the Center to Advance Palliative Care (CAPC) Multi-Payer Workgroup and the Advisory Committee for the National Committee for Quality Assuranceís (NCQA) Patient Centered Specialty Practice (PCSP) program. He resides in Richmond, VA with his wife and two daughters and is also a proud graduate of Virginia Tech.

Erin Smith

Erin Smith
Director II,
Payment Innovation, Anthem, Inc.

Erin Smith, JD, Director II of Payment Innovation at Anthem where she focuses on development and implementation of specialty payment models.

Prior to Anthem, Erin was the Director of Public Policy at Cardinal Health where she serves as the lead policy expert for public payment policy and value-based care models for the Federal Government Relations group. She also led the policy arm for naviHealth, a Cardinal Health company, in which she focused on bundled payments, care transitions, and post-acute care.

Prior to Cardinal Health, Erin worked at CMS in the Center for Medicare and Medicaid Innovation, leading the team that developed bundled payment models and implemented the Bundled Payments for Care Improvement Initiative. Erin served as a Medicare physician payment policy expert on the Physician Fee Schedule at CMS. She also brings experience from her time with the World Health Organization in Geneva, Switzerland, and Avalere Health.

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