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Day-to-day member care management is still
the backbone of health plan operational, financial and quality
performance. While new products, programs, markets, regulations, and
concepts often command a health plan's or network's attention, it is
critical that the organization keep their "eye on the ball" and
maintain a focus on the daily care management of their member population.
This web summit provides a detailed discussion of current trends, tools,
strategies, techniques, benchmarks and critical issues involved with care
management in today's environment.
Webinar / Audioconference
- The Webinar / Audioconference is
scheduled for Thursday, November 15th, 2007 from
1:00 p.m. to 2:45 p.m. Eastern.
- Peter Kongstvedt, M.D. Partner, Health & Life Sciences Accenture and
Joseph Gifford, M.D., Senior Medical Director, Regence, a Blue Cross Blue Shield organization, are the featured Webinar
faculty.
- Doctors Kongstvedt and Gifford will discuss
current
trends, tools, strategies, techniques, benchmarks, operational
challenges and critical issues involved with care management in
today's environment and cite various applicable case
experiences.
- In addition to a thorough discussion
of their presentations, the Webinar will include ample time for audience
questions and answers.
- Attendees will receive dial-in
instructions shortly before the event, and have two options to view
the companion presentations: they can logon to view the live webinar
online, or simply link to download and view or print the presentation
offline.
Podcasts
- Three downloadable Podcast
recordings will be available 24/7 to attendees, each approximately
fifteen minutes in length.
- Companion presentations related
to each Podcast discussion are also available for downloading.
- Susan K. Willette, National
Practice Leader, Health & Productivity
Management, Mercer, will discuss Total Health Management. She will
address Mercer's best practice approach to achieving optimal workforce health and
productivity, involving an integrated service model aimed to reduce total costs and improve productivity above and beyond siloed interventions.
Susan will introduce "readiness" characteristics for
pursuing an integrated model and a high-level road map for
establishing a multi-year, phased-in approach to THM. She will outline
a framework that integrates: Strategies and Program Design; Messaging in terms of Policies, Communications and Incentives;
Delivery of programs and service engineered to be seamless; and Measurement & Evaluation to
in relation to the total investment and return.
- Marybeth Regan, PhD, Global Managing Partner,
Reden &
Anders, will discuss Oncology: the New Imperative for Care Management.
Oncology represents 12% of a typical payer’s overall medical expense budget and these costs are growing at 13% annually – double the rate of average medical costs.
The National Institute of Health estimate overall costs for cancer in 2006 at $206.3 billion which included direct medical costs, indirect morbidity costs (costs of lost productivity and indirect mortality costs (costs of lost productivity due to premature death. Besides the numbers, there are many issues today, such as fragmented care, treatment variability, lack of preventative measures, lack of transparency which results in confusion and a complicated and difficult consumer experience. This presentation will address care management with a focus on improvement in care delivery.
- Amy Salls, Business Solutions Executive, DST Health Solutions,
will discuss Identifying Care Gaps and Demonstrating Value to
Employers. Members, or employees, do not always follow recommendations that have been given to them. By combining predictive modeling techniques with HEDIS methodology, health plans can demonstrate their commitment to monitoring and improving quality while managing financial risk for the employer. By reporting specific areas of disease prevalence and non-compliance, employers can see how their population compares to standards and what trends are taking place in their population. Amy Salls discusses how to: Differentiate high risk and low risk groups based on population health risk factors; Communicate the impact of chronic illness and associated cost to your customers; and Promote primary and secondary prevention at the workplace by engaging employers to develop incentives that address employees who are not receiving care that meets national standards of quality.
Additional Web Summit Features
- A Library of selected recent care
management articles is available to attendees
- Attendees can link to faculty web
pages and click to send them follow up questions
- Attendees can take the Care Management
e-poll on several important care management issues, and receive a
summary of the survey results
- Attendees can submit questions to ask
of other attendees, which will be summarized and distributed to all
participants.
- Attendees will be given the
opportunity to provide immediate feedback after the webinar event
- The Summit web site, including
podcasts, faculty presentations, article library, faculty pages,
e-poll and results, and more, will be available 24/7 for three months
following the event.
- Attendees will receive a complimentary
30-day paid MCOL membership
- A Summit CD-ROM with full webinar and
podcast recordings, faculty presentations and additional materials is
also available to attendees for an extra $40.
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Participants will:
- Understand the benchmarks and metrics,
and processes to measure and evaluate care management performance.
- Gain a sense of the current current
trends, strategies, operational challenges and critical issues in
today's care management environment.
- Explore various tools, techniques, and
best practices currently being implemented for care management.
- Find out about Total Health Management
approaches and frameworks for health plans and employers.
- Address the application of care management with a focus on improvement in care
delivery with respect to Oncology.
- Receive an introduction to combining predictive modeling techniques with HEDIS
methodology in order to differentiate high risk and low risk groups
and communicate the impact of chronic illness and associated cost to
employers.
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- Health Plans, Insurance Companies,
TPAs, Employers, Provider Networks, Government, Utilization and Health
Management Companies, PBMs, Consultants, Solutions Providers,
Reinsurance Companies, and Media.
- Chief Medical Officers and Medical
Directors
- Executives and Staff in Medical
Management, Care Management, Case Management, Disease Management and
Quality Management functions
- Employee Benefit Managers and
Corporate Health Management Staff
- Health Management Consultants
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Peter R. Kongstvedt, M.D.,
F.A.C.P., Senior Executive, Accenture, Health and Life Sciences Consulting
Services - is a senior executive with Accenture in their Reston, VA office. He has
fifteen years of consulting experience and fifteen years of operational experience at the senior-most levels of health plans, including managed care, health insurance, and Blue Cross Blue Shield plans. In addition to his industry experience, Dr. Kongstvedt’s primary client focus is in strategy. He has also created and led industry benchmarking studies of financial and operational metrics in high performing health plans, worked in medical management, and keeps a regular focus on trends and issues in the marketplace.
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Joseph Gifford, M.D., Senior Medical Director, Regence - a Blue Cross Blue Shield affiliate serving 3 million members in the Pacific Northwest/Mountain region. Dr. Gifford is a frequent speaker on innovation in health care at national conferences and leadership events. He has executive experience in the information technology sector as well as on both the provider and payer side of health care services. Prior to joining Regence, he co–founded QuickCompliance, a health care Internet media company, and served as director of product management at ChannelPoint, an insurance software company founded by engineers from Sun Microsystems. He has authored a variety of publications in clinical research and health care services, and has created online training programs for many large organizations, including CMS and the Department of Defense. |
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Susan K. Willette, National Practice
Leader, Health & Productivity Management,
Mercer -
Susan is a principal and Mercer’s national health and productivity management specialty practice
leader. With more than 20 years of industry experience, Sue brings specialized expertise
designing, implementing and evaluating integrated programs that address the health of an employer’s population. Sue is strategic leader for many of Mercer’s largest
and most complex clients across the country. Prior to joining Mercer, Sue held several senior positions with a vendor of health promotion and employee assistance programs. Sue
assisted public and private sector employers, health plans and pharma organizations identify solutions to address their needs. |
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Marybeth
Regan, PhD, Global Managing Partner, Reden & Anders - is an expert in disease and care
management. She recently completed her dissertation titled, Disruptive
Innovation: The Acceptance of Technology by Physicians focused on EMR,
PHR, ePrescribing and Telemedicine. Marybeth has over twenty years experience in healthcare consulting, disease management, and e-health. She has held senior sales and marketing positions, most recently was the subject matter expert for Accenture in Disease Management. Earlier she was the Vice President of Marketing for Mayo Collaborative Services in Rochester, Minnesota. Marybeth holds a PhD in Philosophy and a Doctorate in International Business from the International School of Management in Paris, France. |
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Amy
Salls, Business Solutions Executive, DST Health Solutions - Ms.
Salls has over 17 years experience in healthcare data analysis.
Currently, Ms. Salls has operational responsibility for DST Health
Solutions’ predictive modeling and decision support products,
including DSTHS CareAnalyzer™ and The Johns Hopkins University ACG
System®. She is responsible for interfacing with DST Health
Solutions’ claims engines, developing analytic approaches, customizing
and evaluating statistical models and distributing web-based reporting
software used by managed care organizations to improve client
performance in clinical and operational efficiency. Ms. Salls
participates in NCQA's HEDIS certification program and has supported
multiple commercial and Medicaid plans through the audit and data
submission process. |
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| Individual Registration Fee:
$295. Audio Conference CD-ROM: $40 for attendees; $355 for non-attendees after the event.
Corporate
Site licensing also available. Click
here to register or call 209.577.4888 Click
here for a downloadable order form you can fax or mail. We look forward to your
participation in this event! |
