The World of Health Plans– Managing Health Over Healthcare

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The World of Health Plans– Managing Health Over Healthcare 
The changing economics of healthcare is altering the traditional health plan business model. Provider consolidation, team-oriented and accountable care delivery, and emerging alternative payment models (APMs) are requiring plans to redefine and redesign. Using technology as a change agent, plans must now shift from long-established practices of managing healthcare – resource-focused – to managing health through member-focused and provider-aligned processes. This session will investigate payer shared and owned technologies and processes that align with industry mega-trends under consumer expectations of value-based care.

Governmental and commercial population-based payment is growing, linking financials to measurable value through the use of data. More and more payers and providers are using data to measure quality and efficiency in an effort to become purchasers of value over volume. This session explores payment transformation and the fundamentals of cultural, economic and technical changes associated with success under emerging risk-based arrangements. Join Adele Allison, a leading policy expert, to gain insight into growing trends, technical needs and administrative challenges to success under emerging economic models, which are transforming plan roles from simple cost containment to health-value management.

Learning Objectives

Participants will learn about:

    •  Four categories of MACRA value-based reimbursement for Medicare Advantage
    •  Role of technology and data to determine the value of services and healthcare reimbursement
    •  Administrative and economic opportunities and challenges in succeeding under emerging risk arrangements


Who Should Attend
Interested attendees would include:
  • C-Suite Executives
  • Physicians and Non-Physician Providers
  • Personal and Professional Development Executives and Staff
  • Operations Executives and Staff
  • Information Technology Executives and Staff
  • Financial Management Executives and Staff
  • Healthcare Innovation Executives and Staff
  • Patient Engagement Executives and Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Health Plans
  • Employers and Third Party Administrators
  • Hospitals and Health Systems
  • Accountable Care Organizations
  • Provider Networks
  • Medical Groups
  • Other Providers
  • Government
  • Life Sciences Organizations
  • Institutes and Research Organizations
  • Media
  • Other Interested Organizations
The World of Health Plans– Managing Health Over Healthcare 
  On-Demand video of this webinar is complimentary for qualified applicants. This video includes an audio recording of the webinar synchronized with the presentations slides.
Register Now  

Click here to register and view the On-Demand video now

Adele Allison

Adele Allison
Director, Provider Innovation Strategies, DST
  As the director of provider innovation strategies, Adele Allison monitors healthcare reform for DST System’s health solutions division. Having served as the co-chair of the ONC Beacon-EHR Vendor Affinity Group and a current co-chair for HHS’ Workgroup for Electronic Data Interchange (WEDI) Payment Models Workgroup, Allison has over 25 years of healthcare experience. A published author, Allison is a member of UAB’s advisory board on curriculum development and serves on UAB’s HITECH Committee for health IT curriculum development; and, is a member of the board of directors for Alabama HIMSS.

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