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Health Plan Consolidations:  Contracting and Other Implications for Provider Organizations 
 
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Overview
With the recent announcement of planned acquisitions of Cigna and Humana by Anthem and Aetna respectively, we are seeing a rapid acceleration of the consolidation trend being witnessed over the past several years. These developments will have material implications for provider organizations both large and small from a strategic, contracting, and competitive perspective.

Although these acquisitions will take several years to complete, it will be wise for provider organizations to evaluate and plan for the likely impact within the marketplace(s) and for their organization. This presentation, provides an outline of ECG  Management Consultant's perspective on the significance of health plan consolidation on provider organizations, and the steps they are recommending that their clients take in preparation.

Please join ECG's Jim Donohue and Sherry Griffen for this HealthcareWebSummit event on Thursday, September 10, 2015 at 2PM Eastern, as they discuss Health Plan Consolidations: Contracting and Other Implications for Provider Organizations.
 
Learning Objectives
Participants will be able to:
  1. Examine the applicable transactions driving the consolidation trend over the past several years.
  2. Review the relevant terms and objectives of the Anthem-Cigna and Aetna-Humana mergers.
  3. Understand how to evaluate and plan for the anticipated consolidation impact in your marketplace and on your organization.
  4. Explore the strategic, contracting and competitive implications of these consolidations for your organization.
  5. Consider ECG's perspective on the significance of health plan consolidation on provider organizations.
  6. Identify ECG's recommended steps for provider organizations to best position themselves in this environment.
  7. 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 a dedicated LinkedIn group.
Who Should Attend

Interested attendees would include:

  • C-Suite Executives
  • Strategy and Planning Executives and Staff
  • Revenue Cycle Executives and Staff
  • Managed Care Executives and Staff
  • Payer Relations Executive and Staff
  • Legal and Regulatory Executives and Staff
  • Integration and Transformation Executives
  • Provider Network Executives and Staff
  • Provider Relations Executive and Staff
  • Provider Contracting Executives and Staff
  • Business Development Executives and Staff
  • Business Intelligence Executives and Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Hospitals and Health Systems
  • Provider Networks
  • Medical Groups
  • Accountable Care Organizations
  • Health Plans
  • Third Party Administrators
  • Other Healthcare Providers
  • Provider Consulting Organizations
  • Pharmaceutical Organizations
  • PBMs
  • Solutions Providers
  • Other Interested Organizations
Registration
Health Plan Consolidations:  Contracting and Other Implications for Provider Organizations 
 
  Individual Registration Fee: $195. webinar flash drive with video syncing slides and recorded audio, plus presentation pdf file: $45 for attendees; $260 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!
 
 
Faculty
 
James P. Donohue
James P. Donohue,
Senior Manager,
 

With nearly 20 years of experience in the healthcare industry, Jim is a trusted advisor to provider organizations looking to improve government and commercial payor reimbursement, enhance revenues, and thrive in a value-based environment.

As a member of ECG's Contracting and Reimbursement practice, Jim has conducted dozens of consulting engagements focusing on managed care contracting, innovative and conventional reimbursement strategies, business operations, and strategic planning. He works closely with hospital and physician leaders to evaluate and execute strategies to project and improve upon their organizations' financial performance, and they trust him to lead their most sensitive negotiations for medical group and hospital agreements.

As the healthcare industry shifts toward value-based delivery systems, Jim's clients rely on his knowledge of evolving payment arrangements such as bundled payments and shared savings, as well as his expertise in assessing the feasibility of developing and implementing clinically integrated provider networks.

Mr. Donohue holds a master of business administration degree, with a concentration in healthcare management, from the Boston University Graduate School of Management and a bachelor of arts degree from Boston University.
 


 
Sherry Griffen
Sherry Griffin,
Senior Manager,
 

ECG clients turn to Sherry for guidance on their most complex healthcare reimbursement and financial challenges. Her career as an executive leading physician groups, hospitals, and health plans has uniquely positioned her to help organizations build common goals and navigate the complexities of payment reform, ACO development, patient-centered medical homes, population health management, and managed care contracting.

With a deep understanding of the perspectives held by diverse stakeholders, Sherry is valued for her ability to facilitate high-stakes discussions and achieve consensus on future direction and collaboration opportunities. Her recommendations have led to accelerated growth, rapid financial turnarounds, and creation of high-performing infrastructure that positions organizations for success under healthcare reform. Sherry identified a $30 million cost-savings opportunity during an engagement focused on consolidation of provider-sponsored health plans and a $6 million improvement in operational efficiencies for a plan with 80,000 indigent covered lives.

Prior to joining ECG, Sherry served as President of Valley Baptist Insurance Company and President and CEO of Texarkana Regional Healthcare Network. Sherry is a Fellow of the American College of Healthcare Executives and a member of the Healthcare Financial Management Association. She is trained as a Six Sigma change agent and holds a Group I Life and Health Insurance license in the state of Texas. Sherry holds an Executive Management degree from Southern Methodist University and a Bachelor of Applied Arts and Sciences degree from Texas A&M University

 
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