Positioning Hospitals and Physicians for Success as Health Plans Prepare for Healthcare Reform

	Wednesday, November 10th, 2010 1:00 p.m. to 2:00 p.m. Eastern (10:00 - 11:00 a.m. Pacific) Click here to find out what time your event starts in your time zone.		Register for $195 Call 209.577.4888 or Click here to register
Positioning for performance and incentive based managed care contracts New approaches to managed care, governance, integration, IT & operations

Ensuring managed care contracts address clearly defined, achievable performance-based incentives

Defining legal organizational structures that allow for the distribution of incentive payments

Strategies for care coordination to improve outcomes and manage financial performance

Defining types of information and mechanisms for timely distribution of data & Assessing IT infrastructure

Evaluating governance structure and identifying staffing needs to support initiatives

Faculty:
Charles A. Brown
Senior Manager,
Managed Care
ECG Management Consultants

Faculty:
James P. Donohue
Senior Manager
ECG Management Consultants

While the complete rules and regulations for government-driven healthcare reform are not yet known, many major managed care organizations are introducing new health plan products and/or new pay-for-performance incentive programs designed to change the way care is delivered and paid for. These changes present provider organizations (hospitals and medical groups) with challenges and potential opportunities for those who are prepared to accept and successfully operate under contracts that reward care coordination, cost efficiencies, and evidence based care. These new agreements will require providers to change the way they approach their contracting strategy and should not be entered into until the providers have reasonable assurance of success.

This Webinar will explore some of the major issues that providers will need to address as these changes unfold over the coming years. These include managed care contracts, hospital/physician integration, governance, operations, and IT infrastructure.

This Webinar will present a review of important factors that provider organizations will need in order to be successful, including:

Ensuring that managed care contracts address performance-based incentives that are clearly defined, that are achievable, and that properly align hospital and physician interests.
Defining legal organizational structures that allow for the distribution of incentive payments.
Implementing strategies for care coordination to improve outcomes and manage financial performance under revised/transitioning arrangements.
Evaluating the governance structure to develop the clinical leadership and compensation arrangements needed to support the program.
Identifying staffing needs to support initiatives.
Defining the types of information and mechanisms for timely distribution of data between hospitals, health plans, physicians, and others involved in the coordination of care.
Assessing the IT infrastructure and functional requirements to identify any gaps in the systems’ capability to support the revised needs of the provider organization.

Interested attendees would include:

C-Suite Executives
Managed Care Executives and Staff
Revenue Cycle Executives and Staff
Provider Network Executives and Staff
Medical Directors
Strategy and Planning Executives and Staff
Business Intelligence Staff
Other Interested Parties

Attendees would represent organizations including:

Hospitals
Medical Groups
Provider Networks
Contracting Organizations
Health Plans
Solutions Providers
Associations, Institutes and Research Organizations
Media
Other Interested Organizations

This Webinar will be appropriate for: Mid- to senior-level administrators and managers from hospitals and medical groups who are involved in working with managed care plans to implement incentive-based reimbursement programs. Managed care organization managers seeking to better understand the providers’ perspective; and Medical directors who desire a better understanding of the management issues involved in positioning their organization for success.

Individual Registration Fee: $195. Audio Conference CD-ROM: $40 for attendees; $255 for non-attendees after the event.

Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!

Charles A. Brown
Senior Manager,
Managed Care
ECG Management Consultants

Mr. Brown works in ECG’s Managed Care practice, where he focuses on strategic health plan contracting, negotiation, and revenue recovery.

With 20 years of healthcare management and consulting experience, he has been successful in improving the bottom line of clients’ financial and operational performance. He has assisted clients in complying with the intricacies of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and Sarbanes-Oxley §404 require-ments.

As a Director at a national consulting firm, he focused on managed care contracting, operations, and revenue recovery. His expertise was developed while he was Director of Managed Care/Vice President of Practice Operations at Founders Health Care (Allegheny Integrated Health Group), and an Operations Manager/Medical Center Administrator at FHP Inc.

Mr. Brown holds a master of business administration degree from The University of Utah and a bachelor of arts degree in biology from the University of Colorado.

James P. Donohue
Senior Manager
ECG Management Consultants

Mr. Donohue has more than 15 years of experience in the healthcare industry working with academic medical centers and other large healthcare systems.

He has conducted dozens of consulting engagements with major medical centers, with a focus on business operations and strategic planning, reimbursement strategies, and contracting.

Prior to rejoining ECG, Mr. Donohue founded an independent consulting company, Boston HealthCare Advisors, working with clients that included Partners HealthCare System, Massachusetts General Physicians Organization, Brigham and Women’s Hospital, UMass Memorial Medical Group, and others.

Mr. Donohue also served as Director of Professional Services for MedAptus, Inc., and during a prior tenure with ECG, held the position of Manager. Mr. Donohue holds a master of business administration degree, concentrating in healthcare management, from Boston University Graduate School of Management. He completed his bachelor of arts degree at the Boston University School of Liberal Art

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