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Accountable Care Relationships: Humana's Approach to Value-Based Reimbursement 
 
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Overview
Accountable care relationships have been viewed by many stakeholders as a critical step in creating a system that creates health and works together in a more coordinated way. Humana, one of the country’s leading health and well-being companies, has become a strong national accountable care player in recent years by working closely with doctors and hospitals through its Accountable Care Continuum. The company’s continuum is a stepped approach to pay-for-value reimbursement that allows Humana to implement different approaches with physicians based on each groups’ practice, complexity and infrastructure capabilities.

Humana's value-based reimbursement model is primary care centric and focused on the triple aim of improved care, improved population health and lower healthcare costs. Humana's approach to value-based reimbursement involves analyzing practice readiness for participation in value-based reimbursement programs, and determining where appropriate practices might fit along the Accountable Care Continuum.

Humana has a 26-year accountable care relationship history with more than 1.2 million MA members that are cared for by 38,000 primary care physicians, in more than 900 Accountable Care relationships across 43 states and Puerto Rico. Humana accountable care agreements have included pay-for-results incentives based on improved clinical outcomes, a better patient experience and reduced costs. Such value-based arrangements emphasize quality outcomes with a focus on care coordination and leverages measures as defined by the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS) like diabetes care and treatment, breast cancer screenings, colorectal cancer screenings and high-risk medication.

Please join Humana's Mike Funk on Wednesday, January 21st, 2015 at 1PM Eastern as he discusses Accountable Care Relationships: Humana's Approach to Value-Based Reimbursement.
 
Learning Objectives
Participants will be able to:
  1. Understand the national scope of Humana's Accountable Care relationships along their Accountable Care Continuum.
  2. Ascertain Humana's four-step path involved in their Accountable Care Continuum, that starts at payment for volume and elevates to payment for value and full accountability.
  3. Examine applicable capabilities and assets that support Humana's Accountable Care Continuum, addressing components including care management, patient engagement, financial risk management and clinical integration.
  4. Consider the three levels of provider interaction along the Continuum to full accountability, starting with (1) Primary Care Physicians, (2) PODS (Provider Organized Delivery Systems) and (3) ultimate repetitive, deeper interaction and expanded capabilities with a Humana MSO.
  5. Explore representative data and results from the Humana experience.
  6. 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
  • Accountable Care Directors and Staff
  • Medical Directors
  • Strategy and Planning Executives and Staff
  • Legal, Regulatory and Policy Executives and Staff
  • Health Reform, Transformation and Clinical Integration Executives and Staff
  • Business Intelligence and Research Analysts
  • Managed Care and Revenue Cycle Executives and Staff
  • Business Development Executives and Staff
  • Operations Executives and Staff
  • Provider Network Managers and Staff
  • Provider Contracting Managers and Staff
  • Clinical Executives
  • Care Management Executives

Attendees would represent organizations including:

  • Accountable Care Organizations
  • Hospitals
  • Provider Networks
  • Medical Groups 
  • Health Plans 
  • Government Agencies
  • Employers
  • Business Process Organizations 
  • Solutions Providers 
  • Care Management Organizations
  • Associations, Institutes and Research Organizations 
  • Pharmaceutical Organizations
  • Media
  • Other Interested Parties


Registration
Accountable Care Relationships: Humana's Approach to Value-Based Reimbursement 
 
  Individual Registration Fee: $195. Post-event materials, 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
Mike Funk

Mike Funk
Vice President, Provider Development Center of Excellence
Humana
 

Mike Funk serves as Vice President, Operations for the Provider Development, Center of Excellence at Humana based in Louisville, KY. His experience includes; executive positions in hospital administration, physician practice management, managed care, insurance products and health and wellness services.

Mike is a fellow in the American College of Healthcare Executives and currently is completing credentialing to become a Certified Medical Practice Executive. He has more than 32 years of experience in the healthcare industry. Mike is a native of Kentucky and a University of Kentucky graduate.

Mike is also a Fellow of the University of Kentucky, a member of the Kentucky Regent Advisory Board, past member of the UK College of Allied Health Development Council, past President of the Hospital Council of Metropolitan Louisville and past President of the Meade County Chapter of the American Cancer Society.

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