- Webinar events for health care professionals
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| Home Page | HospContract10/15 | Upcoming Events |
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Stress Testing Your Systems Before Medicare Open Enrollment |
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Join us for a seminar on optimizing Medicare Plan revenue management through a focus on enrollment processes and transactions in advance of the open enrollment season. Given the ongoing economic climate, health plans offering Medicare products in 2010 must seek to rapidly and continually improve financial performance. Improvements in top-line revenue management have the greatest potential to yield meaningful, short-term results. As enrollment processing optimization provides one of the best opportunities to immediately impact revenue management, this session addresses how to evaluate and improve enrollment processing operations within a preparedness timeline for the upcoming open enrollment season. |
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At the conclusion of the presentation, participants will be able to:
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Interested
attendees would include:
Attendees would represent organizations including
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Individual
Registration Fee: $225. Audio Conference CD-ROM: $40 for attendees;
$285 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!
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Aaron Eaton is Vice President of Strategic Development at Gorman Health Group. His responsibilities include development and management of strategic business solutions such as advanced technology to reconcile membership and PDE data, examination of membership data to drive business intelligence and the application of analytical tools across the spectrum of Medicare data and operations. Aaron also focuses on several key operational areas for Medicare plans, PBMs, and pharmaceutical manufacturers including enrollment and PDE reconciliation, formulary management, benefit design, utilization management, and Part D data. Prior to joining GHG, Aaron was the Acting Director of the Division of Finance and Operations for the Medicare Drug Benefit Group at the Centers for Medicare and Medicaid (CMS), where he directed the formulary, Part D benefit, and Part D marketing teams through the first year of the benefit, while preparing for year two. Aaron was also responsible for building and implementing the internal and external processes associated with Part D formularies as well as proving input into the Part D regulations and other sub-regulatory guidance from a managed care pharmacy perspective. Aaron received his Pharm.D. from the Philadelphia College of Pharmacy at the University of the Sciences in Philadelphia. He completed his pharmacy residency at AdvancePCS in Hunt Valley, MD. |
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John brings to GHG 17 years of Medicare managed care plan management and day-to-day managed care operational experience. Most recently, John led Aetna’s National Medicare Advantage and Prescription Drug Plan Enrollment and Billing Operations, serving more than 700,000 MA and PDP members. While there, his responsibilities included plan benefit set-up and installation, enrollment processing, membership billing and accounts receivable, membership and financial reconciliation and compliance monitoring. John’s responsibilities also included enrollment material development, BPO vendor evaluation, enrollment platform IT solution development, EGHP customization expansion, and the ongoing management of cross-functional team projects designed to optimize service levels across operational areas. In addition, John assisted with bringing about operational improvements, which included increasing the organization’s membership reconciliation performance, condensing the enrollment transaction turnaround time along with the capability to produce the data reporting necessary in order to provide service to the company’s rapidly growing EGHP business. Prior to working at Aetna, John served as a CMS Plan Manager in the Medicare Managed Care Division in the Philadelphia Regional Office. As a Plan Manager for a variety of Medicare Advantage plans, ranging from small, local SNPs to large, national MCOs, he provided technical regulatory support, reviewed and evaluated initial and expansion applications, and led compliance auditing and monitoring efforts. While with CMS, John served as a Regional lead on workgroups for marketing review and auditing. Before joining CMS, John worked in Provider Network Operations, recruiting and servicing providers for several MCOs, including Independence Blue Cross. John currently resides in Philadelphia with his wife and two children. |
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