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As Pay for Performance emerges as a major strategy for Medicare and Medicaid many private payors are beginning to see and understand the variation in practice patterns, costs and outcomes. While some of these variations are regional many employers are amazed at the variation that is occurring between physicians and hospitals in the same town. This has provoked more questions about price transparency and quality. We believe that many hospitals and physicians need to see this reality as an opportunity to directly contract with employers and bypass some of the third party multiple rules and outcomes guidelines in favor of developing their own guidelines as part of an ongoing commitment to employers and consumers. We will address the elements to conduct a feasibility study and a checklist of questions to get started to explore this opportunity.
| Topic: | Direct Contract and Provider Contracting in a P4P Environment |
| Speakers: | William
DeMarco, President, DeMarco and Associates Tim McKevett, Senior Vice President of Beloit Memorial Hospital Al Mytty, Director of Payer Contracting, Carle Foundation Hospital |
| Time & Date: | Thursday, December 14th, 2006, 1:00-2:00 pm Eastern (10:00-11:00am Pacific) |
| Location: | Your desk (Audio Conference dial-in instructions & session presentation will be emailed in advance of session) |
| Cost: | Individual Registration $195; Web Summit CD-ROM:$20 for attendees; $225 for non-attendees after the event. Individual Registration covers a single phone line. Multiple persons may listen via speaker phone for the individual registration fee. Group Discounts/ Corporate Site Licensing Available. |
| To Register: | Visit: https://www.managedcarestore.com/summit.htm or call 209.577.4888. |
ABSTRACT:
The market opportunities for provider/employer collaboration have once again shifted to reveal a new revenue stream and a new way to build service and brand loyalty between buyers and sellers of health care.
Driving this new confluence
of interest are 3 large forces. First is the need and desire for providers to
differentiate themselves in a managed care market where everyone is in the
The second driving force is pay for performance. P4P has many employers enthused to finally get at the root cause of rising claims costs. The more performance information being published by private and public sector organizations the more employers see the discreet differences between outcome and cost .As these differences are further analyzed employers begin to identify top performers versus marginal and in some cases substandard performers. This intrigues many employers, health plans and Medicare who initiated there P4P demo projects 5 years ago in hopes of being able to match the right consumer to the most capable provider.
Finally, the advent of CDHP high deductible plans has slowed premium increases for many employers but the consumers/employees bear up under an increasing burden of financial responsibility that can only be alleviated through more precise data on providers who follow best practices in their area. Faced with a decision of choosing value over convenience consumers are looking to their employers and providers for reliable data on cost and quality.
The quick pay discount between payers and providers of the 1980s will give way to the next level of performance based contracting.
These and other questions will be discussed:
Our panelists include a hospital VP who has been directly contracting with employers for 5 years, a Health system executive and former president of several provider sponsored HMOs and a Management consultant specializing in building these relationships through performance data. Questions our panel will be prepared to discuss:
Please join us for our webinar!
LIVE QUESTION AND ANSWER SESSION
Get your questions answered! Session participants will have an opportunity to email questions in advance of the session or ask the speaker their questions during the "live" session.
MEET THE SPEAKERS
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William DeMarco |
William J. DeMarco is the President & Chief Executive Officer of DeMarco & Associates, Inc., a national, independent healthcare consulting firm specializing in healthcare delivery system redesign and transformation. The firm specializes in research and strategy development , organization development of successful provider owned enterprises and marketing management including product design and promotion. Mr. DeMarco is a well-known author having written or contributed to over a dozen books on managed care topics. He holds a master’s degree in organizational development from DePaul University. He a past faculty member of Loyola Law School’s graduate program. As an accomplished speaker on a variety of topics including reimbursement, marketing and management issues Bill has received numerous awards. He is a regular presenter for such audiences as Medical Group Management Association, HFMA, VHA, AHA, Quorum, NMHCC and AAHP. |
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Tim McKevett |
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Al Mytty |
Alan L. Mytty, of Indianapolis, is the Director of Payer Contracting at Carle Foundation Hospital, Urbana. He has nearly thirty years of experience in the healthcare field. Mr. Mytty was most recently a consultant to Carle Foundation Hospital and two health plans. Previously, Mr. Mytty was the CEO of a provider-insurance company joint venture health plan in the Bahamas and a provider owned health plan in West Virginia. He also served for nearly ten years as the President and CEO of PersonalCare in Champaign, Illinois. Mr. Mytty attended the U.S. Air Force Academy. He holds bachelor’s and master’s degrees from the University of Nebraska, and has earned the designation of Fellow from the Academy for Healthcare Management. He is a licensed agent for health and life insurance. |
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PRICE
AUDIO CONFERENCE DIAL-IN INSTRUCTIONS AND SESSION MATERIALS
Two business days prior to the event, registrants will receive a copy of the dial-in instructions and a link to the speaker presentation. The dial-in instructions will include a unique dial-in ID Participant code that can only be used for a single phone line and not shared. Session participants will also have an opportunity to email speaker questions in advance of the live session.
REGISTRATION
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Live
Audioconference |
Powerpoint |
CD-ROM Also Available |
| Summit Phone | Summit E-Mail | Summit Fax | ||
| 209-577-4888 | pattyj@mcol.com | 209-577-3557 |
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