Totally Internet based conferences that you can attend on-line at your convenience. 

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Improving Medicare Services:
Innovations in the Use of Risk Adjustment and Predictive Modeling by Health Plans and Providers

A Free Health Industry Web Seminar and Audio Conference from CSC

Topic:             Improving Medicare Services: Innovations in the Use of Risk Adjustment and Predictive Modeling by Health Plans and Providers

Presenter:     Dr. Jonathan Weiner, Professor of Health Policy and Management, The Johns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland

Date:               Tuesday, March 1, 2005 

Time:              1:00 p.m. to 2:00 p.m. Eastern

Location:        Your desktop - all you will need is an Internet connection and a separate phone line

To Register:   Go to: www.healthwebsummit.com/acgregister.htm

Cost:               None  

AUDIOCONFERENCE DESCRIPTION AND OBJECTIVES:   

The Medicare Modernization Act (MMA) is transforming the way health care is delivered and financed for the 40 million older and disabled Americans served by the largest insurance program in the nation. The provisions of the MMA will: 

• Expand the role of private “Medicare Advantage” health plans; 

• Offer Medicare “Part-D” pharmaceutical coverage, mainly through an array of private “Prescription Drug Plans” (PDPs); and 

• Roll-out many privately delivered interventions designed to test ways of improving care management for the majority of beneficiaries remaining within the traditional fee-for-service program. 

Many experts believe these changes, though long overdue, will involve myriad challenges. But with challenge comes opportunity. 

During this Web seminar, Dr. Jonathan Weiner will provide an academic perspective on applying state of the art health-based risk adjustment and predictive modeling to increase the effectiveness, quality, and cost efficiency of care provided to older Americans. His presentation will focus on how available clinical information can be used by health plans, pharmacy plans, care managers and providers to better manage, finance and administer services. Dr. Weiner will provide an overview of Medicare and system-wide trends, relevant risk adjustment and predictive modeling paradigms, and hands-on tools. 

The issues covered in this audioconference will be critical for health plan and provider business success, especially as Medicare patients continue to experience rapid increases in the number and scope of co-morbidities and as CMS expands the use of its health-based risk adjusted payment formula. This Audioconference will specifically address how your organization can:

• Use claims, encounter and other data to identify appropriate candidates for disease management and care management programs.

• Actuarially predict the pharmacy and medical costs of a group of beneficiaries.

• Better manage and strategically predict how it will fare under CMS’s Medicare Advantage and PDP risk adjusted payment systems.

• Identify providers of care within your system that are more or less efficient or effective than their peers.

• Develop risk adjusted quality of care improvement interventions such as pay for performance frameworks. 

Although this Audioconference will provide examples based on the Johns Hopkins ACG® suite of tools, the information presented will be helpful to those using any risk adjustment or predictive modeling methodology on the market today. The latest release of ACGs includes a model calibrated specifically for understanding the health care use of older Americans. Dr Weiner will also discuss ongoing Johns Hopkins research and development that will mitigate the challenges faced by newly created PDPs and enhance ongoing care management programs designed for elders. 

Who should attend:

Health care senior business leaders, including:

• Chief executive officers

• Chief financial officers

• Chief medical officers

• Chief information officers

From the following company types involved in the delivery, management or financing of care provision to Medicare beneficiaries:

• Health plans

• Pharmaceutical benefit managers and other types of “PDPs”

• Integrated provider organizations

• IT companies

• Care management organizations

• Consumer/patient advocacy groups.

REGISTRATION:

Register online at www.healthwebsummit.com/acgregister.htm  and you will receive instructions for logging in to the Web seminar.  Slots for this event are limited. Please register promptly. If you have questions, contact Patty Jamison at the Healthcare Web Summit Office at 209.577.4888 for more information.  We look forward to your participation in this event!     

FACULTY

Dr. Jonathan P. Weiner Professor of Health Policy and Management, Johns Hopkins University's Bloomberg School of Public Health  Dr. Weiner is an internationally known health care researcher, educator, lecturer and consultant. His areas of expertise include managed care, health policy and quality of care. He is the co-developer of the Johns Hopkins ACG® Case-Mix System and the leader of the ACG Research and Development team. ACGs are widely used by healthcare organizations, governmental agencies, academic institutions, consulting organizations and technology integrators across the United States and in many other countries.

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