Health plan readmissions management encompasses a variety of approaches, that often incorporate new provider payment structures, data tracking, education and engagement. Some initiatives are designed for specific care delivery settings, while others are system-wide programs.
Regence, operating BlueCross BlueShield plans serving 2.5 million members and the largest health insurer the Northwest/Intermountain Region, and Blue Cross & Blue Shield of Rhode Island, the state’s leading health insurer covering more than 600,000 members, both are leading organizations addressing the management of hospital readmissions.
Join Drs. Joe Gifford and Robert Herr from Regence, and Dr. Brian Wolf from BCBSRI as they provide a Medical Director's perspective on aspects of their organization's current approaches to drive accountability by reducing unnecessary readmissions.
- Understand the critical need to develop the expertise and repository of attributed data tracking for re-hospitalization rates by hospital and provider group.
- Consider the implications and issues involved regarding a contracting structure of warranty pricing ultimately, full warranty bundles, in order to promote aligned incentives.
- Explore the issues involved in addressing readmission rates in the patient centered medical home, for BCBSRI.
- Ascertain a medical home approach that creates a segmentation methodology facilitating population health analyses, building a primary care physician attribution model, and executes a contracting strategy leveraging these elements within the Patient Centered Medical Home.
- 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
- C-Suite Executives
- Medical Directors
- Hospitalists and Other Clinicians
- Provider Contracting Executives and Staff
- Care Management Executives and Staff
- Case Management Executives and Staff
- Nursing Executives
- Discharge Planning Managers
- Managed Care Executives and Staff
- Network Management Executives and Staff
- Health Benefit Managers
- Planning and Strategic Executives and Staff
- Business Intelligence Staff
- Other Interested Parties
Attendees would represent organizations including:
- Hospital Systems
- Health Plans
- Medical Groups
- Provider Networks
- Other Providers
- Third Party Administrators
- Care Management Organizations
- Pharmaceutical Organizations
- Employers
- Solutions Providers
- Associations, Institutes and Research Organizations
- Media
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Individual Registration Fee: $195. 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! |
Joe Gifford, MD Executive Medical Director, Regence |
Doctor Gifford is a frequent speaker on innovation in health
care at national conferences and leadership events. He has
executive experience in the information technology sector as
well as on both the provider and payer side of health care
services. Prior to joining Regence, Dr. Gifford co-founded QuickCompliance, a health care Internet media company now part of the Discovery Channel, and served as director of product management at ChannelPoint, a software company founded by engineers from Sun Microsystems now controlled by Trizetto. Dr. Gifford has authored a variety of publications in clinical research and health care services, and has created online training programs for many large organizations, including CMS and the Department of Defense. He received his clinical training at the University of Washington Hospitals after receiving his M.D. degree from the University of California at San Diego. |
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Robert Herr, MD, MBA Medical Director, Regence |
Doctor Robert (Bob) Herr has twelve years leadership experience in medical healthcare cost containment. Doctor Herr has served as a Medical Director with Regence since July 2007. He is board certified in internal medicine and emergency medicine, and is a Certified Physician Executive. Doctor Herr received his Medical Degree from Yale University, and his MBA from the University of Utah - David Eccles School of Business. |
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Brian E. Wolf, MD Senior Medical Director Health Management Integration Blue Cross & Blue Shield, Rhode Island |
Dr. Brian Wolf is the Senior Medical Director for Health Analytics and Utilization Management, with additional oversight of Physician Profiling and Audit and Recovery, at Blue Cross Blue Shield of Rhode Island. He also serves as Physician Advisor for Wellpoint with responsibility for Utilization Management of the Unicare product. Previously he was site Chief of Surgery and Surgical Oncologist, as well as Division Chief of General Surgery for the Cambridge Health Alliance from 2002-2007. From 2000-2002 he served as Surgical Oncologist and Director of Surgical Services for Tri-County Medical Associates From 1989 to 1999 he was Surgical Oncologist and Chairman of Physician Executive Council for Harvard Pilgrim Health Care of New England. Dr. Wolf received his Doctor of Medicine from Boston University School of Medicine, Boston, Massachusetts and is Board Certified in General Surgery.. |
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