- Totally Internet based conferences that you can attend on-line at your convenience.
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| Home Page | GroupBenefit09/10/08 | MedicareProduct10/16/08 | Upcoming Events |
Adjusting
to 100% Risk Adjustment
A Webinar & Audio Conference with David Bach,
CEO of Leprechaun, LLC
Wednesday, June 27th, 2007
1:00 p.m. to 2:00 p.m. Eastern (10:00 - 11:00 a.m. Pacific)
Risk adjustment management is the #1 strategic priority for Medicare managed care organizations today. This risk adjustment webinar & audioconference will describe how the CMS-HCC (Hierarchical Condition Category) risk adjustment system works, the strategic and financial implications of the system and specific tactical requirements for effectively managing a Medicare plan under risk adjustment. Join Dr. David Bach, a leading national expert on HCC Management, for this presentation on how to optimally operate under this new system.
Individual
Registration Fee: $195: Web Summit
CD-ROM: $40 for attendees; $255 for non-attendees after the event.
Corporate Site licensing
also available. Click
here to register or call 209.577.4888
HCC (Hierarchical Condition Category) management
In an era of accelerating medical costs and flat payments from CMS, accurately reflecting the health status Medicare plan members through proper HCC (Hierarchical Condition Category) management is the only way for Medicare Advantage plans to remain financially viable in the Part D era. The Medicare risk adjustment payment system uses clinical coding information (HCCs) to calculate risk premiums for Medicare Managed Care Organizations. After a lengthy phase-in, risk adjustments on payments have reached 100% this year.
CMS's new HCC (Hierarchical Condition Category) risk adjustment system calculates Medicare managed care premiums based on diagnostic information documented by and reported from providers. However, provider documentation of diagnostic codes is often less than perfect - which creates multiple challenges to plans from both a financial and compliance perspective. As such, Medicare plans today face and urgent need to build comprehensive, wholly new management programs that ensure correct and complete diagnostic coding from providers. These programs, in addition to their compliance and quality impact, serve as a critical strategic differentiator for plans because of their economic impact on plan's revenues.
This session has been designed to position those operating, contracting, monitoring or doing business with Medicare Advantage plans to adapt their operations to the new HCC environment.
This session will address the following six topics, plus allow time for your questions and answers:
How does the HCC (Hierarchical Condition Category) risk adjustment system work?
What are the strategic and financial implications of the HCC system for Medicare plans - and why is HCC management the #1 strategic priority for plans today?
What programmatic initiatives are required to effectively manage under the risk adjustment payment system?
What are the key success factors associated with these initiatives?
What metrics should be used to measure success?
What are the practical next steps to be pursued?
Develop a baseline understanding of how the Medicare managed care HCC risk adjustment system works
Explore the strategic and financial implications of the HCC system for Medicare plans
Learn the critical success factors for successfully managing under the risk adjustment system
Hear case examples of how plans are adapting their Medicare operations to this system
Health Plan C-Suite Executives
Health Plan Medicare Program Executives and Operating Managers
Health Plan Strategy, Planning and Development Managers
Health Plan Financial Managers
Health Plan Medical Directors
Health Plan Medical Management
Hospital and Provider Network Staff contracting with Medicare Plans
Third parties monitoring or doing business with Medicare Plans
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Dr. Bach is the Founder and Chief Executive Officer of Leprechaun, LLC - the country's preeminent HCC Management Outsourcing agency. Prior to founding Leprechaun, Dr. Bach founded and built two other prominent healthcare companies: Touchstone Health Partnership, a New York City-based Medicare Advantage plan, and Empyrean Benefit Solutions, a Houston-based consumer-directed healthcare organization. Dr. Bach has also worked as a healthcare venture capitalist with TA Associates, a Boston-based mezzanine private equity firm, and as a management consultant with APM, Inc., which, at the time, was the country's largest healthcare management consulting firm. Dr. Bach attended Harvard College and Harvard Medical School, and conducted his residency training in Internal Medicine at the Mount Sinai Hospital in New York City. Prior to his medical career, Dr. Bach was a professional cellist. |
Individual Registration Fee: $195: Web
Summit CD-ROM: $40 for attendees; $255 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!
| Summit Phone | Summit E-Mail | Summit Fax | ||
| 209-577-4888 | pattyj@mcol.com | 209-577-3557 |
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