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Impact Value-Based Payment: Essential Strategies for MAOs

Event Date: 1/9/2019

Event Overview

Wednesday, January 09, 2019
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: DST  Health

This vendor spotlight is hosted on our ReadyTalk platform

 

MACRA and federal policy has fast-tracked the shift of healthcare payment from volume- to value-based reimbursement.  Additionally, states have fast-tracked the shift of healthcare payment from volume- to value-based reimbursement through state legislation.  For Medicare Advantage Organizations (MAOs), these industry trends make the shift of value-based payment are real and time-sensitive at a time of resource constraint.  For example, MAOs will need to consider bonus payments to non-par MACRA-eligible Medicare providers under the Merit-based Incentive Payment System (MIPS) in 2019.  Join industry expert, Adele Allison, as she explores the waters of VBP including the state of the union, analytic-driven payment, and essential strategies and technologies that will lead to success under new and emerging payment archetypes. 

By the end of the presentation, attendees will be able to:

  • Articulate industry mega-trends as relates to economic reform
  • Plan for MARCA requirements for payment of non-par Medicare providers in 2019
  • Differentiate cultural and technical infrastructures required to shift from transaction-based to analytic-based payment.
  • Formulate approaches in business capabilities that align with short-term tactical and long-term strategic planning. 

 

Notice to Participants:

Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.

Documents
Attendees

Below is a list of all delegates registered to date for this event

  • Rachel Abramson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Program Manager of Strategic Planning at Community Health Plan of Washington
  • Jordan Anderson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President of Sales at Avera Health Plans (DAKOTACARE)
  • Aubrie Augustus
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Accreditation at Peoples Health
  • Pat Bremer
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Data Specialist at Paramount Health Care
  • Carly Bressler-Archambeau
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Product Manager at Sentara Health Plans (Optima)
  • Danielle Daly
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Star Ratings Coordinator at Health Alliance Medical Plans
  • Alison Dunton
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Practice Enhancement & Analytics at Aspire Health Plan
  • Michel Faust
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Performance Improvement PHP at Presbyterian Health Plan
  • Lisa Garrett
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Risk Adjustment Manager at Sentara Health Plans (Optima)
  • Miles Glew
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Payor Programs Contract Specialist at Community Health Plan of Washington
  • Morgan Gomillion
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, Vendors and Contracts at Health First Health Plans
  • Jaime Gonzalez
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Business Development Officer at Health Plan Alliance
  • Bob Heitman
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Actuary at SelectHealth
  • Freda Hogan
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP Network Development at Health Alliance Plan (HAP)
  • Linda Hunsicker
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • 5 Star Quality Project Manager at SummaCare
  • Tim Jackson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Population Health at Quartz Health Solutions
  • Wendy Karsten
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • CEO at Care N' Care Insurance Company, Inc.
  • Linda Krause
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Clinical Management at SummaCare
  • Ryan Lafond
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Lead Healthcare Informatics Analyst at Health New England
  • Theresa Maslowski
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Medical Marketing and Individual Product at PreferredOne
  • Christine McKnight
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Value Based Contracting Manager at Health First Health Plans
  • Stuart Meltzer
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, Collaborative Care Networks at AvMed
  • Sandra Nary
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Clinical Auditor at Neighborhood Health Plan of Rhode Island
  • Gabriel Parra
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Assoc. General counsel at Samaritan Health Plans
  • Pavel Pechenov
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Program Manager, Care Improvement at Community Health Plan of Washington
  • David Piasecki
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Part-D Compliance Consultant at Indiana University Health Plans
  • Sheryl Pierce
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Improvement Specialist- Medicare Advantage Stars at Quartz Health Solutions
  • Dean Ratzlaff
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Actuary at Sentara Health Plans (Optima)
  • Kelly Rogers
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Executive Director Care Integration at AdventHealth (FHHS)
  • Melissa Rusk
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Claims and BPO Operations at SummaCare
  • Bridget Schmidt
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, Healthcare Informatics at Quartz Health Solutions
  • Rachael Shirer
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Operations at Peoples Health
  • Laura Taylor
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Executive Compliance Director at Indiana University Health Plans
  • Elaine Taylor
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Improvement Consultant at Indiana University Health Plans
  • Nancy Weber
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Clinical Integration Coordinator at Network Health
  • Mary Weisiger
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Contracting Manager at Health Alliance Medical Plans
  • Emily Wells
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Star Ratings Coordinator at Health Alliance Medical Plans
  • Halei Zhu
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Population Health Data Analyst at Health New England
  • Adele Allison
  • SPEAKER
  • Director of Provider Innovation Strategies at DST Health Solutions
Speakers