Engaging Providers in Value Based Care - Health New England Case Study
Event Date: 4/11/2019
Event Overview
Thursday, April 11, 2019
12:00 CT – 1:00 CT (60 minutes)
This event is hosted on our ReadyTalk platform
Many Health Plan Alliance members are working on value-based payment (VBP) strategies across multiple product lines and are at various stages of maturity. During this webinar, Dr. Laurie Gianturco, CMO of Health New England will share an overview of the approach HNE has used to implement a value based contracting strategy for PHOs/ACOs in their network that can be used with Commercial or Medicare Advantage contracts.
She will review both the framework, internal committee structure and commercial model developed along with the approaches used to successfully negotiate value based arrangements with their largest PHO. She will also share an overview of some of the key challenges and barriers experienced along their journey in moving from a shared savings to a risk model with quality targets.
Please plan to come prepared to participate in the discussion and share some of our own valuable insights regarding your experiences with the transition from fee for service to value based payment models. Please share with others in your plan who may have an interest in this topic.
Audience
- Plan executives with responsibility for value-based payment strategies
- Team members involved in your organization's VBP initiatives
- Chief medical officers/medical directors
- Chief financial officers/financial leads
- Network development/contracting teams
Ask your peers a question or share a resource anytime through the Alliance discussion forum
You can visit the discussion forum and post a question anytime. It's only available to Alliance members, so you question is private and secure. When submitting a question, you can select which topics your question is related to, such as "risk adjustment" or "coding". Individuals who have indicated in their Alliance profile they are interested in those topics and are opted in to discussion forum emails will receive your question. You can also add an attachment to your question or reply, making this tool another great resource for sharing best practices with your peers.
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Documents
Recording: Engaging Providers in Value Based Care - Health New England Case Study
Dr. Gianturco, CMO of Health New England shares an overview of the approach HNE has used to implement a value based contracting strategy for PHOs/ACOs in their network that can be used with Commercial or Medicare Advantage contracts.
Presentation: Value Based Care Health New England Case Study
Dr. Gianturco shares an overview of some of the key challenges and barriers experienced along their journey in moving from a shared savings to a risk model with quality targets.
Attendees
Below is a list of all delegates registered to date for this event
- Jordan Anderson
- ALLIANCE MEMBER
- Vice President of Sales at Avera Health Plans
- Rochelle Barmash
- ALLIANCE MEMBER
- Finance Manager at Paramount Health Care
- Sandi Bascove
- ALLIANCE MEMBER
- Provider Relations Manager at Health New England
- Pamela Bower
- ALLIANCE MEMBER
- Program Manager, Risk Adjustment at Presbyterian Health Plan
- Amor Brannin
- ALLIANCE MEMBER
- VP, CFO at Presbyterian Health Plan
- Pat Bremer
- ALLIANCE MEMBER
- Supervisor, Special Investigation Unit at Paramount Health Care
- Carly Bressler-Archambeau
- ALLIANCE MEMBER
- Director, Medicare Stars Program at Sentara Health Plans (Optima)
- Crystal Djordjevic
- ALLIANCE MEMBER
- Risk Adjustment Education Specialist at Health Alliance Medical Plans
- Colleen Haller
- ALLIANCE MEMBER
- Director of Quality at Community Health Plan of Washington
- Eric Harlow
- ALLIANCE MEMBER
- Senior Sales Executive at Health New England
- Amber Harris
- ALLIANCE MEMBER
- Director Risk Adjustment at MediGold
- Melissa Hayden Cook
- ALLIANCE MEMBER
- President & CEO at Sharp Health Plan
- Susan Herbert
- ALLIANCE MEMBER
- Director, Health Plan Integration & Development at AdventHealth (FHHS)
- Kathryn Higdon
- ALLIANCE MEMBER
- RN Manager at Mission Health
- Brendan Hodges
- ALLIANCE MEMBER
- President/CEO at HealthTeam Advantage
- Karen Hoffmann
- ALLIANCE MEMBER
- Director of Operations at Medical Associates Health Plans
- Linda Hunsicker
- ALLIANCE MEMBER
- 5 Star Quality Project Manager at SummaCare
- Jennifer Hunt
- ALLIANCE MEMBER
- AVP Actuarial Services at Paramount Health Care
- Keith Johnson
- ALLIANCE MEMBER
- Director, Business Development at Community Health Options
- Stuart Meltzer
- ALLIANCE MEMBER
- Provider Business Data Analysis Manager at AvMed
- Deana Myers-Voyk
- ALLIANCE MEMBER
- Coding Auditor at SummaCare
- Shari Oelke
- ALLIANCE MEMBER
- Provider Compliance Analyst at Quartz Health Solutions
- Sangeeta Panwar
- ALLIANCE MEMBER
- Medical Director at Sentara Health Plans (Optima)
- Benjamin Rogers
- ALLIANCE MEMBER
- Director of Quality, Accreditation & Member Experience at Health New England
- Athena Santos
- ALLIANCE MEMBER
- Population Outreach Manager at AdventHealth (FHHS)
- Annie Shieh
- ALLIANCE MEMBER
- Sr. Director of Compliance, CA Compliance Officer at Central Health Plan of California
- Julie Sich
- ALLIANCE MEMBER
- Director, Quality and Clinical Improvement at SummaCare
- Elaine Taylor
- ALLIANCE MEMBER
- Compliance Consultant at IU Health Plans
- Scott Thompson
- ALLIANCE MEMBER
- Manager, Provider Network Administration at CommunityCare
- Geoffrey Todd
- ALLIANCE MEMBER
- VP, Value Based Relationships at AvMed
- Eric Vilar
- ALLIANCE MEMBER
- Data Scientist at Health New England
- Esther Webb
- ALLIANCE MEMBER
- Director at Baylor Scott & White Health Plan
- Nancy Weber
- ALLIANCE MEMBER
- Clinical Integration Program Manager at Network Health
- Tanya Williams
- ALLIANCE MEMBER
- Coding Consultant at Health Alliance Medical Plans
- Vivian Williams
- ALLIANCE MEMBER
- Manager of Care Management at Health New England
- Felicia Wu
- ALLIANCE MEMBER
- VP of Operations at Central Health Plan of California