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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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Attendees

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

  • Keith Johnson
  • ALLIANCE GUEST
  • Executive Director, Employer & Value Based Contracting at Prisma Health
  • Annie Shieh
  • ALLIANCE GUEST
  • Senior Compliance Counsel at Central Health Plan of California
  • Felicia Wu
  • ALLIANCE GUEST
  • Interim CEO at Central Health Plan of California
  • 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)
  • Rich Balbach
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Information Management and Analytics Director at Health Alliance Medical Plans
  • Damien Banks
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Star Rating Manager at Health Alliance Medical Plans
  • Rochelle Barmash
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Finance Manager at Paramount Health Care
  • Sandi Bascove
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Provider Relations Manager at Health New England
  • Kathleen Bessette
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • PR, Content & Engagement Manager at Health New England
  • Danya Bouska
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Product Manager at Quartz Health Solutions
  • Pamela Bower
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Program Manager, Risk Adjustment at Presbyterian Health Plan
  • Amor Brannin
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP, CFO at Presbyterian Health Plan
  • 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)
  • Paula Brinston
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Network Administrator at Health Alliance Medical Plans
  • Bethlee Burke
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • RN, Personal Health Services Manager - Care Management at Avera Health Plans (DAKOTACARE)
  • Roseline Buyeka
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Program Manager, Care Improvement at Community Health Plan of Washington
  • Melissa Cook
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • President & CEO at Sharp Health Plan
  • Douglas Crispell
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Executive Director, Provider Contracting and Data Analysis at Health Alliance Medical Plans
  • Robert Dean
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Principal, PI Collaboratives at Vizient Inc.
  • Barbara Devries
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Improvement Coordinator at Valley Health Plan
  • Crystal Djordjevic
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Risk Adjustment Coding Consultant at Health Alliance Medical Plans
  • Damaris Gautier
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medical Director - Office of the CMO at Scott & White Health Plan
  • Marina Genin
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Improvement Lead at MetroPlus Health Plan
  • Laurie Gianturco
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President and CMO at Health New England
  • Colleen Haller
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Program Manager for Care Improvement at Community Health Plan of Washington
  • Eric Harlow
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Senior Sales Executive at Health New England
  • Amber Harris
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director Risk Adjustment at Mount Carmel Health Plan (MediGold)
  • Marjorie Henriksen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Operations, Prominence Heatlh Plan/CDS Group Health at Prominence Health Plan
  • Susan Herbert
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Health Plan Integration & Development at AdventHealth (FHHS)
  • Kathryn Higdon
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • RN Manager at Mission Health
  • Brendan Hodges
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • President at HealthTeam Advantage
  • Karen Hoffmann
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Operations at Medical Associates Health Plans
  • Freda Hogan
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP Network Development at Health Alliance Plan (HAP)
  • Joanna Horsfall
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Managing Partner at Aspire Health Plan
  • Linda Hunsicker
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • 5 Star Quality Project Manager at SummaCare
  • Jennifer Hunt
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Actuarial Services at Paramount Health Care
  • Tim Jackson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Population Health at Quartz Health Solutions
  • Scott Kelly
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • COO at Aspire Health Plan
  • Ryan Lafond
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Lead Healthcare Informatics Analyst at Health New England
  • Caleb Larson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Business Analyst at Samaritan Health Plans
  • Ashley Macedo
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Executive Assistant at Aspire Health Plan
  • Ana Martin
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Risk Adjustment Supervisor at Chinese Community Health Plan
  • Stuart Meltzer
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, Collaborative Care Networks at AvMed
  • Daniel Morrissey
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Assistant Coordinator at Paramount Health Care
  • Deana Myers-Voyk
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Coding Auditor at SummaCare
  • Zachary Niehaus
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Population Health Manager at Indiana University Health Plans
  • Ethan Norris
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • SVP, Business & Product Development at Community Health Plan of Washington
  • Shari Oelke
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Provider Network Manager at Quartz Health Solutions
  • Sangeeta Panwar
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medical Director at Sentara Health Plans (Optima)
  • Pavel Pechenov
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Program Manager, Care Improvement at Community Health Plan of Washington
  • Sheryl Pierce
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Improvement Specialist- Medicare Advantage Stars at Quartz Health Solutions
  • Jean Rao
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacy Manager at Chinese Community Health Plan
  • Deb Revard
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager Value Based Programs at Presbyterian Health Plan
  • Benjamin Rogers
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Healthcare Quality Improvement Manager at Health New England
  • Athena Santos
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Population Outreach Manager at AdventHealth (FHHS)
  • Dianna Shaw
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager of LTSS Programs/Case Management at Neighborhood Health Plan of Rhode Island
  • Julie Sich
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, Health and Wellness at SummaCare
  • Eleanor Sorrentino
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Associate Executive Director, Quality Management at MetroPlus Health Plan
  • Neal Spero
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP Chief Sales & Marketing Officer at Presbyterian Health Plan
  • Kristy Stephens
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Proposal Development at Fluent Health
  • Elaine Taylor
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Improvement Consultant at Indiana University Health Plans
  • Scott Thompson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, Provider Network Administration at CommunityCare
  • Vishal Tiwari
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medical Director of Medical Management at Health New England
  • Geoffrey Todd
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Collaborative Care Networks at AvMed
  • Eric Vilar
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Lead Healthcare Informatics Analyst at Health New England
  • Georgette Watson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Network Management at Sentara Health Plans (Optima)
  • Esther Webb
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vendor Contract Manager at Scott & White Health Plan
  • Nancy Weber
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Clinical Integration Coordinator at Network Health
  • Julie Wenig
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager of Development Services, Information Systems at Paramount Health Care
  • Vivian Williams
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager of Care Management at Health New England
  • Tanya Williams
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Coding Consultant at Health Alliance Medical Plans
  • Halei Zhu
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Population Health Data Analyst at Health New England
Speakers