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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

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