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Positioning Hospitals and Physicians for Success as
Health
Plans Prepare for Reform
Wednesday, November 10, 2010 at 1PM Eastern
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http://www.healthwebsummit.com/hospitalsmds111010.htm
Positioning for performance and incentive based managed care
contracts
New approaches to managed care, governance, integration,
IT & operations
Ensuring managed care contracts address clearly defined,
achievable performance-based incentives
Defining legal organizational structures that allow for the
distribution of incentive payments
Strategies for care coordination to improve outcomes and manage
financial performance
Defining types of information and mechanisms for timely
distribution of data & Assessing IT infrastructure
Evaluating governance structure and identifying staffing needs
to support initiatives
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While the complete rules
and regulations for government-driven healthcare reform are not yet
known, many major managed care organizations are introducing new health
plan products and/or new pay-for-performance incentive programs designed
to change the way care is delivered and paid for. These changes present
provider organizations (hospitals and medical groups) with challenges
and potential opportunities for those who are prepared to accept and
successfully operate under contracts that reward care coordination, cost
efficiencies, and evidence based care. These new agreements will require
providers to change the way they approach their contracting strategy and
should not be entered into until the providers have reasonable assurance
of success.
This Webinar will explore some of the major issues that providers will
need to address as these changes unfold over the coming years. These
include managed care contracts, hospital/physician integration,
governance, operations, and IT infrastructure.
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This Webinar will
present a review of important factors that provider
organizations will need in order to be successful, including:
- Ensuring that managed care contracts address
performance-based incentives that are clearly defined, that
are achievable, and that properly align hospital and
physician interests.
- Defining legal organizational structures that allow for
the distribution of incentive payments.
- Implementing strategies for care coordination to improve
outcomes and manage financial performance under
revised/transitioning arrangements.
- Evaluating the governance structure to develop the
clinical leadership and compensation arrangements needed to
support the program.
- Identifying staffing needs to support initiatives.
- Defining the types of information and mechanisms for
timely distribution of data between hospitals, health plans,
physicians, and others involved in the coordination of care.
- Assessing the IT infrastructure and functional
requirements to identify any gaps in the systems’ capability
to support the revised needs of the provider organization.
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Interested attendees would include:
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C-Suite Executives
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Managed Care
Executives and Staff
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Revenue Cycle
Executives and Staff
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Provider Network
Executives and Staff
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Medical Directors
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Strategy and Planning
Executives and Staff
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Business Intelligence Staff
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Other Interested Parties
Attendees would represent
organizations including:
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Hospitals
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Medical Groups
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Provider Networks
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Contracting
Organizations
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Health Plans
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Solutions Providers
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Associations, Institutes and
Research Organizations
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Media
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Other Interested
Organizations
This Webinar will be
appropriate for: Mid- to senior-level administrators and
managers from hospitals and medical groups who are involved in
working with managed care plans to implement incentive-based
reimbursement programs. Managed care organization managers
seeking to better understand the providers’ perspective; and
Medical directors who desire a better understanding of the
management issues involved in positioning their organization for
success. |
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