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Thursday,
January 13th,
2011
1:00 p.m. to 2:00 p.m. Eastern (10:00 - 11:00 a.m. Pacific)
Click here
to find out what time your event starts in your time zone. |
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Register
for $195
Call 209.577.4888 or
Click here to register |
Risk Adjusters for ACOs, PCMHs, Bundled Payments
& Insurance Exchanges
Considerations in evaluation of risk adjustment
tools for health reform
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Issues surrounding risk adjustment in the context of
health reform
Risk adjustment relating to provider contracting and
payment reform initiatives
Risk adjustment systems
essential for state health insurance exchanges
Considerations, pitfalls,
customization, and evaluation of off-the-shelf risk
adjustment tools |
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Faculty:
Rong Yi, PhD
Senior Consultant
Milliman, Inc. |
Faculty:
Diane Laurent
Managing Director
Milliman Advanced Risk
Technologies
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Risk adjustment, according to the PPACA, is a requirement for state health
insurance exchanges. It also plays a central role in leveling the
playing field for Accountable Care Organizations (ACO), bundled
physician payments, and Patient-Centered Medical Homes (PCMH). Billions
of dollars are already moved around every year based on risk adjustment,
and a lot more will be moved around under health reform. Successful
reform demands accurate, fair, and practical risk adjustment for each
specific application.
In this webinar, we will discuss:
- Risk adjustment in provider
contracting and payment reform such as ACO, PCMH and episode-based
bundled payments
- What risk adjustment systems are
necessary in state health insurance exchanges
- Considerations, pitfalls, when to
customize, evaluating off-the-shelf tools
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Participants will be able to:
- Explore issues surrounding risk adjustment in the context of
current health reform
- Address risk adjustment relating to provider contracting and
payment reform initiatives, including Accountable Care Organizations
(ACOs) Patient Centered Medical Homes (PCMH) and episode-based
bundled provider payments
- Consider what risk adjustment systems are essential for state
health insurance exchanges
- Examine the considerations, pitfalls, customization, and
evaluation of off-the-shelf risk adjustment tools
- Engage in interactive learning through online question submission, attendee feedback and opportunity for
follow up questions, and networking with attendees, faculty and other
professionals through dedicated LinkedIn group
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Interested attendees would
include:
- C-Suite Executives
- Actuarial Executives and Staff
- Analytics Executives and Staff
- Provider Contracting Executives and Staff
- Provider Relations and Development Executives and
Staff
- Provider Network Executives and Staff
- Strategy and Planning Executives and Staff
- Medical Directors
- Business Intelligence Staff
- Other Interested
Parties
Attendees would
represent organizations including:
- Health Plans
- Provider Networks
- Hospitals
- Accountable Care Organizations
- Patient Centered Medical Homes
- Government Organizations
- Employers
- Third Party Administrators
- Solutions Providers
- Associations,
Institutes and Research Organizations
- Media
- Other Interested
Organizations
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Individual Registration Fee: $195. Audio Conference CD-ROM: $40
for attendees; $255 for non-attendees after the event.
Corporate Site licensing also available. Click
here to register or call 209.577.4888.
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Rong Yi, PhD
Senior Consultant
Milliman, Inc.
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Rong Yi, PhD is a senior consultant with the Boston office of Milliman.
She joined the firm in 2009. Dr. Yi has extensive experience in risk
adjustment and predictive modeling for healthcare, workers compensation,
and other fields. She has worked with private insurers, providers,
employers, government agencies, and researchers in the U.S. and other
parts of the world. She is a frequent speaker at professional and
academic conferences.
Dr. Yi’s expertise includes risk adjustment for public programs and
health reforms, and predictive modeling for risk management. She
pioneered in the areas of workers compensation predictive modeling, risk
adjustment for the uninsured population, riskbased provider profiling,
risk adjustment for small group underwriting, and models supporting the
Patient-Centered Medical Home. She also led the adoption of
diagnosisbased risk adjustment in the recent German health reforms, and
is assisting foreign government organizations in their research and
strategy for their future health reforms.
Before joining Milliman, Dr. Yi was a major contributor to commercial
and governmental risk adjustment systems in wide use today. She holds a
Ph.D. in Economics from Boston University and a B.S. degree from Peking
University, Beijing, China, 1995
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Diane Laurent
Managing Director
Milliman Advanced Risk Technologies
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Diane Laurent is the Managing Director of the Milliman Advanced Risk
Technologies product group where she provides leadership for the risk
adjustment products, including Milliman Advanced Risk Adjusters, MARA.
Prior to joining Milliman, she was a senior vice president at the risk
adjustment firm, DxCG, Inc. for 10 years, where she contributed to the
development of risk adjustment software products, high-cost prediction
models, and population health business intelligence software.
Diane’s health care experience spans more than 30 years. She served in
senior management roles for health care technology companies, including
businesses acquired by McKesson Health Solutions. Her health plan
experience includes: Blue Cross Blue Shield of Minnesota/HMO Minnesota,
Empire Blue Cross Blue Shield/HealthNet, and Oxford Health Plans. She is
a graduate of the University of Minnesota.
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