Winning Strategies for MA Plans and PDPs Under the Mid-July Medicare Law; Health Plan Strategies for Using Predictive Modeling in Underwriting


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Visit AISEducation.com for more news and strategic information for today's business leaders
 
Audioconference: Tuesday, May 13, 2008
Never-Event Payment Policies: How Major Health Plans Are Getting Tough on Preventable Hospital Errors
AIS E_Savings Club

A number of major health plans will no longer reimburse hospitals for medical services that were necessary as a result of preventable hospital errors. Early this year, both Aetna and the Virginia Anthem Blues plan said they would insert so-called “never-event” policies into contracts as they come up for renewal. WellPoint, Inc. and CIGNA Corp. have recently followed suit, identifying never-events they will no longer reimburse. But such policies can be very tricky to institute and to enforce. Learn first-hand what is driving these new contract clauses, the results major plans hope to achieve, and the pitfalls your health plan should avoid if it intends to go along with this powerful new industry trend.

 
Tuesday, May 13, 2008
1:00 - 2:30 Eastern time
12:00 - 1:30 Central time
11:00 - 12:30 Mountain time
10:00 - 11:30 Pacific time
Sponsored by Atlantic Information Services, Inc., publisher of Health Plan Week, Inside Consumer-Directed Care and The AIS Report on Blue Cross and Blue Shield Plans

Speakers
Designed For

Registration Prices
How the Audioconference Works

Written Materials

Print an order form:
If you do not wish to place your order online, click here to download a printable order form (PDF file), then submit your order via fax or mail, as directed on the form.

 

 
Order Now (Secure Site)
Order Now Audioconference and Printed Materials* ($329)
Just $299 (You save $30!)
Pub code: C8M11-ENLAD
Order Now

Audioconference, Printed Materials* and CD ($421)
Just $391 (You save $30!)
Pub code: C8M11-ENLAD & CD

Order Now Printed Materials* and CD ($329)
Just $299 (You save $30!)
Pub code: C8M11-ENLAD (CD only)
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* A copyright release in the Printed Materials will permit you to make photocopies for each person listening to the Audioconference and/or the CD.

There are numerous questions to address for health plans intent on improving patient safety by reducing the preventable errors made by hospitals, such as death or disability resulting from medical errors. Health plans must determine which errors to focus on, develop and introduce appropriate contract language, and determine how they will audit hospital claims.

Join us on May 13 for a provocative discussion of rapidly evolving never-event payment policies, which are now in place at Aetna, Inc., Anthem of Virginia, WellPoint, HealthPartners, Inc., Pennsylvania Medicaid and other payers, in addition to CMS.

You’ll get 90 minutes (including 30 minutes of answers to your toughest questions) jam-packed with information and strategies on:

  • Under what circumstances should never-event payment policies be used?
  • Which errors should be targeted in hospital contracts? Which should be avoided?
  • How can health plans determine when a never event has occurred?
  • Which services associated with never-events should health plans pay for?
  • What new payment infrastructure is required for health plans to monitor never-events and determine what should and should not be reimbursed?  
  • Should never-event language be incorporated into physician contracts as well? And if so, how?

Team-Wide Training at Its Best (and most cost- and time-efficient). Gather your management team around the table on May 13 for one low single-participant price. And photocopy for each of them as many copies of our printed materials as you need. Managers throughout your organization will get reliable intelligence about how to implement and enforce never-event payment methods.

 

Speakers

CHARLES CUTLER, M.D. is Aetna’s chief medical director for national accounts. Prior to assuming this role, Dr. Cutler was Aetna’s national medical director for quality and clinical integration, where he was responsible for national quality strategy, accreditation, patient safety activities, quality measurement and improvement, and integrating clinical activities across the company’s portfolio of products. He was previously the chief medical officer at the American Association of Health Plans, Washington, D.C., and was responsible for clinical aspects of health care policy, chronic disease initiatives, and development of collaborations of health plans and other stakeholders to improve quality of care.

JAY SCHUKMAN, M.D., medical director of Anthem Blue Cross Blue Shield of Virginia, has been with the insurer since 1999. Previously, he was the medical director of a physician-owned health plan associated with the Kansas Medical Society.  Between 1978 and 1994, Dr. Schukman was a family practitioner in Kansas. He received his medical degree from the University of Kansas in 1975 and completed a residency in family medicine in 1978 at the Kansas University Medical Center in Kansas City, Kan. He completed a Master’s degree in administrative and preventive medicine at the University of Wisconsin.

LEAH BINDER is CEO of The Leapfrog Group, a voluntary program aimed at helping the health care industry better understand that  “big leaps” in health care safety, quality and customer value will be recognized and rewarded. Among other initiatives, Leapfrog works with its members to encourage transparency and easy access to health care information as well as rewards for hospitals that have a proven record of high quality care. Ms. Binder previously was vice president of Franklin Community Health Network based in  Farmington, Maine and also served as executive director of the Healthy Community Coalition (HCC) and Franklin Health Access.

Moderator: Steve Davis is managing editor of AIS's industry-leading newsletters, Health Plan Week and Inside Consumer-Directed Care.

A concluding 30-minute Q&A session provides useful answers to your toughest questions about about whether and how to institute “never-event” payment policies.

 

Designed Especially For

  • Health plan and insurance company
    • CFOs
    • Contracting directors
    • Medical and clinical-services directors
    • Legal affairs directors
    • Provider-relations managers
  • Provider group
    • Administrators
    • CFOs
    • Directors of managed care contracting
    • Business development directors
  • Attorneys and consultants
  • Actuaries

 

Registration Prices

Normally $329, just $299 for E-Savings Club Members! Audioconference and Printed Materials*
Order Now
Normally $421, just $391 for E-Savings Club Members! Audioconference, Printed Materials* and CD (of the full Audioconference)

Order Now

Normally $329, just $299 for E-Savings Club Members! Printed Materials* and CD
Order Now
* A copyright release in the Printed Materials will permit you to make photocopies for each person listening to the Audioconference and/or the CD.
Please Note: If within four days of conference, register by phone (1-800-521-4323) to ensure timely delivery of all necessary information.

 

How the Audioconference Works

1. Register above (or call 1-800-521-4323 to register).

2. When you register, you will receive a confirmation by e-mail from AISconferences@aispub.com, with a toll-free number and password that will connect you to the Audioconference on Tuesday, May 13, 2008 (1 p.m Eastern time). There is no limit on the number of participants from your office, but the registration fee covers only one phone dial-in. Additional dial-ins require additional registration fees. For discount pricing on additional phone lines, please contact customer service at 1-800-521-4323.

3. You will also receive copies of the Printed Materials (in PDF format by e-mail).

4. Listen in to the Audioconference as you follow along with your Printed Materials.

5. The final segment of the Audioconference will let you ask questions and get answers about whether and how to institute “never-event” payment policies.

6. Cancellation Policy: To cancel your registration for this event and receive a full refund, you must contact customer service at 1-800-521-4323 no later than 48 hours prior to the scheduled start of the audioconference. Any cancellations received after dial in information and supplemental materials have been sent (48 hours prior to the start of the audioconference) will receive a CD of the audioconference or a credit valid for one year. Your credit (the cost of the audioconference) will be applied toward the purchase of any AIS product or audioconference.

Can't make it on May 13? Order the CD and Printed Materials.

Remember: A copyright release in the Printed Materials will permit you to make photocopies for each person listening to the Audioconference and/or CD.

This Audioconference limits your time, expense and inconvenience. There is no need to leave your office or incur travel expenses to get reliable intelligence about how to implement and enforce never-event payment methods. And your entire team will benefit at the same low single-participant price. For more information, or to register, call 1-800-521-4323 or click above.

 

Written Materials

Listeners will also receive practical written information to supplement information covered by the audioconference speakers.

 

For further information call 800-521-4323 or e-mail customerserv@aispub.com


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