Never-Event Payment Policies - How Health Plans Are Getting Tough on Preventable Hospital Errors; Implementing 'Medical Homes' to Improve Patient Care and the Bottom Line


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Audioconference: Wednesday, May 21, 2008
Implementing ‘Medical Homes’ to Improve Patient Care and the Bottom Line: Steps That Health Plans and Providers Should Take
AIS E_Savings Club

The “Patient-Centered Medical Home” is the hot buzz-concept of the day, but few health care entities understand exactly what it means and even fewer know how to proceed. It is clear that payers are being lobbied to pay for new models of primary care. But which models are really new, and which are old approaches that are dressed up in a new buzzword? Are these requests for more funds for the same services, or is it possible to re-engineer to a more efficient model of care delivery? Is Medical Home a specific, singular model, or are there variations and extensions to the model required to serve diverse populations? Do all patients need a Medical Home’s advanced services, or just the chronically ill? Can a Medical Home control utilization of specialty services, and downstream events, or will it result in higher overall costs? And how should payers approach reimbursement for these pilot projects?

 
Wednesday, May 21, 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: C8M12-ENLAD
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Audioconference, Printed Materials* and CD ($421)
Just $391 (You save $30!)
Pub code: C8M12-ENLAD & CD

Order Now Printed Materials* and CD ($329)
Just $299 (You save $30!)
Pub code: C8M12-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.

The Medical Home model is intended to provide comprehensive primary care and facilitate partnerships among patients and physicians and care teams. In the Medical Home, each patient has a personal physician who is responsible for directing all aspects of the patient’s care and coordinating across the entire health care system. But dozens of very tricky specific questions flow from this very general idea. And the answers could possibly have a profound impact on the quality of patient care and the bottom lines of U.S. health plans.

Join us on May 21 to hear two of the nation’s top Medical Home experts describe sensible first steps that health plans and providers could take to create, partner with and reward Medical Home practices.

Health plan executives will learn how to respond to demands that they show initiative in the creation of Medical Home pilot projects, including the pressure to pay for them.

Providers will learn how to find the crucial win-win that payers are demanding.

In a one-hour presentation followed by 30 minutes devoted to your individual questions, you’ll get hands-on guidance on:

  • How health plans are being pressured to create and fund new models of primary care, including the Evalue8 RFP process and the new Patient-Centered Primary Care Collaborative
  • How to define a minimum feature set of a Medical Home
  • History of CMS and other pilots to determine financial viability of new models
  • Using Toyota lean-manufacturing concepts to develop a model of the “Lean Medical Home”
  • How to build a Medical Home pilot, including appropriate reimbursement models
  • How to construct the Medical Home platform to enable evolution and adaptations — improving the model for different populations, settings, providers, and specific objectives
  • How to design a model to ensure cost control as well as quality improvements
  • Enrollment criteria for Medical Homes: All patients? Only the highest 20% of utilizers? The highest 5%?
  • Experience from the field: What seems to work? What doesn’t?

Team-Wide Training at Its Best (and most cost- and time-efficient). Gather your management team around the table on May 21 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 implementing a Medical Home model to improve patient care and the bottom line.

 

Speakers

JOE GIFFORD, M.D. is senior medical director of The Regence Group, a Blue Cross Blue Shield affiliate serving 3 million members in the Pacific Northwest/Mountain region. Dr. Gifford is a frequent speaker on innovation in health care at national conferences and leadership events. He has executive experience in the information technology sector as well as on both the provider and payer sides of health care. Prior to joining Regence, Dr. Gifford co-founded QuickCompliance, a health care Internet media company now part of the Discovery Channel, and served as director of product management at ChannelPoint, an insurance software company, founded by engineers from Sun Microsystems, now controlled by TriZetto. Dr. Gifford has authored a variety of publications in clinical research and health care services, and has created online training programs for many large organizations, including CMS and the Department of Defense. He received his clinical training at the University of Washington after receiving his M.D. degree from the University of California at San Diego. Dr. Gifford is a board-certified emergency physician.

PRANAV KOTHARI, M.D. is the co-founder of Renaissance Health, an organization developing new models of care to improve health care affordability, quality and experience, including alternative care models for the underserved and uninsured. Dr. Kothari is a lead developer of the Ambulatory Intensive Caring Unit (AICU) and the Video Visit Booth concept, innovative models of care (developed with the California HealthCare Foundation and Mercer) that are being piloted with purchasers/payer/provider partnerships, including with the Boeing Company and UNITE HERE. Dr. Kothari co-founded the original Renaissance Health internal medicine “lab” practice – a very early Medical Home model. He also organized the Innovators Roundtable, a Robert Wood Johnson Foundation-supported roundtable of primary care innovators. Prior to Renaissance Health, Dr. Kothari led the Harvard Forums on Health, a cross-discipline national series on American health care challenges and solutions. Dr. Kothari has executive experience with The Advisory Board Company, leading research and consulting initiatives in clinical service lines and consumer-centric new product development and lead strategy for The Atlantic Media Company. He received his M.D. from the University of Michigan and clinical training at Georgetown University.

Moderator: Jill Brown, managing editor of The AIS Report on Blue Cross and Blue Shield Plans and contributing editor of Health Plan Week.


A concluding 30-minute Q&A session provides useful answers to your toughest questions about about implementing a Medical Home model to improve patient care and the bottom line.

 

Designed Especially For

  • Health plan and insurance company
    • CFOs
    • Provider network and contracting managers
    • Medical and clinical-services directors
    • Provider-relations managers
    • Product development and marketing executives
  • 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 Wednesday, May 21, 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 implementing a Medical Home model to improve patient care and the bottom line.

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 21? 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 aboutimplementing a Medical Home model to improve patient care and the bottom line. 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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