Bruce Merlin Fried and Henry J. Aaron speak at Dec. 9 audioconference, Health Reform Under President Obama: Likely Priorities and Time Frames for 8 Possible Initiatives


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This program has been cancelled.
High-Cost Ambulatory Patients: Health Plan Strategies to Improve Outcomes and Reduce Costs
AIS E_Savings Club

From the Medicare Case Management Demonstration Projects of the 1990s to the recent surge of interest in home monitoring devices, there has been an explosion in information about managing high-cost members. In a commercially insured population, the sickest 4% of enrollees account for a whopping 60% of annual health care costs. Medical advances have made it possible for the majority of these sick and costly patients to be discharged from a hospital and cared for in an ambulatory setting. What can payers do to manage the costs of these “ticking-time-bomb” ambulatory members?

 
Tuesday, October 28, 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
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How the Audioconference Works

Shipping Information

Written Materials

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The perennial quest to lower costs and improve outcomes of high-cost ambulatory patients through improved care management has spawned several industries and a variety of strategies. But questions abound: Can the payer manage them directly, or is a partnership with providers required?  What kind of ambulatory practice settings are best to monitor these patients?  What do we know about the patients?  How does management of behavioral health and obesity contribute to the effort? What’s the best model of partnership between the health plan and providers to manage them?

Hear two of the nation’s top experts describe sensible first steps that health plans and providers can take to create a partnership to care for these fragile individuals:

Health plan executives will learn how to drive the agenda of caring for high-cost ambulatory members, and how to structure financial incentives around managing them;
Providers will learn how to reach out to the health plans for support, how to re-engineer the delivery model, and what infrastructure investments are required.

Get hands-on guidance for the toughest questions including:

  • What is the best plan-provider partnership model to manage the sickest patients?
  • How do you prospectively identify the sickest, highest-cost members?
  • How do you measure success? Assess failure?
  • How to avoid the “gotcha trap” of regression to the mean in a cost analysis?
  • What is the role of IT in managing high-cost ambulatory patients?
  • How can predictive modeling and home monitoring devices be used?
  • How should reimbursement be structured? And what are appropriate additional payments for provider groups that are successful in managing this group?
  • Do disease-specific workflows for chronic conditions, such as diabetes, make sense, or does the diversity of this cohort require a different model?
Team-Wide Training at Its Best (and most cost- and time-efficient). Gather your management team around the table on October 28 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 strategies for developing payer-provider partnerships to effectively care for high-cost ambulatory patients.

 

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 The TriZetto Group, Inc.. 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 purchaser/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: Steve Davis, managing editor of Health Plan Week and Inside Consumer-Directed Care

A concluding 30-minute Q&A session provides useful answers to your toughest questions about developing payer-provider partnerships to effectively care for high-cost ambulatory patients.

 

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
  • Health care IT company executives
  • Attorneys and consultants
  • Actuaries

 

How the Audioconference Works

1. Register above (or call 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, October 28, 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 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 developing payer-provider partnerships to effectively care for high-cost ambulatory patients.

6. Cancellation Policy: To cancel your registration for this event and receive a full refund, you must contact customer service at 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 October 28? Order the CD or MP3 file 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 recording.

This Audioconference limits your time, expense and inconvenience. There is no need to leave your office or incur travel expenses to get strategies for developing payer-provider partnerships to effectively care for high-cost ambulatory patients. And your entire team will benefit at the same low single-participant price. For more information, or to register, call 800-521-4323 or click above.

 

Shipping Information

Please note that CDs and MP3 files will be available within three weeks of the conference date.

Audio CDs (and accompanying written materials) are shipped via UPS. Please give us your street address when you order (UPS does not deliver to PO boxes). You should receive your order within 5-7 business days.* Shipping cost is $5.

MP3 files will be delivered as a download link within a PDF file of the accompanying written materials. Shipping will NOT be charged for this item.

If you order the MP3 file before the conference date (by itself or in combination with the live audioconference), you will be sent an e-mail with the PDF file attached once the file is available.*

After the MP3 file is available*, if you order the MP3 file on this Web site through our secure shopping cart, a link will appear directing you to download the PDF file. This link will be accessible only for 24 hours, so be sure to save the file to your computer. If you order through our customer service department (by phone, mail, fax or e-mail), you will be sent an e-mail with the PDF file attached.

Rush Orders: Please call us at 800-521-4323 to place a rush order.* We will overnight your order for an additional charge of $30, or you can give us your FedEx or UPS account number and we will charge the shipping to your account. Rush orders placed after 3:00pm EST will not be shipped out until the next business day.

*CDs and MP3 files will be available within three weeks of the conference date.

 

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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