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Few doubt that patients with multiple conditions, including diabetes and heart failure, benefit from DM services. But which models are most appropriate for these enrollees, whether they are in commercial health plans, traditional Medicare, or managed Medicaid or Medicare Advantage plans? Is it appropriate to focus on short-term versus long-term returns on investment? And under what circumstances is it possible for DM programs to actually help lower medical costs?

AIS has lined up three of the nation’s top disease management experts to answer these and other major questions. When you join us on August 21, you’ll get timely strategic answers to questions such as:

• Which interventions did the MHS pilots and other demos use?
• Which strategies proved to be most and least successful?
• What other DM models might be more effective for serving patients with multiple comorbidities?
• How can DM programs produce measurable medical cost reductions?
• How should returns on investment be measured for these populations?
• Could disappointing results from Medicare’s DM demos cause commercial health plans to reassess previously reported savings figures from DM programs?
• How should commercial insurers and Medicare Advantage and Medicaid plans structure their DM programs for patients with diabetes, heart failure and other chronic conditions in order to achieve measurable savings?

Speakers

CHRISTOBEL SELECKY is chairman, president and CEO of LifeMasters Supported SelfCare, Inc., and has been with the company since 1996. She also is immediate past president of the Disease Management Association of America, and a current member of the association’s board of directors and executive committee. Selecky also serves on the Robert Wood Johnson National Advisory Committee on eHealth Technologies and has served as an external liaison to the Science Panel on Interactive Communication and Health of the U.S. Department of Health and Human Services. A health insurance industry veteran, Selecky started her health care career at FHP International Corp. in the early 1980s when it was an entrepreneurial, privately held, staff-model HMO. She served in a variety of senior management positions over the next 15 years, culminating in her role as president of its FHP California health plan. Selecky received her MA in mass communications from the S.I. Newhouse School of Public Communications at Syracuse (New York) University, and received a double BA in political science and philosophy from the University of Delaware.

VINCE KURAITIS is principal and founder of Better Health Technologies, LLC. BHT assists companies in developing strategy, partnerships and business models for chronic disease management and e-health applications delivered in homes, workplaces, and communities. His consulting and work projects span 100+ different health care organizations, including hospitals, physician groups, medical devices firms, pharmaceutical companies, health plans, disease management, e-health, IT, and others. Prior to founding BHT, Kuraitis served as president of medical call center Health Choice, vice president of corporate development and specialty operations at Saint Alphonsus Regional Medical Center, regional director of marketing at National Medical Enterprises (a hospital chain with 100 facilities), and senior consultant at Amherst Associates, a national health care management consulting company. His education includes MBA and JD degrees from the University of California, Los Angeles, and a BS degree in business administration from the University of Southern California.

JEAN BISIO is CEO of Green Ribbon Health LLC, a joint-venture company created by Humana Inc. and Pfizer Inc. to provide innovative models of education and care support services to fee-for-service Medicare beneficiaries with certain chronic diseases. Green Ribbon Health, which services a nine-county area of Florida, is operating one of the eight Medicare Health Support pilot programs implemented throughout the country on behalf of CMS. As CEO, Ms. Bisio is responsible for strategy, finance, operations, outcomes, and communications. Prior to joining Green Ribbon Health, Ms. Bisio served as executive vice president of business development for health management company Matria Healthcare, Inc., and senior vice president of business development at Crawford & Company, an international third-party administrator. She holds a degree in nursing from Vanderbilt University and pursued her graduate studies, earning a master of administration with an emphasis on public policy at the University of Alabama, Huntsville.

Moderator: Jill Brown, managing editor of AIS's industry-leading weekly newsletter Health Plan Week (formerly Managed Care Week).

Designed Especially For

• Health plan and insurance companies
  • Medical and clinical services directors
  • Provider network and contracting managers
  • CFOs
  • Business development directors
• Medical group managers
• Hospital and health system medical and clinical services directors and managed care contracting managers
• Disease management firms
• Health care consulting firms

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