Payer Symposium: Payer/Provider Collaboration - The New Health Information Partnership

Ideal for all consumers, providers, and payers (CEOs, CIOs and CFOs, physicians and healthcare IT managers), this symposium addresses the payer community’s current governance, financial, legal and technological challenges as they relate to providers and consumers.

EventPY-1

Payer Symposium Welcome and Overview

Saturday, April 4, 9:00 AM - 9:15 AM

Jeffrey Pancow

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Speaker Information:
Jeffrey Pancow
Director, IT, Excellus BlueCross BlueShield

Location:
Convention Center

Room:
S403 a

Fee:
$275.00

Interested in registering for this symposium? Click here for more information.

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A New Administration and Healthcare Agenda-Impacts on the Healthcare Equation (Joint Financial Systems and Payer Symposia session)

Saturday, April 4, 9:15 AM - 10:15 AM

Julie Boughn

Topic Information:
Business and Financial Management Systems
Public Policy Initiatives - Primary Topic

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Description:
New leaders in Washington, DC will undoubtedly bring new ideas and agendas for the healthcare industry. This session will feature one senior executive from Centers for Medicare and Medicaid Services who will explore and discuss potential directions and related information technology initiatives for the industry. The speaker will also include comments on potential changes which can impact consumers, providers and payers.

Speaker Information:
Julie Boughn
CMS Chief Information Officer & Director, Office of Information Services, Centers for Medicare and Medicaid Services

Objectives:

  • Identify what role(s) federal leaders see Health Information Technology playing to help achieve increased health insurance coverage
  • Examine how a new administration, placing a new emphasis on health industry reform, might use Health Information Technology to "bridge the information gap" between providers, patients and payers
  • Discuss how the government can help consumers better understand the relationship between cost, quality and healthcare services
  • Explore how "transparency" and quality measurement initiatives will be implemented

Location:
Convention Center

Room:
S403 a

Fee:
$275.00

Interested in registering for this symposium? Click here for more information.

EventPY-3

"The Elephant in the Room": How Do We Pay for HIT Adoption?

Saturday, April 4, 10:30 AM - 12:15 PM

Kenneth Adler, MD, CPHIMS, FHIMSS
Tony Linares, MD
Micky Tripathi

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Description:
Based upon the experience of three individuals with varied perspectives, this session will provide insights regarding the enabling activities, as well as the obstacles, to broad-based adoption of EMR's by the provider community at large. The goal of this session is to provide a forum for primary stakeholders of this national conversation to advance their understanding of this critical topic and begin to collaborate on a reasoned and fair approach to move EMR value assumptions beyond just proofs of concept.

Speaker Information:
Kenneth Adler, MD, CPHIMS, FHIMSS
Family Practice Practioner
Tony Linares, MD
RVP, National Medical Director, Anthem National Accounts
Micky Tripathi
President and CEO, Massachusetts eHealth Collaborative

Objectives:

  • Discuss whether or not payers really save when employer enrollment runs year to year and a significant share of health care premiums is collected from self-insured employer accounts
  • Identify why there are so many providers investing in EMR's even without subsidies while others indicate there is no return on investment
  • Explore how much of the value of an EMR really depends on how it's used by the clinician
  • Examine why clinician's seem to feel that neither the quality of medicine they practice, nor the care their patients receive derive any real benefit from an EMR
  • Identify if consumers are the ultimate beneficiaries of EMR based quality and efficiency

Location:
Convention Center

Room:
S403 a

Fee:
$275.00

Interested in registering for this symposium? Click here for more information.

EventPY-4

The Digital Customer in Healthcare: New Tools and New Approaches

Saturday, April 4, 1:15 PM - 2:15 PM

John Sharp
Peter Mills, MD

Topic Information:
Business and Financial Management Systems - Primary Topic

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Description:
This session will discuss the power of harnessing the Web 2.0 technology to help strategists, physicians, administrators and professionals to obtain a clear understanding of its value and related risks. This session will allow the attendee to understand how the new world of social networking, blogs, video, podcasting and other tools is maturing beyond just something your kids do. Web 2.0 technology has the potential to allow us to deliver healthcare "on" the internet rather than "through" the internet.

Speaker Information:
John Sharp
Manager, Clinical Research Informatics, Cleveland Clinic
Peter Mills, MD
vielife & WELL

Objectives:

  • Articulate the concepts of Web 2.0 tool set and its applicability to healthcare
  • Analyze the current and future value of Web 2.0 for healthcare organizations
  • Benchmark what your customers are saying about you -- your online reputation
  • Learn how early adopters are leveraging Web 2.0 technology, and what early business models are being employed
  • Evaluate the risks of Web 2.0 in terms of privacy, security, hype versus reality, and its potential as a disruptive technology

Location:
Convention Center

Room:
S403 a

Fee:
$275.00

Interested in registering for this symposium? Click here for more information.

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Patient-centered Medical Home: Roles for Payers, Providers and IT for Achieving Quality Care

Saturday, April 4, 2:30 PM - 3:30 PM

Bill Rollow, MD, MPH
A. John Blair, III, MD

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Description:
The concept of a patient centered medical home has emerged as a model to improve both the quality and efficiency of care. One aspect of the Medical Home model is that in the future providers and payers will coordinate with each other within clearly defined, complementary roles to achieve optimal results for patients and their families. Participants will gain an understanding of the Patient Centered Medical Home model of care, and will learn about some of the organizational, financial, and information system-related challenges associated with this model in two community projects.

Speaker Information:
Bill Rollow, MD, MPH
Consultant
A. John Blair, III, MD
CEO, MedAllies, Inc.

Objectives:

  • Discuss the definition of Patient Center Medical Home
  • Explain how the medical home model is different from other care delivery accountability models
  • Learn how early adopters are implementing medical home and what lessons have been learned from early projects
  • Identify the technology and data implications of medical home models

Location:
Convention Center

Room:
S403 a

Fee:
$275.00

Interested in registering for this symposium? Click here for more information.

EventPY-6

The Next Generation Payer: Where Do We Go From Here?

Saturday, April 4, 3:45 PM - 4:45 PM

Tony Linares, MD
Kenneth Adler, MD, CPHIMS, FHIMSS
A. John Blair, III, MD
Peter Mills, MD
John Sharp

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Description:
The Payer role has changed - it's not just claims anymore. As payers redefine their value proposition to engage in care coordination, consumer engagement and wellness, and driving quality, how will these changes impact the payer-provider relationship? Do we need to worry about encroaching on a provider's turf, or, are there new opportunities to collaborate? Each presenter will bring their unique perspective to the discussion which will identify universal concerns and areas of agreement.

Speaker Information:
Tony Linares, MD
RVP, National Medical Director, Anthem National Accounts
Kenneth Adler, MD, CPHIMS, FHIMSS
Family Practice Practioner
A. John Blair, III, MD
CEO, MedAllies, Inc.
Peter Mills, MD
vielife & WELL
John Sharp
Manager, Clinical Research Informatics, Cleveland Clinic

Location:
Convention Center

Room:
S 403 a

Fee:
$275.00

Interested in registering for this symposium? Click here for more information.

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Symposium Wrap-up

Saturday, April 4, 4:45 PM - 5:00 PM

Mary Branagan, RN

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Speaker Information:
Mary Branagan, RN
Johns Hopkins Health Care

Location:
Convention Center

Room:
S403 a

Fee:
$275.00

Interested in registering for this symposium? Click here for more information.