The Developments and Isssues Shaping Decisions Surrounding Managed Care This Year
- Key payer-provider contracting priorities, initiatives, and terms that are being negotiated nationally and regionally
- The outlook for managed care organizations and their major lines of business
- The niche opportunities for health plans and providers
- The huge business opportunity in Medicare Advantage even with downward pressure on payment rates
- The questions swirling around ACO development-- Like the possible roles for health plans, if any
‘Need To
Know’ Must Have Information for Decision
Making
This senior-level program has been organized by the Managed Care Information Center (MCIC) to help bring focus to the significant trends that will shape the health and managed care industry in this New Year. The distinguished panel of presenters will provide expert analysis of what the future may hold.
This annual program aims to help bring focus and clarity to the multiple forces shaping the health and managed care industry today. The issues are broad; there are challenges, as well as new opportunities brought on by a number of changes.
You’ll get what's coming and how all of this will affect both payers and providers in the months and year ahead.
What You Will Learn:
- New and Emerging Developments in the Payor-Provider Relationship
- The Healthcare Market Forces and Pressures Leading To Revolutionary Change
- Implications For Payors, Providers and Employers
- The New Medicare Quality Based Payment Program
- Medicare Advantage and The PPACA And HCERA Changes Affecting the Plans and Part D Plans
- Risk Adjustment Data Validation
- The Strategy and Elements of Success In Medicare
- Benchmarking Cost and Revenue and Benchmarks by Risk Category
- Managed Care Contracting Priorities and Issues Today
- The Payor-Provider Negotiation Climate
- Contracting in Response to Current Economic Pressures and Healthcare Reform
- The Continuing Evolution of Provider Reimbursement Models
- Current and Evolving Managed Care Initiatives That Drive Improved Efficiencies, Outcomes, and Transparency
- Managed Care and Changing Employers Strategies
- Question and Answer Session
Order
Today!
Who will Benefit From This Program:
Health plans, hospitals and health systems, PHO and IPA's, pharmaceutical and disease management companies, medical device manufacturers, healthcare technology companies, TPAs, PBMs, associations, government officials, and employers. CEOs, COOs, CIOs, hospital and managed care executives, vice president of operations, vice president of finance, business development, directors of managed care, healthcare reimbursement executives, strategic and implementation consultants, medical directors, sales executives and marketers, network services, public relations executives, compliance officers, operations executives, executive directors, team leaders, planners, product managers, knowledge managers, department heads, pharmacists, human resource benefit managers, employer health plan decision makers, network development and provider services directors, strategic planners, utilization management, network managers, physician practice management, medical management directors, analysts, implementer consultants, account services, administration executives, ancillary products managers.
Benefits of this Professional Training Briefing on CD:
What
Participants in past years programs Had to Say:
- “I liked the diversity of the presentations and speakers.”
- “The breadth of perspectives was excellent.”
- “This was very pertinent information to my every day work.”
- “Content flowed well and speakers were well-prepared.”
- “Good foundation for understanding today's managed care environment.”
- “The perspectives from the payor and provider were ones that I had not previously heard.”
Who will Benefit From This Program:
Health plans, hospitals and health systems, PHO and IPA's, pharmaceutical and disease management companies, medical device manufacturers, healthcare technology companies, TPAs, PBMs, associations, government officials, and employers. CEOs, COOs, CIOs, hospital and managed care executives, vice president of operations, vice president of finance, business development, directors of managed care, healthcare reimbursement executives, strategic and implementation consultants, medical directors, sales executives and marketers, network services, public relations executives, compliance officers, operations executives, executive directors, team leaders, planners, product managers, knowledge managers, department heads, pharmacists, human resource benefit managers, employer health plan decision makers, network development and provider services directors, strategic planners, utilization management, network managers, physician practice management, medical management directors, analysts, implementer consultants, account services, administration executives, ancillary products managers.
Benefits of this Professional Training Briefing on CD:
- The most economical training available
- Specialized, focused information
- Low cost, team training
- Multiple team members can listen in
- Easy to participate-all you need is your computer with Internet connection
- No travel expenses
- No time away from the office
©2011 Health Resources Publishing