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You Are Due Available on CD Physician Organizations face difficult, high impact if not irreversible decisions surrounding restructuring to implement clinical integration; FTC guidelines and compliance policy; and the best choice clinical integration model and process to get it right the first time. This 60-minute audio conference webcast will cut through the clinical integration rhetoric and address the factors that will drive success or failure.Available on CD-ROM From Disease Management to Coaching Change, Growth and Health Improvement The jury is still out on whether disease management can achieve meaningful behavior change. Experts cannot agree on DM and ROI. But one area where successful, measurable results are being reported involves health coaching in disease management programs. Join Margaret Moore, Founder and CEO of Wellcoaches Corporation and explore the role the health coaching and its effect on the success of disease management programs in this live 60-minute audio webcast. Available on CD-ROM Managed Care Payor-Provider Contracting: New Directions, Risks and Strategies Critical issues and challenges in managed care payor-provider contracting will be the focus of a new audio webcast. Both health insurance plan payors and healthcare providers have much at stake in the next round of contracting negotiations. Join The Managed Care Information Center and three experts in managed care contracting to find out the latest strategies to effectively negotiate managed care contracts to maximize revenue in today’s global turmoil in this live 90-minute audio webcast. Leadership Roundtable for Health Plan Directors of Provider Relations This roundtable discussion is exclusively for directors and other senior executives of health plans who are responsible for provider relations. The discussion will center on the crucial issues you and your organization face in the area of provider relations. Join the Managed Care Information Center for a discussion that will focus on the top issues and topics of concern to health plan leadership in the months immediately ahead and into next year in this live 90-minute conference call. New Trends and Directions in Managed Care Websites Managed care organizations have completely embraced the Web as the tool of choice to communicate and educate their members, providers and employers. No longer is the web used for only claims processing and basic information. Today, members can manage their health and wellness through a variety of online tools geared to keep them healthy. Join the Managed Care Information Center to hear practical, real world overview of MCO web initiatives in this live 90-minute audio webcast. Consumer Directed Healthcare 2009: Key Opportunities, Issues and Challenges for Stakeholders This program has been organized to focus on the growth of consumer driven healthcare, what’s ahead for the immediate future, and assess the long term chances for real success and adoption of the consumer driven healthcare.Employers see the chance to help save on the soaring costs of health benefits through consumer directed healthcare and that’s why managed care organizations have launched CDHPs. But enrollment in the plans still makes up a small segment of the overall insurance market, according to an EBRI/Commonwealth Fund Consumerism in Healthcare Survey. Join The Managed Care Information Center, and three experts in this 90-minute audio webcast. Disease Management ROI: Benchmarks, Metrics, and Case Studies for Success There is an ongoing controversy surrounding how return-on- investment (ROI) of disease management programs is calculated. Historically there's been a high level of difficulty measuring the financial impact of DM programs because of unclear parameters. Join the Managed Care Information Center and experts on disease management analysis for a discussion about disease management and ROI in this special live 90-minute audio webcast. Never Events: Reducing Preventable Errors and Their Impact CMS launched its Hospital-Acquired Conditions (HAC) initiative in October 2007. This coming October, Medicare will expand the current list of eight HAC to 17 preventable errors that they will no longer pay for. Join the Managed Care Information Center and three industry leaders in this 90 minute audio conference and webinar. Disease management reporting is a skill which few have mastered. In fact, roughly 70% of disease management outcomes reports contain fundamental errors invalidating their results... right in the report itself. If you are a writer of these reports it is critical to spot these errors before the customer does. If you are a reader of these reports, it is imperative for you to spot these errors before you accept the findings. Join The Managed Care Information Center and Al Lewis from the Disease Management Purchasing Consortium for this audio conference, certification training and optional certification examination. Available on CD-ROM Health Plan Transparency Strategies and Initiatives: Investing in Today's Market and Business Mandates Value considerations, including price and quality, are beginning to transform how consumers make healthcare decisions. As a result, health plans need to provide information that is useful to consumers, instead of just publishing technical data, experts say. Learn how leading US healthcare payers are approaching transparency and what future opportunities transparency will lead to in the future. Join The Managed Care Information Center in this 90 minutes audio conference and webinar. Available on CD-ROM A key topic in the upcoming US presidential election is the issue of providing high-quality healthcare and simultaneously controlling costs. Data pooling can help fuel quality and efficiency measures and provide real knowledge about local trends. Join the Managed Care Information Center and Milliman to learn about the best practices and lessons learned in current data pooling initiatives and its future potential in in this 90 minute audio conference and webinar. Available on CD-ROM What’s Ahead for Healthcare Reimbursement: Are You Ready for the New Payment Models and Initiatives? There is widespread agreement that the current healthcare fee-for-service payment system needs to be to be revamped. Today, more than ever, a significant amount of attention is being spent on finding ways to improve health care quality and health outcomes while controlling health care cost growth. Learn new strategies for payment restructuring most effectively address the current fee-for-service problems in this 90-minute session. Available on CD-ROM Keeping Score: A Comparison of Pay-for-Performance Programs Among Commercial Insurers Pay-for-performance (P4P) represents a radical departure from traditional payment methods. P4P has been gaining traction, largely because the Centers for Medicare and Medicaid Services (CMS) has told hospitals and physicians that future increases in payment will be linked to improvements in clinical performance. Join The Managed Care Information Center and PricewaterhouseCoopers’ Health Research Institute in this 60-minute audio conference and webinar. Available on CD-ROM During the past five years there has been a significant increase in enforcement activity by the FTC in response to complaints alleging that physician networks are engaging in the suppression of price competition and utilizing structures that fail to meet FTC guidelines. Join the Managed Care Information Center for this 90-minute audio conference and webinar. Available on CD-ROM Forecast: What's Ahead for Managed Care in 2008 The managed care market faces a series of challenges and opportunities in 2008 that may change the face of the industry and therefore impact both health providers and payors. Join The Executive Report on Managed Care and the Managed Care Information Center in this 90-minute audio conference and webinar. Available on CD-ROM Managed care contracts are one of the most important drivers of a healthcare organization’s financial reimbursement, cash flow and profitability. Developing strategic contracting language can dramatically improve your revenue stream. But failing to clarify certain payment terms could also lead to long-term financial problems. Join The Managed Care Information Center and three experts in managed care negotiations in this 90-minute audio conference and webinar. Available on CD-ROM Mergers and Acquisitions in the Managed Care Industry: The Trends, Issues and Outlook for 2008 The recent credit debacles caused by the subprime mortgage mess and over-leveraged private equity transactions will certainly be remembered as we look back on 2007. The current wild gyrations in the financial market have jeopardized several large mergers and acquisitions deals and severely depressed the stock of a number of leveraged buyout firms. Join The Managed Care Information Center to discover what the future may hold for health plan M&A’s in the months and year ahead in this 90-minute audio conference and webinar. Available on CD-ROM The disease management industry is in transition today as it evolves to include interventions across the care continuum. Stand-alone programs focused on a single disease are transitioning to integrated care programs that include health and wellness promotion, disease management, and care coordination. Join The Managed Care Information Center and three of the nation’s top disease management experts for in this 90-minute audio conference and webinar. Available on CD-ROM “Six Sigma” and “Lean” are both buzzwords in healthcare today. These highly effective improvement approaches have been successfully implemented across many industries. Today, the application of Lean and Six Sigma techniques at healthcare organizations are achieving astonishing results. Join The Managed Care Information Center to hear how healthcare organizations participating in Lean / Six Sigma programs can experience significantly higher incomes through increased revenues and the lowering of operating costs in this 90-minute audio conference and webinar. Available on CD-ROM Retail Clinics: Opportunity or Threat for Today’s Healthcare System The explosion in retail health clinics is changing the healthcare system as we know it. It is having an effect on all areas of the industry – and getting the attention of both health plans and providers. Looking for an easy way to get up to speed on the opportunities available in this new outlet? Join The Managed Care Information Center and three experts on this industry trend for this special 90-minute audio conference. Available on CD-ROM Healthcare Reform: Will It Really Happen This Time? The national healthcare crisis is growing in severity. Costs are spiraling out of control. Forty-seven million Americans are without health insurance and there is a general lack of access to quality care. Americans are concerned. With a change in the way healthcare is delivered rapidly approaching, join The Managed Care Information Center for an assessment of current legislative forces and how they are shaping the future of the health and managed care industry in this executive level audio conference. Available on CD-ROM Consumer-Driven Healthcare: Key Drivers and Future Market Adoption Consumer-driven health plans (CDHPs) continue to be considered the solution to reducing healthcare costs and the roles of the uninsured in the nation. Join the Managed Care Information Center and experts of consumer-driven healthcare for a discussion of the current trends and future expectations in this 90-minute audio conference. Available on CD-ROM Disease
Management ROI: Benchmarks, Metrics, and There is an ongoing controversy surrounding return-on-investment (ROI) of disease management programs is calculated. What are the true cost savings of specific disease management programs? And what is the best way to calculate the ROI of your DM programs? Join the Managed Care Information Center and experts on disease management analysis for a discussion about disease management and ROI in this 90-minute audio conference. Available on CD-ROM Pay-for-Performance: Lessons Learned and Future Predictions Are physician incentives the panacea to a struggling healthcare system leading to strengthening quality measures, improved outcomes, and increased patient and health plan member satisfaction? Join Pay-for-Performance Reporter and the Managed Care Information Center along with the pioneers of pay-for-performance for a discussion of past successes and the challenges ahead in this 90-minute audio conference. Available on CD-ROM Forecast: What's Ahead For Managed Care in 2007 The managed care industry faces a series of challenges in 2007 that may change how business is conducted for both health providers and payors. Pressures to lower healthcare costs and increase the quality of care, along with the growing army of uninsured, will all have an effect on managed care plans. Join The Managed Care Information Center for a review of the challenges ahead in the 90-minute audio conference. Mergers and Acquisitions in the Managed Care Industry: The Trends, Issues and Impact During the first three quarters of 2005, $111.8 billion was committed to healthcare mergers and acquisitions. In the third quarter, $57.5 billion was committed to finance healthcare deals. And the managed care sector alone posted three billion dollar deals in the third quarter totaling $16.9 billion. Join speakers from three leading investment banking companies that focus on merger & acquisition services in the healthcare industry for both providers and payors to learn the current trends in M&A's, what are the issues, what are state officials' issues, what acquirers are seeking in a suitable fit, the strategic buyer's interests, and, finally, the impact on providers in a consolidated market. What's Working in P4P 'Box Set' Looking for an easy way to acquaint your team with “pay-for-performance” (P4P)? Introducing the P4P Audio Conference CD Box Set. These highly rated, executive-level telebriefings on CD are ideal for low cost, affordable team training. The programs feature four early adopter insiders providing details, metrics, payment structure, characteristics of successful programs, design principles and what's working are key points covered in three hours of high-level management discussion on details on pay for performance. Winning Ideas in Health Plan Wellness and Health Improvement Programs: What's Working Today to Achieve Member Commitment and Participation Free personalized online lifestyle-improvement programs, rewards for health plan members who use health management and disease management programs, online health risk assessment and reimbursement for health club membership dues, are among the wellness initiatives that health plans are offering their employees and members. The growth and market adoption of consumer-driven health plans will continue to drive health plans to develop more widespread member health improvement initiatives. In fact, some plans are developing innovative approaches. Discover what?s working in health plan wellness and health promotion programs, award winning and unique programs, best practices, ROI, and lessons learned in this special audio conference. Can We Get To Yes? Key Issues in Managed Care Payor-Provider Contracting Increasingly hospitals are walking away from payor contracts. Physicians are not only dropping out of health plan networks, but also some are not accepting health insurance. And the headlines carry more and more news about physicians-payor lawsuits. How do you get to "yes" in this environment? Can payors and providers find room to reach agreement? Are providers willing to leave money on the table? The goal of this conference call is to provide a 360-degree assessment of health plan - provider contracting issues for the coming round of negotiations. MCO consolidation in many key markets may tip the scales. Can hospitals negotiate adequate reimbursement when up against the proverbial "900 pound gorilla?" Getting It Right: Designing Outcomes-Based Physician Incentive Compensation Over the past 3 years, millions of dollars have been awarded to physicians as quality improvement incentives. Health plans are "rushing" to develop performance-related physician incentive programs. Managed Care Formulary and Pharmaceutical Benefit Management Under E-Prescribing E-prescribing makes formularies automatically and electronically accessible, and therefore considerably more enforceable, at the point of prescription," says Dr. Martin B. Silverstein, co-author of the BCG report “Vital Signs: e-Health in the United States.” Plus, guidelines have recently been adopted by the American Medical Association (AMA) House of Delegates to help physicians safely and securely prescribe medications to patients over the Internet Health Savings Accounts 2005: Market Adoption, Acceptance, Growth and Regulatory Refinements For the past year, health insurors have been developing and launching health savings accounts, their newest product offering. Health savings account (HSAs) are part of the Medicare Prescription Drug, Improvement and Modernization Act of 2003. HSAs are designed to help individuals save for future qualified medical and retiree health expenses on a tax-free basis New Directions in Disease Management: Medicare- Medicaid, Strategies, Outcomes, ROI Disease management (DM) is now in the forefront of efforts to improve overall member health status and have an impact on health costs. Early DM programs focused primarily on such illnesses as diabetes, congestive heart failure, asthma and chronic obstructive pulmonary disease. But over the past few years, some DM providers have branched out into offering DM programs for rare and sometimes even fatal conditions such as cancer, Parkinson's disease, lupus, ALS and sickle cell anemia. Next Generation - MCO Web Site Strategies
New Strategies in The Growth of Consumer Driven Healthcare
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