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Webinar Replay: MLTSS Network Adequacy

On February 25, 2016, hosted the webinar, 鈥淢LTSS Network Adequacy: Meeting the Access Requirements of an Emerging Market.鈥�

A growing number of states are transitioning Long-Term Services and Supports programs to managed care 鈥� raising important concerns about provider network adequacy. For health plans, the challenge is how to best meet state mandated access requirements given a fragmented market in which more than half of the care is delivered by home and community-based services providers.

During this webinar, 澳门六合彩 experts Sarah Barth and Karen Brodsky will provide an overview of the market for Managed Long-Term Services and Supports (MLTSS), outline the challenges of maintaining an adequate network, and provide a framework that health plans and states can follow to ensure that MLTSS members receive the best possible care. Listen to the replay and:

Obtain a working framework for monitoring, measuring and maintaining MLTSS network adequacy.
Understand how to balance in-network, out-of-network, workforce development and other issues that affect provider access to ensure sufficient MLTSS network options.
Understand the value of tracking member and provider satisfaction in maintaining a robust MLTSS provider network.
Get a complete run-down of the various types of MLTSS providers to ensure comprehensive representation across your MLTSS network

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar Replay: Value Based End-of-Life Care

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On February 25, 2016, hosted the webinar, 鈥淰alue Based End-of-Life Care: Having the Conversation Nobody Wants to Have Benefits Everybody.鈥�

There is growing evidence that end-of-life planning and value-based end-of-life care is a win-win for patients, providers, and payers 鈥� resulting in higher quality care that is aligned with patients鈥� preferences and eliminates relatively high cost futile care.

During this webinar, 澳门六合彩 experts Sukey Barnum, Laurie Lockert, and Suzanne Mitchell, MD, build the case for value-based end-of-life care and planning, and provide a roadmap for health plans and providers looking to launch end-of-life care policies and educational programs.

Listen to the replay and understand:

The drivers accelerating the need for value-based end-of-life care and planning.
The business case, examples and challenges for developing and implementing value-based end-of-life care programs, policies, and initiatives.
The added complexities of end-of-life-care and planning for special populations such as people with serious mental illness, and the benefit of using trauma informed care models for such end-of-life care and planning.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Launching a Successful Medicare Advantage Plan: Key Strategic, Product, and Operational Considerations

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A growing number of health systems and Managed Care Organizations (MCOs) are moving to become Medicare Advantage plans. The launch of a Medicare Advantage plan can transition a health system to value-based payments and ensure a steady revenue stream.聽 MCOs can serve a broader and complementary base of members with a Medicare Advantage HMO or a Special Needs Plan. However, launching a Medicare Advantage plan is a complex undertaking, requiring clear organizational intent and a well thought-out product and infrastructural strategy to navigate the regulatory environment and manage the population.

During this webinar, 澳门六合彩 expert Mary Hsieh will discuss what is required to launch a successful Medicare Advantage plan, with a special focus on product and pricing strategies as well as key infrastructural and operational considerations.

Learning Objectives

Identify the driving factors that affect the pricing of the products and pricing trends.
Determine the type of Medicare Advantage plan you should launch based on your organization鈥檚 strategic intent.
Evaluate product design considerations, including optional supplemental benefits such as fitness, dental, vision, transportation and meals.
Create the operational infrastructure needed for a successful Medicare Advantage plan.

澳门六合彩 Speakers
Mary Hsieh, PharmD MPH, Principal, Atlanta

Who Should Attend
Executives of health systems, physician practices, FQHCs, SNFs, and other provider organizations; executives of Medicaid managed care plans; Medicaid directors and staff.

Webinar Replay: California Medi-Cal 2020

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On February 3, 2016, hosted the webinar, 鈥淐alifornia Medi-Cal 2020: What the State鈥檚 1115 Waiver Renewal Means for Medicaid Providers, Health Plans and Patients.鈥�

California has received federal approval for a five-year, $6.2 billion 1115 waiver renewal, which can best be described as a mix of old and new. The waiver reauthorizes Medi-Cal managed care and other existing state Medicaid programs 鈥� as well as initiating important reforms and innovations. Though scaled down from the state鈥檚 original proposal, the new waiver moves California closer to value-based purchasing in Medicaid in several ways.

During this webinar, business and policy experts from 澳门六合彩鈥檚 California offices provide a comprehensive overview of the waiver鈥檚 various components, with an emphasis on the type of organizational structures, systems, and performance measurement capabilities providers and health plans will need to successfully compete in the state鈥檚 emerging value-based environment. Listen to the replay and:

Find out what public and district/municipal hospitals need to do to get their share of up to $3.27 billion in performance incentives through PRIME 鈥� successor to the state鈥檚 DSRIP initiative.
Understand the types of reporting requirements, outcome measures and delivery system models needed to successfully implement waiver programs and comply with new rules and regulations.
Evaluate various integrated care models, an essential component of the state鈥檚 Whole Person Care pilot, which will divvy up $1.5 billion in incentive payments to foster integrated behavioral and physical healthcare.
Learn how to organize case management, care management and training to align with the waiver鈥檚 quality and performance requirements.
Assess the state鈥檚 Global Payment Pilot Program, which seeks to move patients out of the emergency room and into primary care with $1.4 billion in incentive payments 鈥� funds previously earmarked for Safety Net Care Pool and Medicaid Disproportionate Share Hospital programs.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar Replay: Provider Vitality Workshop

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On January 28, 2016, hosted the webinar, 鈥淧rovider Vitality Workshop: Strategies for Ensuring an Energized and Effective Healthcare Workforce.鈥�

A strong and effective healthcare system depends on sustaining the vitality and well-being of the provider workforce. That鈥檚 not easy, especially among providers working in communities where social determinants weigh heavily on patient health and where the pent-up medical needs of the underserved can overwhelm even the most dedicated healthcare worker. Add to the mix growing state and federal quality reporting requirements, and it鈥檚 no wonder healthcare practitioners are at the breaking point.

During this webinar and interactive workshop, 澳门六合彩 Principal Jeffrey Ring, PhD, talks about the dangers of provider burnout. More importantly, he outlines a series of concrete steps healthcare organizations can take to ensure providers remain energized, find meaning in their work, and continue to provide the highest quality care to their patients. Listen to the replay and:

Learn how to identify a provider vitality problem at your organization, including signs of growing provider stress, frustration, and burnout.
Understand the various drivers of vitality problems, including understaffing, a challenging patient population, a hostile or unsupportive work environment, poorly defined organizational goals, inefficient team or management structures, and inadequate systems and protocols.
Identify which provider vitality problems can be addressed through training, workshops and strategies to help providers find meaning in their work versus drivers that require broader organizational restructuring.
Learn how to create a supportive work environment that fosters collaborative problem-solving, helps providers balance work and life, and empowers providers to take charge of their own success and well-being.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar Replay: Making Healthcare Data Actionable

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On January 14, 2016, hosted the webinar, 鈥淢aking Healthcare Data Actionable: Solutions for Converting Data into Information for More Effective Reporting, Decision Making and Strategic Planning.鈥�

We live in a digital universe, and the volume of data is growing exponentially. That鈥檚 especially true in healthcare, where the need for information is being driven by changes in regulatory and compliance reporting requirements, demand for quality and performance measures, and a focus on value-based purchasing. But unless all of this healthcare data can be converted into the type of information that supports decision-making and strategic planning, it鈥檚 just taking up space.

During this webinar, 澳门六合彩 data specialist Lisa Maiuro, PhD, outlines some practical approaches healthcare organizations can take to convert data into information, including an understanding of how to share data across organizational and functional teams, how to organize data to drive business decisions, and how to present and use data without specialized analytic expertise. Listen to the replay and:

Understand how to improve performance by leveraging evidence-based data; track variations in quality; and provide dynamic healthcare dashboards to benchmark quality, utilization, cost of care, and provider patterns; create mapping capabilities; apply predictive analytics, and more.
Learn how information solutions can help healthcare organizations respond quickly and easily to the challenges of both internal and external reporting requirements at the state and federal level.
Find out how enhanced analytical capabilities can help your organization make better use of available data without large investments in additional IT capabilities or analytic services.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar Replay: Building Population-Based Integrated Delivery Systems for Vulnerable Populations

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On December 10, 2015, hosted the webinar, 鈥淏uilding Population-Based Integrated Delivery Systems for Vulnerable Populations.鈥�

Designing and implementing population-based integrated delivery systems, particularly those involving multiple medical, behavioral health, dental and social service providers, has become a focus of states, health plans and providers themselves. This focus is growing to include people covered by Medicaid and other government programs, in addition to Medicare. New models are emerging and lessons being learned about effective approaches.

During this webinar you鈥檒l hear from 澳门六合彩 Principals Art Jones, MD, Jeanene Smith, MD, MPH, and Vice President Pat Terrell and about some of these approaches, as well as experiences to build upon. Listen to the replay and:

Understand the key elements of and best approaches to the design and implementation of multiple provider integrated delivery systems serving primarily Medicaid and uninsured populations.
Learn how Oregon鈥檚 experience with the Coordinated Care Model is shaping both care delivery in that state as well as influencing other similar approaches across the country.
Learn about a model in Chicago, the Medical Home Network, which is now fully operating as an integrated delivery system for a significant Medicaid membership.
Hear discussion about barriers and challenges (and strategies to overcome them) as well as the emerging benefits to providers, payers and patients alike.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar Replay: Total Cost of Care Benchmarks and Physician Practices

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On December 9, 2015, hosted the webinar, “Total Cost of Care Benchmarks and Physician Practices: An Early Stage Evaluation of Five Regional Healthcare Improvement Collaboratives Funded by the Robert Wood Johnson Foundation.”

The Total Cost of Care and Resource Use framework developed by HealthPartners is at the center of a pilot program funded by the Robert Wood Johnson Foundation (RWJF) to identify and address healthcare overuse and inefficiency in five areas of the country. RWJF funded (NRHI) – along with five regional healthcare improvement collaboratives (RHICs) – to implement the first phase of the pilot, which involves the use of multi-payer commercial claims data to produce and share total cost of care benchmarks with physicians and practices.

During this webinar, representatives of NRHI, the Oregon Health Care Quality Corp., MN Community Measurement, and 澳门六合彩 (澳门六合彩) share findings from an evaluation of this first phase of the pilot. The results of the evaluation, conducted by 澳门六合彩, illustrate both the challenges and promises of using cost transparency initiatives to drive delivery system change. Listen to the replay and:

Understand how each RHIC’s specific approaches and progress vary according to pre-existing data collection infrastructures, stakeholder dynamics and the local healthcare environment.
Learn how RHICs are dealing with concerns over the measurements and public reporting, and how they are incorporating technical assistance and checklists to improve data quality.
Understand the importance of seeking physician input and feedback as early as possible to help design and plan the project and to ensure that total cost of care reporting is actionable.
Find out how efforts among RHICs to work collaboratively and share lessons learned helped accelerate progress toward the development and dissemination of total cost of care reporting in their communities.
Learn how the early experiences of RHICs can be applied to other regionally based healthcare transparency and reform initiatives.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar Replay: Transforming Care: From Volume to Value

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On December 9, 2015, 澳门六合彩 and IBM Watson Health presented a webinar, 鈥淭ransforming Care: From Volume to Value.鈥�

As the federal government, state governments, payers, and health care providers across the country move from traditional fee-for-service payment models toward value-based care models, 聽initiatives such as Medicaid Health Homes, Medicare Accountable Care Organizations and Delivery System Reform Incentive Payment (DSRIP) programs are dramatically changing the way health care services are delivered, managed and paid for.

During this webinar, experts discussed the principles and goals of value-based care that underpin state and national reform efforts, the role that information technology (IT) will play in support of these goals, and examples of how IT has enabled provider and payer organizations to pursue value-based care initiatives.

澳门六合彩:

The principles and goals of value-based care (Tony D. Rodgers, 澳门六合彩 Principal)
The implications of value-based care for physicians and other health care providers (Jean Glossa, MD, 澳门六合彩 Principal)
The role of health care IT in moving the U.S. health care system from volume to value (Lynn Dierker, 澳门六合彩 Principal)

IBM Watson Health:

The technology innovations that exist to enhance, scale and accelerate human expertise to help individuals live healthier and more productive lives (Eric Fichtel, Care Management Director at IBM Watson Health)

The 澳门六合彩 and IBM Watson Health slide decks for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar Replay: Provider Network Adequacy Monitoring

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On December 8, 2015, hosted the webinar, 鈥淧rovider Network Adequacy Monitoring: Findings and Recommendations from the 2015 Robert Wood Johnson Foundation-Funded Survey of States and Health Plans.鈥�

Invest in network standards. Monitor program-wide provider capacity. Increase after-hours access. Deploy data analytics. Increase states鈥� role in network oversight. These are some of the key findings and recommendations from the Robert Wood Johnson Foundation-funded survey of health plans and state regulators concerning provider network adequacy compliance and monitoring standards. The survey, conducted by 澳门六合彩 (澳门六合彩), was designed to identify important trends and potential challenges in provider access monitoring and compliance given the dramatic increase in health insurance coverage under the Affordable Care Act.

During this webinar, 澳门六合彩 Principals Karen Brodsky and Barbara Markham Smith outline nearly a dozen findings and recommendations, providing a roadmap for both states and health plans seeking more effective and efficient ways of ensuring adequate provider access for members. Listen to the replay and:

Identify key differences in network adequacy compliance and monitoring standards among states and learn why a push for more standardization of methods and metrics is necessary.
Understand the need to track provider overlap among competing health plan networks to get a true read on provider capacity in a state or region.
Learn why health plans are increasingly including essential community providers in Medicaid, commercial and exchange networks.
Understand health plan reports regarding where they exceed state network requirements in order to ensure better provider access.
Find out how after-hours access is being addressed for primary care service access.
Understand the importance of data analytics in identifying network access problems, especially the type of problems that result in increased use of emergency room and out-of-network care.
Assess the role of state insurance regulators and the likelihood they will need to step up their involvement in monitoring network adequacy among health plans.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar Replay: Care Management Essentials

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On December 2, 2015, hosted the webinar, 鈥淐are Management Essentials: Practical Approaches to Implementing a Successful Care Management Program.鈥�

Care management is growing in importance as healthcare providers taking on risk seek effective ways of improving patient outcomes while controlling costs. The most successful care management programs offer practical methods for identifying members in need of interventions, effective care plans, face-to-face consultation, and reliable methodologies for tracking results.

During this webinar, 澳门六合彩 Principal Nancy Jaeckels Kamp provides the key steps for designing and implementing a successful care management program 鈥� including the type of infrastructure and workflow redesign needed to ensure your organization鈥檚 care management efforts deliver measureable results. Listen to the replay and:

Understand the key elements of a successful care management program.
Learn practical approaches to identifying eligible patients for appropriate care management interventions.
Identify infrastructure needs, workflows and processes that support care management.
Find out how care management initiatives aimed at complex medical conditions can dovetail with similar efforts targeting depression and other mental health issues.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar Replay: Trends in State Medicaid Programs

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On November 18, 2015, hosted the webinar, 鈥淭rends in State Medicaid Programs: Emerging Models and Innovations.鈥�

CCOs, RCOs, ACOs, Medicaid managed care, 1115 Waivers, 1332 Waivers, block grants, DSRIP, consumerism, integrated care, managed long-term care, patient-centered medical homes, duals demonstrations, evidence-based care. Let鈥檚 face it, there is a wide variety of economic and service delivery models emerging to serve the nation鈥檚 rapidly growing Medicaid population. While the use of Medicaid managed care continues to increase, other models are vying for relevance 鈥� and attracting interest and attention.

During this webinar, 澳门六合彩 Managing Principal Tina Edlund and Principals Barbara Coulter Edwards and Steve Fitton provide a high-level, strategic look at trends in state Medicaid programs 鈥� with an emphasis on how innovations in payment reform, service integration, and coordinated care models may impact the future of Medicaid. Listen to the replay and:

Assess the strategic implications of emerging economic and service delivery models for state Medicaid populations and weigh the strengths and weaknesses of the various approaches.
Understand the role that delivery system redesign can play in assuring program sustainability as states expand coverage.
Find out whether the shift to consumerism in health care will impact Medicaid benefit design and financial assumptions.
Get the latest on Medicaid financing, budget and payment reform initiatives that are at the center of virtually every attempt to address the quality, sustainability and cost of Medicaid.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

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199 Results found.