Registration / Continental Breakfast
Sunday, February 25, 7:30 AM - 8:30 AM
Payer Symposium Registered Attendees Only
Event Number: Payer 1
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Level:
Introductory
Location:
Ernest N Memorial Convention Center
Room:
253
Fee:
$225.00
Introduction and Welcome
Sunday, February 25, 8:30 AM - 8:45 AM
J. Paul Oates, CPHIMS, FHIMSS
David St. Clair, MBA
Payer Symposium Registered Attendees Only
Event Number: Payer 2
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Speaker Information:
J. Paul Oates, CPHIMS, FHIMSS
Senior Architect, Enterprise Technology CIGNA Healthcare
David St. Clair, MBA
Founder and CEO, MEDecision, Inc.
Contact speaker David St. Clair
Level:
Introductory
Location:
Ernest N Memorial Convention Center
Room:
253
Fee:
$225.00
Roles and Responsibilities in Care Coordination and Health Improvement
Sunday, February 25, 8:45 AM - 10:00 AM
Charles Baker
John Halamka, MD
Payer Symposium Registered Attendees Only
Event Number: Payer 3
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Description:
The role of health plans has evolved from one of “transaction manager” to one of healthcare “infomediary” and payors are taking more direct and active roles in the care coordination process. However, cross-industry communication between payors and providers has not kept pace with this change. This session aims to open a new discussion between the payor and provider worlds and set the tone for this day of cross-industry dialogue.
Speaker Information:
Charles Baker
President & Chief Executive Officer, Harvard Pilgrim Healthcare, Inc.
John Halamka, MD
Chief Information Officer, CareGroup Healthcare System
Level:
Intermediate
Objectives:
- Gain an understanding of the current care coordination process
- Discuss current and potential future roles and responsibilities for payors and providers in this emerging system
- Uncover barriers that may prevent payors and providers from working optimally together in the health improvement process
- Examine the role of payors and providers from the perspective of the various national initiatives, including the Healthcare IT Standards Panel: Can the road to a national health information network (NHIN) be used as a catalyst to promote greater payor-provider collaboration? Likewise, can greater payor-provider coordination help pave the way to the NHIN?
Location:
Ernest N Memorial Convention Center
Room:
253
Fee:
$225.00
EHRs and PHRs--Complimentary Course or Collision Course?: Payer-Provider Interoperability as the Vehicle for Care Improvement
Sunday, February 25, 10:15 AM - 11:45 AM
Paul Handel, MD
Richard Landen
Payer Symposium Registered Attendees Only
Event Number: Payer 4
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Description:
Payors rely on claims data, while providers rely on clinical data. These two data sets were designed for different purposes and are, therefore, difficult to link. How do we move these separate worlds of provider and payor information systems onto the same track?
Speaker Information:
Paul Handel, MD
Vice President and Chief Medical Officer, BlueCross BlueShield Texas
Richard Landen
Director, Health Information Technology, Blue Cross Blue Shield Association
Contact speaker Richard Landen
Level:
Intermediate
Objectives:
- Reinforce the complimentary nature of provider and payor data sets
- Identify the value of payor-based health records and related tools, such as the PHR, for health improvement
- Outline steps being taken for PHR interoperability
- Present current successful case studies in combining and leveraging payor and provider data for care optimization
- Present next steps for testing and prototyping -- where are our leading health plans headed?
Location:
Ernest N Memorial Convention Center
Room:
253
Fee:
$225.00
Lunch
Sunday, February 25, 11:45 AM - 12:45 PM
Payer Symposium Registered Attendees Only
Event Number: Payer 6
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Level:
Introductory
Location:
Ernest N Memorial Convention Center
Room:
255
Fee:
$225.00
Consumer Directed Health Plans: New Tools / New Challenges for Consumers
Sunday, February 25, 12:45 PM - 1:45 PM
Mark Keck
Wadida Murib-Holmes
Payer Symposium Registered Attendees Only
Event Number: Payer 5
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Description:
Where is the “consumer” in consumer-directed health plans? This session will examine innovative tools for consumers as they take an increasingly active role in management of both their healthcare and their healthcare finances.
Speaker Information:
Mark Keck
Vice President, Business Development, Client Management and New Product Development , American Express
Wadida Murib-Holmes
Director, National and Major Accounts, Humana
Level:
Intermediate
Objectives:
- Provide an overview of the critical issues facing today’s consumers as they manage their healthcare accounts and other components of consumer-directed plans.
- Identify today’s key decision factors related to financial, health management and improvement, and quality comparison factors. Explain the importance of each
- How can the accelerated adoption of health IT act as a catalyst in this process?
- Review new tools and approaches to assist consumers. What are the early results and lessons learned in terms of quantitative measures, adoption rates and health outcome improvement?
Location:
Ernest N Memorial Convention Center
Room:
253
Fee:
$225.00
Consumer-Directed Health Plans: Impact on Providers
Sunday, February 25, 2:00 PM - 3:00 PM
Rose Cintron-Allen
William Fandrich
William West, Jr., MD
Payer Symposium Registered Attendees Only
Event Number: Payer 7
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Description:
From large health systems to single-physician practices, the impact of next-generation health plans is being felt. Are physicians prepared to deal with the financial and clinical requirements of today’s consumer-directed plans?
Speaker Information:
Rose Cintron-Allen
Partner Consulting Services, NCR
William Fandrich
Senior Vice President, Consumer Liability, CIGNA Corporation
William West, Jr., MD
President, First HSA, Inc.
Contact speaker William West, Jr.
Level:
Intermediate
Objectives:
- Describe the unintended consequences of consumer plans – such as delayed payment and increasing debt – on physicians and their practices
- Identify possible solutions to improve clinical and financial administration of consumer plans
Location:
Ernest N Memorial Convention Center
Room:
253
Fee:
$225.00
Beyond Consumer-Driven Plans: New Healthcare Trends That Will Shake the World and Reshape Your Business
Sunday, February 25, 3:15 PM - 4:45 PM
John Kelly, MHA
Eric Brown, MS
Bill Crounse, MD
Payer Symposium Registered Attendees Only
Event Number: Payer 8
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Description:
In a world where information is everywhere, will the convergence of consumer-driven healthcare revolution with the health technology revolution lead to the end of health insurance as we know it? This session reflects on business, population and technology trends that will profoundly impact healthcare financing, research and the delivery of medical services. Is your business ready?
Speaker Information:
John Kelly, MHA
Senior Information Technology Consultant, Harvard Pilgrim Health Plan
Eric Brown, MS
VP, Research Director, Forrester Research, Inc.
Bill Crounse, MD
Director, Healthcare Industry, Microsoft Healthcare & Life Sciences
Level:
Intermediate
Objectives:
- Understand how “retail-ization” of healthcare services will impact the delivery of primary care, practice location, marketing, staffing, and operational efficiency
- Understand how contemporary information technology can address cost and quality transparency in healthcare and deliver knowledge-driven results
- Understand the role of, and opportunities for, advanced communication and collaboration in healthcare
- Understand the ramifications of a more global healthcare economy
Location:
Ernest N Memorial Convention Center
Room:
253
Fee:
$225.00
Closing Remarks
Sunday, February 25, 4:45 PM - 5:00 PM
J. Paul Oates, CPHIMS, FHIMSS
Payer Symposium Registered Attendees Only
Event Number: Payer 9
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Speaker Information:
J. Paul Oates, CPHIMS, FHIMSS
Senior Architect, Enterprise Technology CIGNA Healthcare
Contact speaker J. Paul Oates
Level:
Introductory
Location:
Ernest N Memorial Convention Center
Room:
253
Fee:
$225.00
