One of the most talked about topics at HIMSS 2014 during sessions, presentations and exhibits was "Provider-Payer Collaboration." Yet if we examine what this really means, it becomes clear the term collaboration is mostly conceptual. In this Edifecs’ webinar presentation, we "peel off the covers" and formulate a roadmap for true provider-payer engagement, starting with simple transactional measures that both sides can adopt - with minimal additional investment in order to build confidence and trust. As the frequency of this direct engagement increases, so will the opportunity to qualitatively transform the nature of the conversation. The new focus can now center on what really matters to providers and payers: population health outcomes, mutual transparency, and risk mitigation.
A recent study by the Health Research Trust in partnership with the AHA estimates that over 40% of a health system’s revenue mix will transition to value-based payments within the next few years. This share is projected to increase to 80% as revenue from the traditional Fee For Service model dramatically shrinks to less than 20%. Such a rapid and foundational shift in payments will have ripple impacts all across the Provider enterprise. Provider organizations need to acquire and master the capabilities of managing population risk, while making care decisions in this risk-bearing environment. The shift to prevention and interventions early-on in the disease lifecycle is vital to management of such risk. Providers who make this fundamental operational change and establish a collaborative, transparent partnership with payers will effectively mitigate risk to the enterprise.
In this webinar, we "peel off the covers" and formulate a roadmap for provider-payer engagement by identifying key measures that both payers and providers can take including: (a) greater automation in direct communications, (b) streamlined care transitions, (c) reduced service duplication and redundancy, (d) integrated clinical and financial data for real-time population management, and (e) increased mutual transparency in decision-making. Such a pragmatic approach forms the foundation for containing the costs of healthcare.
During this webinar, you’ll learn how an integrated information infrastructure can:
Lead to more effective interventions for your highest risk patients using real-time population management tools
Assist at the point of care with critical medical history for your newest patients
Reduce administrative overhead on clinical staff through direct and seamless collaboration with your payers
Mitigate risk associated with value-based contracts through greater engagement with payers
DURATION: 1 HOUR
General Manager, Clinical Solutions
Deepak Sadagopan General Manager, Clinical Solutions
Deepak Sadagopan is a recognized leader and domain expert in healthcare IT. He has served in key strategic leadership roles for top Fortune-rated corporations, such as McKesson Corporation, Quest Diagnostics, and Siemens, directing key initiatives related to Meaningful Use compliance and health information exchanges, and launching the largest clinical transaction network in the U.S., which serves more than 200,000 physician environments.
Swetha Kannan AVP, Clinical Solutions
Swetha has played key roles leading change in large scale health care transformation initiatives in Singapore, Canada, USA and Southern Africa. Her key area of expertise is in clinical adoption of health information technology. She has served in international organizations including the Royal College of Physicians and Surgeons of Canada, the United Nations, Ministry of Health Holdings in Singapore, and Orion Health. With Orion Health, she led a clinical implementation team on several statewide and enterprise health information exchanges established in the USA.
Carrie Bauman Director of Product Marketing
Ms. Bauman began her career as an HIM department head in the acute care environment. After automating manual processes and implementing technology to improve workflow and document quality and availability, she became a reference site and beta customer of her vendors. She was invited to become a product manager for one of her vendors and has been in leadership roles in product management and marketing for the past 15 years. Ms. Bauman holds a BS in Health Information Management from Ohio State, an RHIA credential and her masters preparation in Health Services Administration is from Central Michigan University.