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Monday April 21, 2008
Join us for focused dynamic working group sessions, exploring specific industry challenges and innovations, during our Market Insight series. Emerging issues explored include:
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3:55 pm -
4:55 pm
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Collaboration among payers, providers and patients is increasingly being accepted as a way to improve health care outcomes and costs. Payers are eager to share patient and clinical best practices data with providers to help them deliver more efficient and effective care. Providers are recognizing the value of these collaborative efforts and realizing that they share the same goals as payers when it comes to medical issues and quality of care. The use of clinical information technology is essential for establishing this collaboration between health care entities and is the means through which the benefits of these efforts can be brought to a larger segment of the industry.
MEDecision, Horizon Blue Cross Blue Shield of New Jersey and Partners in Care, a physician-owned management services organization and care coordination entity, will discuss the merits of collaboration and how connectivity between stakeholders could change the face of health care going forward. Additionally, the three organizations will discuss their various roles in a statewide care coordination pilot aimed at promoting information exchange and clinical collaboration between health care entities across New Jersey.
- How MEDecision is helping to advance Horizon’s goal of improving its members’ health care
- The role that health plans and providers can play in advancing the exchange of actionable information
- The importance of interoperability in advancing the exchange of clinical data
- A discussion of the model and results of the New Jersey care coordination pilot
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Health care costs are rising with highest cost center being the chronically ill, aging population. Is the politics of medicine the root of all evil? Is the presidential candidates’ universal health care the answer? Or is preventive care and technology the rational center of reducing costs and improving care? Separate fact from fiction by attending a case study that reveals successful approaches to cost reductions and positive health outcomes.
Health Plans, Hospitals, and Health System CEOs, Chief Financial Officers, Chief Medical Officers, and other strategic executives will find out what can be done to leverage impact on health care outcomes and costs. Policy makers and media will also want to attend this interesting and compelling session. All will receive a cutting edge white paper on reducing health costs along with a proven plan for EMR implementation by a team who, among other things, has managed to reduce hospital days in a Medicare population by 51%.
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Internet search and health care consumerism are both powerful and influential forces shaping health care. How are these two forces impacting patients and providers?
Join this session to gain valuable insight into consumer online search behavior and discuss the substantial implications of search, transparency and consumerism. Find out what you can do to strategically and tactically leverage this revolution in health care.
Learn what is driving the health initiatives at Google and why they must be in health.
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| The retail transformation of the U.S. healthcare delivery system is going to demand complex point of care, sale, and decision real time processing of transactions that are far more complex than today’s simple HIPAA transactions. The need exists now for a single point of benefit accumulation across multiple funding accounts for a single transaction. True automation will come not only from real time auto-adjudication of claims, but business processes as well. Performance will impact choice, cost, and reimbursement through auto-adjudicated performance scores and indexes similar to the credit market today. This session will address the processing requirements of this transformed retail market place, and the competitive advantages to be gained through their innovative application today. |
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| Macrotrends in healthcare, including the decline in employer coverage for healthcare, the advent of HRAs and HSAs, and the growth of "retail" and "out-of-pcoket" healthcare delivery are exposing unmet needs among consumers of healthcare. Unlike any other consumer product, where preferences, needs, behaviors and attitudes are closely aligned with actual product choices, consumer research in healthcare suggests that consumers' preferences and needs are not reflected in their current coverage "choices". This discussion will highlight some of the root causes of this misalignment, implications for health plans (risks as well as opportunities), strategic gaps that currently exist (tools, processes, and channels), and frameworks and case studies that demonstrate best practices of getting consumers "home" to their naturally aligned plan choices. |
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Wednesday April 23, 2008
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8:35 am -
9:10 am
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As Consumer-Directed Healthcare drives growth in the Individual and Small Group market segments, and as “Customer Experience” standards continue to rise across all industries, health insurers must significantly increase their level of member service sophistication – in terms of technology, access and service – in order to increase member retention, lower transaction costs, rationalize marketing spend, and gain competitive advantage.
- Learn what this next generation of “Member Services 2.0” entails, including: multi-channel communication, workforce processes, analytical tools, community management, customer self-service processes, intelligent dialogue and enterprise feedback.
- Gain practical, best-of-breed insight into how to build an effective “Member Services 2.0” online capability, from one of the nation’s leading health plans.
- Learn which member self-service tools are most effective, not only for building brand loyalty, but also for making health-related decisions and influencing behavior.
- Understand how to begin the operational and cultural re-orientation necessary to benefit from this multi-tiered opportunity.
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8:35 am -
9:10 am
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Propelled by the tail wind of legislation, the shift to consumerism, the everlasting need for medical cost containment – new services are rapidly and radically changing how healthcare is offered and consumed. We will consider key innovations that are fundamentally transforming healthcare as we know it. Charles Safran will lead the panel and kick it off by offering his insight on the role of research in driving and shaping disruptive technologies.
Giovanni Collela, will shed light on the process of bringing a disruptive technology to market, its challenges and great rewards. Roy Schoenberg will address American Well’s disruptive entry into the healthcare delivery space, and the market demand for such innovations. Finally, Chad Pomeroy will discuss the receptiveness of health plans to innovation and their role in realizing innovation’s promise for consumers. |
| Sponsored By: |
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| Panel Moderator: |
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Charles Safran, MD, FACP, FACMI
Chief Division of Clinical Computing,
Beth Israel Deaconess Medical Center;
Associate Clinical Professor of Medicine, Harvard Medical School
 View Biography
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| Panelists: |
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Giovanni Colella, MD
President, CEO, and Founder, Maria Health;
Former President and Chief Executive Officer, RelayHealth (Acquired by McKesson)
View Biography
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Charles (Chad) Pomeroy
VP, Consumer Innovation
WellPoint
View Biography
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Roy Schoenberg, MD, MPH
Chief Executive Officer
American Well Systems
View Biography
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World Congress welcomes our attendees celebrating the Passover holiday and is pleased to provide kosher meals throughout the conference.
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