January 28, 2021 • 1:00 PM - 2:00 PM ET
The pandemic has put a spotlight on the areas of the health care system that are broken, forcing stakeholders who may been slower to adopt innovative models to reconsider how they approach the move to value-based care, accountability, and where and how we spend our health care dollars. As employers continue to consider ways to address the most common programmatic costs (such as MSK, Cancer, or Cardio/Metabolic Diseases), more and more are considering engaging a clinical Center of Excellence (COE) in a direct contracting arrangement. The COE model creates a collaborative relationship directly between the employer and providers who have proven to deliver high value, appropriate care. But, how exactly does it work? What questions should you, as a broker or benefit advisor, or employer yourself, be asking – particularly if you don’t have a staff of actuaries or medical officers helping to evaluate the options and solutions available in this space? In this webinar, hear a variety of perspective share their experience and expertise in the area of direct contracting and COEs to help you realize how this model can lead to improved accountability and predictability of your organization’s health care spend.
- Understand how a steerage strategy towards COEs can directly address the largest programmatic cost drivers of your plan
- Explore how this model creates accountability and predictability of costs for an employer by providing a direct line of sight to overall medical trend, as well as short- and long-term cost savings through an attributed risk arrangement
- Examine the vetting process or questions to ask a provider organization/COE
- Identify metrics to evaluate total cost of care, such as readmissions, referrals to SNFs, avoidance of unnecessary care, and more
- Explain the constructs of a contract, including warrantees and comprehensive prospective bundles, and why these arrangements lead to a more collaborative partnership between employers (the payers) and providers