A crop of new health care companies delivers predictably better health outcomes at lower cost than conventional approaches in high value niches of clinical, financial, and administrative risk. Purchasers using a combination of these firms can reasonably expect (often, with guarantees) a 20% reduction in spending in Year 1 and a 40% reduction by Year 3.
This workshop brings together purchasers, benefits advisers, and solutions providers to discuss the dynamics, barriers, and potential within this sector. Topics will include:
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Attend this workshop and learn the ABC's of the drug contracting process, starting with the manufacturer. Learn how discounts, formularies, and rebates work and take control of your drug spend. Leverage strategies used by the pharma supply chain in your favor rather than the other way around.
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Individual health care risk management programs will inevitably give way to "platforms" that integrate a range of solutions to high value cost drivers and barriers to quality. This advanced session will explore the cumulative quality and cost impacts available when high performance solutions are brought to bear under a single organizational or contractual umbrella.
The first half of this workshop will describe the challenges and results of a collaborative management effort by an on-site clinic company, and a musculoskeletal disorder management company, across several sites. The project relies on advanced analytics, worksite primary care, musculoskeletal management, and other capabilities, and provides a glimpse of the efficiencies and effectiveness readily available to employers willing to genuinely think outside the box. In the second half of the workshop, Adam Russo from The Phia Group, focused on efficient employer health plan management, will detail how to control health plan costs and protect plan assets through:
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This case-based MasterClass explores the drama and trauma of daily management, including resistance to change. Discuss critical success factors that transform professionals into more effective leaders, who in turn distinguish their organizations as industry frontrunners. Understand pre-conditions for higher productivity and performance – more speed and lower cost – based on theory and practical examples. A unique highlight of the workshop is a case discussion about healthier leadership and our responsibilities to ourselves, to others, and to our change initiatives.
This live activity is eligible for 3.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity and 3.0 contact hours through the Florida Board of Nursing, Provider # 50-94.
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This workshop explores new models of collaboration that address health system sustainability. Across the world, states and cities face huge health and social care challenges in an environment of increased patient expectations and economic challenges. Solutions require concerted action, imaginative policies, and innovative partnerships harnessing academic, industry, government, health, and social care resources to discover, develop, and deliver accelerated health care innovation. In this workshop, attendees explore, debate, and discuss optimal models of collaboration.
This workshop paves the way for a wider European and worldwide perspective on health system sustainability at the World Health Care Congress (Europe) in Manchester, UK on March 5-7, 2019.
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This workshop showcases five high-performance health care organizations that excel in clinical, financial, and administrative risk management. Learn how these organizations deliver improved health outcomes while curbing costs. Examine direct contracting models that are scalable, significantly reducing financial burden while optimizing care delivery.
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Status quo employee benefits agencies produce status quo results: “less bad” annual premium increases. It is time for advisers to start delivering real bottom-line results to employers: lower health care costs with better benefits. Leading benefits advisers are putting their compensation at risk to guarantee bottom-line results and are working with the C-Suite to manage the health care supply chain and lower health care costs.
In this workshop discover proven strategies from Nelson Griswold, the industry’s top innovation consultant, and some of these next gen benefits advisers who are revolutionizing the benefits industry:
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Wonder whether your wellness program delivers savings and results? Want to make sure you are choosing programs with the highest impact and best savings? In this workshop, find answers to the above questions and walk away with:
Understand population health metrics, how measures work, and the role of measure stewards. Learn from case studies, engage in small group discussions, and gain strategies to maximize savings.
This activity, has been approved for 2.75 HR (General) recertification credit hours toward aPHR™, PHR®, PHRca®, SPHR®, GPHR®, PHRi™ and SPHRi™ recertification through HR Certification Institute® (HRCI®). Please make note of the activity ID number on your recertification application form. For more information about certification or recertification, please visit the HR Certification Institute website at www.hrci.org
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With the global health care market expanding, and health care consuming a growing proportion of the GDP in most countries, discussions about health care are consuming a larger share of popular attention and media coverage. Those responsible for paying for health care, managing its delivery and determining policies to assure quality and outcomes have been caught up in these debates, discussions and public arguments.
Politics and rhetoric aside, there is much that countries, jurisdictions, providers and regions can learn from each other about how best to manage the transition from volume-based, fee-for-service care to value-based health care. Consumers traveling for medical services from one location to another – “medical travelers” – may be paving the way for an international exchange of ideas that will ultimately benefit insurance companies, intermediaries managing care, providers delivering care and governments overseeing health care. The markets have moved faster than the legacy systems which are responsible for funding, managing and delivering healthcare.
This Masterclass provides insights into these topics: Hosted by:
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Master of Ceremonies
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The importance of automation in health care has increased dramatically. Despite more demand for value-based care, improved patient outcomes, regulations, global competition, pricing pressure and the need for more precision medicines, the U.S. market is poised for a technology transition that will aid future business; it is already a major contributor to the growth of AI in health care. In this sessions attendees explore critical questions like:
An increasingly digital marketing environment has brought with it the ability for rapid, unpredicted changes and the need for quick trajectory shifts. See how to use the information you have in a more robust database, or how to get the data you might still need, to prepare contingency plans for swift changes.
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* This session is available only to attendees of the Medical Travel Track
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U.S. health care continues to transform radically creating both opportunities and challenges for payers and employers. Market forces are provoking organizations to develop new strategic initiatives and to reprioritize existing ones. The session unveils qualitative and quantitative findings from a national research study of payers and employers and gives insight into how organizations adapt to meet these challenges and harness new opportunities.
Managing health care costs as a self-funded employer requires constant and consistent monitoring of employee health, and not just plan design changes and cost shifts. In this session, Quest Diagnostics will share how they successfully achieved lower than benchmark increases for their 61,000 member health plan, moving from a consistent 6% upward trend through 2015 to a -1% trend in 2017.
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Panel I – Medical Management
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Panel II – Pharmacy and Specialty Drug Costs
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Attendees choose the topic area which interests them most and engage in small group discussion for 45 minutes.
Roundtable A: Leverage Technology and Digital Platforms to Maximize On-Site and Near-Site Clinic Value
Roundtable B: Discuss Effective Worksite Clinic ROI Measurement Strategies
Panel I – Improved Surgical Outcomes
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Panel II Direct Contracting with Providers
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Attendees choose the topic area which interests them most and engage in small group discussion for 45 minutes.
Roundtable A: Digital and Virtual Strategies to Promote Healthy Behaviors and Improve Care
Roundtable B: Enhance Wellness Communications to Maximize Engagement and Improve Outcomes
Benefits advisers are no longer waiting for others to solve the challenges in employee benefits. Many are developing innovative strategies and ideas to improve benefits and reduce health care costs.
In this interactive roundtable, Advisers discuss their best practices and solutions.
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Eighty percent of health care decisions are made by women, who account for 56% of total personal health care spending. Yet much of the current conversation around health system change overlooks women’s health. As the health care system seeks to better meet the needs of consumers and develop more efficient care models, health systems, policymakers, and plans need to be intentional about making sure the health care system works for women. Centering women in health care transformation efforts is a force multiplier that can yield several benefits, from lower costs to improved health outcomes to positive economic impact. Simply put, women's health is the key that unlocks health system transformation.
This panel brings together a clinician leader at a large, multilayered, national health system, with a policy director of a national women’s health care provider group, and a health care executive at a large insurer to consider:
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