Dr. Klar's perspectives on "Saving the Shared Savings Program (ACOs)" have been featured "In The News" by Health Affairs as a three-part blog series on their website in May and June, following his critical assessment for them of the proposed rule that was posted on April 7. Having participated in both the legislative and regulatory evaluations of ACOs for CMS, and the considerations of becoming one by a major academic medical faculty, his insights as to the opportunities and obstacles will be timely and helpful to all contemplating participation or pursuing alternatives.
- Identify the principles of "accountable care" that are likely to be applicable to future "value-based" contracting arrangements
- Review the CMS ACO regulations and highlight issues of controversy and probable reconsideration
- Discuss the features of "shared savings" that could be applicable to payer-provider contracting without becoming an ACO"
The World Congress 2nd Annual Leadership Summit on Managed Care Contracting and Reimbursement Strategies convenes health plans and providers to discuss the future of managed care contracting in the new era of healthcare. Through a nuts and bolts analysis of contract negotiation and careful examination of emerging models of health care and reimbursement, this summit addresses the necessary preparations needed to maintain current business models, while building foundations for rising platforms.
Prepare for the New Era of Healthcare:
- Build Partnerships, remain competitive, decrease costs and improve efficiencies
- Increase the value of your contracts
- Maximize your strategic position and leverage price and reimbursement methodologies
- Evolve network management and efficiency, address changes in payment reform, coordinate for newer models of care delivery and enhance member enrollment
By ATTENDING this Summit, you’ll be able to:
- Build Partnerships, remain competitive, decrease costs and improve efficiencies
- Maximize your strategic position and leverage price and reimbursement methodologies
- Evolve network management and efficiency, address changes in payment reform, coordinate for newer models of care delivery and enhance member enrollment
- Manage and control risk – full analysis of risk management from both a payer and provider perspective
- Understand and prepare for new care models and gain a full understanding of the new payment models and structures
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Mark E. Austin Senior Vice President, Provider Network Management
Blue Cross BlueShield of Tennessee
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Kathryn Burke Vice President of Contracting and Business Development
Mount Auburn Hospital
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Jeffrey S. Gold Vice President, Managed Care & Special Counsel
Healthcare Association of New York State
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Jim Hickey Regional Vice President, Network Management
Unicare
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Ruth C. Levin Managing Partner
Managed Care Revenue Consulting Group, LLC;
Former Corporate Senior Vice President, Managed Care
Continuum Health Partner, Inc.
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