Key Levers to Manage the “Risk” in Your Risk-Based Contracts
SCIO Health Analytics
February 15, 2018
Historically, those providers participating in Medicare Advantage plans had the greatest interest in ensuring a sound risk adjustment strategy. Today, all providers have a growing interest.
Join our upcoming webinar on February 15th at 2:30 pm ET to learn key levers providers can use to mitigate and effectively manage the risk facing their organizations. Hear how Scripps Health Plan Services has implemented a risk adjustment strategy that helps them deliver on their value-based care initiatives and is grounded in ensuring quality care is delivered to the patients they & their providers serve.
With a foundation built to withhold the pressures of assuming risk, all providers can ensure success in their risk-sharing arrangements.
During this webinar, participants will:
- Learn how focusing on key areas of your business can drive success with risk-based contracts
- Understand how comprehensive risk adjustment strategies can support quality outcomes, cost reductions and optimized revenue
- Learn about Scripps Health’s approach to ensuring patient quality, driving accurate documentation & creating critical visibility into their expected and actual CMS payments
- Understand the importance of managing provider performance and network leakage to risk-bearing organizations
Leading Transformation at Texas Health Presbyterian Hospital Dallas with the Resuscitation Quality Improvement (RQI)™ Program
American Heart Association
February 13, 2018
Health leaders play a vital role in healthcare transformation through leading the implementation of disruptive innovations. Join us on Febrary 13th at 1:00 pm ET where Texas Health Presbyterian Hospital of Dallas Chief Nursing Officer, Dr. Cole Edmonson, will discuss the principles that support leading transformation in healthcare, how these principles guided the decision to implement the American Heart Association’s Resuscitation Quality Improvement (RQI)™ Program, and how the RQI™ Program supported the mission and values important to the organization. Alex Klacman, Critical Care Education Specialist will focus on organizational implementation of RQI™, and share the data supporting improvements in skill performance and survival rates from cardiac arrest following implementation.
• Describe the role of the health leader in leading transformation through disruptive innovation
• Highlight the critical points needed for successful implementation of the RQI™ Program
• Review the key outcome measures in quality metrics and cost improvements seen with implementation of RQI™
The Strategic Impact of Laboratory Services in a Value-Based Environment
January 10, 2018
Hospitals and health systems are trying to find their way in an industry rich with payment reform, changing care models, mergers and acquisitions, and increased consumerism. Healthcare executives are tasked with finding solutions to these challenges to enable organizations to remain financially viable while delivering high quality care across the continuum.
To meet these goals, one clinical service area that executives should take into account when developing strategic plans is laboratory diagnostic services. While some organizations may see laboratory services as a commodity, and prefer to outsource them, others see the lab as an opportunity. Investment in lab capabilities—including emerging technology around molecular, genetic, and other pathologies—can improve patient care by making it more precise while providing a competitive advantage for hospitals and health systems by capitalizing on the data created in a systemic way.
Join us on Wednesday, January 31st at 1 pm ET where our panel will explore how executive healthcare leaders can incorporate laboratory services—particularly in conjunction with informatics and data analytics technology—into their strategic plans to differentiate service lines, improve clinical and financial outcomes, and reshape healthcare delivery in a value-based purchasing environment.
Achieving Revenue Integrity By Leveraging Physician Advisors
December 4, 2017
Ever wonder why so many hospitals are turning to physician advisor programs to improve utilization review performance, thereby enhancing compliance and revenue integrity?
Join us for our live webinar Monday, December 4th at 1:00 pm ET to streamline communication between clinicians, case managers and other non-clinical staff, to build effective physician advisor programs can help improve clinical documentation, support denials management and reduce attending physicians’ administrative burden.
Real-World Evidence Reimagined: Researching Innovations in Care
November 16, 2017
The transition from volume to value-based healthcare coupled with the shift to more personalized medicine are fueling a heightened interest in the use of real-world data to gleam insight and demonstrate value from care delivery improvements. As the demand for real-world evidence increases, many are investing in new partnerships and technologies to increase time to insight.
Join us on Wednesday, November 16th at 1 pm ET for a one hour webinar on reviewing how healthcare improvement companies, healthcare providers, researchers and pharmaceutical organizations are coming together to jointly develop and test new solutions to improve health status of targeted populations, such as improving vaccination rates and advances in chronic care.
Strategies for Building a Value-Based Physician Network
October 20, 2017
In an attempt to rein in the unsustainable rise in healthcare spending, some integrated health systems and some payers, including Medicare, have been rolling out incentives for increasing the value of their services.
While many healthcare organizations are participating in, or planning for the shift from fee-for-service to value based care, the pace of this evolution varies greatly. In some respects, this radical change in business practice represents a chicken-or-egg problem for healthcare leaders. It’s tough to justify in a business sense the process of organizing for value, and all the investment and culture change that entails, when you’re not being rewarded for your efforts.
Most organizations have accepted that they need to prepare for this evolution, yet the exact strategy to implement is still in question. However, learning from others’ mistakes and experience can be invaluable.
Join Julia Andrieni, MD, FACP and Megan Harkey, MHA on Monday, November 13th at 1 pm ET as they share Houston Methodist’s blueprint for using care management, analytics and technology, and physician engagement to ease the transition.