Agenda

AGENDA HIGHLIGHTS 2018
Organizational Structure to Optimize Data
  • Cross Functional, Inter-Departmental Collaborations
  • Cutting Administrative Costs
  • Population Health and Medicare ACOs – Secrets to Cost Cutting Methodologies
  • Care Giver Support Programs
Care Management & Value-based Care
  • Value-based Patient Centered Medical Home CMS Pilot
  • Risk Stratification: Identifying & Managing High Risk/High Cost Members – Aligning Case Management and Data Analytics from a Clinical and Policy Perspective
  • Treating Depression & Comorbidities (Diabetes, Heart Disease, etc.)
  • Medical And Behavioral Interventions To Boost Outcomes And Reduce Costs
  • Disease Specific Case Studies-- Diabetes, Hypertension, Neonatal, etc.
  • Saving Lives -- How Health Plans Can Impact the Opioid Crisis
  • CMS Pilot -- Harnessing Telemedicine for the Sickest & Most Expensive Populations
  • Population Health and Alternative Payments Applied to the Pediatric Setting
  • Preventing Readmissions
  • Terminal Disease Management, Palliative Care
  • Transitions of Care: Hospital, Home Care, Hospice
Provider & Community Engagement
  • Provider Incentives and Alternative Payment Models
  • Developing Innovative Care Delivery in Partnership with Communities
  • Maintaining Flexibility to Meet Members’ Needs – Aligning With Providers, Vendors, Hospitals, Others
  • EHR/EMR Technology Alignment/Integration
Member Engagement
  • VBID
  • Initiating Member Incentives Using Population Health Web Platforms
  • Boosting Member Engagement & Compliance
  • Non-traditional Benefits
  • Managing Social Determinants
  • Bridging Language And Cultural Gaps And Integrating These Populations Into The Traditional Health Plan Systems
Regulatory & Policy Changes
  • CMS & NCQA Measures Impacting Population Health
  • STARS * MIPS * MACRA * HEDIS