Leveraging the Power of Health Plan Big Data to Contain Costs and Improve Health Care Outcomes
June 20, 1:00 pm – 4:00 pm
Presented by LexisNexis
“Big data” is defined as datasets whose size exceeds the ability of typical database software tools to capture, store, manage and analyze it. It has been suggested that if the U.S. health care system could use big data creatively and effectively to drive efficiency and quality we could generate annual health care savings of more than $300 billion. The emergence of open-source massive parallel-processing computing platforms opens new opportunities to increase the agility and scale of solutions for health plans to maximize big data. This workshop will gather some of the best minds in the commercial health care industry to explore the ways in which vendors and health plans might collaborate to leverage emerging technical capabilities to contain health care costs while improving health care outcomes.
In this session, attendees will learn how to:
- Identify three key opportunities commercial health plans have to leverage big data to contain costs and improve health care;
- Identify obstacles and challenges that health plans face in leveraging available data for these purposes; and
- Brainstorm solutions to overcome these obstacles/challenges.
The ideal target level for this workshop includes:
- Regional health plan senior executives including Chief Medical Officers, Chief Information Officers, and Chief Operating Officers
- Senior leaders in the operations and informatics areas
- Directors of the Special Investigations Unit
- Other leaders in the health plan focusing on how data can improve outcomes
|12:00 pm – 1:00 pm ||Refreshments and Networking Opportunity |
|1:00 – 1:15 pm ||Welcome and Introductions |
|1:15 – 2:15 pm||General Session Panel |
|2:30 – 2:50 pm||Discussion Session Focusing on Disease Management Data |
|2:50 – 3:10 pm||Discussion Session Focusing on FWA |
|3:10 – 3:25 pm||Break |
|3:25 – 3:45 pm||Discussion Session Focusing on ID Management |
|3:45 – 4:00 pm||Wrap Up and Closing Remarks |
John Mattison, MD
Dr. John Mattison began his medical career at UC San Diego and Scripps Clinic, where he practiced in many clinical settings including primary care, critical care, preventive medicine, hyperbaric medicine, trauma and helicopter medicine, and held several directorships while at Scripps Clinic, including Quality, Utilization, and Critical Care. He joined Kaiser Permanente in 1989, and was appointed as Assistant Medical Director and Chief Medical Information Officer in 1992.
Dan Munro is a Contributing Editor at Forbes where he writes on the intersection of Healthcare IT and Innovation. That focus is broadly around those challenges, opportunities and solutions that are fundamentally geared to scale – and have the capacity to influence our healthcare system in significant ways. He is also the Founder and CEO of iPatient, a cloud-based solution designed to transform the patient-provider dialog. He has successfully raised both angel and Venture Capital and accelerated the profitable exit of a number of healthcare startups including a payer solution that was acquired by WebMD in 2004. Another early stage venture, Sequoia Software, was acquired by Citrix in 2001. Sequoia’s XPS portal technology pioneered the use of XML in healthcare and among the first to use XPS was Baylor Health Systems. That pilot project was featured by Bill Gates at the annual Microsoft Healthcare conference (MS-HUG). He graduated from the International School of Brussels before completing undergraduate degrees in Computer Science and Communications (with a minor in Journalism) at the University of Redlands.
Glendon Schuster is Senior Vice
President and Chief Technology Officer of Centene Corporation. An
established thought leader in Business and Systems Integration and Solution
Delivery Excellence, he was hired to serve as the Interim Chief Information
Officer for Centene Corporation and took the permanent position in November
2005. He now serves as Centene’s Chief Technology Officer, responsible for helping
Centene drive business growth, efficiency, and navigating the changes in
healthcare through an innovative, robust technology platform. He is responsible
for Centene’s overall technology roadmap, as well as the technology strategy
for new business growth and M&A activity. Prior to joining Centene, he was
a partner at Accenture. He has experience in IT Transformation with several
Fortune 100 companies and has provided complex solutions across various
industries. He has a degree in Electrical Engineering from the University of
Illinois and a broad background in IT delivery and metrics-driven management.
Mr. Weems is Vice President and General
Manager of General Dynamics Information Technology’s Health Solutions Sector.
Prior to joining General Dynamics he led the Health Care Services division of
Vangent., a tenure preceded by 28 years with the federal government where he
was administrator of the Center for Medicare and Medicaid Services and vice
chairman of the American Health Information Community. During that time, he
implemented the Medicare e-prescribing program, started pilot projects in
electronic health records and personal health records and implemented landmark payment
reforms, including non-payment for certain medical errors.
Bill Fox, JD, MA
Bill Fox is Senior Director of Healthcare at LexisNexis Risk Solutions. Prior to LexisNexis, Mr. Fox was Vice President of Program Integrity at MAXIMUS Federal. He was a Partner at the law firm of Post and Schell, and was Deputy Chief of Economic and Cyber Crime at the Philadelphia District Attorney’s office and a Special Assistant U.S. Attorney in Philadelphia. Mr. Fox is a Senior Fellow at the Jefferson School of Population Health in Philadelphia, leads the Fraud Waste and Abuse committee under the HIMSS Privacy and Security Task Force, sits on the HIMSS G7 task force and is a frequent speaker on topics of healthcare fraud, compliance and quality for organizations including the National Health Care Anti-Fraud Association. He also sits on the Editorial Advisory Board for MCOL’s Predictive Modeling News. Finally, he has also served as a tactical strength and conditioning consultant to the U.S. Navy SEALs.