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Over the past 10 years, bundled payments have grown in popularity due to their ability to improve clinical outcomes while controlling costs. Among the earliest implementations of bundles were “Centers of Excellence” (or CoE) programs, where self-insured employers directly contracted with brand name providers for certain high acuity services. While generally effective, relatively few members would take advantage of these arrangements due to their limited clinical scope and stringent requirements. In this session, speakers will give an overview of best practices to consider when launching bundled payment programs across your provider network. Speakers will also share recent success stories where purchasers have deployed bundles across a wider set of services, thus generating a greater impact on quality and cost.
Leveraging data on members, providers and claims is paramount to affecting member outcomes, clinical efficiency, and influencing provider behavior. This session with explore how integrated analytics and technology platforms enable health insurance providers to optimize data and surface insights through real-world examples.
Health care has entered an era of disruption on many fronts – digital, consumer, and value-based care. Existing industry paradigms and institutions are beginning to give way to powerful market forces demanding lower costs, more accountability, and higher quality from the health care eco-system. The disruption has opened the door for new players and new models, and creative destruction is inevitable. In this session, speakers will discuss how convergence, integration, and technology are reshaping the health care industry, and lead a discussion on what today’s health plans and providers should do to build strategic and sustainable business models.
We all have our favorite companies; these businesses do more than offer the products or services we want — they delight us by making it easy to conduct business with them. Consumers don’t always find it easy to navigate the complex world of health care. They tell us when they don’t like their experiences through surveys, comments, or by switching their health plan. The challenge to creating a delightful consumer experience is in identifying areas of friction and prioritizing where to make changes. How should you readjust your corporate consumer experience strategy, so your members consistently have a successful health care journey? Speakers in this session will discuss how health plans should measure, assess, and then improve their customer experience strategies.
In this session, learn how the nation’s three largest health plans are engaging members through a virtual shared decision platform that provides direct access to expert specialists, in order to vastly improve quality, reduce cost, and deliver a premium member experience. While previous shared decision resources have shown promise, they have lacked the broad-based applicability and appeal needed to drive meaningful patient engagement. By providing quick, direct access to experts via a video platform, a virtual concierge service could become the gold standard for health plans looking to engage members in their own complex care decisions.
How well do value-based models work? What strategies are payers piloting and seeking to expand? What episode types are payers targeting with bundled payment programs? Which alternative payment models are working at scale and why? These questions and more will be answered when the results of a new national study are unveiled for this first time during this session.