Healthcare in the US is shifting from fee for service to value based payment with an emphasis on quality. The US Department of Health and Human Services (HHS) is facilitating this transition by moving towards a quality and value system beginning in 2019. Under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), Medicare providers will receive financial incentives to improve the delivery of healthcare services and consumer health outcomes. Value-based payment (VBP) programs tie healthcare provider compensation to measureable results of the triple aim of lower cost, improved care and better health.
This session will explore how the convergence of medical and pharmacy data can be innovative in payment transformation and improve patient access to healthcare value. Learn about the direction reform is taking and gain perspective on the data you are capturing with tips to position for strategic data usage in a rapidly changing environment.
By the end of this session attendees will be able to:
Rayvelle Stallings, MD
Chief Medical Officer and Vice President of Government Programs
Rayvelle Stallings, MD, is Chief Medical Officer and Vice President of Government Programs for DST Health. She works with both Pharmacy Solutions and Health Solutions, focusing on our overall health strategy. She oversees all areas requiring medical director oversight by regulation and quality organizations, such as NCQA and URAC, and manages the expansion of our current solutions.
A board certified family practice physician, Dr. Stallings brings more than 15 years of executive leadership experience to her role. Before joining DST, Dr. Stallings served as Medical Director for Metropolitan Life Insurance Company. She previously worked with InVentiv Medical Management as Vice President and Chief Medical Officer. Earlier in her career, Dr. Stallings was an assistant professor at The Medical College of Georgia, Department of Family Medicine, and a family medicine physician who provided care for Medicare and Medicaid-insured patients, the underinsured and indigent patients.
A graduate of The Johns Hopkins University with a Bachelor’s degree in Chemistry, Dr. Stallings earned her MD from the Georgetown School of Medicine and is working on an executive MBA from the Jack Welch Management Institute.
Director of Provider Innovation Strategies
As the director of provider innovation strategies, Adele Allison monitors healthcare reform for DST System’s health solutions division. Having served as the co-chair of the ONC Beacon-EHR Vendor Affinity Group and a current co-chair for HHS’ Workgroup for Electronic Data Interchange (WEDI) Payment Models Workgroup, Allison has over 25 years of healthcare experience. A published author, Allison is a member of UAB’s advisory board on curriculum development and serves on UAB’s HITECH Committee for health IT curriculum development; and, is a member of the board of directors for Alabama HIMSS.