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Finding the Value in Value-Based Payments

  • June 09, 2020
  • 1:00 PM – 2:00 PM ET
about

Value-based payments (VBP) were supposed to help transform healthcare for the better, yet healthcare costs continue to rise at unsustainable rates without any correlation with improved health outcomes. Health insurance providers around the country partaking in VBP programs have continued to see their incentive payments to providers go up, but are left puzzled when their bottom lines don’t reflect the “shared savings”.

In this session we will share how to structure and operationalize your Value Based Payment programs in a way that ties provider incentives with realized health plan gains.

Attendees will learn: 

  • How accurate risk adjustment can help ensure effective target setting
  • How a single, holistic metric can quantify how well a provider takes care of his or her entire patient population within a primary care system
  • How to use data analytics to measure and monitor where potential waste is coming from
  • How to maximize care management resources and impact by selective member targeting
  • The importance of provider data-sharing and transparency

Speakers


Rick Kresinske
Client Engagement and Strategy Executive
3M Health Information Systems

Rick Kresinske is a client engagement and strategy executive at 3M Health Information Systems, with a primary focus on assisting health plans and government agencies in designing and operationalizing their value-based payment (VBP) and population health management programs. Prior to joining 3M, Rick was most recently the Chief Financial Officer for Anthem’s New York City-based Medicaid Health Plan, Empire BlueCross BlueShield HealthPlus, where he developed and oversaw VBP programs ranging from pay-for-performance to fully capitated, delegated risk. Leveraging his background, Rick helps his clients to structure their VBP programs to align incentives between payer and provider in order to improve outcomes across the continuum of care. In addition to VBP and population health management, Rick also possesses in-depth knowledge in health plan market strategy and operations, medical economics and program design and management.

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