Managing Medicare Advantage Costs through Better Post-Acute Care

  • October 10, 2017
  • 2:00 PM – 3:00 PM ET
  • Online
about

Most health plans have a keen insight on curbing costs for hospitalizations and emergency department use. Far fewer have the knowledge needed to tame the costs associated with post-acute care, such as reducing dependence on Skilled Nursing Facilities (SNFs), limiting the variability in home care quality and rates, and making sure members have what they need to be self-sufficient as they heal at home.

With the low-hanging fruit for cost reductions long picked over, integrated solutions – and particularly post-acute care integration – offer significant potential for savings for Medicare Advantage plans. Learn why guiding care to the home is the single best way for health plans to bend the cost curve.

By participating in this session attendees will learn how to:

  • Drive down costs and lower your Medicare bid with best practices on home health
  • Use advanced analytics to identify the appropriate setting and level of care
  • Reduce readmissions through collaboration with the patient, family caregivers, home health nurses, and primary care and specialist providers

Who should attend:

  • Chief Medical Officer
  • VP or Directors of Medicare
  • VP or GM of Government Programs
  • VP or Division Presidents
  • VP of Utilization Management
  • VP of Health Care Services
  • Medical Economics
  • Underwriting / Pricing
  • Actuaries / Finance

Speaker


Dr. Michael Cantor, Chief Medical Officer, CareCentrix
Dr. Cantor is a geriatrician and attorney with almost 20 years’ experience in designing and implementing population health and quality improvement programs for health plans and healthcare providers. He is currently Chief Medical Officer (CMO) for CareCentrix, a post-acute benefits management company, and prior to that served as CMO for the New England Quality Care Alliance (NEQCA), the 1,800-physician network for Tufts Medical Center in Boston, where he managed network-wide population health and quality improvement programs. He also served as founding Medical Director for the NEQCA Medicare Shared Savings Accountable Care Organization (ACO), and was the first CMO for Minuteman Health, a CO-OP insurance plan, where he developed and implemented medical management programs. Prior to that he served as a medical director for Evercare of New England, a division of United Health Group, where he managed care managers and nurse practitioners, and led quality efforts for the Senior Care Options (SCO) program for people over 65 with Medicare and Medicaid coverage. He also held positions at the VA Boston Healthcare System, Brigham and Womens Hospital, and the Hebrew Rehabilitation Center for Aged, where he was responsible for developing new clinical programs for older people, and provided geriatrics assessments, primary care, long term care, palliative care, and made house calls. He trained in internal medicine at Beth Israel Hospital in Boston, and did his geriatrics fellowship at Harvard Medical School. His degrees in law and medicine are from the University of Illinois.