Optimizing Cost Containment While Minimizing Provider Abrasion

  • March 28, 2017
  • 1:00 PM – 2:00 PM ET
  • Online
about

In today’s healthcare environment, payers are under increasing pressure to keep costs down and providers are challenged with balancing their increasing costs with shrinking margins. Two objectives that are somewhat at odds and lead to strained payer/provider relationships. But it doesn’t need to be this way.

The webinar will provide tips for using technology, relationships and a hands-on approach to access, retrieve and coordinate claims records in order to reduce provider abrasion and give time back to providers to do what they do best: care for their patients.

Tips will include the following:

  • How better analytics enable smarter, more precise claim selection, which result in a more efficient review
  • The role of relationships and experience in achieving more impactful results
  • How size shouldn’t matter when choosing claims to audit
  • Why being hands-on and onsite makes all the difference

Who should attend:

Healthcare Payers including:

  • Director/Manager/VPs of Claims
  • Director/Manager/VPs of Operations
  • Director/Manager/VP of Payment Integrity

Speaker:


david-odonnelDavid F. O’Donnell, MBA
Chairman and Chief Executive Officer
Mr. O’Donnell has more than 35 years of senior-level healthcare management experience. Prior to founding OmniClaim, Mr. O’Donnell spent 25 years as Senior Vice President of Blue Cross Blue Shield of Massachusetts. At Blue Cross, Mr. O’Donnell administered the Medicare programs in Massachusetts, Maine, New Hampshire, and Vermont where he oversaw more than $2.5 billion in annual claims revenue. Mr. O’Donnell also headed up Planning and Development, and Administration. Mr. O’Donnell was a founding member and Director of two HMOs, Medical East and Medical West, now HMO Blue, one of the largest HMOs in the country.

Mr. O’Donnell has served on the boards of directors for numerous corporate and civic boards, including Advantage Health, which grew from a single site to more than 150 and was subsequently acquired by HealthSouth. Mr. O’Donnell has also served as President of The New England Institute for Health Care Research, a healthcare think tank.

 

tim-odonnelTimothy S. O’Donnell, J.D.
President and Chief Operating Officer, OmniClaim

Mr. O’Donnell has over 25 years of senior-level healthcare management experience. Prior to co-founding OmniClaim, Mr. O’Donnell served as co-founder and COO of Apex Health, a physician practice management company. Mr. O’Donnell was responsible for the acquisition, management, and managed care contracting efforts for Apex’s 250 acquired and affiliated physicians. Under Mr. O’Donnell’s direction, same-clinic revenue of affiliated physician practices grew by 22% annually, more than double the national average. Previously, Mr. O’Donnell was a founder and principal of EMG, a healthcare consulting company serving hospitals and physician groups around the country. Mr. O’Donnell also founded and managed EMG Billing, a medical billing company.

Mr. O’Donnell graduated from Colby College where he majored in Classics and received a JD from Suffolk University. Mr. O’Donnell is a Trustee of Boston College High School.