Taking a Whole-istic Approach: How to Address Care Needs Across the Entire Population

  • June 28, 2016
  • 11:00 AM – 12:00 PM ET
about

Most health management programs today address conditions — not people — and are applied after a health episode occurs, with little opportunity to change future behavior. They also zero in on the most severe issues and the sickest sub-populations. Because healthcare is highly dynamic, with the most expensive 20 percent changing all the time, this approach misses two major opportunities. Since the individuals are already injured or ill, the opportunity for prevention has been lost; the consumer is already high cost. The vast majority of care episodes, upwards of 80 percent, are related to conditions the consumer was not treated for in the prior calendar year. Simply stated, if you’re not effectively engaging with the whole population, you’re going to miss opportunities to impact future costs.

In this webinar, learn how taking a ‘whole population-whole person’ approach to care — one that addresses the entire population and takes into account individuals’ contextual issues, e.g., financial, cultural, and social barriers to care — can yield a deeper understanding of nascent health concerns and help to avoid costly future claims.

Webinar participants will learn:

  • The impact a dynamic market has on claims spending
  • Merits of taking a longitudinal approach to each individual – regardless of health status
  • Recommendations for re-engineering member services and the consumer experience
  • How to achieve significant incremental savings above and beyond what is already being realized through current approaches

Who should attend: Line of business leaders (fully insured, Medicare Advantage, Exchanges), medical directors/clinical leaders, product management/marketing, member experience and innovation


Speakers:


Tom BoldtTom Boldt, EVP, Chief Actuary
Tom Boldt leads the actuarial, analytics and reporting functions at Accolade. Since the company’s founding in 2007, he has helped to define and introduce Accolade’s novel approach to member engagement and healthcare management.

Tom has more than 25 years of actuarial experience. Prior to joining Accolade, he was Chief Actuary at Definity Health (United Health Group). Before that, he served as an Actuarial Consultant at both Towers Watson and Mercer. He started his career as a Group Actuary for Northwestern National Life Insurance.

Tom holds a bachelor’s degree in Mathematical Statistics from the University of Iowa. He is also an Associate of the Society of Actuaries and a Member of the American Academy of Actuaries.

 

Donna Snow newDonna Snow, VP Clinical Solutions
Donna Snow is VP of Clinical Solutions at Accolade. She’s been with the company since its inception in 2007 and has been responsible for all things clinical, including developing and maintaining Accolade’s clinical processes and tools, running clinical operations, and hiring and training clinical staff members.

Prior to joining Accolade, Donna was senior vice president of Clinical Operations for Matria Healthcare. While at Matria, she provided strategic direction for disease management and wellness services to large health plans and employer clients. She also spent 15 years with Health Management Corporation (HMC), a subsidiary of WellPoint, Inc., where she led a multidisciplinary team focused on improving individual health status and decreasing the costs related to chronic health conditions.

A registered nurse, Donna began her career in maternity and earned a bachelor’s degree in nursing from Old Dominion University. She also holds a master’s degree in healthcare administration from Bellevue University.

Webinar participants will learn:

Merits

Of taking a longitudinal approach to each individual – regardless of health status

Recommendations

For re-engineering member services and the consumer experience

How

To achieve significant incremental savings above and beyond what is already being realized through current approaches