Health care payers — and the Integrated Delivery Networks (IDNs) they work increasingly closely with – face an environment vastly different from the one that confronted them just a decade ago. In today’s value-driven healthcare marketplace, plans and provider organizations must manage an increasingly delicate balance of regulatory and operational issues, including premium retention and aggressively regulated Medical Loss Ratios (MLRs); monitoring provider performance and its impact on costs; making sure care quality and outcomes improvement efforts reduce future claims; and, perhaps most importantly, customer retention that focuses on patients, not premium payers. The mounting mandates to provide value instead of volume and to focus on patients instead of processes – the hallmarks of the Affordable Care Act (ACA).
Patient and member engagement is at the heart of surviving the new landscape and payers are well positioned to lead the charge.
This webinar will explore new opportunities for health insurance plans and other at-risk organizations to leverage available external data sources to further enrich their insight into members for every operational discipline in the insurance business continuum. With the right data partner’s assistance, augmenting claims and administrative data with socioeconomic data, identity information and supplemental analytics will jump start consumerism efforts that had floundered — or even foundered — in the past.
Webinar participants will learn about:
Who should attend: At risk organizations including health plans and integrated delivery networks
Rick Ingraham, Director Vertical Markets, LexisNexis Health Care
Rick, a leader in health industry insight & analytics, leverages his 32+ years to enable team effectiveness in business development, strategy, business intelligence & performance management, marketing, entrepreneurial planning, communication, training and thought leadership. An accomplished public speaker and proven executive relationship builder, he presents senior management experience in the health care, insurance, analytic software and regulatory industries.