Using Actionable Analytics to Drive Impactful Payer-Provider Collaboration

  • October 27, 2017
  • 1:00 PM – 2:00 PM ET
  • Online
about

Payers and providers struggle to share meaningful and impactful information to enable better collaboration. Often, information is siloed, difficult to share, and not delivered in a way that a provider can act on.

As a result, payers and providers are missing out on opportunities to improve care, reduce costs and maximize collaboration to deliver a better experience for their members/patients. Analytics play a critical role in helping to not only remove barriers to data, but also making it actionable to improve performance, which in turn enhances member/patient engagement.

Analytics provide actionable insights around targeted interventions for members/patients as well as the ability to monitor and measure improvement over time to enhance the overall performance of providers.

What attendees will learn:

  • Examples of how analytics enable data transparency to help payers and providers collaborate more effectively
  • The role of healthcare analytics as the interface between the payer and the provider, delivering transparency to create a collaborative environment between all stakeholders
  • Understand that historically, past performance of physicians is indicative of future behavior
  • How to leverage data around provider performance across cost, utilization, quality, prevention, and pharmacy to evaluate and drive quality initiatives
  • Understand how analytics plays a critical role in developing the “Sole Source of Truth” for a health plan or at-risk provider to access and share aggregated data across the continuum of care

Who should attend: All leaders and their teams that are responsible for provider network relations, quality initiatives, cost & utilization, etc. Functional areas include Chief Medical Officer, Medical Management, Provider Relations, Population Health, Health Analytics, Finance.


Speaker:


Dr. Lawrence Schimmel, Founder and Chief Medical Officer, QualMetrix
Dr. Lawrence Schimmel with his vast knowledge of the healthcare industry has been the visionary in the design and creation of QualMetrix’s solutions. Schimmel plays an integral role in ensuring the solutions help healthcare organizations effectively manage their populations’ health, prevention and wellness, as well as reduce costs and utilization.
Schimmel is equal parts medical professional, business executive, and healthcare visionary, seamlessly combining all three into the leadership he brings to QualMetrix, as a company founder and Chief Medical Officer.

Prior to QualMetrix, Schimmel was founding chairman of Professional Bank and maintained a boutique healthcare consultancy, Allied Health Advisors, LLC. He was also co-founder and CEO of Allied Health Group and Florida Specialty Networks, a national medical management business, which was later sold to Magellan Health Services in 1997.

In addition to his lengthy medical career as a general and vascular surgeon, he held a management role with the South Florida Surgical Group, and has consulted for physicians, hospitals, healthcare delivery systems, and Fortune 500 companies.

Schimmel received his Doctor of Medicine degree from the New Jersey College of Medicine and conducted his post graduate training at the University of Miami.