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Using Data to Avoid Low-Value Care

  • May 26, 2021
  • 2:00 PM – 3:00 PM ET
  • Online
about

More than ever, employers recognize there is no good price for bad care. Medical Errors – accidents, injuries, and infections – are far too common in health care, and the third leading cause of death in the US. Poor quality outcomes and unnecessary care also contribute to costs without achieving value.

This webinar panel will feature perspectives of both national and regional health insurance providers who use the Leapfrog Group’s assessment of quality & safety of hospitals and ambulatory surgery centers (ASCs) across the US.

These health insurance providers have made demonstrable improvements in outcomes of their members, employer satisfaction, and engagement among their network hospitals in quality improvement. They have fostered competitive incentive programs to reward both reporting and high performance on Leapfrog standards.

Attendees will learn about:

  • How to satisfy employer demands for quality-driven value
  • The significance of transparent reporting on quality and patient safety measures
  • How to develop a value-driven program that gets results
  • Empowering your clients and members with actionable data
  • Getting measurable results in lives and dollars saved with a focus on quality and safety

Speakers


Leah Binder, Moderator
President & CEO
The Leapfrog Group

Since 2008, Leah Binder has served as President & CEO of The Leapfrog Group, an award-winning national nonprofit based in Washington, D.C., representing employers and other purchasers of health care calling for improved safety and quality in hospitals. She is a regular contributor to Forbes.com and other publications, and consistently cited among the most influential people and top women in healthcare and patient safety.

Under her leadership, Leapfrog has fostered groundbreaking innovation in transparency, quality, and payment policy, beginning with the annual Leapfrog Hospital Survey, and in 2012 launched the Hospital Safety Grade, which assigns letter grades on the safety of general hospitals across the country.

Before joining Leapfrog, Leah was Vice President for the nationally noted Franklin Community Health Network in Farmington, Maine. She holds two master’s degrees from the University of Pennsylvania – one in Communications and one in Government Administration.


Michelle Merchant
Manager, Network Hospital Relations
Horizon Blue Cross Blue Shield of New Jersey

Michelle Merchant leads the Network Hospital Relations team and coordinates network communications for all Horizon Blue Cross Blue Shield of New Jersey participating providers. In this role she serves as the health plan’s primary liaison to all of its network hospitals and the New Jersey Hospital Association on operational matters. She is also co-chair of HFMA’s Payer Provider Collaboration Committee.

Michelle has more than 30 years of health care experience and has held leadership positions in risk management, regulatory affairs and performance improvement with hospitals and other health plans, including Kaiser Permanente in California. She is admitted to the New York Bar and previously worked as an attorney with a NYC law firm representing health care facilities and professional providers.

She holds a bachelor’s degree in health planning and administration from Pennsylvania State University and a JD from New York Law School.


Bill Payne
Director of Strategy Advancement
Humana Government Business

Currently, Bill serves as Director of Strategy Advancement on the Discount and Trend Management Team.  His responsibilities include analysis and planning to support various HGB units in the delivery of the TRICARE East Discount Guarantee.  Previously, Bill was the Executive Director of Network and Provider Solutions (NPS), where he oversaw a provider network of more than 400,000 healthcare providers across 32 states.

Bill Payne has over 33 years of leadership experience in positions of increasing responsibility with Humana, accumulated in the hospital, health plan and health solutions settings with concentrations on finance, operations and network development.

Bill earned his B.S. in Business with a focus in accounting and an M.B.A. from Indiana University.  He is a Fellow in the American College of Healthcare Executives (FACHE) and a graduate of Leadership Southern Indiana.


Barbara Wentworth
Senior Quality Improvement Specialist
Health Net, Inc.

Barb Wentworth is a Senior Quality Improvement Specialist at Health Net, LLC, a California-based insurance company founded more than 40 years ago that provides health plans to individuals, families, small and large businesses, people with Medicare, and those covered by Medi-Cal. She directs quality improvement initiatives focused on raising hospital quality across a range of measures, including those targeted by California’s state-run Exchange program, Covered California, in which participating health plans work toward collective goals.

Prior to joining Health Net, Dr. Wentworth worked at the UCLA Center for Healthier Children, Families and Communities; the Kaiser Family Foundation; and on Capitol Hill  for the U.S. House Committee on Government Reform.

Dr. Wentworth earned her PhD from the University of California Los Angeles – Fielding School of Public Health.