Webinar: Mitigating the Financial Downside of Value-Base Care

June 04, 2020
3:00 PM - 4:00 PM
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As the healthcare ecosystem continues its transition from a traditional fee-for-service, volume orientation to one of value-based care, payment models between providers and payers are driving the change. Medicare, Medicaid and private insurers share a common goal: to engage in contracts where there are potential economic financial benefits and downside risks to hospitals, health systems and physicians. These two-sided arrangements can take many different forms, but ultimately involve elements of large claim mitigation, and population health management measured against financial and quality benchmarks. Stop-loss protection and reinsurance are two important solutions available to providers as part of an effective enterprise risk management strategy.

Topics that wil be covered: 

  • The “Triple Aim” of healthcare
  • What is Value-based care?
  • Summary of critical payer issues facing hospitals and health systems
  • Alternative payment models
  • Risk-based payment models: industry observations and survey results
  • Hospital-based performance risk
  • Hospital-led ACOs
  • Bundled payments
  • Direct-to-employer contracting
  • Catastrophic medical claims trends
  • Stop loss fundamentals
  • Reinsurance techniques
  • COVID-19 impact on at-risk contracts
  • Claims management and case management: the common ground

 

Presented by: 

Dr. Emanuel Lauria, KB Risk Solutions – primary presenter

David Robertson, Harden Insight – co-presenter

Jacob Brinkley, Harden Insight – co-presenter

 

 

This program has been approved for one hour of CE Credit by the Florida Board of Nursing 

CE Broker Tracking #: 20-697681

Tickets

$0.00 Member Registration

$50.00 Non Member Registration