Ever-changing policy and regulatory frameworks are meant to guide health plans in benefit design and quality improvement. But navigating this environment can be a challenge for payers if they want to reduce care costs while improving member experience.

The HealthPayerIntelligence Summit will highlight how health plans must remain nimble as they navigate a new regulatory framework every four years. Quality and benefits managers and contract designers can focus on innovation to stay ahead of the curve.

Agenda

Keynote: Aligning Patient, Provider Incentives to Increase High-Value Care, Eliminate Low-Value Services
Tuesday, August 17 at 11:00 ET
As the healthcare industry emerges from a period of unprecedented low volume of in-person care, now is the optimal time to make value-based care strategies more permanent and pervasive. Value-based insurance design is key to that vision. Mark Fendrick, MD, Director of the Center for Value-Based Insurance Design (VBID) at The University of Michigan--who coined the phrase “value-based insurance design”--will discuss how payers can seize this moment to reduce low value services, carrying the industry out of a volume-driven structure and into a value-based care system.

A. Mark Fendrick, MD, Director, Center for Value-Based Insurance Design (VBID); Professor, Department of Internal Medicine; Professor, Health Management and Policy, University of Michigan

Addressing Gaps in SDOH Support Programs
Tuesday, August 17 at 12:30 ET
Despite the growth of programs that provide support for common social determinants of health, health outcomes for many are still negatively impacted by a range of social risks that aren’t being adequately addressed. While screening for social risks and connecting people to services is necessary, it is not sufficient. This session will explore how to effectively help individuals overcome social risks and barriers to care through person-centered coaching that builds skills, knowledge and self-efficacy through sustained engagement.
Key Learnings Include:
  • Why offering resources alone is not sufficient to address social risks
  • How culturally-sensitive, whole-person coaching can identify and address all types of social risks, not just economic or environmental
  • Why ongoing screening and sustained engagement is necessary to help individuals build the skills and knowledge needed to mitigate social risks long-term
Judith Feld, MD, MPH, MMM, National Medical Director, Ontrak
Laura Simmonds, MBA, MSN, RN, Care Community Program Manager, Ontrak

Panel: Integrating Innovation Into Health Plan Strategies
Tuesday, August 17 at 2:00ET
Fueled by the rapid adoption of telehealth and remote patient monitoring during the pandemic, health plans are making innovation a key ingredient of both their short- and long-term strategies. They’re finding new ways, through technology, to address gaps in care and connect members to healthcare resources when and where they need help. This panel explores how health plans are including new technologies and resources in existing products, how they evaluate these tools and how these innovations will play a part in their future plans. 

Panelists:
Rebecca Picasso, Principal Program Manager, Virtual Care & Telehealth Innovation, Blue Shield of California
Virginia Whitman, MS, Manager, Public Policy, Alliance of Community Health Plans (ACHP)
Priscilla Sandberg, Global Alliance Director, Pure Storage
A Special Thank You To Our Sponsors
The HealthPayerIntelligence Virtual Summit is part of the Xtelligent Healthcare Media Network
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