Webinar: Strategies for Success: Driving Business Transformation in the Growing Health Insurance Exchange Market
Now available on-demand | Duration: 1 hour
As rising costs and demand for quality escalate within the U.S. Healthcare system, Health Insurers and Providers are facing the most disruptive change since the introduction of Medicare. This new environment offers significant rewards for Health Insurers that choose to adopt new strategies and practices to ensure their organizations' future success. With passage of the Patient Protection and Affordable Care Act (PPACA), which mandated coverage for every individual, came the requirement for each state to develop a Health Insurance Exchange (HIX) that would not only determine eligibility and automate member enrollment but also manage insurance claims and electronically share health information with participating organizations. As a result, Health Insurance Exchanges are considered to be key catalysts for change.
This Oracle webinar offers insight into opportunities for Health Insurers to execute on the individual mandate by advancing transformational strategies in support of more efficient and patient-centered business operations. Attendees will learn how to achieve integration within a Health Insurance Exchange -- enabling a business focus on the growing individual market. We will also discuss steps and processes for successfully establishing and implementing enrollment systems, quote to card activities, program pricing, claims billing, automated claims processing, and new customer service tools.
Additionally, speakers will cover specific tools and enabling technologies for Health Insurers to develop and deploy alternative provider and member reimbursement models to effectively support their relationships with Accountable Care Organizations (ACOs).
Attendees Will Learn How to:
Transform business models and become catalysts for change, executing on the individual mandate
Deploy new business strategies and enable business processes with tools and technology supporting health reform initiatives
Integrate new reimbursement models with electronic claims billing, processing and management processes
Develop and deploy new strategies to effectively target and enroll new members
Reduce waste and improve service delivery, member information access and customer satisfaction, with enabling technologies
Partner with coordinating agencies and share health information to achieve best practices and patient outcomes
Speakers:
Peter J. Schmidt, Executive Director, Healthcare, Oracle Peter J. Schmidt is Executive Director, Healthcare at Oracle. He is responsible for managing solution development, strategic planning and product development for the Health Insurance industry worldwide.
Srini Venkat, Vice President, Health Insurance, Oracle Srini Venkat is vice president of global industry and market strategy for Oracle Health Insurance. He is currently responsible for overall business development, marketing and pre-sales operations for all Oracle core health insurance applications.
