The emergence of value-based contracting models represent an evolution in clinical and payment methodologies aimed at creating better quality outcomes, greater provider accountability, and improving cost efficiency. In this webcast we will examine the shift from fee-for-service to value-based payments. Some of the issues being discussed are:
How the transitions to value-based payments are being accomplished
Where are the success stories
How the new models of capitation are different from capitation of old
Integrating accountability into value-based payment models
We will also examine the technology needed to accomplish these payments, what types of systems/models are suited to this new paradigm and how can this technology be delivered to your organization. We will also discuss where and how cloud technology can fit into your transition.
Richard Lieberman — Chief Data Scientist, Mile High Healthcare Analytics
Richard Lieberman is the founder and Chief Data Scientist of Mile High Healthcare Analytics. Mile High Healthcare Analytics provides practical population-oriented analytics to health plans, Exchange issuers, ACOs, and risk-bearing provider groups. Mr. Lieberman is one of the nation's leading experts on risk adjustment, quality measurement, and predictive analytics in the managed care industry. Since 1991, he has been active in the design and implementation of risk adjustment models and risk-adjusted payment systems for commercial, Medicare, and Medicaid payers.
Mr. Lieberman possesses in-depth understanding of Medicare, Medicaid and Affordable Care Act statutes, regulations, and policies. He synthesizes these with insights obtained from the health services research literature and from operational interactions with a variety of managed care entities. He applies this knowledge and experience to risk adjustment revenue optimization strategies, quality measurement/quality improvement activities, provider profiling, provider reimbursement strategies, and information systems design.
Kathy McCarthy — Director, Sales Consulting, Oracle Health Insurance
Kathy McCarthy is Director, Sales Consulting, Oracle Health Insurance. With over 30 years serving the managed care industry, she has experience in Medicare, claims operations, system integration, implementation and product development, as well as sales and marketing areas.
Previously, Kathy was at DST Systems, Inc. where she oversaw the successful port of 29 AMISYS customers, from the HP3000 to the HP UNIX platform. She also has background working at a Blue Cross and Blue Shield plan, as well as vendor/consulting experience.