3 years ago

5th Annual Hospital, Health System And Payer ... - World Congress

5th Annual Hospital, Health System And Payer ... - World Congress

11:30 am – 1:00 pm

11:30 am – 1:00 pm Registration for Summit 1:00 pm – 1:15 pm Co-Chair’s Welcome and Day One Opening Remarks Molly Joel Coye, MD, MPH Chief Innovation Officer UCLA Health System Wednesday, November 7, 2012 1:15 pm – 1:45 pm OPENING VISIONARY KEYNOTE ADDRESS: The 2012 Election: How Last Night’s Election Will Shape the Next Decade of Healthcare Regardless of the outcome, the 2012 election is primed to shape the healthcare sector’s trajectory for years to come. The Presidency, Senate and House are all up for grabs in this turbulent time and polls consistently show that the candidates’ views of healthcare will be a determining factor in the electoral outcome. What effects will November 6th have for the country and “real” healthcare reform? Will the PPACA be repealed? Will Medicare be transformed? And how will all of this affect you? Former Majority Leader and heart transplant surgeon Bill Frist is uniquely positioned to look into the future and determine what consequences the election will have on the healthcare sector and its drive for better outcomes and efficiency The Honorable William H. Frist, MD Co-located with 8th Annual World Healthcare Innovation and Technology Congress 1:45 pm – 2:45 pm REACTOR KEYNOTE CEO PANEL DISCUSSION: The Day After the Presidential Election – What’s Next for the Health Care Industry? This session will convene a panel of CEOs representing the main sectors of health care – providers, payers, and vendors and some of the most highly regarded, forward thinking organizations in the industry to react to The Honorable William H. Frist MD’s visionary address. These thought leaders will lend their insight to how the Supreme Court ruling and 2012 Presidential Election will impact the health care industry, from both a policy and business perspective. Panelists: George Halvorson Chairman and Chief Executive Officer Kaiser Foundation Health Plan and Hospitals John P. Glaser, PhD Chief Executive Officer, Health Services Siemens Healthcare Bruce Broussard President Humana Co-located with 8th Annual World Healthcare Innovation and Technology Congress 2:45 pm – 3:15 pm Networking and Refreshment Break in the Executive Networking Lounge 3:15 pm-4:15 pm Operating Rule Authors: Their Role in Transforming e-Commerce and e-Payments Between Health Plans and Providers • Discuss the opportunities for improving the exchange of healthcare business transactions • Understand efforts underway to establish baselines to measure industry adoption of electronic transactions • Review how the CAQH CORE EFT and ERA operating rules will simplify the mechanisms to re-associate ERA and EFT and drive use of healthcare and industry neutral standards • Identify criteria to automate the EFT enrollment process, an integral step in e-Payment transformation Gwendolyn Lohse Deputy Director and CORE Managing Director CAQH Janet Estep President and Chief Executive Officer NACHA – The Electronic Payments Association To Register please visit • Phone: 800-767-9499 • Fax: 781-939-2543 • Email:

Wednesday, November 7, 2012 4:15 pm – 5:00 pm Prepare for the Impact of Health Insurance Exchanges and Affordable Care Act on Billing and Payment • Review what came out of June’s Supreme Court ruling • Discuss the value in knowing if your payers will be selling products into the Exchanges • What are the implications of Dual Eligibles on hospital revenues? • Determine how subsidies will be paid • Examine the role of the Exchange and health plan in terms of premium billing, collection and reconciliation • Build operational processes and systems that enable funds to flow throughout the system Brian Edwards Vice President and Controller, Finance Division Blue Cross Blue Shield of Alabama Additional Thought Leaders TBD 5:00 pm – 5:45 pm Examining the Evolution of Payment Reform – Bundled Payments, ACOs and PCMH • How will ACO networks change the way claims and payments are made? • Analyze data to determine what goes into the cost of care for a global payment • What technological infrastructure needs to be implemented? • Explore the advantages and disadvantages to different models • Manage risk and incentives effectively Sam Rubenstein Technical Director, Revenue Cycle and Business Information Solutions and Services Montefiore Medical Center Board of Directors WEDI Additional Thought Leaders TBD 5:45 pm – 7:00 pm Networking Cocktail Reception in the Executive Networking Lounge THURSDAY, November 8, 2012 7:00 am – 8:00 am Registration and Welcome Coffee in the Executive Networking Lounge 7:15 am – 8:00 am Networking Breakfast – Stakeholder Collaboration Roundtable Discussions 8:00 am – 8:15 am Chairperson’s Welcome and Day 2 Remarks 8:15 am – 9:15 am OPENING KEYNOTE ADDRESS: Transforming the Revenue Cycle – Technology Driven Solutions to Reduce Administrative Costs, Improve Connectivity and Engage Stakeholders • Identify a champion within the organization to engage all of the intermediaries in a network and enable real-time connectivity and claims • Discuss best practices to effectively deal with distribution and service problems that result during the exchange of data • Provide examples of leveraging technology to transform electronic connectivity between providers, payers and consumers Jay Eisenstock Noam Nahary Head, Provider eSolutions Director, E-Commerce and Revenue Cycle Systems Aetna Montefiore Medical Center 9:15 am – 10:15 am CASE STUDY: A Partnership in Operational Excellence and Transparency (POET) • Discover how health plan/provider collaboration improved the claim payment processes, extracted inefficiencies and sped payments using shared data analytics and user accountability for ongoing oversight • Accelerate the health plan/provider operational improvements by facilitating an open, transparent interactive work group process • Share strategies for health plans to broaden their provider network communications in a more standardized methodology given their respective geographic networks and markets George Mack Vice President, Payer/Provider Relations; Vice President, Member Relations Hospital Association of Southern California Dan Martinez Director of Patient Financial Services Mission Hospital 10:15 am – 10:45 am Networking and Refreshment Break in the Executive Networking Lounge Kenny Deng Senior Director, Provider Services and Operations Blue Shield of California To Register please visit • Phone: 800-767-9499 • Fax: 781-939-2543 • Email: To Register please visit • Phone: 800-767-9499 • Fax: 781-939-2543 • Email:

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