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Managed Care Success

Virtual Conference  |  November 16 - 18, 2021  |  3:30 - 5:00 PM ET Daily

Tuesday, November 16

3:30 - 4:10 PM ET

Flavors of Risk: Making Sense of the Menu of Risk Sharing Arrangements

We're all either in or entertaining some kind of risk-bearing arrangement, whether it's insurance-, utilization-, performance- or technically based.

This session will survey the wide variety of flavors in risk arrangements below, and tie each one back to tangible programs and examples in the real world. The session will include commentary on both quantitative and qualitative considerations. You'll hear and be able to ask questions about:

  • Specialized fee-for-service schedules
  • Shared savings
  • Shared savings and losses
  • Care management and other fees
  • Per member per month & partial capitation
  • Lump sums, bundles and episodes
  • Full capitation

Tim Courtney, Director, Senior Consulting Actuary, Wakely
Kelsey Stevens, Director, Senior Consulting Actuary, Wakely

4:20 - 5:00 PM ET

The Insider's Guide to Managed Care

Learn what makes managed care organization’s tick – e.g. their internal business drivers, aversion to risk, organizational chart – resulting in practical tips on who to approach, what language to use, how to structure deals, etc.

Panelists to be Announced

Wednesday, November 17

3:30 - 4:10 PM ET

Managed Expectations: How MCOs Select PAC Partners

A panel of managed care executives lay out a blueprint for optimal provider performance in the realms of clinical outcomes, data management and care coordination.

Panelists to be Announced

4:20 - 5:00 PM ET

Perspective from Both Sides of the Payer/Provider Fence

Being a purely downstream provider can be downright frustrating these days. On the flip side: taking on certain kinds of risk will simply not be possible depending on your footprint, capabilities and financing.

Provider executives with prior managed care leadership experience will share their thoughts on the current state of payer/provider interplay and the pros/cons of certain provider risk-bearing strategies based on relative size, market share, and other attributes.

Patrick Blair, Group President, BAYADA Home Health Care
Dan Savitt, President & CEO, Visiting Nurse Service of New York

Thursday, November 18

3:30 - 4:10 PM ET

The Role of Technology in Managed Care Success

Learn how home care and senior living facility providers can partner with telehealth companies to successfuly negotiate their MA plan and provide the technology to improve quality and reduce re-hospitalizations.

Panelists to be Announced

4:20 - 5:00 PM ET  |   Concurrent Sessions 

Provider Success Stories: Home and Hospice Care

Hear from two providers crafting win-win financial solutions with MA plans. The first presentation will highlight innovative frameworks and successful care delivery models between a leading post-acute provider and vertically integrated managed care organizations. You'll learn about proven strategies that reduce cost, optimize healthcare utilization, improve access, and enhance outcomes across a growing value-based care continuum.

Stacy Baldwin, VP Clinical Innovation & Strategy, Charter Healthcare Group
Kerri Pendley, VP Strategy, FirstLight Home Care


Provider Success Stories: Long Term Care

Hear from two providers crafting win-win financial solutions with MA plans.

Additional Details & Panelists to be Announced

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