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2021 Agenda

Speaker Presentation
March 09, 2021
10:00 - 10:15

Chairperson’s Opening

  • Latest Update of COVID Lessons in for Payments
  • Reimbursement and policy updates
  • Updates on HRSA
  • Current and new challenges
  • Latest insights and developments

MODULE #1
A Consumer-First Engagement to Enroll and Retain Patients
10:15 - 10:45

An Effective Digital Transformation Journey: Creating Patient Delight in the Patient Financial Journey

  • Starting the engagement in the right direction digitally
  • A consumer first approach that is follows the patient’s clinical and financial story
  • Creating a consumer friendly pre-service and on-boarding process
  • Smart documentation forms
  • Integrating smart clinical and financial data and setting expectations

Moderator:

W. Christopher Johnson, FHFMA, Vice President Patient Financial ServicesAtrium Health

Panelists:

Nathan Foco, Vice President of Marketing and Customer ExperiencePriority Health

Erwin Ramirez, Sr. Director, Patient Financial ServicesMount Sinai Health System

Jean Moody-Williams, Deputy Director, Center for Clinical Standards and QualityCenter for Medicare & Medicaid Services

10:45 - 11:05

Patient Engagement That Combines Clinical and Financial Win-wins for All Stakeholders

This case study shares the story of a patient first initiative that endeavors to anticipate patient needs to innovating more digital, patient-friendly touchpoint. Patients are able to travel a more empowered and satisfying clinical journey and the provider is able to have an informed interaction with the patients regarding financing and payment preferences and options.

11:05 - 11:15

Break

11:15 - 12:00

Optimizing Telehealth: Getting It Right With Patients, Practice, and Payments

  • What is the latest climate on telehealth reimbursements?
  • What are the barriers that exist to optimizing telehealth for all stakeholders?
  • Not all telehealth is the same- how to discern and set standards
  • Patient outlook on using telehealth vs payments and pricing
  • Managing telehealth security issues
  • How to establish quality standards in a one size does not fit all in outcomes and coverage
  • Options in payment models; how tele-health will integrate into the healthcare ecosystem
  • How to implement consistency across states and insurers
  • What is happening with Federal policy in regards to telehealth?

Moderator:

Peggy O’KanePresident,NCQA

Panelists:

Kate GoodrichSVP, Trend and Analytics,Humana

Chris MeyerDirector of Virtual Care/Telehealth,Marshfield Clinic Health System

Mei KwongJD, Executive Director,Center for Connected Health Policy in California

12:00 - 12:25

Establishing Operating Rules for Value Based

  • Reimbursement and 278 Prior Authorization
  • Improving the pre-authorization process to benefit all stakeholders
  • Striving towards a streamlined value based reimbursement process
  • What to expect next on the operation rules around claims

Moderator:

Brad Smith, AAP Senior Director, Industry Engagement and Advocacy,NACHA

Erin WeberDirector,CAQH

Robert BowmanPresident,NACHA

12:25 - 12:55

Increase Patient Yield by Successfully Managing Risk Based Contracts in Value Based Care Models

  • Collecting and leveraging patient data to optimize the journey
  • Moving away from the directed administrative model
  • Aligning providers with language of healthcare spend in VBC
  • Bringing all stakeholders on the same page with healthcare spend Kootenai Health Network

Jason Paruthi, MDMedical Director,Lark Health

Michelle IlitchVP of Provider Network /Development,Priority Health

Adele Towers MD MPH FACP CRCDirector, Risk Adjustment, UPMC Enterprises

12:55 - 2:00

Break

MODULE #2
Back Office Functions That Seamlessly Bridge Patient Data with Smart Payment Options
2:00-2:35

Interoperability- The Current Best Practices

This comprehensive panel will cover trends and cutting-edge practices in the goal to connect data and enable smooth exchange of this data between information systems so that clinicians, HIM, accounting can meaningfully utilize an ever-increasing amount of patient and other data. How can providers and payors harness all this effectively to provide an accurate reflection of each step of the patient journey AND help anticipate the next step?

Moderator:

Lee BarrettExecutive Director, CEOEHNAC

Panelists:

Patrick MurtaChief Interoperability Architect & Fellow/ Enterprise ArchitectureHumana

Robert TennantCommissioner EHNAC & Director, Health Information Technology Policy,Medical Group Management Association

2:35 - 3:00

Advancing System Quality in Claims Administration to Meet Changing Expectations in Consumers and Patients

Consumers increase their involvement in healthcare as shoppers Consumer expectations are different employers; administrative accuracy and service contact are critical differentiators In claims, we can work to improve processing accuracy: How? Define new metrics, Error rates, Adjustment rates, Disputes and appeals, Develop designs and technology to drive shared visibility to new metrics (operational counterparts); help to frame accountability Shift toward consultative analytics model; away from reporting Cross-Functional collaboration is key; “it takes a village”

Raul MatasDirector of Analytics, NationalClaims Auto Adjudication & Outside Medical ExpenseKaiser Permanente

James Shelton IIDirector, Claim OperationsKaiser Permanente

3:00 - 3:10

Break

3:10- 3:45

CASE STUDY: Accessing Patient Cash Collections From Front to Back

3:45 - 4:10

Knowing Where You Stand: Using Key Performance Metrics to Evaluate the Performance of Your Central Billing Office and Reaping Improvements

Kurt GallagherExecutive DirectorHBMA

March 10, 2021
10:00 - 10:25

PANEL: Back Office Operations That Continuously Improves Patient Engagement with NLP (Natural Language Processing)

  • Using AI and NLP to improve claims and documentation
  • Building vs. Buying
  • Seamlessly deliver the front end interactions with coding and patient monitoring and financing

Christopher Johnson, Vice President Patient Financial ServicesAtrium Health

Jeff Nieman, CEOMeduit

10:25 - 10:50

PANEL: How the Back Office Manages Differing Levels of “Propensity to Pay"

Hear how this health system organizes the back office to manage varying financial styles and propensity to pay.

Michael Rawdan, PH.D, MBA, System Senior Director of Revenue Cycle & Patient Experience,St. Luke's Health System

10:50- 11:00

Break

Transformative Disruptions and Innovations
11:00 - 11:25

Price Transparency: Driving Selection Through Quality and Cost

  • Another area that COVID has irrevocably altered is consumer demand/- expectation
  • The direction of regulation for transparency
  • Tools and direction in technology driving transparency and clearer info
  • Reality and trajectory of compliance

Charles Stellar, President & CEO,WEDI

Jean Moody-Williams, Deputy Director of the Center for Clinical Standards and Quality,Center for Medicare & Medicaid Services

11:25 - 12:00

5 Case Studies in Improving Payments and Identifying Additional Revenue Opportunities and Decreasing Administrative Costs WHILE Improving Clinical Outcomes and Reducing Re-Admission

AI software with Infrared image of blood flow of Diabetic patient extremities increases reimbursement by 23% while decreasing costs by 38% Using AI tools to reduce SEPSIS costs by 48% while increasing reimbursement by 18% New mobile data collection tools reduces physician documentation time by up to 63% while increase reimbursement by 28% VBR models can help improve revenues, decrease costs, improve quality – but can also decrease revenues if you don’t participate. Remote Patient Monitoring can increase annual physician’s revenues by over $90,000 per year with less than 2% additional effort

,

Mark AndersonCOOEast Texas IPA/ACO

12:00 - 12:20

Serving Patients Where They Are for Financial Tools and Options Identifying and innovative ways to address and overcome key sticking points for patients

Points of engagement for improving collections Following the patient on there clinical journey while engaging them financial How to re-engage, monitor, nudge, and retain

12:20 - 2:00

Break

2:00-2:20

Privacy and Cyber Security Session

2:20-2:40

Using Patient Feedback to Improve Payment Practices

Sharlene SeidmanVice President, Patient Financial ServicesYale New Haven Health System

2:40-3:00

Consumer Friendly Innovations Applied to Patient Engagement for Improved Payments and Reducing Bad Debt OR; How may ways can I say, Please pay me?

  • Mobile apps
  • Flexible payment terms
  • Patients reminders
  • Portals

3:00-3:30pm

Optimize Payments by Aligning Demographic Financial Styles with the Right Payment Process

  • How do Millennials like to pay or interact with devices vs Boomers or Generation `Z or Y?
  • How can payors and providers meet the patient /consumer where they are at in terms of technology and payments orientation?

3:30- 3:50

BlockChain Case Study

Program Ends