2022 Agenda

Speaker Presentation
March 2, 2022 Wednesday
All Times in EST
10:00

Welcome Remarks

Innovator, Disruptors and Developments; the Broad View
10:15

PANEL: Directing the Evolution of Healthcare Payments Towards a Patient Friendly Experience

  • Tracking the arc of healthcare and the "payment structure"
  • Interactive Engagement in the right direction
  • A consumer first approach that follows the patient’s clinical and financial story
  • How the future of data will shape experience and set expectations
  • Visions vs. Reality

Moderator:

W. Christopher Johnson, Vice President Patient Financial Services, Atrium Health

Panelists:

Steven Carleton, Vice President of Customer Experience, Premera

Jim Milanowski, President/ CEO Genesee Health Plan

Theresa Sheehan, Program Director, The HEAL Center-Mount Sinai Morningside & West

Consumer-First Approaches to Engage, Motivate, Enroll and Retain Patient Payments
11:00

PANEL: Which Features Are Most Important in Creating an Effective Digital Journey That Drives Patient Delight

  • Activating the patient experience across the digital care journey
  • Inviting patient understanding, and willingness to participate in car and finance decisions
  • How to develop effective strategies and technologies that facilitate patients activation and improve outcomes data analysis and optimization
  • How to humanize the digital financial experience
  • How to be proactive and communicate aspects of the patient financial experience that cannot be optimized

Moderator:

June St. John,SVP – Healthcare Services Product Manager,Treasury Management Product & Development (TMP&D)
Wells Fargo

Panelists:

Steven Carleton,Vice President of Customer Experience,Premera

Neil Wloodyka,Assistant VP ,Patient Financial Services

Stephanie Lyon,Manger, Billing Operations,Medica

Matthew Brodis ,Revenue Cycle Finance Leader ,AdventHealth

11:35

Mid-morning Break

11:55

Using Data to Optimize Convenience for Patients Looking for Financing Options and Tools

  • Identify, manage and engage with patients on their level with financing options and tools
  • Leverage powerful decision support for patient financing
  • Compiling cohesive patient data to get the most out of your solution
  • The role of interoperability
  • Enable actional insights from social, financial demographic and SDoH data
  • Uncover powerful options and tools for patients

Julia Skapik, MD,MPH,Medical Director, Informatics, NACHC

12:30

Lunch

Seamless Back Office Integration and Developments
2:00

CASE STUDY: From Design to Implementation: The Business /Technology Transformation for a New Enterprise Foundation to Drive Business Value in a Digital Future

Ms. Davis will share:

  • Why health care is ripe for undertaking a comprehensive journey to the cloud
  • How to best meet consumers’ demands for improved digital experiences with health care
  • Why partnering with big tech to implement innovative, scalable operational changes can better power your comprehensive digital strategy
  • How to work with the business to forge a path to a more digital future that will drive business value

Lisa Davis, SVP/CIO, Blue Shield California

2:30

Critical Updates: Attachments Efforts for Claims and Prior Authorizations and Advanced EOB Developments Related to Surprise Billing

Join this session to learn about:

  • Industry challenges and opportunities to support the exchange of electronic attachments for claims and prior authorization and new CAQH CORE Attachment Operating Rules.
  • Requirements in the No Surprises Act for the delivery of an Advanced Explanation of Benefits to patients and how industry can leverage existing and emerging industry standards to enable uniform implementations.

Erin Richter Weber, Director, CORE

Bob Bowman, Director, CORE

3:00

Afternoon Break

3:15

Deliver and Continuously Improve Patient Engagement Though Back Office Operations with NLP

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

Jason Petrasich, Senior Vice President AI, Meduit

Christopher Johnson, Vice President Patient Financial Services, Atrium Health Co-presenter

3:45

The Role of Third Party Administrators for Small Business Health Insurance Payment Processes

Despite all the efforts to reduce the cost of health insurance premium, affordability – namely the price of premiums – is still remains the number one reason that individuals don’t get health coverage. Is there a better model that would allow organizations to reduce the costs of their employees health insurance? We will look at some innovative models that are looking to offset an individual’s premium costs enabling them to get the coverage that they need. These could be the first steps in a larger movement to help organizations contribute to the premium costs of their employees.

Michael Marchand, Chief Marketing Officer, Washington Health Benefit Exchange

4:15

The Latest Innovations in Value Based Care Approaches and Models

Dr Adele Towers, Director, Risk Adjustment, UPMC Enterprises

4:35

Establish a Patient-Friendly Process That Generates Clinical and Financial Wins for all stakeholders

5:00

End of Day One

March 3, 2022 Thursday
10:00

PANEL: More Critical Than Ever- Interoperability- The Current Best Practices

This panel will cover the latest timelines, plans, objectives and cutting-edge practices with the goal to enable seamless interoperable exchange of data between health information systems. The objective is to create an interoperable ecosystem to connect health plans, providers, HIE’s, HIN’s, Electronic Medical Record (EMR) systems, patients and many other healthcare stakeholders implementing the Trust Exchange Framework with Common Agreement (TEFCA) as a component of the 21st Century Cures Act and the use of the Fast Health Interoperability Resources (FHIR) Application Program Interfaces (API).

The implementation of an interoperable healthcare ecosystem is a foundational precept that the Office of the National Coordinator (ONC) has outlined in their Roadmap document and the CMS Interoperability Rule and fosters broad adoption of interoperability to enable patient access to their data. Additionally, the implementation of payer and provider directory services further simplify how organizations connect and support consumers with greater access to their healthcare information. This panel will discuss the current timeline for implementation; the key milestones and initiatives underway supporting the launch; and best practices, standards planning that organizations can consider as they determine how to participate in this healthcare ecosystem “game-changer.”

Moderator:

Lee Barrett, Executive Director,EHNAC

Panelists:

April Todd, Senior Vice President,CORE and Explorations at CAQH

Mariann Yeager, CEO,The Sequoia Project

Dr. Tim Pletcher, President/CEO,Velatura

Disruptive, Transformative Developments and innovations
10:45

Lessons from Cases of Upcoding VS Correct Coding

  • What is upcoding and how is it affected by Correct Coding
  • How does the EHR drive correct coding
  • Case study 1 – Hospital Emergency Department cannot defend current coding methodology
  • Case study 2 – Technology failure creates upcoding lawsuit
  • Case study 3 – External Audit proves coding methodology matches CMS rules

Mark R. Anderson, COO, East T,ACO

11:05

Price Transparency and Surprise Billing: A Solutions Seeking Panel

  • The status of federal price transparency requirements
  • Why are Hospitals slow at compliance
  • What is the No Surprises Act- 9 things to know
  • What are the operational Burdens
  • Over 10,000 line items but required to list only 300 shoppable items
  • What is the real value given over 500 payment terms per item

Charles Stellar, President and CEO,WEDI

Mark R. Anderson, COO, East Texas, ACO

Steve Mach, Director, Patient Financial Services, Halifax Health

Seeking Payor, Panelist, CMC

11:35

Morning Break

12:15

The Update on Optimizing Telehealth: Continuing with Right Patients, Right Situations and Right 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?
  • Kristine Stewart, Associate Director, Administration,Arizona Telemedicine Program

    Karen Silgen, General Management / Vice President, Virtual Care, United Healthcare,UnitedHealth Group

    12:45

    End of Conference