10:00 - 10:15 |
Chairperson’s Opening
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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
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 StakeholdersThis 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
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
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
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 |
Back Office Functions That Seamlessly Bridge Patient Data with Smart Payment Options | |
2:00-2:35 |
Interoperability- The Current Best PracticesThis 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 PatientsConsumers 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
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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 |
10:00 - 10:25 |
PANEL: Back Office Operations That Continuously Improves Patient Engagement with NLP (Natural Language Processing)
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
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Transformative Disruptions and Innovations | |
11:00 - 11:25 |
Price Transparency: Driving Selection Through Quality and Cost
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-AdmissionAI 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 patientsPoints 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?
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3:00-3:30pm |
Optimize Payments by Aligning Demographic Financial Styles with the Right Payment Process
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3:30- 3:50 |
BlockChain Case Study |
Program Ends |