Join us for the all-new 13th Healthcare Payments Innovations, where an unmatched roster of innovative Hospitals, Health Systems and other industry leaders share the latest technology solutions and strategic innovations to expedite accurate and secure payments between payers, patients and providers. This highly acclaimed event focuses on provider solutions for the 4 pillars of healthcare payments innovations: harnessing disruptive technologies, operationalizing new payment models, enhancing patient financial experience, and optimizing Revenue Cycle operations:

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    1. IMPROVING THE PATIENT FINANCIAL EXPERIENCE – OPERATIONAL STRATEGIES TO INCREASE ROI

  • Surprise Billing & Price Transparency – Defining, Implementing Solutions and Communicating to Patients
  • Measuring Real Returns on Patient Financial Experience Improvements
  • Billing and Collections: Patient Engagement Strategies to Reduce Bad Debt
  • The Patient is the New Payor: How to Secure 100% of Patient Revenue at Time of Service

  • 2. New Product Development – Supplemental Benefits Including Social Determinants of Health (SDoH) and Flexible Benefits in the New Value–Based Care Environment

  • How Natural Language Processing Improves Documentation and Claims Accuracy in Value-Based Care
  • Block Chain in Healthcare Payments, RCM, Claims Integrity & More - Early Adopters and Emerging Use Cases
  • Robotic Processing Automation – Retrieving Supplemental Data Related to Authorizations and Claims
  • Leveraging AI and Robotics to Track Claims Quality & Enhance Customer Experience
  • Harnessing AI, Natural Language Processing, Machine Learning to Manage Correspondence
  • Navigating the Payment Channels

  • 3. OPTIMIZING RCM OPERATIONS TO CUT COSTS,
    BOOST REIMBURSEMENT AND EXPEDITE FLOW OF PAYMENTS

  • Driving Down Costs in RCM Operations
  • Merging the Clinical Interface to Payments – Increasing Net Reimbursements
  • Engaging Medical Providers in Coding and Documentation Improvement Strategies to Optimize Reimbursement and Quality Metrics
  • Automating Denials Workflow Using AI and Other Technologies
  • Preparing for the Interoperability Ecosystem – Facilitating Payments and Assuring Accuracy/Security

  • 4. NEW PAYMENT MODELS: IMPACT ON THE PROVIDER FINANCIAL INFRASTRUCTURE

  • Diabetes Case Study: New Full Value-Based Contracting Model: No Billing, No Denials, Payment Up Front
  • Successfully Operationalize Prospective Episodes of Care Bundled Payment Programs
  • Achieving Success in Value Based Payments -- Essential Elements in Risk Contracting & Health Care Delivery


2020 All Star Faculty


The Clearing House

Irfan Ahmad

Senior Vice President, Product Development and Strategy
East TX IPA/ACO

Mark R. Anderson, CPHIMS, FHIMSS

COO
EHNAC

Lee Barrett

Executive Director
Atrium Health

W. Christopher Johnson, FHFMA

Vice President Patient Financial Services
IBM

Donna Houlne BSN, MHA, MHRM

US Healthcare Leader, Global Business Services
Jefferson Health

Jason Kane

Director, Enterprise Single Billing Office and Cash Processing/ Reconciliation
NYU Langone Health

Christopher M. Petrilli, MD

SFHM, Value Based Management
Kaiser Permanente

Raul Matas

Director of Analytics, National Claims Auto Adjudication & Outside Medical Expense
St. Luke's Health System

Michael Rawdan, Ph.D., MBA

System Senior Director of Revenue Cycle & Patient Experience
Montefiore Medical Center

Samuel E. Rubenstein

Chief Architect, Business & Revenue Cycle Solutions
NACHA

Brad Smith, AAP

Senior Director, ACH Network Administration & Industry Verticals
Wells Fargo

June St. John

Senior Vice President, CTP Healthcare Product Manager
WellCare Health Plans / Collaborative Health Systems

Ralph Tang

President, MD/VA IPA
UPMC

Dr. Adele Towers

Director of Risk Adjustment,University of Pittsburgh Physician Services Division
Cleveland Clinic

Patrick Violette

Director of Customer Service
Novant Health

April H. York

Revenue Cycle Services
BCBS NC

Jake Yount

Director of Provider Networks
CEU CREDITS
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.



The 13th Healthcare Payments Innovations program has been approved by the College of Healthcare Information Management Executives (CHIME) to award a total of 10 continuing education credits towards the CHCIO and CHISL certification programs. CHIME and AEHIS members may claim their CEUs for this event by entering them on the CHIME website at chimecentral.org

Supporting Organizations
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
RAVE REVIEWS FROM
PAST HEALTHCARE PAYMENTS INNOVATIONS EVENTS!
Who Should Attend:

Health Care Financial and Payments Innovations Senior Executives, Directors & Managers from:

Providers (Health Systems, Hospitals, IPAs, ACOs) - with responsibility for:

  • Payment Innovations
  • Patient Financial Services
  • RCM
  • Billing, Claims and Collections
  • Data Security & Compliance
  • Reimbursement
  • Payor Relations
  • Payor Strategy
  • Finance
  • Operations/IT


Payors (Health Insurance Companies, Health Plans, ACOs) - with responsibility for:

  • Payment Innovations
  • Finance
  • Provider Contracting
  • Provider Payments
  • Provider Reimbursement
  • Provider Data Management
  • Provider Experience
  • Provider Relations
  • Provider Network Management
  • Payment Integrity
  • Actuarial
  • Reimbursement
  • Financial IT
  • Operations
  • Claims


SOLUTION PROVIDERS

  • Payment Processing
  • Revenue Cycle Management
  • Payment Solutions
  • Billing & Coding
  • Collections
  • Management Consultants
  • Third Party Administrators
  • Patient Payment Management
  • Claims Processing, Adjudication and Record Keeping
  • Credit Card Processing
  • Data Security


BANKS and Other Financial Institutions - with responsibility for:

  • Healthcare Payments Solutions
  • Treasury Services
  • Revenue Cycle Management Solutions
  • Patient Financing Options
  • Product Development
  • Card Sales
  • Technology and Innovation