Payer Issues Virtual Summit

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payer issues virtual summit

The COVID-19 pandemic has transformed the role of the payer in healthcare. Health plans are now challenged to ensure members can safely access tests and treatment for a novel virus. Additionally, payers have to manage care plans for the chronically ill who may have delayed healthcare services for months and prepare for potential significant changes to the way telemedicine is reimbursed. There is no playbook on how to best meet the challenges of the current moment. But what's clear is collaboration will be crucial for crafting sustainable strategies. That's why Becker's is hosting its first-ever Payer Virtual Summit. Join clinical care leaders and executives from large regional commercial insurers and community health plans as they discuss noteworthy reimbursement trends, their biggest challenges and what population health initiatives are moving the needle. We'll see you there.

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Dr. Rodrigo Cerda, Vice President of Clinical Care Transformation at Independence Blue Cross Medical Group

Ceci Connolly, CEO at Alliance of Community Health Plans and Founder of Women of Impact

Top Concerns for Payers in 2020

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speakers

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thank you to our sponsorS:

Aaron Lambert, MPH, MBA, President, Healthy Blue

Craig E. Samitt, MD, MBA, President and Chief Executive Officer, Blue Cross and Blue Shield of Minnesota

Ceci Connolly, President and Chief Executive Officer, Alliance of Community Health Plans (ACHP)

Rodrigo Cerdá, Vice President, Clinical Care Transformation, Independence Blue Cross

SPECIAL THANKS TO OUR CORPORATE SPONSORS:

BECKER'S PAYER ISSUES VIRTUAL SUMMIT

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SPECIAL THANKS TO OUR CORPORATE SPONSORS:

Matt Eyles, President and Chief Executive Officer, America's Health Insurance Plans

Gabrielle Boisvert, Vice President, Cigna Digital Ceci Connolly, President and Chief Executive Officer, Alliance of Community Health Plans (ACHP) Rodrigo Cerdá, Vice President, Clinical Care Transformation, Independence Blue Cross\ Lisa Davis, Chief Information Officer, Blue Shield of California Moderated by Morgan Haefner, Editor, Becker's Healthcare

1:00 PM CT | Panel discussion

What's missing from the member digital experience?

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Aaron Lambert, MPH, MBA, President, Healthy Blue Matt Eyles, President and Chief Executive Officer, America's Health Insurance Plans Moderated by Morgan Haefner, Editor, Becker's Healthcare Sponsored by:

1:45 PM CT | keynote

Government business in 2021: What insurers should expect

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Ken Cohen, MD, FACP, Executive Director Clinical Research, UHG R&D, Senior National Medical Director, OptumCare Moderated by Brian Zimmerman, Custom Content Editor, Becker's Healthcare

1:45 PM CT | fireside chat

Fireside Chat with Dr. Ken Cohen: Using Evidence and Technology To Improve Healthcare Quality and Efficiency

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John Bulger, DO, MBA, Chief Medical Officer, Geisinger Health Plan Caroline Carney, MD, MSc, FAMP, CPHQ, Chief Medical Officer, Magellan Health Mark Steffen, MD, MPH, Vice President and Chief Medical Officer, Blue Cross and Blue Shield of Minnesota Moderated by Ayla Ellison, Managing Editor, Becker's Healthcare

2:25 PM CT | keynote

Best practices for managing — and improving — member health: Insurer CMOs weigh in

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Ken Cohen, MD, FACP, Executive Director Clinical Research, UHG R&D, Senior National Medical Director, OptumCare

John Bulger, DO, MBA, Chief Medical Officer, Geisinger Health Plan

Stephen Anderson, Vice President, Provider Contracting & Network Administration, Blue Cross Blue Shield of Michigan Sukanya Soderland, Senior Vice President and Chief Strategy Officer, Blue Cross and Blue Shield of Massachusetts Inc. Mark Stewart, Executive Vice President and Chief Financial Officer, Blue Cross Blue Shield of Rhode Island Craig E. Samitt, President and Chief Executive Officer, Blue Cross and Blue Shield of Minnesota Moderated by Molly Gamble, Editor-in-Chief, Becker's Healthcare

2:25 PM CT | keynote

The payer exec playbook: Strategies to excel in 2021

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Sukanya Soderland, Senior Vice President and Chief Strategy Officer, Blue Cross and Blue Shield of Massachusetts Inc.

Caroline Carney, MD, MSc, FAMP, CPHQ, Chief Medical Officer, Magellan Health

Stephen Anderson, Vice President, Provider Contracting & Network Administration, Blue Cross Blue Shield of Michigan

Mark Stewart, Executive Vice President and Chief Financial Officer, Blue Cross Blue Shield of Rhode Island

Payer Industry Sponsor to Know

ProviderTrust works to create a safer healthcare for everyone. We monitor provider networks continuously to catch inaccuracies and fraud most health plans miss, ensuring provider eligibility and generating cost savings for your Medicare and Medicaid lines of business. Learn more at providertrust.com

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Gabrielle Boisvert, Vice President, Cigna Digital

Featured Content

As the nation continues to contend with the Coronavirus (COVID-19) outbreak, it’s important to remember that another health crisis is exacerbating the effects of COVID-19: Chronic diseases. More than 34 million Americans have been diagnosed with diabetes, and another 86 million have prediabetes. 23.6% of Americans live in an officially designated HPSA, a designation given to geographic regions with a shortage of primary care providers. Download to learn: • How leveraging technology can break down barriers and provide more people with access to quality care • Lark’s approach to care management and coaching can provide a highly effective and scalable remedy.

Keeping Prediabetic Patients Healthy At Home: Delivering Diabetes Prevention in Health Professional Shortage Areas

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Mike Bernard, Sales Manager, Hyland Healthcare Tanya McCray, Vice President of Grievance and Appeals/Delgated Vendor operations | VNSNY CHOICE Health Plans Mayra Ortiz, Supervisor of Grievances and Appeals | VNSNY CHOICE Health Plans Frank Romano, AVP Enterprise Architecture, Healthfirst Sponsored by:

1:00 PM CT | featured session

Challenges and opportunities within the appeals and grievances process

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Mark Steffen, MD, MPH, Vice President and Chief Medical Officer, Blue Cross and Blue Shield of Minnesota

Lisa Davis, Chief Information Officer, Blue Shield of California

Tom Lindquist, Chief Executive Officer, Allina Health | Aetna

The Effect of COVID-19 on VBC Contracting / Reimbursement for Telemedicine

Health plan executives look forward: Emerging from a highly disruptive year

An Optum study of how leaders are charting a course for 2021 and beyond Improving peoples’ health and lives is not an easy mission, and the events of 2020 have introduced new complexities that leaders must address head-on. We believe that health plans are ideally positioned to meaningfully reshape member, provider, and employer experiences through enabling collaboration across the health care ecosystem. This study summarizes insights and strategies garnered from over 30 conversations with our community, regional, national, provider-sponsored, and Blue plans partners. Themes that came out of the study on the areas of focus include: • Increasing affordability • Driving closer provider relations • Driving growth with scalability • Offering a best-in-class member experience • Integrating digital technology Sponsored by:

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About

Speakers

Digital Content Hub

Agenda

About

Speakers

Digital Content Hub

Agenda

JOIN NOW

VIEW ON DEMAND

RSVP NOW

Appeals and Grievances leaders from Healthfirst and VNSNY CHOICE Health Plans provide an inside look on how they leveraged content services technology to streamline and optimize their A&G processes, leading to increased productivity and an improved member experience. In this session you will learn: • Steps you can take to improve and streamline the Appeals and Grievances process. • The benefits your organization can realize through digital transformation of A&G processes. • A detailed description of what a successful digital A&G solution entails, how to select the right technology vendor partner and the metrics that determine success or failure.

Mike Bernard, Sales Manager | Hyland Healthcare

Challenges and opportunities within the appeals and grievances process