POSTPONED | Using Self-Insured Data as a Foundation for Value-based Payment Strategy at Adventist Health
March 18, 2021 @ 1:00 pm - 2:00 pm CDT
This teleconference has been postponed. If you have already registered, you will be notified when we determine the new date. We apologize for any inconvenience.
John Beaman, Chief Business Officer, Adventist Health, and Allen Miller, Principal, COPE Health Solutions. As CMS and employers continue to push for more premium risk contracts and value-based payment, a key to success is to gain access to accurate data on the total cost of care for attributed or assigned membership.This enables provider networks taking risk to proactively ensure access to the right care and education for populations while managing global cost and improving outcomes.
There is a growing understanding that building the capabilities to understand and better manage health for a health system’s own self-insured employees and families is highly translatable to other populations and payers, including other employers for direct-to-employer strategies. By leveraging employee utilization and cost and outcomes data, health systems can optimize their network with relation to specific provider and service types; understand patterns of care to improve convenience and employee satisfaction scores; and improve quality and health outcomes. Health systems should thus strongly consider either launching or strengthening their value-based payment transformation by leveraging their self-insured plan as a key “payer” for which they begin to understand how to analyze and understand claims and related data and to develop and launch population health management infrastructure. In this session, we explore a case study in which Adventist Health has leveraged the claims data for its employee health plan and explain how this data, resultant initiatives and lessons learned are being used as a foundation for a larger value-based payment strategy.
ORIGINALLY SCHEDULED FOR MARCH 18, 2020