Washington, DC (PRWEB) December 02, 2014
The question has never been whether managed care organizations can improve care and outcomes for disadvantaged populations in Medicare. Instead, it is how can plans improve care on a financially sound basis. On Dec. 11, participants of the Atlantic Information Services webinar, “Medicare Plans Serving the Disadvantaged: Strategies for Overcoming the Growing Financial Crunch,” will hear strategies that are likely to have the most bottom-line potential for health plans.
In a 60-minute presentation followed by 30 minutes of responses to individual questions, Joyce Chan, assistant vice president of clinical performance at Healthfirst, Robb Cohen, senior vice president of public policy at Gorman Health Group, LLC, and Michael Monson, vice president of long term care and dual eligibles at Centene Corp., will provide insightful answers to key questions such as:
- What unique financial challenges do plans serving higher-risk beneficiaries currently face?
- What is the likelihood of meaningful changes coming from CMS (e.g., adjusting star ratings for plans serving dual eligibles, and relief for plans serving the chronically ill and residents of areas with provider shortages)? What form are changes likely to take? When?
- What is the outlook for change in the risk-adjustment components of Medicare and duals plan payments?
- How can PDPs with large numbers of LIS members best cope with the continued decline in the CMS benchmarks that determine payment rates for their plans? How might the ongoing CMS stars methodology review affect those PDPs?
- What other strategies can Medicare plans use to offset part of the continuing decline in plan payment rates and improve their financial performance?
- Where should plans serving disadvantaged populations focus their care management activities to both save money and improve member lives?
Visit http://aishealth.com/marketplace/c4a41_121114 for more details and registration information.
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://www.AISHealth.com.