Health plans cover your healthcare costs and provide you several other benefits. Health insurance helps patients in managing their healthcare expenses (medical and surgical). Different health insurance plans are available for patients, and each one has its benefits. However, choosing a health insurance plan can be tricky because of various reasons, including plan rules regarding in- and out-of-network services, deductibles, co-pays, etc.
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The Health Evolution Summit is a select gathering of CEOs from health system, health plan, and life science firms, along with key policymakers. Committed to healthcare transformation, we convene for three days in Laguna. Here, we engage in candid debates, foster relationships, and spark creative solutions vital to the industry's future.
Addressing health disparities is a collective effort, and payers have a crucial role to play. Leah Dewey, VP of clinical and consumer engagement operations at Cotiviti, suggests that health plans can …
It is no secret that the price of healthcare has increased over time. In fact, a startling 4 in 10 Americans say they have postponed getting medical care because of cost considerations. Because of the …
COVID-19 accelerated the industry's shift to more home-based care. This model is likely to gather even more steam as the population ages, healthcare costs continue to rise and workforce shortages persist. However, a lot can go wrong when organizations lack the logistical and equipment support needed to deliver home-based care that is efficient, high quality and satisfactory to patients. In this live webinar, hear from Chief Medical Officer John Bulger of Danville, Pa.-based Geisinger Health Plan to learn how the organization achieved a 95 percent member satisfaction rate and strong return on investment in home-based care delivery.
You will learn more about:
Growth in home-based care and what this means for healthcare today
Factors that prevent patients from accessing home-based care and how this negatively affects health and other outcomes
The tools and resources Geisinger Health Plan uses to see success in this model
The nation’s healthcare ecosystem is continuing its value-based care approach to improve the population’s health and outcomes while reducing costs. Population health management strategies and implementations are driving these efforts to achieve the Triple Aim. Both providers and payors are deeply involved in developing and deploying effective programs and processes targeted to deliver high quality, patient centric healthcare to significantly improve patient outcomes, while dramatically reducing healthcare spending. These innovative methods encompass enhanced care coordination, utilization of technology and data, preventative measures and patient engagement to manage high risk patient populations. Collaborative efforts between payors and providers, as well as partnerships are improving the patient experience while reducing spending. In addition, the COVID-19 pandemic has fundamentally changed how healthcare systems deliver services. Population health can lead as a cornerstone of a resilient health system, better prepared to improve public health and mitigate risk in a value-based paradigm.
This high-level forum features knowledgeable leaders from the nation’s leading hospitals, health systems and health plans who will share their valuable insights and expertise on how to achieve success in the rapidly evolving landscape of population health management. Attendees will benefit from learning about best practices and strategies that have been implemented to address the challenges in transforming the nation’s healthcare to improve and maintain a healthy population while reducing healthcare spending.
In May of 2022, CMS announced the deadlines for submitting risk adjustment data for payment years 2021 through 2024, eliminating the six-month extension originally granted during the pandemic. Thus, health plans may be concerned that they will not be able to achieve full reimbursement for services rendered for the 2022 dates of service deadline.
Attend our webinar to:
Learn what the end of the submissions extension means for your risk adjustment program
Address common fears around the end of the extension, including starting chart chases too early and claims lag
Understand the value of creating your own extension
Discover how analytics can help you develop both a comprehensive and targeted approach to chasing charts
The Core Committee is busy working to create amazing networking opportunities, the most relevant and compelling education and the largest exhibition area, next to the Annual Conference, for vendors to showcase their products and services.
The Western Region Symposium is all about connecting individuals who work in hospitals, health plans, physician practices and others in healthcare settings by creating an environment to educate, connect and motivate.
The LAHP & MAHP Annual Conference is the health insurance industry's networking event of the year, attracting more than 300 attendees representing health plan executives and staff, health care providers, pharmaceutical company representatives, insurance producers, government officials, employers, health care attorneys, government relations professionals and more.
Representing 16 health plans and 2 behavioral health organizations covering nearly 3 million Massachusetts residents, MAHP is dedicated to improving health for all in Massachusetts by promoting high-quality, affordable and equitable health care. For more than three decades, the Massachusetts Association of Health Plans (MAHP) has been the leading voice for health plans in Massachusetts. We are a non-profit organization committed to promoting high-quality, affordable, and equitable health care. MAHP represents 16 health plans and 2 behavioral health organizations, which provide health care coverage to nearly 3 million Massachusetts residents. MAHP is a 501(c)(4) organization.
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