Health Plan Contracting Web Summit

Health Plan Contracting Web Summit - 2010

Thursday, April 22nd, 2010
1:00 p.m. to 2:30 p.m. Eastern (10:00 - 11:30 a.m. Pacific)
Click here to find out what time your event starts in your time zone.

Health Plan / Provider Contracting Strategies in a Climate of Change
Live Webinar, Downloadable Podcasts, plus additional features

Register for $295
Call 209.577.4888 or
Click here to register

Contracting Strategies to provide flexibility for changes from health reform, ICD-10 transition and more
Positioning organizations to address value based payment models and other innovative structures
Contracting implications in case experience from denials management initiatives
Plus Podcasts on: Contracting success: Just how avoidable are you?; The Big Picture: Contracting Change Drivers; Amendments: An obvious contractual landmine that often goes unnoticed; and Analysis and Implications of a Provider's Uninsured Population

Webinar Faculty:
Robin J. Fisk, Esq., Author, and Attorney, Fisk Law Office
Terri L. Welter, Principal, ECG Management Consultants, Inc.
Jeffrey Gold, VP, Managed Care and Special Counsel, HANYS

Podcast Faculty:
Ben Jacobowitz, Director, Matrix Strategies, Inc.
Christopher J. Kalkhof, Director, Alvarez & Marsal
Gil Weber, MBA, Author and Prac. Mgmt. & Mgd Care Consult.
Al Mytty Director, Payer Contracting Carle Foundation Hospital

Stakeholders involved or impacted by contracting arrangements between health plans and other purchasers, and providers, all are facing a climate of change that will directly affect the contracted structures, terms, conditions, amendments and outcomes between the parties. Whether the change agent is federal or state health care reform, new payment methodologies and models, ICD-10 conversion, continued shifts in covered populations, advances in provider initiatives such as denial management, market positioning, and countless other issues; health plans and providers must re-position, and adopt strategies that can adapt to this change-driven landscape.

Live Webinar Agenda
Thursday, April 22nd, 2010
1:00 p.m. to 2:30 p.m. Eastern (10:00 a.m. - 11:30 a.m. Pacific)
Click here to find out what time your event starts in your time zone.

Webinar Agenda: (Eastern Time)

1:00 pm - 1:05 pm Introductions and logistics
1:05 pm - 1:30 pm Contracting in a Time of Uncertainty - Robin J. Fisk, Esq., Managed Care Contracting Author and Attorney, Fisk Law Office
1:30 pm - 2:00 pm Preparing for Innovative Payment Methodologies - Terri L. Welter, Principal, ECG Management Consultants, Inc.
2:00 pm - 2:30 pm Contracting Lessons Learned from Denials Management Task Force Outcomes - Jeffrey Gold, Vice President, Managed Care and Special Counsel, HANYS (Healthcare Association of New York State)

Faculty Podcasts plus companion materials available for download 24/7 include:

Contracting Success: Just How Avoidable Are You?, by Ben Jacobowitz, Director, Matrix Strategies, Inc.
The Big Picture: Contracting Change Drivers - Considerations in Planning, Process & Implementation by Christopher J. Kalkhof. Director, Healthcare Industry Group, Alvarez & Marsal
Amendments: An obvious contractual landmine that often goes unnoticed by Gil Weber, MBA, Practice Management and Managed Care Consulting
Analysis and Implications of a Provider's Uninsured Population by Al Mytty Director, Payer Contracting, Carle Foundation Hospital
Plus other Web Summit features including a Contracting Article Library, and an exclusive Contracting e-poll

Participants will:

Gain an overall sense of what change agents are impacting the contracting environment, and their implications.
Examine health reform provisions, ICD-!0 conversion, and other relevant change drivers as they relate to contracting.
Consider innovative payment structures, such as value based models, from a contracting perspective.
Ascertain contracting strategies to address a change-driven environment that requires flexibility to address with shifting regulatory, marketplace, demographic and payment structure demands.
Understand provider initiatives to address contracting pressures, including denial management and market positioning.
Discover the range of potential issues to monitor in contract amendments, which become more prevalent in an environment of change.
Obtain relevant case experience and marketplace intelligence offered by the faculty.
Experience e-learning at the attendees' convenience, with podcasts, article library, and other online Summit features available 24/7.
Engage in interactive learning through live webinar providing online question submission, attendee surveys, feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group.

Interested attendees would include:

CEOs and CFOs
Planning and Strategic Executives and Staff
Managed Care Executives and Staff
Revenue Cycle Executives and Staff
Network Management Executives and Staff
Provider Relations Managers and Staff
Provider Contract Administrators
Health Benefit Managers
Contract and Payment System Solutions Staff
Business and Market Intelligence Staff
Legal and Regulatory Affairs Executives and Staff
Other Interested Parties

Attendees would represent organizations including

Hospital Systems
Medical Groups
Provider Networks
Other Providers
Health Plans
Third Party Administrators
Contracting Organizations
Employers
Solutions Providers
Associations, Institutes and Research Organizations
Media

Individual Registration Fee: $295. Web Summit CD-ROM: $40 for attendees; $355 for non-attendees after the event. Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!

Robin J. Fisk, Esq. Managed Care Contracting Author and Attorney, Fisk Law Office		Robin Fisk is an attorney who focuses on the legal issues that face the Healthcare industry. With nineteen years’ experience in the health law field, Robin represents health care providers, practitioners, insurers and managed care organizations. In addition to more general representation on matters such as business formations, leases and employee matters., Robin advises clients on regulatory compliance and and negotiates managed care contracts – for payers and providers. She is the Contributing Editor of the book "Beyond the Contract: Managing your relationship with a healthcare payer" and author of "Managed Care Contracting & Provider Payment" an online column for providers and insurers. Robin has been in solo practice in New Hampshire since January, 2000. Before striking out on her own, she practiced with the Health Law Departments of Orr and Reno and Ober, Kaler. Earlier, as in-house counsel to Healthsource, Inc., now CIGNA Healthcare Corporation, Robin supported its Midwest operations, seniors segment products and government program lines of business. Because she has experienced directly the pressures and urgency faced by in-house counsel, Robin is careful to focus on efficient representation that provides well-developed, rapid responses to clients’ business needs. A frequent lecturer on managed care, Medicare and other health law topics, Robin has spoken before many organizations including the American Association of Health Plans, the American Health Lawyers Association, the New Hampshire Vermont Chapter of the Healthcare Financial Management Association and the New Hampshire Hospital Association. Robin is a member of the American Health Lawyers Association and the Healthcare Financial Management Association. She is on the Board of Advisors for the Managed Care Contract and Payment Advisor and former Vice Chair of the Health Law Section of the New Hampshire Bar Association. Robin received her law degree from Boston University School of Law in 1988.

Terri L. Welter Principal, ECG Management Consultants, Inc.		Ms. Welter, Principal, works in ECG Management Consultants, Inc.'s Healthcare practice. Her experience in reimbursement and strategy gives her the skills necessary to address the issues facing today's healthcare leaders. Ms. Welter has extensive experience in the area of managed care, including strategy development, reimbursement, contract negotiations, and operations. She has assisted several hospitals and medical groups in the financial planning, assessment, and negotiation of their managed care contracts. Ms. Welter served as a board officer and the managed care committee chairperson for the Healthcare Financial Management Association’s (HFMA’s) Washington Metropolitan Chapter. She is a current member of HFMA’s Virginia Chapter. She holds a master of healthcare administration degree from Villanova University and a bachelor of arts degree in preprofessional studies from the University of Notre Dame. Ms. Welter has been the featured speaker on managed care and provider reimbursement for a variety of national professional associations, including HFMA and the Medical Group Management Association (MGMA). She has also been published in several healthcare journals.

Jeffrey Gold Vice President, Managed Care and Special Counsel, HANYS (Healthcare Association of New York State)		Jeffrey Gold's role at HANYS includes responsibility for shaping HANYS’ managed care initiatives, with a focus on payer integrity issues. Mr. Gold works directly with HANYS’ members to empower them so they can recapture revenue due them from managed care plans. He provides a range of tools that enable members to more effectively overcome the obstacles that prevent them from providing and being paid for necessary medical treatment. Mr. Gold also has a background in behavioral health and continuing care, and he is involved in HANYS’ activities related to those areas. Before joining HANYS in 2000, Mr. Gold served as Special Counsel for Health Care for the New York State Attorney General. He was the founding Bureau Chief of the Attorney General's Health Care Bureau, which when it was created in April 1997 became the first such bureau of its kind in the United States. Mr. Gold first joined the Attorney General's office in 1987 and was initially in charge of overseeing units of the Attorney General's office at Helen Hayes Hospital in Rockland County and Roswell Park Cancer Institute in Buffalo. He later assumed responsibility for office units sited at the three State University of New York medical centers in Brooklyn, Syracuse, and Stony Brook. Before 1987, he worked at two private law firms in New York City.

Ben Jacobowitz Director, Matrix Strategies, Inc.		With over twenty five years in the Hospital and Healthcare business, Ben Jacobowitz brings significant expertise in the areas of Managed Care, Business Development and Strategic Planning. Matrix Strategies is a small consulting practice whose clients include Hospitals, Health Systems and other providers as well as Payers, TPAs and Vendors. The types of projects include but are not limited to; managed care contracting, network development, business development, strategic business planning, physician practice management and operational assessments, and fair market value assessments of hospital/physician transactions. Prior to forming Matrix Strategies in January 1998, Ben spent over 13 years in the competitive Southern California market representing Hospitals and Health Systems in their Managed Care contracting and strategic business planning efforts. He previously had served as Regional Director of Managed Care for Tenet’s Southern California region comprised of 32 hospital facilities. Ben holds both a Bachelors Degree in Health Services Administration and a Masters Degree in Public Administration.

Christopher J. Kalkhof Director, Healthcare Industry Group, Alvarez & Marsal		Chris is a Director with Alvarez & Marsal’s Healthcare Industry Group practice based out of New York. He has more than 24 years of diverse healthcare management experience. Chris specializes in managed care strategy development and contract negotiations; contract implementation and integration with revenue cycle/case management processes; provider-payer collaborations; physician alignment, referral management and integration; strategic planning and new product development. Over the last several years, Chris has spent much of his time assisting clients optimize their net managed care revenue potential, resulting in net rate increases and revenue improvements in excess of $435 million. Over the span of his career he has gained managed care related work experience in over 20 states and has directly negotiated hundreds of provider-payer agreements. Prior to joining A&M, Chris held positions which included: Director/National Managed Care Lead for a Big 4 public accounting/consulting firm and as a Director in the Healthcare Interim Management Practice of a national consulting firm; SVP Managed Care for a nine hospital system and as a VP of Managed Care for a community hospital; Regional Director of Provider Relations for a large health insurer and as a Product Development Manager for a health plan; Partner in a regional practice management firm and as President of his own consulting firm, Chris received his Master of Health Administration degree from Tulane University, his Bachelor of Science degree in Biology/Psychology from Allegheny College and he is a Fellow in the American College of Healthcare Executives.

Gil Weber, MBA Author and Practice Management & Managed Care Consulting		For the past 30 years Gil has worked in health care as a provider, a health plan senior executive, and as an educator. He began his practice management and managed care career as a provider (optician) for a California HMO. In 1979, long before most of the country could even spell HMO, he was collecting utilization and cost data, leading to his first at-risk arrangement in 1981.In 1985 Gil transferred to the HMO's parent organization and was appointed as a National Director, responsible for the management and administration of eye care and clinical laboratory services in 26 states. Since then Gil has held several other senior level management positions including marketing and contracting duties with a national third party administrator (TPA), consultant to a consortium of West Coast multi-specialty medical groups, consultant and trainer for the nation's largest vision care TPA, and most recently Director of Managed Care for the American Academy of Ophthalmology, the world's largest professional association of eye physicians and surgeons. Over the years he has earned national recognition as a writer, lecturer, and consultant-expert on practice management and managed care. Gil is the author of seven books and monographs on practice management and managed care, and contributing author to seven others. In addition Gil served as chairman for six managed care conferences and is a contributing editor for three professional journals. Gil earned an MBA from Pepperdine University in Los Angeles, graduating first in a class of more than 300. Gil Weber, MBA Practice Management and Managed Care Consulting Services For Healthcare Professionals, Administrators, and Industry gil@gilweber.com www.gilweber.com 321-255-6018

Al Mytty Director, Payer Contracting, Carle Foundation Hospital		Alan L. Mytty, of Indianapolis, is the Director of Payer Contracting at Carle Foundation Hospital, Urbana. He has nearly thirty years of experience in the healthcare field. Mr. Mytty was most recently a consultant to Carle Foundation Hospital and two health plans. Previously, Mr. Mytty was the CEO of a provider-insurance company joint venture health plan in the Bahamas and a provider owned health plan in West Virginia. He also served for nearly ten years as the President and CEO of PersonalCare in Champaign, Illinois. Mr Mytty's current duties include negotiate contracts and payment arrangements with health plans and networks for Carle Foundation Hospital and Carle Foundation Physician Services; developing managed care strategy for Carle Foundation; comparing the performance of payers; and analyzing and report on the increased volume of uninsured patients. Mr. Mytty attended the U.S. Air Force Academy. He holds bachelor’s and master’s degrees from the University of Nebraska, and has earned the designation of Fellow from the Academy for Healthcare Management. He is a licensed agent for health and life insurance.

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