About the Webinar

Payer-provider collaboration is a crucial component of health plan operations, and payers need to re-define their relationship with providers to boost care experience and overall health outcomes resulting in lower costs and enhanced member journeys. Join us as we aim to foster discussions around payer-provider collaboration from a payer perspective to gain insight into some of the strategies that payers can employ across the provider relationship lifecycle.

You will learn

  • How payers can build a high-performing provider network with provider data and analytics
  • CMS mandates that will enhance provider experience with interoperability and information access
  • How payers can enhance risk adjustment for providers through gap identification and point-of-care insights
  • How payers can leverage advanced analytics and automation to help providers improve care quality
  • How to engage providers through multiple channels to improve relationships and enhance satisfaction

Register for the Virtual Session

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About the Webinar

Payer-provider collaboration is a crucial component of health plan operations, and payers need to re-define their relationship with providers to boost care experience and overall health outcomes resulting in lower costs and enhanced member journeys. Join us as we aim to foster discussions around payer-provider collaboration from a payer perspective to gain insight into some of the strategies that payers can employ across the provider relationship lifecycle.

You will learn

  • How payers can build a high-performing provider network with provider data and analytics
  • CMS mandates that will enhance provider experience with interoperability and information access
  • How payers can enhance risk adjustment for providers through gap identification and point-of-care insights
  • How payers can leverage advanced analytics and automation to help providers improve care quality
  • How to engage providers through multiple channels to improve relationships and enhance satisfaction

About the Presenters

Mark Ganz
Mark Ganz
Strategic Advisory Board Member at Innovaccer & Former CEO at Cambia Health Solutions

Until his recent retirement, Mark Ganz was, for nearly 18 years, President and Chief Executive Officer of Cambia Health Solutions, a total health solutions company dedicated to transforming health care by creating a person-focused and economically sustainable system for individuals and their families. He served at Cambia and it’s predecessors for 29 years holding the position of Chief Legal Officer, Corporate Secretary, Ethics and Compliance Officer, and head of Federal Public Policy, and then President of its largest subsidiary, Regence BlueCross BlueShield of Oregon. The 104 year old company more than tripled in value on his watch, and it brought to market a number of innovative, person-focused offerings which today serve millions of Americans in the Pacific Northwest and throughout the country.

Sandesh Prabhu
Sandesh Prabhu
Vice President, Practices and Solutions Strategy – HCL Life Science and Healthcare Vertical

Dr. Sandesh leads the Practices and Solutions Group (PSG) for HCL’s Life sciences and Healthcare business as part of the vertical leadership team. He is responsible for designing solutions to address clients’ pain points leveraging digital and foundational technologies. He is also responsible for bringing thought leadership into HCL’s strategy and investments. He works with HCL’s ecosystem of partners to build innovative propositions and products that help the industry constantly evolve. He has 16+ years of Experience across 4 different continents spanning HCIT business development, digital healthcare solutions, HC business consulting, HC practice growth and hospital P&L management.

Greg Pastor
Greg Pastor
Managing Director Risk Adjustment Operations at Advantasure

Greg Pastor is Managing Director of Risk Adjustment Operations for Advantasure. Under his leadership, 350+ risk adjustment professionals drive client execution, customer value, and optimize plan revenue through a suite of risk adjustment services such as retrospective medical record retrieval and review, the industry leading prospective Provider Engagement Coordination (PEC) program, in home assessment services, as well as analytic insights for clients. This teams optimizes documentation accuracy for 1,400,000 Medicare Advantage and Affordable Care Act members and $7Bn in risk adjusted revenue. Prior to joining Advantasure in 2016, Pastor spent 19 years supporting value creation in a variety of roles at Aetna, Inc.