About the Webinar

Healthcare systems, public and private organizations are working tirelessly to battle the COVID-19 pandemic. In these times of global health & economic crisis and multiple regulatory updates, healthcare needs a collaborative approach to care as one!
 
Join veteran executives of U.S. healthcare - Patrick Conway MD & Fran Soistman Jr. to outline ways in which provider & payer collaboration can help them steer forward in value-based care. They will explore how technology can impact and support quality, care management and member engagement in the face of latest industry updates and crisis situation. Specifically, the new changes in interoperability requirements will be discussed as well as what the future will look like for different types of value-based payment models including Medicare Advantage and Managed Medicaid.

You will learn

  • How are Payer and Provider roles and relationships changing as payment risk shifts to the provider?
  • How can Payers and Providers come together during extraordinary times (like these) to deliver on the quadruple aim in the midst of a global health & economic crisis?
  • What operational pressures do VBC payment models place on Payers?
  • What are the barriers to harmonizing measures across Payers? What are best practices for Providers managing care across multiple Payers?
  • How much traction has there been using the Z Codes, CMS' billing codes for activities related to SDOH factors?
  • How will the recent Interoperability and Patient Access ruling impact Payers and their relationship with other healthcare stakeholders?

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About the Webinar

Healthcare systems, public and private organizations are working tirelessly to battle the COVID-19 pandemic. In these times of global health & economic crisis and multiple regulatory updates, healthcare needs a collaborative approach to care as one!
 
Join veteran executives of U.S. healthcare - Patrick Conway MD & Fran Soistman Jr. to outline ways in which provider & payer collaboration can help them steer forward in value-based care. They will explore how technology can impact and support quality, care management and member engagement in the face of latest industry updates and crisis situation. Specifically, the new changes in interoperability requirements will be discussed as well as what the future will look like for different types of value-based payment models including Medicare Advantage and Managed Medicaid.

You will learn

  • How are Payer and Provider roles and relationships changing as payment risk shifts to the provider?
  • How can Payers and Providers come together during extraordinary times (like these) to deliver on the quadruple aim in the midst of a global health & economic crisis?
  • What operational pressures do VBC payment models place on Payers?
  • What are the barriers to harmonizing measures across Payers? What are best practices for Providers managing care across multiple Payers?
  • How much traction has there been using the Z Codes, CMS' billing codes for activities related to SDOH factors?
  • How will the recent Interoperability and Patient Access ruling impact Payers and their relationship with other healthcare stakeholders?

About the Presenters

Patrick Conway, MD
Patrick Conway, MD
CEO of Care Solutions at Optum, Former CMS Chief Medical Officer, Deputy Administrator, and Director & Former President & CEO, BlueCross Blue Shield, NC

Patrick Conway MD is the former President and CEO at Blue Cross North Carolina and former Chief Medical Officer, Deputy Administrator and Director at the Center for Medicare and Medicaid Innovation (CMMI). Prior to joining the CMS, Dr. Conway served as the Director of Hospital Medicine at Cincinnati Children's Hospital Medical Center. He also served as their Associate Vice President for outcomes performance and the Director of the Anderson Center Section on Rapid Evidence Adoption. In these roles, he led quality improvement and measurement, clinical operations, and research, with a focus on improving patient outcomes across the entire multi-billion-dollar health system. Dr. Conway also served as the Chief Medical Officer at the Department of Health and Human Services.

Fran Soistman Jr.
Fran Soistman Jr.
Executive Healthcare Advisor, Healthcare Management and Transformation Advisory Services LLC

Fran Soistman is the Founder and President of Healthcare Management and Transformation Advisory Services LLC (HMTAS). Prior to this he was Executive Vice President at CVS Health-Aetna , where he led their Government Services Business portfolio, the growth engine of the company. Fran also represented Aetna on the Health Care Transformation Task Force, and served as its Chairman until his retirement from CVS Health- Aetna on October 1, 2019. He was a recipient of the 2004 Ernst & Young Entrepreneur of the Year award in the Healthcare Technology/Services category. From 2004 to 2008, he was appointed by Pennsylvania Governor Rendell to serve on the Health Care Cost Containment Council, providing direction for the state agency charged with addressing growing health care costs.