RISE brings payers and providers together June 28-29 at Caesars Palace in Las Vegas to uncover new strategies to align financial incentives, improve patient outcomes, and better navigate the value-based care space.
The renamed and revamped conference, formerly known as The Payer/Provider Contracting & Engagement Summit, will focus on value-based contracting and how both payers and providers can achieve better outcomes. Key themes on the agenda are critical factors for success, quality through analytics, payer/provider collaboration, and solutions and partnerships.
Main session highlights: Day one
Jason Helgerson, founder and CEO, Helgerson Solutions Group, former New York & Wisconsin Medicaid director, will kick off the conference on Tuesday, June 28, with a session on strategies to achieve success in a value-based contracting world. He’ll discuss the fundamentals and objectives of value-based care to achieve the triple and quadruple aims as well as the strategies and benefits of transitioning from fee-for service to value-based care. The session will also focus on critical components of health care, including behavioral and mental health, remote patient monitoring, telehealth, and social determinants of health that impact value-based care.
Next, industry experts will analyze CMS and CMMI changes impacting value-based contracting. They’ll assess the transition from global and professional direct contracting model to the realizing equity, access, and community health (REACH) model and how it impacts the way you operate. Our speakers will explain the differences and implications of the new model, including the timeline associated with the change. They’ll also analyze the No Surprise Act and its implication for both payers and providers on network accuracy, out of network coverage, and maximum out-of-pocket costs.
The session, Analyze the different parameters when building a value-based contract, will explore how to conduct a financial model of the population you serve to calculate the risk, evaluate the resources needed for success, and discuss the Division of Financial Responsibility (DOFR) between the two parties to ensure clarity and understanding. Lance Donkenbrook, chief executive officer, Commonwealth Primary Care ACO LLC, will lead the session.
Other sessions will explore: Different types of value-based contracts, contract negotiation and evaluation, physician compensation models, and post-pandemic health disparities and costs.
Main session highlights: Day two
Ryan C. Dodson, CRC, risk adjustment specialist, Choice Physicians Network, and Shannon Decker, vice president of clinical performance, Brown & Toland, will lead a session on the value of accurate encounter data on member health care. They’ll discuss the importance of complete and accurate data on each member; explore how prospective, concurrent, and retrospective review can influence quality of care offered to members; and analyze how to locate health disparities in data and implement preventive health care to improve outcomes.
Health Care Industry Specialist Laura Sheriff, RN, MSN, CPC, CRC will moderate a panel discussion on provider education to capitalize on data. Panelists will assess the importance of “buy-in” from the provider when reviewing and capturing member data; educate providers on additional coding responsibilities that are necessary under a value-based contract agreement to ensure all data is captured; and create and implement educational tools to ensure that the quality of data remains high to achieve success. Panelists include Arshad K Rahim, M.D., MBA, FACP, vice president, clinical integration, network development & population health, Mount Sinai Health System, and Stuart Levine, M.D., MHA, operating partner, Chicago Pacific Founders.
Decker returns to the stage to discuss finding the “right fit” when searching for a solution to improve outcomes with co-presenter Liam Woodward, MHA, assistant director, VUMC Office of Value Transformation, Vanderbilt University Medical Center. They’ll explore which critical components of value-based care can be outsourced to improve quality and accuracy, examine solutions that may improve your current operation, and discuss the partnership process and how it can positively impact your organization and the health care needs of your members.
Other sessions will explore the value of provider and vendor oversight, effective collaboration strategies between payer and provider, how to create strong working relationships through communication and incentives, and maximizing partnerships.
The RISE Value-Based Contracting Summit will take place June 28-29 at Caesars Palace in Las Vegas. Proof of COVID-19 vaccination is required to attend the event. Click here for the complete agenda, list of speakers, how to register, and health and safety protocols.