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Identify Care Gaps and Demonstrate Value to Employers
A Free Health Industry Webinar & Audio Conference from DST Health Solutions
Wednesday, November 7th, 2007 at 1PM Eastern
http://www.healthwebsummit.com/dst110707.htm
A Free Health Industry Webinar & Audio Conference from DST Health Solutions
A Webinar & Audio Conference with Amy Salls, Business Solutions Executive, DST Health Solutions
After the benefit design has been modified, utilization management has been instituted, the provider network has been evaluated and case management has become more proactive, the health plan needs to focus on the individual member and engaging the member in their own health. Members, or employees, do not always follow recommendations that have been given to them. By combining predictive modeling techniques with HEDIS methodology, health plans can demonstrate their commitment to monitoring and improving quality while managing financial risk for the employer. By reporting specific areas of disease prevalence and non-compliance, employers can see how their population compares to standards and what trends are taking place in their population. The employer can offer support in the workplace with health fairs and other incentives to improve member compliance.
OVERVIEW
After the benefit design has been modified, utilization management has been instituted, the provider network has been evaluated and case management has become more proactive, the health plan needs to focus on the individual member and engaging the member in their own health. Members, or employees, do not always follow recommendations that have been given to them. By combining predictive modeling techniques with HEDIS methodology, health plans can demonstrate their commitment to monitoring and improving quality while managing financial risk for the employer. By reporting specific areas of disease prevalence and non-compliance, employers can see how their population compares to standards and what trends are taking place in their population. The employer can offer support in the workplace with health fairs and other incentives to improve member compliance.
Chronic disease burden accounts for an estimated 75% of all healthcare costs; as much as 70% of these costs are directly influenced by individual behavior. Addressing these critical factors requires sophisticated approaches for the measurement and monitoring of population health, morbidity burden and care patterns. Successful management of chronic disease requires that effective care is encouraged and that "secondary prevention" be supported to avert or minimize the negative outcomes often associated with chronic disease.
LEARNING OBJECTIVES
In this session, you will learn how to:
• Differentiate high risk and low risk groups based on population health risk factors;
• Communicate the impact of chronic illness and associated cost to your customers;
• Promote primary and secondary prevention at the workplace by engaging employers to develop incentives that address employees who are not receiving care that meets national standards of quality
WHO SHOULD ATTEND
Health Care Senior Business Leaders including:
• Chief Medical Officers
• Chief Information Officer
• Director of Quality Improvement
• Director of Care Management
• Director of Marketing
FACULTY
Amy Salls, Business Solutions Executive, DST Health Solutions Ms. Salls has over 17 years experience in healthcare data analysis. Currently, Ms. Salls has operational responsibility for DST Health Solutions' predictive modeling and decision support products, including DSTHS CareAnalyzerTM and The Johns Hopkins University ACG System(R). She is responsible for interfacing with DST Health Solutions' claims engines, developing analytic approaches, customizing and evaluating statistical models and distributing web-based reporting software used by managed care organizations to improve client performance in clinical and operational efficiency. Ms. Salls participates in NCQA's HEDIS certification program and has supported multiple commercial and Medicaid plans through the audit and data submission process.
REGISTRATION
Register online at:http://www.healthwebsummit.com/dst110707reg.htm. Slots for this event are limited. Please register promptly. All registrations are subject to review and approval by DST Health Solutions. If you have questions, contact Patty Jamison at the Healthcare Web Summit Office at 209.577.4888 for more information. We look forward to your participation in this event!
Deadline to register: Thursday, November 1st, 2007. After this date, you can request a Post-Summit CD by going to: http://www.healthwebsummit.com/dst110707reg.htm
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