VERISYS TO PRESENT ROUNDTABLE AT RISE NASHVILLE AND ADDRESS PROVIDER NETWORK TRANSPARENCY WITH ITS DATA AND TECHNOLOGY PLATFORM

A health care payer’s provider network is the front line of exposure to risk.

As health care reform continues to evolve at the speed of technology, stakeholder demands and an engaged health care consumer, RISE NASHVILLE brings together more than 1,200 targeted executives and senior-level management individuals from Medicare Advantage, Medicaid; and commercial health plans including Aetna, Anthem, Blue Cross Blue Shield, Cambia Health Solutions, Carenet, Healthcare Services, Centene, Change Healthcare, Cigna, Gateway Health, Florida Blue, Humana, Molina Healthcare, Optum, and Viva Health Inc.

As well, provider groups, hospitals, integrated health systems, and service providers will be in attendance to learn, network and leave armed with knowledge, resources, new partnerships, and friends.

The Summit offers 5 workshops, 3 keynote addresses, 5 tracks, more than 9 hours of networking, 33 concurrent sessions, and learning roundtables.

JAN SMITH REED ROUND TABLE

Jan Smith Reed

Jan Smith Reed, Vice President, Payer Solutions at Verisys is presenting a round table about how credentialing gaps leave you vulnerable. She addresses the 5 Critical Data Gaps that expose you to risk when you lack provider transparency with your provider network. Transparency is achieved through a robust screening, verification, and monitoring program against current and accurate data. Automation is the key to achieve this without undue administrative burden.

Jan explains, “I have been in the payer and provider space a long time, and have worked on HEDIS and CAHPs initiatives. We all live and die by these today and yet nowhere in the process of improved quality did we address the quality of the providers we engage in our provider network. I think this was because the technology did not exist to allow us to pull all the disparate information together efficiently and make it usable,” and she goes on to suggest a strong correlation between quality providers and quality outcomes with the comment, “By improving efficiency and transparency in the network management and directory challenges you will improve quality, improve loyalty and reputation while managing costs and outcomes. All factors so important in the quality measures equation.”

KEYNOTES

Keynote addresses at RISE Nashville promise to inspire. Monday’s keynote presenter is Dr. John Medina, noted Brain Scientist and Author of “Brain Rules: 12 Principles for Surviving at Work, Home, and School.”

Tuesday’s keynote presenter is Aron Ralston, the subject of the film, “127 Hours”. His story of courage, perseverance, and the true nature of the human spirit will fuel you to triumph over even the most challenging hurdles in life.

SESSIONS

The days are filled with lively discussions addressing risk adjustment strategies, getting to the details of generating financial projections in consideration of the Medicare Risk Adjustment Model, how augmented intelligence can be used to optimize risk and quality analysis, and using cybersecurity to protect your members’ information. Attendees will learn from experts in the service provider, payer, and government sectors making for a rich, well-rounded perspective.

Written by Susen Sawatzki Healthcare Industry Expert Muse. Writer. Publisher. Producer. Creator of Inspiring Narratives. Connect with Susen on LinkedIn