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Healthcare Education and Training

Just Announced - Upcoming Webinars


New Releases: Training DVDs, On-Demand Web Access and CD-ROMs!

  • Bundled Payments: Opportunities in Effective Retrospective Acute and Post Acute Care Bundles

  • Care Compacts: Forming the Foundation of PCP/Specialists Care Teams

  • Generating Medical Home Savings and Quality Improvements Through Outcome-Based Measures

  • Integrating Mobile Health Remote Patient Monitoring with Telephonic Care Management for Improved Care Coordination Results

  • Moving Beyond the Medical Care Coordination Model for Dual Eligibles

  • Physician Alignment: Which Model Is Right for You?

  • Accountable Care Reimbursement Models: Moving from Productivity to Population-Based Incentives

  • Managing Risk in Population Health Management

  • Award Winning Readmission Prevention Protocols: Navigating Care Transitions with Preferred SNF and Home Health Providers

  • Home Visits: Assessing Complex Patients Post-Discharge To Reduce Readmissions

  • Medical Home Neighborhoods: Uplinking Specialists To Create Integrated Systems of Care

  • Healthcare Trends & Forecasts in 2014: A Strategic Planning Session

  • Aligning Value-Based Reimbursement with Physician Practice Transformation

  • Improving Population Health With Embedded Case Managers in an Open, Multi-Payor Community

  • Dual Eligibles: Closing Care Gaps and Engaging Members in Self-Management

  • Medicare Pioneer ACO Year One: Lessons from a Top-Performer

  • Managing Population Health with Integrated Registries and Effective Patient Touchpoints

  • Performance Quality Measurement and Reporting for Accountable Care

  • Health Coaching's Value in Accountable Care and Medical Homes

  • Patient Engagement and Provider Collaborations Across the Healthcare Continuum to Improve Care Transitions

  • Medicare Pioneer ACO: Case Study on Atrius Health's Focus on the Triple Aim

  • Healthcare Social Business Strategy: Driving Adoption with Social, Mobile and Cloud Technologies

  • Care Transition Management: Strategies for Effective Patient Handoffs

  • A Strategic, Best Practice Approach to Improve CMS Star Quality Ratings

  • Moving Forward with Payment Bundling

  • The Role of Case Managers in Emerging Care Delivery Models

  • Health and Wellness Incentives: Positioning for Outcome-Based Incentives

  • Physician Hospital Organizations: Developing a Collaborative Structure for Shared Savings Agreements

  • Care Coordination for Dual Eligibles: A Results-Oriented Approach

    View All Webinars


    Just Announced!


    A Hybrid Embedded Case Management Model: Sentara Medical Group's Approach

    A hybrid embedded case management model at Sentara Medical Group is having more success in managing high-cost, high-utilization patients than a pure embedded in the primary care practice model.

    After moving the embedded case managers out of the practice full-time in 2012, Sentara reported positive returns from the program and improved efficiency of the case managers. The case managers do spend time in the practice, but are also managing care through other touch points including hospital stays, in the home, at office visits and via telephonic and Skype contacts.

    During A Hybrid Embedded Case Management Model: Sentara Medical Group's Approach, a 45-minute webinar on July 31st, Mary M. Morin, RN, NEA-BC, RN-BC, nurse executive with Sentara Medical Group, will share the details on why Sentara opted for a hybrid embedded case management model and the impact the model is having on its highest risk population.


    Diabetic Telehealth Monitoring: The Impact of Real-Time Data on High-Risk Patients

    Telehealth combined with telephonic case management through the New York City Health and Hospitals Corporation's (NYCHHC) House Calls Telehealth Program is responsible for a significant reduction in patients' A1C blood glucose levels.

    Through the integrated use of telehealth, access to electronic medical records, electronic communication with providers and direct communication with patients, nurse care managers were able to significantly improve patient clinical outcomes and potentially reduce healthcare costs for diabetic patients enrolled in the program.

    During Diabetic Telehealth Monitoring: The Impact of Real-Time Data on High-Risk Patients, a July 24th webinar at 1:30 pm Eastern, Susan Lehrer, RN, BSN, CDE, associate executive director of the telehealth office for NYCHHC, will share the key features of the telehealth care management program as well as details on the program's impact on patient behavior change and outcomes.

    Training DVDs, On-Demand Web Access and
    CD-ROMs!


    Bundled Payments: Opportunities in Effective Retrospective Acute and Post Acute Care Bundles

    As a convener in Model 2 of the Center for Medicare and Medicaid Innovation's Bundled Payment for Care Improvement (BPCI) initiative, naviHealth has partnered with five health systems, spanning 11 acute care hospitals for retrospective acute and post acute care bundles.

    naviHealth is coordinating with these hospitals to manage care across 48 clinical conditions identified by CMS.

    During Bundled Payments: Opportunities in Effective Retrospective Acute and Post Acute Care Bundles, a May 21st webinar, now available for replay, Kelsey P. Mellard, vice president of partnership marketing and policy with naviHealth, shares the first quarter experiences from these pilot programs, along with the current bundled payment opportunities for organizations not yet participating in CMMI's pilot program.


    Care Compacts: Forming the Foundation of Care Teams with PCPs and Specialists

    With the help of Care Compacts (also known as Care Coordination Agreements and/or Referral Agreements) that drive accountability between primary care physicians and specialists, WellPoint has launched a medical neighborhood pilot for three specialties with clear care coordination alignment opportunities with primary care medical homes.

    Based on the principles of the Patient-Centered Medical Home Neighbor (PCMH-N) concept, the pilot launched in January 2014 with a select number of pilot practices, ranging in size from solo practices to large group practices in markets where there is a strong patient-centered medical home foothold. The specialists will work with existing patient centered medical homes partners to improve quality and coordinate care guided by cost and efficiency measures.

    During Care Compacts: Forming the Foundation of Care Teams with PCPs and Specialists, a May 15th webinar, Robert Krebbs, director of payment innovation at WellPoint, Inc., shared the key components of WellPoint's Enhanced Personal Health Care for specialty care program.


    Generating Medical Home Savings and Quality Improvements Through Outcome-Based Measures

    Physician incentive payments that take into account both medical home capabilities and outcome measures have produced savings of over $155 million over three years for Blue Cross Blue Shield of Michigan's patient-centered medical home (PCMH).

    With 1,254 primary care practices participating in the program, Blue Cross Blue Shield of Michigan (BCBSM) has created its own PCMH designation that has become more rigorous as the program has evolved.

    During Generating Medical Home Savings and Quality Improvements Through Outcome-Based Measures, an April 30th webinar, now available for replay, Donna Saxton, field team manager of BCBSM's value partnerships program, shares the details of its PCMH designation requirements and the system of rewards and incentives that has produced results for the plan, the PCMH practices and its members.


    Integrating Mobile Health Remote Patient Monitoring with Telephonic Care Management for Improved Care Coordination Results

    Nine mobile healthcare remote monitoring pilots integrated with a telephonic care management program are helping Humana to avert medical emergencies and preventable hospitalizations among individuals with serious medical and functional challenges. The pilots are part of a continuum of care aimed at improving health outcomes, increasing satisfaction and reducing overall healthcare costs. Humana stratifies members into four groups using a predictive model to identify the level of support appropriate to each individual's needs.

    Members are offered telephonic care management with call patterns tailored to their status and history. The mobile health remote monitoring pilots target individuals with congestive heart failure and diabetes as well those with medication adherence concerns and those with functional challenges that make activities of daily living challenging.

    During Integrating Mobile Health Remote Patient Monitoring with Telephonic Care Management for Improved Care Coordination Results, a March 19th webinar, now available for replay, Gail Miller, vice president of telephonic clinical operations in Humana's care management organization, Humana Cares/SeniorBridge, shares details of Humana's telephonic care management program and how these remote monitoring pilots enhance their care coordination efforts.


    Moving Beyond the Medical Care Coordination Model for Dual Eligibles

    As Health Care Services Corporation rolls out care coordination programs for dual eligibles in select markets across the country, it is encompassing a broader scope of care coordination beyond just a medical model.

    During Moving Beyond the Medical Care Coordination Model for Dual Eligibles, a March 12th webinar now available for replay, Julie Faulhaber, vice president of enterprise Medicaid at Health Care Service Corporation, shares her organization's approach to designing a care coordination model for dual eligibles and initial findings from these new programs.


    Physician Alignment: Which Model Is Right for You?

    With continued growth in value-based reimbursement models, healthcare organizations are seeking to align physician performance and to profit under these models.

    The new U.S. Congressional proposal "Better Care, Lower Cost Act of 2014," which seeks to bundled payments for Medicare's sickest beneficiaries, is expected to accelerate this trend.

    During Physician Alignment: Which Model Is Right for You?, a February 19th workshop at 1:30 p.m. Eastern, Gregory Mertz, MBA, FACMPE, managing director of Physician Strategies Group, LLC, helps healthcare organizations assess which value-based healthcare delivery model is right for their organization.


    Accountable Care Reimbursement Models: Moving from Productivity to Population-Based Incentives

    While most physician organizations are still being reimbursed or incentivize on a productivity basis, the more advanced physician organizations are moving toward total cost of care reimbursement or incentive models.

    On the path to total cost of care reimbursement, provider organizations are challenged to engage physicians in these emerging reimbursement models while ensuring transparency of patient data, providing peer comparison and helping physicians understand population health management and its impact on the total cost of care.

    During Accountable Care Reimbursement Models: Moving from Productivity to Population-Based Incentives, a January 29th webinar at 1:30 Eastern, Cynthia Kilroy, senior vice president of provider strategy and business development at Optum, explored the key structure, issues and challenges in these evolving reimbursement models.


    Managing Risk in Population Health Management

    Applying the lessons learned from an employee-based population health management program, Adventist Health is now rolling out a population health management program among its patient population.

    During Managing Risk in Population Health Management, a 45-minute webinar on January 22nd, now available for replay, Elizabeth Miller, vice president of care management at White Memorial Medical Center, part of Adventist Health, shares the key features of the population health management program at White Memorial, the program's impact on Adventist's 27,000 employees and how the program is being rolled out to its patient population.


    Award Winning Readmission Prevention Protocols: Navigating Care Transitions with Preferred SNF and Home Health Providers

    The Total Wellness Torrance readmission prevention program launched by Torrance Memorial Health System in early 2013 has been recognized as a program of Excellence for its innovation and impact on the community. Navigators work with patients prior to discharge from the hospital to educate them on the hospital's Care Transitions program.

    The Care Transitions program includes a network of SNF's and one home health agency. The Readmission Prevention Manager and a navigator from the system hold weekly meetings at each SNF to review patient discharge plans, schedule an appointment at the post acute clinic, and ensure there is a plan for managing the patient for the duration of the 30-day episode. The Readmission Prevention Manager also receives an email alert from the Emergency Department (ED) each time a Medicare patient who was discharged in the prior 30 days re-presents to the ED.

    During Award Winning Readmission Prevention Protocols: Navigating Care Transitions with Preferred SNF and Home Health Providers, a 45-minute webinar on January 8th, 2014, now available for replay, Josh Luke, Ph.D., FACHE, vice president post acute services at Torrance Memorial Health System and founder of the California Readmission Prevention Collaborative and the National Readmission Prevention Collaborative, shares the key features of the Total Wellness Torrance Program and its impact on readmission rates.


    Home Visits: Assessing Complex Patients Post-Discharge To Reduce Readmissions

    As part of a comprehensive program to manage care transitions for its complex patients, Stanford Coordinated Care, a part of Stanford Hospital and Clinics, is conducting home visits among its high-risk patients.

    Stanford Coordinated Care's clinical nurse specialist, Samantha Valcourt, MS, RN, CNS, developed and implemented the home visits program as part of its care transitions program.

    During Home Visits: Assessing Complex Patients Post-Discharge To Reduce Readmissions, a 45-minute webinar on December 19th, now available for replay, Ms. Valcourt shares the key features of Stanford's Coordinated Care's care transitions program with a special focus on how they use a home visit assessment to improve care transitions post-discharge.


    Medical Home Neighborhoods: Uplinking Specialists To Create Integrated Systems of Care

    Patient-centered medical homes evolving to include specialists are creating new medical neighborhoods. These integrated systems of care can take on more risk and truly manage population health across the spectrum of care.

    Medical Home Neighborhoods: Uplinking Specialists To Create Integrated Systems of Care, a November 20th webinar, now available for replay, examines the trend toward medical neighborhoods and effective strategies for building out the neighborhood. Terry McGeeney, MD, MBA, director of BDC Advisors shares his expertise in developing these systems of care.


    Healthcare Trends & Forecasts in 2014: A Strategic Planning Session

    Sustained growth in emerging reimbursement models, including accountable care, bundled payments and shared savings will continue to have an impact on innovation within the healthcare industry in 2014 as providers and payors struggle to find more ways to reduce costs within their systems and better manage the care they provide.

    The launch of health insurance exchanges, cuts in the Medicare Advantage program and the challenge of meeting the care coordination needs of the dual eligible population will also play a big role in the industry in the coming year.

    During Healthcare Trends & Forecasts in 2014: A Strategic Planning Session, a 60-minute webinar on October 30, 2013, Steven Valentine, president, The Camden Group, and Catherine Sreckovich, managing director, healthcare, Navigant, provided a roadmap to the key issues, challenges and opportunities for healthcare providers and payors in 2014.


    Aligning Value-Based Reimbursement with Physician Practice Transformation

    WellPoint has rolled out in 14 states it's physician practice transformation program in which the transformation is linked to its value-based payment model. Wellpoint is aiming to transform between 76 and 80 percent of its practice with this model within the next three years, explains Julie Schilz, director of care delivery transformation for WellPoint.

    During Aligning Value-Based Payment with Physician Practice Transformation, a 45-minute webinar on October 24th at 1:30 pm Eastern, now available for replay, Schilz shares the key features of WellPoint's transformation initiative, including results from its pilot program that have led to a system-wide rollout.


    Improving Population Health With Embedded Case Managers in an Open, Multi-Payor Community

    Using a self-developed approach that combines elements of Geisinger’s Proven Health® Navigator, Johns Hopkins Guided Care Nursing and the Wagner Chronic Care Model, Taconic Professional Resources is assisting physician practices in the New York Hudson Valley to improve population health and care for their sickest patients through the use of embedded RN case managers.

    Taconic supports, manages, trains and evaluates embedded case managers for physician practices. It started with an 18-month pilot program and moved into an expanded model that serves the CMS Innovation Center’s Comprehensive Primary Care (CPC) initiative—as well as physician practices that function in medical home and ACO structures.

    During Improving Population Health with Embedded Case Managers in Independent Physician Practices, an October 9th webinar, now available for replay, Annette Watson, senior vice president of community transformation for Taconic, shared how embedded case managers have been successfully deployed in an open, multi-payor community.


    Dual Eligibles: Closing Care Gaps and Engaging Members in Self-Management

    With a wide range of needs beyond traditional healthcare that can impact the health status of dual eligibles, organizations that serve the dual eligible population often look to community-based resources to help close social service gaps for these members. Wellcare Health Plan Inc. has developed a unique approach to identify, connect and sustain community service agencies in its markets.

    During Dual Eligibles: Closing Care Gaps and Engaging Members in Self-Management, an October 2, 2013 webinar, Pamme Taylor, WellCare’s vice president of advocacy and community-based programs, shares Wellcare’s strategy for meeting a broad spectrum of a member’s needs with community-based services and how these partnerships contribute to the engagement of duals in self-management of their care.


    Medicare Pioneer ACO Year One: Lessons from a Top-Performer

    The keys to success in year one of the Medicare Pioneer ACO for Monarch HealthCare were engaging vulnerable patients in the ACO and developing a strategy to align non-contracted physicians.

    Monarch HealthCare was the third most successful pioneer ACO in terms of cost savings and the second most successful in beating the trend.

    During Medicare Pioneer ACO Year One: Lessons from a Top-Performer, a September 18th webinar at 1:30 pm Eastern, Colin LeClair, executive director of ACO for Monarch HealthCare, shared first year lessons from its Medicare Pioneer ACO experience, how it evolved in year two and the impact on its organization's participation in other accountable care organizations.


    Managing Population Health with Integrated Registries and Effective Patient Touchpoints

    Maximizing patient touchpoints, modifying workflows and creating a safety net for high-risk conditions enables Kaiser Permanente to manage the health of its population proactively.

    During Managing Population Health with Integrated Registries and Effective Patient Touchpoints, a July 31st webinar, Jim Bellows, PhD, Senior Director, Evaluation and Analytics, Kaiser Permanente, will share his organization's approach to population care and population health management.


    Performance Quality Measurement and Reporting for Accountable Care

    Performance measures pulled from both manual chart reviews and an electronic medical record helped John C. Lincoln Network identify areas in need of improvement at the end of its first year as a Medicare Shared Savings Program Accountable Care Organization.

    With the help of a Physician Advisory Committee and additional tools built into the EMR, John C. Lincoln Network was able to make improvements in this area during the 2013 reporting year.

    During Performance Quality Measurement and Reporting for Accountable Care, a July 17th webinar at 1:30 p.m., Karen Furbush, business consultant, and Heather Jelonek, chief operating officer, accountable care organization, John C. Lincoln Network, will share how the organization has modified its reporting process from workflow changes to customizations within its EMR to improve performance results.


    Health Coaching's Value in Accountable Care and Medical Homes

    Within value-based reimbursement, health coaches can play a critical role in managing the health of chronic care patients. Through the use of patient registries and the necessary skill sets, health coaches can drive population health management processes for the improved outcomes needed to succeed in a value-based system.

    During Health Coaching's Value in Accountable Care and Medical Homes, a June 19th, 2013 webinar at 1:30 p.m. Eastern, William Appelgate, executive director of the Iowa Chronic Care Consortium, will share how an evidence-based health coaching focus drives returns in a value-based payment delivery system. Alicia Vail, R.N. health coach, Ochsner Health System, will join Appelgate and share an overview of Ochsner's health coaching program at eight clinics within its value-based healthcare system. Vail will also drill-down to the coaching interventions and results achieved from the health coaching program at the clinic in which she coaches.


    Patient Engagement and Provider Collaborations Across the Healthcare Continuum to Improve Care Transitions

    Hospital admissions and readmissions among Medicare beneficiaries declined nearly twice as much in communities where Quality Improvement Organizations coordinated interventions that engaged the whole community to improve care than in comparison communities, according to a study in the Journal of the American Medical Association. The JAMA study shows how state-based QIOs, under the direction of national coordinator, the Colorado Foundation for Medical Care (CFMC), coordinated community-based efforts with hospitals and other medical and social service providers to improve care transitions and reduce readmissions.

    The first step for any healthcare organization and community-based healthcare providers is to conduct a root cause analysis of readmission data, which can vary from community to community, says Alicia Goroski, MPH, senior project director for care transitions for CFMC.

    During Patient Engagement and Provider Collaborations Across the Healthcare Continuum to Improve Care Transitions, a May 22nd, 2013 webinar, now available for replay, Goroski shares the lessons learned from the 14 communities that participated in the CMS care transition demonstration project and details on how the program is being rolled out in 400 communities and to over 12 million Medicare beneficiaries across the country.


    Medicare Pioneer ACO: Case Study on Atrius Health's Focus on the Triple Aim

    By applying an "ACO magnifying glass" to high-risk patients and high-cost events, and using an organizational background in rapid cycle improvement, Atrius Health has developed focused interventions to hit Triple Aim goals within their Medicare's Pioneer ACO model.

    During Medicare Pioneer ACO: Case Study on Atrius Health's Focus on the Triple Aim, a 45-minute webinar on May 9th, now available for replay, Emily Brower, executive director of accountable care programs at Atrius Health, shares the first year lessons from its experience as a Medicare Pioneer ACO and how the program is evolving in year two.


    Healthcare Social Business Strategy: Driving Adoption with Social, Mobile and Cloud Technologies

    The convergence of social, mobile and cloud technologies is the driving trend behind the exploding growth of social healthcare. Healthcare organizations are increasingly using social strategies to manage content and facilitate collaboration among providers, patients and researcher communities.

    To maximize the return on investment on social, healthcare organizations need to adopt an open and collaborative approach to increase productivity and better serve patients and member needs.

    During Healthcare Social Business Strategy: Driving Adoption with Social, Mobile and Cloud Technologies, a May 1st webinar, now available for replay, Andrew Dixon, senior vice president of marketing and operations, Igloo Software, discusses the key factors in formulating an effective social strategy, along with implementation and best practice guidance from leading healthcare organizations with social strategies that are having a bottom line impact.


    Care Transition Management: Strategies for Effective Patient Handoffs

    With focused attention on the patient handoff process, Regions Hospital has watched its readmission rates decrease from over 11 percent in 2009 to 9.5 percent for all patients and achieve readmission rates for 2012 that are better than its expected results, as predicted by modeling outside of the organization.

    Cullman Regional Medical Center's award-winning "Good to Go" recorded hospital discharge instructions has resulted in a 15 percent decline in readmission rates for patients who received recorded discharge instructions and a 58 percent increase in HCAPS satisfaction scores.

    During Care Transition Management: Strategies for Effective Patient Handoffs, a 60-minute webinar on April 24th, now available for replay, Joshua Brewster, director of care management at Regions Hospital, a HealthPartners hospital, and Cheryl Bailey, vice president of patient care services at Cullman Regional Medical Center, shared the key features of their care transition management programs.


    A Strategic, Best Practice Approach to Improve CMS Star Quality Ratings

    With an additional star in CMS Star Quality Ratings worth about $50 per member per month (PMPM), according to L.E.K. Consulting (when moving from a three- to four-star MA plan), health plans are fine-tuning their operational processes to improve their ratings.

    During A Strategic, Best Practice Approach to Improve CMS Star Quality Ratings, a 45-minute webinar on April 16th, available for replay, Joseph Johnson, vice president, L.E.K. Consulting, shares how to stratify and prioritize strategies to improve quality ratings and insight into the future direction of the CMS Star Quality program.


    Moving Forward with Payment Bundling

    With the recent announcement of 500 provider organizations selected to participate in the Bundled Payments for Care Improvement initiative, believed to be the largest demonstration project ever run by CMS, both payer and provider interest in the adoption of payment bundling is at an all-time high.

    Moving Forward with Payment Bundling, a 45-minute webinar on March 13, 2013, now available for replay, features Jay Sultan, associate vice president and chief product portfolio architect for Trizetto, who provides perspectives on the emerging bundled payment trend.


    The Role of Case Managers in Emerging Care Delivery Models

    With the continued expansion of patient-centered medical homes and accountable care organizations, case managers are taking on a more standardized, collaborative approach to care coordination.

    During The Role of Case Managers in Emerging Care Delivery Models, a 45-minute webinar on February 21, 2013, now available for replay, Teresa Treiger, RN-BC, MA, CHCQM-CM/TOC, CCM, president, Ascent Care Management, provides perspectives of the changing healthcare landscape for case management and care coordination.


    Health and Wellness Incentives: Positioning for Outcome-Based Incentives

    Outcome-based incentives are a valuable and important tool to encourage health behavior change and results among a defined population. However, with the growing trend toward outcome-based incentives, the incentive structure needs to balance this motivation with the sustainability of a program and regulatory requirements.

    In its 2012 Health Care Changes Ahead Survey Report, Towers Watson reports growing interest in outcomes-based wellness plans. Some 25 percent of employers rewarded incentives based on biometric outcomes in 2011 and an additional 9 percent reported that they planned on rewarding incentives based on biometric outcomes in 2012. Moreover, 48 percent reported considering this approach for 2013 or 2014.

    During Health and Wellness Incentives: Positioning for Outcome-Based Incentives, a February 4, 2013 webinar, now available for replay, John Riedel, president, Riedel & Associates Consultants, Inc., shares the key strategies in sustaining a health and wellness incentive program and moving toward outcome-based results.


    Physician Hospital Organizations: Developing a Collaborative Structure for Shared Savings Agreements

    As payors and large employers aggressively look to hospitals and physicians to move from volume to value of healthcare services, the industry is seeing a resurgence in physician hospital organizations (PHOs).

    With an eye toward shared savings agreements, PHOs provide a collaboration tool for physicians and hospitals to organize and participate in these evolving healthcare payment and delivery models.

    During Physician Hospital Organizations: Developing a Collaborative Structure for Shared Savings Agreements, a 45-minute webinar on January 23rd, 2013, Greg Mertz, director, Healthcare Strategy Group and Travis Ansel, manager of strategic services, Healthcare Strategy Group, explore the key contractual elements to consider when creating a PHO for the purpose of participating in value-based payment models.


    Care Coordination for Dual Eligibles: A Results-Oriented Approach

    The approximately 9 million low-income elderly and disabled individuals who are Medicare and Medicaid dual eligibles are poorer and sicker than Medicare and Medicaid beneficiaries as a whole, and consequently account for disproportionate shares of Medicaid and Medicare spending, according to a study by the Kaiser Commission on Medicaid and the Uninsured. Dual eligibles make up 15 percent of Medicaid beneficiaries but account for 39 percent of Medicaid spending; they make up 21 percent of Medicare beneficiaries but account for 36 percent of Medicare spending.

    With a long history in serving Medicare beneficiaries, Scan Health Plan has a multi-pronged, strategic approach to reaching dual eligibles based on the specific needs of the member. This unique care management model emphasizes prevention and early intervention, with a focus on medication management.

    Recent analyses by Avalere Health of Scan Health Plan's care management model demonstrate its effectiveness in reducing readmission rates and inpatient hospital admissions and producing significant cost savings tied to the improvement in health status of members.

    During Care Coordination for Dual Eligibles: A Results-Oriented Approach, a December 6th, 2012 webinar, now available for replay, Dr. Timothy Schwab, chief medical officer, Scan Health Plan, shares his organization's strategic approach to serving the dual eligible market.


    Readmission Penalties in 2013: A Cross-Continuum Approach To Lessen The Financial Impact

    CMS readmission penalty rolled out this month with hospitals facing a penalty cap of 1 percent of their Medicare revenue this fiscal year. The penalty will increase to 2 percent in FY 14 and 3 percent in FY 15. Hospitals may also be subject to additional conditions for the penalty beyond the initial heart attack, heart failure and pneumonia DRGs.

    Hospitals are making the transition from the mindset that every readmission is revenue to every readmission is a penalty and developing collaborative strategies with the post-acute providers in their communities to ensure the transition out of the hospital and the reception into the next site of care is a successful one.

    During Readmission Penalties in 2013: A Cross-Continuum Approach To Lessen The Financial Impact, a November 14th, 2012 webinar, now available for replay, Amy Boutwell, MD, MPP, president of Collaborative Healthcare Strategies, co-founder of the STAAR (State Action on Avoidable Rehospitalizations) Initiative of the Institute for Healthcare Improvement (IHI) and senior physician consultant to the National Coordinating Center for the CMS QIO Care Transitions Theme, shared cross-continuum strategies and tactics to reduce readmissions and lessen the financial impact of the Readmission Penalty program.


    Healthcare Trends & Forecast in 2013: A Strategic Planning Session

    Each year, healthcare executives rely on the strategic advice they receive during the annual Healthcare Trends & Forecasts webinar sponsored by the Healthcare Intelligence Network.

    This annual, must-attend event provides a first look analysis at the key trends and opportunities for healthcare organizations in the coming year.

    With the industry moving ahead to implement the upcoming requirements of the Affordable Care Act following the Supreme Court decision to uphold the law, a noticeable jump in the formation of accountable care organizations and new healthcare delivery models, including the patient-centered medical home and bundled payment programs, healthcare organizations have much to monitor in the year ahead.

    This year's session, Healthcare Trends & Forecast in 2013: A Strategic Planning Session, a 60-minute webinar on October 17, 2012 at 1:30 p.m. Eastern time, will feature Steven Valentine, president, The Camden Group, Hank Osowski, managing director of Strategic Health Group and Dennis Eder, also a managing director at Strategic Health Group.


    Improving Population Health Management: Through Effective, Efficient Data Analytics

    As part of its clinical transformation project, Bon Secours Health System has watched the progression of its data collection efforts mature into usable knowledge and wisdom to better manage the health of its population.

    Using custom builds in its EPIC electronic health record system, Bon Secours has developed sophisticated reporting, patient registries and a predictive model to identify high-risk patients.

    During Improving Population Health Management Through Effective, Efficient Data Analytics, an October 3rd, 2012 webinar, now available for replay, Robert Fortini, vice president, chief clinical officer at Bon Secours Health System drills down on Bon Secours' tools and protocols.


    Population Health Management: Achieving Results in a Value-Based Healthcare System

    Employers, health plans and physician practices are being charged with managing the health of the population they serve under an increasingly value-based healthcare system. From low-risk patients to chronic, acute-risk patients, healthcare organizations must develop strategies for stratifying, communicating and engaging patients in population health management programs.

    During Population Health Management: Achieving Results in a Value-Based Healthcare System, a September 26th, 2012 webinar, now available for replay, Patricia Curran, director, Buck Consultants National Health Management Practice, shared the types of population health management programs and how these programs can produce tangible results in terms of improved outcomes and costs savings.


    Integrated Health Coaching: The Next Generation in Health Behavior Change Management

    An integrated health coaching approach that addresses the needs of those with lifestyle and health behavior changes, along with those with chronic conditions, provides a coaching model that address participants' needs across the continuum while delivering results in a reduction of healthcare utilization, improvements in clinical and HEDIS measures and a return on investment.

    During Integrated Health Coaching: The Next Generation in Health Behavior Change Management, Kelly Merriman, HealthFitness' vice president of service delivery and Dr. Dennis Richling, chief medical and wellness officer at HealthFitness, a September 20th, 2012 webinar, now available for replay, shares the key features of HealthFitness' integrated health coaching program, from how participants are assessed and assigned to coaches to the program's impact.


    Patient Engagement in the Patient-Centered Medical Home: A Continuum Approach

    With increased patient accountability in the patient-centered medical home, accountable care organizations and other emerging healthcare delivery models, healthcare organizations need to engage members and patients to change their behaviors in ways that increase quality, reduce cost and improve their overall healthcare experience. The consumer engagement team at Horizon Blue Cross Blue Shield of New Jersey is targeting four key areas within its healthcare delivery models to engage consumers, including: consumer insight, technology, behavioral economics and outreach and communications.

    During Patient Engagement in the Patient-Centered Medical Home: A Continuum Approach, a 45-minute webinar on Wednesday, August 22nd, now available for replay, Jay Driggers, director of consumer engagement at Horizon BCBS, shares how Horizon approaches engagement.


    Advanced Illness Care Coordination: A Case Study on Aetna's Compassionate Care Program

    Aetna's Compassionate Care Program, a case management program that specifically targets patients with advanced illness, has had an enormous impact on the number of inpatient stays, average length of stay, emergency room visits, ICU days and hospice selection rate for the patients it serves, according to a study published in the Journal of Palliative Medicine. During Advanced Illness Care Coordination: A Case Study on Aetna's Compassionate Care Program, a 45-minute webinar on June 13, 2012, now available for replay, Dr. Joseph Agostini, senior medical director, Aetna Medicare, shares the key features of the Compassionate Care Program at Aetna, along with the impact the program has had on healthcare utilization and quality outcomes.


    Identifying, Engaging and Breaking Down Patient Barriers To Reduce Avoidable ED Use

    A community-based approach that identifies and breaks down barriers to using the emergency room as a usual source of care among targeted populations is helping UPMC Health Plan reduce emergency department visits. During Identifying, Engaging and Breaking Down Patient Barriers To Reduce Avoidable ED Use, a 45-minute webinar on June 6, 2012, now available for replay, Debra Smyers, senior director of program development at UPMC Health Plan, shared the inside details on the five-pronged approach UPMC developed to target avoidable ED visits.


    The Patient-Centered Medical Home: Lessons from a Statewide Rollout

    A primary care focused pay-for-performance program at Blue Cross Blue Shield of Florida has been transitioned this year into a statewide patient-centered medical home initiative. While the Recognizing Physician Excellence program (RPE) program had moved the bar on quality metric performance, the move to the PCMH provides a look at both the quality and efficiency factors of a patients care. During The Patient-Centered Medical Home: Lessons from a Statewide Rollout, a 45-minute webinar on May 10th, now available for replay, Barbara Haasis, R.N., CCRN, senior clinical lead, quality reward and recognition programs at Blue Cross Blue Shield of Florida, shared how the health plan transitioned from the RPE program into a medical home model.


    Reducing Avoidable Medicaid ER Visits With a Community Partnership Approach

    A statewide quality improvement project aimed at reducing avoidable emergency room visits among Medicaid patients in California created a unique partnership between L.A. Care Health Plan, the country's largest Medicaid managed care plan, and Children's Hospital Los Angeles. During Reducing Avoidable Medicaid ER Visits With a Community Partnership Approach, a 45-minute webinar on Wednesday, May 9th, now available for replay, Laura Linebach, director of quality improvement at L.A. Care Health Plan, shared the inside details on how the health plan worked with the hospital to target avoidable ER use and results from the initiative.


    Recruiting, Training and Case Load Management Strategies for Embedded Case Managers

    As part of the transformation of physician practices to patient-centered medical homes within Bon Secours Health System, embedded case managers are placed within practices to function as nurse navigators for patients with complex needs or for those experiencing transitions of care. During Recruiting, Training and Case Load Management Strategies for Embedded Case Managers, a 45-minute webinar on May 3rd at 1:30 p.m. Eastern, Irene Zolotorofe, administrative director of clinical operations at Bon Secours Health System, will share the process that Bon Secours has established for recruiting, selecting and placing an embedded case manager in their practices, along with details on case load management, tools used by case managers and benchmarks for measuring effectiveness.


    Leveraging Case Management Tools and Technology to Improve Outcomes

    At Arkansas Blue Cross and Blue Shield, case managers have access to an intranet repository that provides at their fingertips materials and tools to help them perform their job functions. Developed internally, the site provides access to policies and procedures, patient education materials and resources, evidence-based guidelines and documentation and coding information, as well as licensure information. During Leveraging Case Management Tools and Technology to Improve Outcomes, a 45-minute webinar on April 11, 2012 at 1:30 pm Eastern, Karen Black, RN, HIPAAP, quality improvement coordinator for Arkansas Blue Cross Blue Shield, will share how the tool was developed, how it fits into the case manager's workflow and the key features that are directly attributed to improvements in patient care delivery.


    Physician Pay-for-Performance: Refining the Bonus Structure To Meet Market Realities

    In existence for 15 years, the Highmark Inc. physician pay for performance program, Quality Blue, which continues to evolve, is providing its 6,300 enrolled primary care physicians the opportunity to earn bonus payments across six measure sets. Physicians are eligible for bonus payments across a broad spectrum of measures from clinical and quality measures to prescribing habits, access to care and level of technology use. In addition, practices can also qualify for a bonus payment based on their development and improvement of a Best Practice evidence-based quality improvement project. During Physician Pay-for-Performance: Refining the Bonus Structure To Meet Market Realities, a 45-minute webinar on March 22, 2012, now available for replay, Julie Hobson, R.N., B.S.N., manager of provider engagement, performance and partnership at Highmark Inc., describes how the program has evolved to meet todays healthcare market realities.


    Telephonic Case Management: Protocols for Behavioral Healthcare Patients

    Telephonic case management among behavioral health patients at Carolina Behavioral Health Alliance is targeting high-volume users of the emergency room and inpatient hospital stays for behavioral health concerns. During Telephonic Case Management: Protocols for Behavioral Healthcare Patients, a 45-minute webinar on March 7th, 2012 at 1:30 p.m. Eastern time, Jay Hale, director of quality improvement and clinical operations at Carolina Behavioral Health Alliance, will share the case management protocol developed by his organization, including using scripts and surveys to assess patients engagement in the treatment process and identify patients at-risk.


    Mapping the Way to ICD-10 Readiness: Blue Cross Blue Shield of Michigan's Approach

    A three-step process for resolving discrepancies between ICD-9 and ICD-10 codes has allowed Blue Cross Blue Shield of Michigan to complete its version of the General Equivalence Mappings (GEMs) and move closer toward ICD-10 compliance readiness. During Mapping the Way to ICD-10 Readiness: Blue Cross Blue Shield of Michigan's Approach, a 45-minute webinar on January 18, 2012, Dennis Winkler, ICD-10 technical program director at Blue Cross Blue Shield of Michigan, shared the health plan's mapping strategy along with other organizational readiness tactics.


    Demonstrating the Value of the Embedded Case Manager for the Medicare Population

    With an aggressive expansion plan set for its embedded case management program, Aetna has clearly demonstrated the value of embedded case managers working side-by-side with physicians serving Aetna's Medicare members. Aetna began placing case managers in primary care practices in 2007 after its telephonic case management program showed significant reductions in the number of acute care days. During Demonstrating the Value of the Embedded Case Manager for the Medicare Population, Dr. Randall Krakauer, Aetna's Medicare medical director, shared the strategy supporting its embedded case management initiative, along with results from the program in terms of healthcare utilization and member satisfaction.


    Healthcare Trends in 2012: A Strategic Industry Forecast

    Each year, healthcare executives rely on the strategic advice they receive during the annual Healthcare Trends & Forecasts webinar sponsored by the Healthcare Intelligence Network. This annual, must-attend event provides a first look analysis at the key trends and opportunities for healthcare organizations in the coming year. With unprecedented economic conditions continuing to impact the industry, new healthcare payment and delivery options available for healthcare providers and the ongoing implementation of the Patient Protection and Affordable Care Act, healthcare organizations have much to monitor in the year ahead. This year's session, Healthcare Trends in 2012: A Strategic Industry Forecast, a 45-minute webinar on November 2nd, featured Steven Valentine, president, The Camden Group.


    Evaluating CMS Bundled Payment Initiative: Legal, Financial and Clinical Considerations

    Determining how much risk your organization is willing to take, along with the key characteristics of your organization are two factors that will help you determine whether your organization should participate in CMS' Bundled Payments for Care Improvement (BPCI) and which model is the best fit for your organization. And with CMS' recent extension of the deadline to file the BPCI program application due to high levels of interest, healthcare organizations have even more time to determine if their organization should participate and if so, which model to select. During Evaluating CMS Bundled Payment Initiative: Legal, Financial and Clinical Considerations, a 45-minute webinar on October 19th, James Reilly, managing partner with TRG Health Care Solutions, examined the key distinctions between each of CMS four bundled payment models and share his expertise on the organizational criteria that is most effective in bundled payment programs.


    The Role of Embedded Case Managers in Clinical Transformation

    As part of the clinical transformation program to a patient-centered medical home CDPHP has placed health plan embedded case managers in physician practices to better facilitate medical, behavioral and pharmaceutical services for high risk patients. During The Role of Embedded Case Managers in Clinical Transformation, a 60-minute webinar on September 20, 2011, available for On Demand replay on the web, DVD or CD, Lisa Sasko MA, MBA, director of clinical transformation and Charlene Schlude, director of case management, at CDPHP, shares the business reason for an embedded case management program to bring your healthcare organization to the new level of care required in today's healthcare system, as well as the day-to-day interactions of embedded case managers with providers in a practice.


    Embedded Case Management in the Primary Care Practice: Program Design and Results

    Modeled after Geisinger Health System's Patient Care Navigator program, Bon Secours Health System launched an embedded case management program in 2009. Adapting the Geisinger model to fit its unique needs, Bon Secours' embedded case managers have been placed in eight physician practices and will be expanded system-wide over the next two years. During Embedded Case Management in the Primary Care Practice: Program Design and Results, a 45-minute webinar on August 10, 2011, Robert Fortini, vice president and chief clinical officer at Bon Secours Health System, shares the program's development and roll-out strategy.


    Healthcare Performance Improvement: Exceeding Core Measure Targets for Value-Based Reimbursement

    With CMS moving toward a value-based purchasing system effective October 2012, hospitals are struggling to improve their core measurement scores before their reimbursement levels are impacted.

    Healthcare Performance Improvement: Exceeding Core Measure Targets for Value-Based Reimbursement, a 45-minute minute webinar on July 20, 2011 now available for replay, features Dr. Steve Berkowitz, president at SMB Health Consulting and former chief medical officer for the central and west Texas division of HCA at St. David's HealthCare, who shares practical strategies for improving core measures, as well as modeling techniques to illustrate the impact of a hospital's failure to meet the measures. Dr. Berkowitz draws upon his quality improvement experience at St. David's HealthCare, which has among the best CMS core measures in the country.


    Improving Medication Adherence Benchmarks Through Community Pharmacist Interventions

    Improving Medication Adherence Benchmarks Through Community Pharmacist Interventions, a 45-minute on May 25, 2011. A patient-centered approach to pharmacy visits combined with motivational interviewing by community pharmacists is improving medication adherence rates for members of Highmark Blue Cross Blue Shield.

    The pilot program, a collaborative between Highmark, the University of Pittsburgh School of Pharmacy, and Rite Aid pharmacies, is training pharmacists to use motivational interviewing techniques with patients at-risk of medication non-adherence.

    During this 45-minute webinar, Janice Pringle, Ph.D., director of program evaluation research unit at the University of Pittsburgh School of Medicine, describes how patients are identified for the intervention and the tools and strategies that pharmacists are using to improve adherence benchmark levels.


    Reducing Readmissions Through Multi-Disciplinary Post-Discharge Support

    Reducing Readmissions Through Multi-Disciplinary Post-Discharge Support, a 45-minute recorded program from May 18, 2011. By risk-stratifying patients at high risk for hospitalizations and re-hospitalizations into a coordinated, multi-disciplinarian program, HealthCare Partners Medical Group of California has significantly reduced readmissions for its patients, including Medicare Advantage members, commercially insured individuals and dual eligibles.

    During this 45-minute webinar, you'll hear from HealthCare Partners Medical Group of California's corporate medical director Dr. Stuart Levine on HCP's approach to hospital readmissions, which is responsible for achieving the lowest readmission rates in the organization's history.


    Improving Medication Adherence Benchmarks Through Community Pharmacist Interventions

    Improving Medication Adherence Benchmarks Through Community Pharmacist Interventions, a 45-minute on May 25, 2011. A patient-centered approach to pharmacy visits combined with motivational interviewing by community pharmacists is improving medication adherence rates for members of Highmark Blue Cross Blue Shield.

    The pilot program, a collaborative between Highmark, the University of Pittsburgh School of Pharmacy, and Rite Aid pharmacies, is training pharmacists to use motivational interviewing techniques with patients at-risk of medication non-adherence.

    During this 45-minute webinar, Janice Pringle, Ph.D., director of program evaluation research unit at the University of Pittsburgh School of Medicine, describes how patients are identified for the intervention and the tools and strategies that pharmacists are using to improve adherence benchmark levels.


    Patient Registries: A Cornerstone in Creating and Delivering Accountable Care

    Patient Registries: A Cornerstone in Creating and Delivering Accountable Care, a 45-minute archive version program on April 28, 2011. Improving the quality of care and outcomes of a defined population for which healthcare organizations are accountable requires a true understanding of the patient population being served. An effective patient registry will ensure that a healthcare organization is delivering recommended care and identifying ways to improve outcomes.

    Whether pulled from an electronic health record or from a stand-alone patient registry solution, healthcare organizations need usable, actionable data from their patient registries.

    During this 45-minute archive version webinar, Dr. Gregory Spencer, chief medical officer, Crystal Run Healthcare shares the best practices of patient registries.


    Identifying Functional Decline in Chronic Care Patients To Reduce Preventable Healthcare Utilization

    Identifying Functional Decline in Chronic Care Patients To Reduce Preventable Healthcare Utilization, a 45-minute archive version program on April 27, 2011. By identifying changes in functional status, which lead to decline among the elderly population who have various chronic illnesses, healthcare organizations can intervene to prevent emergency room visits and hospital inpatient stays.

    Fallon Community Health Plan (FCHP), along with the Fallon Clinic are not only reducing healthcare utilization through this strategy, but also maintaining optimal function and preventing or delaying further decline for these patients and reporting a healthy return on investment on program costs.

    During this 45-minute archive version webinar, Patricia Zinkus, director of case management, and Susan Legacy, senior manager of case management at FCHP sharees how they identify Medicare Advantage members at risk of high utilization, the strategies they've implemented to reduce this utilization and the outcomes and cost savings achieved by FCHP.


    Assessing ACO Business Opportunities in the Medicare and Commercial Markets

    Assessing ACO Business Opportunities in the Medicare and Commercial Markets, a 45-minute archive version program on April 21, 2011. With CMS' long-awaited proposed rule governing the Medicare Shared Savings (ACO) program now on the table, healthcare organizations will begin to analyze the opportunities that exist with the program and will continue to move forward to take advantage of the commercial ACO opportunity.

    During this 45-minute archive version webinar, Greg Mertz, senior project director with the Healthcare Strategy Group provides a critical analysis of CMS's final rule on Medicare Shared Savings and how they will impact commercial ACOs.


    Improving Transitions of Care Between Hospital and SNF: A Collaboration Supporting the Accountable Care Vision

    Improving Transitions of Care Between Hospital and SNF: A Collaboration Supporting the Accountable Care Vision, a 60-minute archive version webinar on April 6, 2011. Through a growing number of community partnerships with skilled nursing facilities, the Care Coordination Network created by Summa Health System has been able to reduce hospital readmission rates and average length of stay for patients transferred to these SNFs...and has them well-positioned as they work toward development of an accountable care organization (ACO).

    By identifying three key areas to improve care transitions between the hospital discharge and a SNF admission, Summa Health System developed a collaborative model of care for this next level of care among a network of privately owned, competing SNFs.

    During this 60-minute archive version webinar, Carolyn Holder, manager of transitional care for Summa Health System and Michael Demagall, administrator, Bath Manor & Windsong Care Center, shares how to create a win-win for SNFs and hospitals to reduce readmission rates; strategies implemented by Summa to address the key hospital-to-SNF transition challenges and how the partnership is being developed and enhanced as the hospital system works toward development of an ACO.


    Aligning Physician Incentives for Shared Risk and Reward Across the Healthcare Continuum

    Aligning Physician Incentives for Shared Risk and Reward Across the Healthcare Continuum, a 45-minute archive version webinar on March 2, 2011. The alignment of incentives for both physicians and hospitals to share risk and reap rewards for coordinating care across the healthcare continuum is continuing to increase in preparation of accountable care organizations and bundled payment pilots.

    With a rich history in pay-for-performance programs, HealthPartners is developing new measures and incentives to move from driving volume in healthcare services to driving value.

    During this 45-minute archive version webinar, Babette Apland, senior vice president of health and care management for HealthPartners, shares how HealthPartners is aligning physician incentives and shared savings with pay-for-performance programs and a total cost of care initiative.


    Rewarding Primary Care Practice Reform with Physician Payment Reform: A Medical Home's Experience

    Rewarding Primary Care Practice Reform with Physician Payment Reform: A Medical Home's Experience, a 45-minute archive version webinar on February 23, 2011, part of the Medical Home Open House series. With the dual goal of improving the value of healthcare and enhancing the compensation to primary care physicians, Capital District Physicians' Health Plan Inc., (CDPHP), a network model health plan, launched a two-phase pilot in 2008 to reform both the practice of primary care in its network and the payment to these physicians.

    During this 45-minute archive version webinar, Bruce Nash, MD, MBA, senior VP of medical affairs and CMO for CDPHP, describes how CDPHP met the challenge of developing a novel risk adjustment methodology that would drive a global payment combined with a significant bonus structure to attract physician participation and encourage future growth by medical students to enter primary care.


    Evaluating Health and Wellness Incentive Programs for Behavior Change

    Evaluating Health and Wellness Incentive Programs for Behavior Change, a 45-minute archive version webinar on February 10, 2011. At Premera Blue Cross, a constant evaluation is being conducted to understand how changes to incentives for member participation and engagement in health and wellness programs impact behavior change.

    During this 45-minute archive version webinar, Neal Sofian, MSPH, director of member engagement at Premera, shares his organization's techniques and strategies to increase engagement in and results from health and wellness programs.


    Physician-Owned ACOs: Overcoming the Legal and Regulatory Compliance Challenges

    Physician-Owned ACOs: Overcoming the Legal and Regulatory Compliance Challenges, a 45-minute archive version webinar on January 19, 2011. Poised to succeed under the Medicare Shared Savings Program in the Patient Protection and Affordable Care Act, the Medical Society of Queens County, Inc. is facilitating the creation of one of New York State's largest physician ACOs.

    With a January 2012 expected launch date, physicians and healthcare providers must begin the organizational process now to participate in the Medicare Shared Savings Program, even while waiting for final program details from CMS and formal guidance from the FTC.

    During this 45-minute archive version webinar, Jeffrey R. Ruggiero, Esq., a Partner in the law firm of Arnold & Porter LLP, who is advising the Queens County Medical Society, shares the Medical Society's ACO development approach.


    Maximizing the Nurse Advice Line To Ensure Appropriate Healthcare Utilization

    Maximizing the Nurse Advice Line To Ensure Appropriate Healthcare Utilization, a 45-minute archive version webinar on January 6, 2011. From reducing avoidable emergency room visits to reducing re-hospitalizations, a nurse advice line can have big pay-offs in terms of appropriate healthcare utilization. To accomplish these goals, nurse advice lines need to be effectively staffed and need to build relationships with local physicians and engage the consumer.

    During this 45-minute archive version webinar, Patricia Curtis, director of operations, clinical care services, Optima Health, shares how Optima's nurse advice line has evolved from a call center that supported a staff model HMO to a critical component of the organization's effort to improve the efficiency of healthcare utilization.


    Redesigning the Physician Practice for Improved Efficiency and Increased Revenue

    Redesigning the Physician Practice for Improved Efficiency and Increased Revenue, a 45-minute archive version webinar on December 15, 2010. In an era of the patient-centered medical home and accountable care organizations, there has been a sea change of what is required for physicians to accomplish during a patient visit. Physicians need to learn how to work smarter, not harder, says Dr. David Eitrheim, a family physician with Mayo Clinic Health System-Menomonie.

    During this 45-minute archive version webinar, Dr. Eitrheim shares how his practice made the transformation from a traditional practice to this team-based approach.


    Health Plan Rate Setting: Balancing Premium Increases Against Regulatory Oversight

    Health Plan Rate Setting: Balancing Premium Increases Against Regulatory Oversight, a 45-minute archive version webinar on December 8, 2010. With increased government oversight on healthcare premium rate increases and negative perceptions in the marketplace for increases, health plans are facing a tough environment to justify rate increases.

    During this 45-minute archive version webinar, John Steele and Steve Young, both managing directors, HealthScape Advisors, share how health plans can develop a sound policy for premium rate increases that will meet with regulatory approval.


    How To Create an ACO Framework Through Clinical Integration with Independent Physicians

    How To Create an ACO Framework Through Clinical Integration with Independent Physicians, a 45-minute archive version webinar on December 1, 2010. As healthcare organizations begin to align to create accountable care organizations and negotiate for bundled payment contracts, the clinical integration of providers allows for the coordination of services among the organizations required for shared accountability and reward.

    During this 45-minute archive version webinar, Dr. Mark Shields, senior medical director with Advocate Physician Partners, shares Advocate's clinical integration strategy.


    Embedded Case Managers in the Emergency Department

    Embedded Case Managers in the Emergency Department, a 60-minute archive version webinar on November 3, 2010. An embedded case manager in the hospital emergency room is becoming a critical element in a hospital's case management program. The embedded case manager is the first line of defense in determining medical necessity and can be instrumental in reducing the number of claim denials for a hospital.

    During this 60-minute archive version webinar, Toni Cesta, Ph.D., senior vice president of operational efficiency and capacity management at Lutheran Medical Center, explores how to effectively structure an ED-based case management program and the potential impacts of an embedded case manager in the ED.


    Healthcare Trends in 2011: A Strategic Industry Forecast

    Healthcare Trends in 2011: A Strategic Industry Forecast, a 60-minute archive version webinar on October 20, 2010. Each year, healthcare executives rely on the strategic advice they receive during the annual Healthcare Trends & Forecasts webinar sponsored by the Healthcare Intelligence Network. This annual, must-attend event provides a first look analysis of the trends and opportunities for healthcare organizations in the coming year.

    During this 60-minute archive version webinar, William Shea, partner, health industry consulting for Cognizant Business Consulting and Steven T. Valentine, president, The Camden Group, cover how healthcare organizations can prepare for the health reform changes required in 2011; short and long-term reform ramifications for the coming year; the critical healthcare industry developments to monitor and much more.


    The Colorado Accountable Care Collaborative: Practical Lessons from an ACO

    The Colorado Accountable Care Collaborative: Practical Lessons from an ACO, a 45-minute archive version webinar on September 29, 2010, part of the Medical Home Open House series. With a January 2011 go-live date for an accountable care organization pilot, the Colorado Department of Health Care Policy and Financing is entering into the final stages of an RFP process to identify regional organizations that will function as ACOs, the medical homes that will serve as providers within the ACO and a state-wide data and analytics vendor that will provide real-time data to the providers within the ACO.

    During this 45-minute archive version webinar, Laurel Karabatsos, deputy Medicaid director and Jerry Smallwood, Medicaid reform unit manager, at the Colorado Department of Health Care Policy and Financing, walk us through the ACO development process in Colorado from the practical challenges to the processes for addressing these challenges.