Hospitals Developing Health Plans: Key Steps to Becoming a Provider-Payer
Presented on March 28, 2014
Presented by: Alan J. Murray and Ruth Krystopolski
One in five health systems will create their own health plans by 2018, according to a recent study. Spurred by healthcare reform, the creation of health insurance exchanges, and a shift to population health, many health systems are assessing the costs and benefits of becoming a payer.
Join health plan leaders from North Shore-LIJ and Sanford Health as they outline the strategic transition from provider to payer, and new opportunities for controlling costs, managing risk, and maximizing reimbursements.
At the conclusion of this program, participants will be able to:
- Recognize the risks and benefits of assuming an payer role
- Learn how to effectively integrate clinical care and insurance coverage through staffing and infrastructure
- Identify the skills necessary to operate as a payer
- Understanding the implications of risk and insurance
- Building the health plan infrastructure
- Hiring the right skill sets
- Integrating clinical care and insurance coverage
- Initial scope, long-term goals
- Steps toward population health management
- Q & A
Who Should Attend?
CEOs, COOs, CFOs, VPs/SVPs of business development, directors of payer strategy and relations, consultants
Alan J. Murray, President & CEO, North Shore-LIJ CareConnect
Ruth Krystopolski, EVP of Care Innovation and President for Sanford Health Plan in Sioux Falls, South Dakota