Sessions tackle industry challenges and offer solutions to address issues facing healthcare payers
NASHVILLE, Tenn., June 6, 2013 /PRNewswire/ -- Emdeon Inc., a leading provider of healthcare revenue and payment cycle management and clinical information exchange solutions, today announced it will present a series of short, insightful educational sessions designed to address some of the most pressing challenges currently facing healthcare payers during America's Health Insurance Plans (AHIP) Institute 2013.
"Emdeon is pleased to offer helpful and timely information to our payer customers regarding innovative operational and technical strategies designed to help simplify the business of healthcare delivery," said Gary Stuart, executive vice president of payer services for Emdeon.
In addition to four in-booth educational sessions during the AHIP Institute, Emdeon is sponsoring a pre-AHIP Institute session on healthcare insurance exchange (HIX) implementation and integration within health plans during AHIP's Exchange Conference. Further, during the AHIP Institute, Emdeon will sponsor a networking breakfast session titled, Big Data Meets Predictive Analytics: Leveraging the Power of MultiPayer Information for Fraud, Waste and Abuse Applications. This session will feature insights on cost containment within the payer sector, and an expert panel will discuss actionable methods to harness the powerful combination of data and analytics.
All of Emdeon's payer solutions will be exhibited at booth 139 at the AHIP Institute 2013 in Las Vegas from June 12-14, 2013. The entire schedule of educational and networking sessions is listed below:
Pre-AHIP Institute Session at AHIP's Exchange Conference Sponsored by HTMS, an Emdeon Company:
Past the Initial Threshold: Day 2, Make It Work!
Wednesday, June 12th at 4:30 pm PDT
Room: Palmer #1
Presenters:
Keri DeBall, Manager of IT and Support Services & HIX Project Manager, WINHealth Partners
Nancy Wise, Vice President, HTMS, an Emdeon company
Jonathan Leonard, Manager of Strategic Consulting, HTMS, an Emdeon company
It's June 2013. As payers are heads-down in short-term implementation for their healthcare insurance exchange (HIX) business, it is also valuable to consider how they can maximize the experience for both their existing and new members as 2014 approaches. This session will outline how, once HIXs are up and running, payers will need to be sure that their HIX line of business is fully integrated with their operations, and also discuss practical ways to ensure the HIX represents new business and is not simply a shift of members from one line of business to another.
Institute Breakfast Session:
Big Data Meets Predictive Analytics: Leveraging the Power of MultiPayer Information for Fraud, Waste and Abuse Applications
Thursday, June 13th at 7:30 am PDT
Room: Lafleur #1
Presenters:
Karl Huff, Vice President of Data & Analytics, Emdeon
Michael Sandoval, CEO, Chairman and Founder, Atigeo
Enhanced detection of potentially wasteful or atypical provider behavior has been a long-term healthcare industry need. Deploying predictive analytical techniques, coupled with robust data sources, may open avenues to generate meaningful cost savings. In this session, hear industry cost containment experts discuss actionable methods to harness the powerful combination of data and analytics that may be useful for your organization.
In-booth Educational Sessions:
Improving Your Bottom Line Through Changing Provider Behavior
Wednesday, June 12th at 6:15 pm PDT
Emdeon Booth 139
Presenter: David Cardelle, Vice President of Payment Integrity – Audit & Recovery, Emdeon
Physician billings for "Evaluation & Management" (E/M) services have been virtually unregulated and are estimated to account for greater than $20 billion in overpayments industry-wide. Through a highly innovative approach that encompasses proactive physician reporting and education, coupled with targeted audits designed to change physician billing behavior, payers can potentially avoid unnecessary costs altogether without disrupting the provider relationship. Learn how this approach has generated over $10 million in demonstrable savings over a six-month period for certain payers.
Going From "In the Red" to "In the Black": How Integra Employer Health Took Electronic Provider Payments From 0% to 80% In a Single Year
Thursday, June 13th at 1:00 pm PDT
Emdeon Booth 139
Presenter: Christian T. Brown, President & CEO of Integra Employer Health
In the era of healthcare reform, electronic adoption of provider payments has hit the spotlight, thanks to the ACA mandate for payers to handle electronic payments (effective January 1, 2014). Learn how one payer implemented a comprehensive payment solution and migrated 80% of their provider reimbursements to electronic methods and is experiencing significant cost savings and operational efficiencies.
Fraud, Waste and Abuse: How Leading Organizations Can Transform Unnecessary Costs into a Strategic Opportunity
Thursday, June 13th at 5:45 pm PDT
Emdeon Booth 139
Presenter: Kelli Garvanian, Solutions Consultant, Emdeon
The continuing rise in healthcare costs is an epidemic that insurers and providers simply must get under control. From the largest multi-plan health insurers to the smallest regional and local payers, leaders must somehow counter the challenges presented by fraud, waste and abuse in the United States healthcare system. To manage this critical issue, most healthcare organizations would like access to an army of experts, but the vast majority have access to only a small platoon, or in some cases, a single soldier. So what are healthcare organizations doing as they consider their next move? Join us to hear how today's healthcare leaders are gearing up to combat fraud, waste and abuse with new insights and a fresh approach.
Systems Modernization: Determining If, When and How New System Investments Should Be Made
Thursday, June 13th at 6:30 pm PDT
Emdeon Booth 139
Presenter: David Gallegos, Senior Vice President, HTMS, an Emdeon company
Modernizing your core systems can be daunting. In this session, learn how your healthcare organization can evaluate the need for systems modernization efforts; specifically, how and when to work with what you have and what to do when it's necessary to deploy new solutions.
About Emdeon
Emdeon is a leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers and patients in the U.S. healthcare system. Emdeon's offerings integrate and automate key business and administrative functions of its payer and provider customers throughout the patient encounter. Through the use of Emdeon's comprehensive suite of solutions, which are designed to easily integrate with existing technology infrastructures, customers are able to improve efficiency, reduce costs, increase cash flow and more efficiently manage the complex revenue and payment cycle and clinical information exchange processes. For more information, visit www.emdeon.com.
SOURCE Emdeon Inc.