Washington, DC (PRWEB) June 12, 2012
Atlantic Information Services, Inc., publisher of Health Plan Week and AIS's Health Reform Week, is pleased to announce its June 26 webinar, Health Information Exchanges: Strategies for Building Next-Generation Insurance Products and Payment Models. See webinar details at http://aishealth.com/marketplace/c2m22_062612.
Pressure to develop new payment models and innovative plan designs is rapidly changing the face of health insurance. Health plans that fail to embrace health information exchanges (HIEs) — which are a cornerstone of industry reform — are likely to be left in the dust. Managing benefits soon will come down to real-time decisions made with clinical data across the spectrum of a patient’s care. But determining exactly how to incorporate HIEs is a major challenge for health insurers and providers.
Health insurers are beginning to see HIEs as essential tools that can help them build new payment models and forge provider alliances that reduce waste and incent physicians to keep members out of the hospital. Aetna Inc., for example, recently paid $500 million to acquire Medicity, a Utah-based HIE vendor.
For insurers, HIEs offer the potential for greater connectivity with network providers. But while HIEs and other efficiency-improving technologies can create value by reducing utilization, such as duplicate tests and unnecessary treatments, such reductions translate to lost revenue for providers, so health plans must tread carefully.
During the webinar, Bradley M. Fluegel, an executive-in-residence at Health Evolution Partners, Charles Kennedy, M.D., chief executive officer of Accountable Care Solutions, and Sherri Zink, vice president of Medical Informatics at BlueCross BlueShield of Tennessee, will provide deep insight into these and other related topics:
• How insurers can transition from claims-based data to HIEs when measuring provider quality.
• How to use HIEs to build new payment models and forge provider alliances that reduce waste and incent caregivers.
• The pros and cons of buying or building an HIE system, or contracting with an existing one.
• How companies such as Aetna and UnitedHealth plan to recoup the nearly $1 billion they’ve invested in HIE firms.
• How insurers can use HIEs to integrate financial risk underwriting with clinical care management.
• How to use HIEs to complete Healthcare Effectiveness Data and Information Set (HEDIS) requirements.
Visit http://aishealth.com/marketplace/c2m22_062612 for more details and registration information.
AIS develops highly targeted news, data and strategies for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. Learn more at http://www.AISHealth.com.
Read the full story at http://www.prweb.com/releases/2012/6/prweb9515088.htm