Provider-Sponsored Health Plans: Insights for Health Systems and Accountable Care Organizations
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All current and prospective students, alumni, faculty, advisory boards, DMU Board of Directors, members of the Des Moines and central Iowa health care community (health systems, long term care, ACOs, payers, etc.), clinical/non-clinical, influencers, etc.
The launch of health insurance marketplaces, the Medicare Access and CHIP Reauthorization Act (MACRA) and the broader shift in payment models from fee-for-service to value-based care have spurred provider health systems to explore a variety of risk models, including establishing Accountable Care Organizations (ACOs) and/or their own provider-sponsored health insurance plans (PSPs). What components and practices characterize the top performers among these plans? Join Deloitte Consulting and Des Moines University’s master of health care administration (MHA) program to find out with a keynote and panel of local experts in the field.
The free event also will celebrate the MHA program’s accreditation by the Commission on Accreditation of Healthcare Management Education (CAHME), the only organization recognized to grant accreditation to individual academic programs offering professional master’s degrees in the field. This prestigious credential is the “gold standard” that assures students that DMU’s M.H.A. program has achieved the highest standards in its purpose, curriculum, the student experience and the success of its graduates in a competitive job market.
DMU’s MHA program is in the top quartile of such programs in the U.S. and Canada and one of only two in Iowa that are CAHME-accredited.
Plan to join us for a lively and provocative discussion, a celebration of DMU’s educational and professional excellence, an option for continuing medical education credit and a great opportunity to network with diverse health care professionals.
|3:30 pm||Check-In with Refreshments|
|4 pm||Welcome |
Angela Franklin, PhD, President, Des Moines University
|4:05 pm||Announce DMU’s MHA CAHME Accreditation|
Jodi Cahalan, PhD, MPH, MS, PA-C, DFAAPA, Dean, College of Health Sciences, Des Moines University
Keynote Address: Provider-Sponsored Health Plans: Insights for Health Systems and Accountable Care Organizations
Spurred by the launch of health insurance marketplaces and the transition to value-based care (VBC), today’s provider health systems are developing strategies to establish Accountable Care Organizations and/or their own health insurance plans. With this in mind, Deloitte’s Center for Health Solutions recently conducted extensive research into the most successful provider-sponsored health plans (HMOs and PPOs) to discover industry best practices, i.e., what differentiates top performers from the “also rans” in this dynamic industry segment). Join us for a lively and fast-paced discussion of this research, its findings, and implications for health care providers who seek to thrive in a post-ACA world!
|4:45 pm||Panel Discussion: Applying the Concepts to the Iowa Health Care Marketplace|
|5:30 pm||Question and Answer Session|
- Discuss the impact of the ACA on provider health systems on their establishment of ACO’s and their own health insurance plans.
- Compare and contrast available approaches to provider-sponsored health plans.
- Describe the research conducted by Deloitte’s Center for Health Solutions.
- Briefly describe the application of the best practice research to my organization.
- Network with local health care industry professionals.
Marc Scheinrock, MBA is a Partner with Deloitte Consulting specializing in the area of health care provider strategy. He has 10 years of consulting experience focused on M&A and corporate strategy for healthcare providers and provider sponsored health plans; with complementary experience in value based care, enterprise transformations, revenue cycle, and customer and market strategy.
Recent project experience includes working with multiple health system collaboratives, developing a turnaround plan for a provider sponsored health plan and developing retail health operating models. Previous experience at multiple large health systems was focused on pre-deal evaluation of merger synergies, value based care strategies and the assessment and implementation of performance improvement projects (i.e. corporate shared services, revenue cycle functions) for health systems.
His educational background includes a BS in Finance from Tulane University and an MBA from the University of Texas at Austin. Marc is based in Dallas, TX.
Mr. Scheinrock indicated he has no financial relationships to disclose relevant to the content of this CME activity.
Eric Crowell, MHA is president and chief executive officer for UnityPoint Health-Des Moines, the central senior affiliate of the UnityPoint Health System, and senior vice president of the UnityPoint Health System. He has overall accountability for operations of the Organized System of Care for the Central Region – Iowa Methodist Medical Center, Iowa Lutheran Hospital, Blank Children’s Hospital and Methodist West Hospital along with the John Stoddard Cancer Center, UnityPoint Clinic Central Region, and UnityPoint @ Home, Central Region.
Michael Fay, HIA, MHP is vice president, health networks, at Wellmark Blue Cross Blue Shield. He is involved in numerous strategic initiatives (including product pricing, innovation with providers and products, and strategic consulting with key groups) in addition to continuing to provide strategic direction and leadership to network economics and network innovation.
Bob Ritz, MHA, is president of Mercy Medical Center – Des Moines. Mercy operates four not-for-profit Catholic hospital campuses, with a total of 875 beds, along with more than 20 additional facilities that house more than 50 primary care, pediatric, internal medicine and specialty clinics. Mercy is the longest continually operating hospital in Des Moines and one of the largest employers in the state, with more than 7,000 employees and a medical staff of more than 1,000 physicians and allied health associates.
The speakers indicated they have no financial relationships to disclose relevant to the content of this CME activity.
No commercial interest provided financial support for this continuing education activity.
Continuing Education Credit
- MD: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS). Des Moines University (DMU) is accredited by the IMS to provide continuing medical education for physicians.DMU designates this live activity for 1.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 1.75 AOA Category 2-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
- Nurse: Des Moines University is Iowa Board of Nursing approved provider #112. This live activity has been reviewed and approved for 2.1 continuing education contact hour(s). No partial credit awarded.
- ACHE: This program has been developed and is presented locally by Des Moines University. The American College of Healthcare Executives has awarded 1.5 ACHE Face-to-Face Education Credits to this program.
- Other healthcare providers: This live activity is designated for 1.75 AMA PRA Category 1 Credit(s)™.
Everyone in a position to control the content of this educational activity will disclose to the CME provider and to attendees all relevant financial relationships with any commercial interest. They will also disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). Determination of educational content for this activity and the selection of speakers are responsibilities of the activity director. Firms providing financial support did not have input in these areas.
The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.
- 1.75 AMA PRA Category 1 Credits™
- 1.75 AOA Category 2A
- 1.75 CE Contact Hour(s)
- 2.10 IBON