Provider-Sponsored Health Plans: Insights for Health Systems and Accountable Care Organizations

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There is not a cost to view this online activity. This presentation was recorded LIVE on September 7, 2016 and is approximately 90 minutes. 

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Target Audience

Health professionals.

Purpose

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.

Learning Objectives

  1. Discuss the impact of the ACA on provider health systems on their establishment of ACO’s and their own health insurance plans. 
  2. Compare and contrast available approaches to provider-sponsored health plans. 
  3. Describe the research conducted by Deloitte’s Center for Health Solutions. 
  4. Briefly describe the application of the best practice research to my organization.  
  5. Network with local health care industry professionals.

Keynote Address

Provider-Sponsored Health Plans: Insights for Health Systems and Accountable Care Organizations
Marc Scheinrock, MBA, Partner, Health Care Provider Strategy, Deloitte Consulting LLP

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!

Mr. Scheinrock 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.  

Panel Discussion 

Applying the Concepts to the Iowa Health Care Marketplace

  • Richard Belloff, DBA, FACHE, PAHM, Assistant Professor and Faculty Advisor, Master of Health Care Administration Program, Des Moines University (Moderator)
     
  • Eric Crowell, MHA, President and CEO, UnityPoint Health
    Mr. Crowell 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. 
     
  • Mike Fay, HIA, MHP, Vice President, Health Networks, Wellmark 
    Mr. Fay 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, President, Mercy Medical Center-Des Moines
    Mr. Ritz 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. 
     
  • Marc Scheinrock, MBA

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Course summary
Available credit: 
  • 1.50 CE Contact Hours
Course opens: 
09/29/2016
Course expires: 
09/28/2019
Cost:
$0.00

Available Credit

  • 1.50 CE Contact Hours

Accreditation Period

Course opens: 
09/29/2016
Course expires: 
09/28/2019

Price

Cost:
$0.00
Please login or Create an Account to take this course.