Diversity Dialogues

Our next Diversity Dialogue is... 

 

Risk Profile of New Exchange Entrants: Implications and Opportunities for Health Care Systems

Thursday, January 29, 2014

10:00 a.m. PT, 11:00 p.m. MT, 12:00 p.m. CT, 1:00 p.m. ET

Featuring

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Alexis Levy

Director

and

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Brandon Solomon

 Manager

HealthScape Advisors

 

Health insurance exchanges and other market reforms under the Affordable Care Act have expanded access to affordable insurance options while simultaneously restricting health plans’ controls used to manage risk (e.g., elimination of pre-existing condition restrictions and lifetime limits, community rating, etc.).

 

Critical to the success of these market reforms is risk adjustment, which is designed to ensure that health plans are compensated based on the health status of their members and are not disadvantaged for covering people with high cost conditions. While the risk adjustment transfer payment directly impacts health plans, it is critical for providers to understand the underlying principles of risk adjustment and the impact on provider-health plan relationships.

 

While enrollment efforts for 2015 are ongoing, plans’ experience in 2014 has yielded insights on the characteristics of these new, risk adjusted members, which are often different from traditional, commercial health plan membership.

 

Through this webinar, participants will:

 

 

Click here to register.

 

Price:

Institute for Diversity Members: FREE

Non-Institute for Diversity Members: $99 (Join the Institute and the webinar is free - click here for more information regarding membership.)

If paying by check, please contact Pamela Janniere at 312-422-2691 or by email at pjanniere@aha.org.

 

Registration Procedure:

The registration process for the Institute’s Diversity Dialogues allows you to sign up and receive dial-in instructions in one easy step. To view the registration instructions, please click here.

Note: Your organization's membership number and/or your individual member number are NOT needed for webinar registration, account creation or when you are accessing your account on eweb. Only your email address is required. Refer to the registration procedures by clicking here for additional information.

You may contact Pamela Janniere directly at (312) 422-2691 or pjanniere@aha.org to receive the dial in and web link information, particularly if you would like to invite a large group of employees to the event. Thank you.

 

About Alexis Levy:

Alexis Levy has helped clients across the health care industry on a variety of strategic, operational and financial issues. Her consulting experience includes strategic planning, physician engagement and alignment strategies, operational due diligence, and corporate advisory services.  With extensive expertise on the relationship between payers and providers, Levy has advised clients on issues including physician integration and alignment strategies, value based payment and reimbursement models, risk adjustment and Medicare Advantage Star Ratings. She has also assisted numerous organizations with their strategic and operational response to health care reform requirements, including medical loss ratio requirements, exchange readiness and evaluation of entry into Medicaid and Medicare Advantage markets.  A frequent speaker at national conferences, including those sponsored by the Health Plan Alliance (HPA) and the National Association of Specialty Health Organizations (NASHO), Levy earned an MBA from Washington University in St. Louis and a B.S. in occupational therapy from Boston University.

 

About Brandon Solomon:

Brandon Solomon has over eight years of consulting experience providing a variety of financial and advisory services to companies in the health insurance, ancillary, and healthcare industries. He has assisted various clients with operational assessments, business strategy, and advising clients on government regulated markets, with particular expertise in helping health plan clients successfully operate in government markets. This includes business acquisition through new market entry strategies, bidding on government contracts and evaluating internal operations. Recently, Solomon has focused on commercial risk adjusted markets, implementing HealthScape’s revenue management software as a service solution, Pareto Intelligence™, for multiple clients. He is also working with clients to design new organizational structures and capabilities to effectively respond to the requirements of the Affordable Care Act. Solomon earned a B.S. in economics from Indiana University.


Upcoming Diversity Dialogues: 

 

Tuesday, February 24, 2015, 12:00 p.m. CT - TBA

 Duration: 90 minutes

Presenter: Patrick Horine, CEO - DNV Healthcare, Inc.

MEMBERS ONLY*: Wednesday, April 29, 2015, 12:00 p.m. CT - TBA

Duration: 90 minutes

Presenter: Ramanathan Raju, M.D. – President and CEO, New York City Health and Hospitals Corporation

*Webinar participation and recordings of this webinar are restricted to members of the Institute for Diversity. For more information about Institute membership, please click here.


For questions about the Diversity Dialogue series, please contact Pam Janniere, Manager of Membership, Marketing and Education, at (312) 422-2691 orpjanniere@aha.org.


Updated: December 17, 2014