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Blue Cross Blue Shield Roundtable (BRG Executive Roundtable Series)

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Berkeley Research Group

1800 M Street NW

2nd Floor

Washington, DC 20036

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Event description

Description

In this featured installment of the series, representatives from Blue Cross Blue Shield plans will learn about best practices related to provider contracting and reimbursement, and discuss issues facing plans in a changing healthcare environment. Topics will include:

v Provider Contracting

  • Industry dominating hospitals and health systems—contracting strategies and success stories
  • Ambulatory surgery centers (ASCs) and site-of-care incentives
  • Substance abuse treatment and the rise of Residential Treatment Centers—contracting issues and strategies
  • Ancillary Contracting—shift toward outsourcing and other strategies
    • Dialysis
    • Home Infusion
    • Home Health
    • DME
    • Ambulance

v Payment Systems and Payment Innovation

  • Inpatient prospective payment (DRGs)—potential changes as care continues to shift to the outpatient setting
  • Migration to outpatient prospective payment—APCs, APGs, or homegrown systems
  • Physician reimbursement and payment for quality
  • Narrow networks—development, operational challenges, measuring success in terms of cost savings and outcomes
  • Accountable Care Organizations (ACOs)—development, operation, and best practices
  • Cancer treatment and strategies to reduce costs and improve outcomes
    • Site-of-care cost differentials
    • High drug costs
    • Innovative payment approaches, such as bundles and episodes of care

BRG Executive Roundtable Series

The BRG Executive Roundtable Series allows small groups of executives to come together to discuss their most pressing issues related to a specific topic. These efficient thought provoking discussions will take a deep dive into a particular issue and provide participants with the opportunity to learn from one another, gain new perspectives and work to identify actionable solutions.

By invitation, these roundtables provide a tremendously valuable opportunity to leverage the experiences and knowledge of your peers in a compact period of time - meals are complimentary.

Program Format

This Roundtable will be held November 7th from 9:00 am - 3:00 pm at the BRG Offices in Washington DC. Breakfast and lunch will be served.

Shortly following the conclusion of the program, a summary of the roundtable findings and content will be published in a white paper and circulated.

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Date and Time

Location

Berkeley Research Group

1800 M Street NW

2nd Floor

Washington, DC 20036

View Map

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