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The Hospital-Employed Physician Enterprise: Maximizing Health Plan Contract Performance
Webinar
June 24, 2009
Time: 9 - 10 am CENTRAL TIME
Register for this event online:
June 24, 2009 ($295 per line)
Program Description
With physician employment arrangements on the rise, hospitals are conducting a critical review of the health plan contracts in place for their employed physicians along with their overarching contracting strategies. Hospitals have historically focused their contracting efforts on the higher dollar facility services, leaving considerable revenue improvement opportunities under physician agreements. In fact, physician contracts with health plans often continue under the same financial terms that were in place prior to employment. Renegotiation of health plan agreements under the umbrella of the entire physician enterprise or the health system can reap considerable financial gains. This webinar will present the key success factors, action steps, and strategies to maximize performance of commercial health plan contracts for the hospital-employed physician enterprise.
Learning Objectives
At the completion of this webinar, participants will be able to:
- Discuss health plan priorities and provider initiatives based on key trends in physician reimbursement.
- Identify the critical pitfalls that lead to unfavorable financial performance.
- Conduct an assessment of current contract performance, to size up the upside revenue improvement opportunity for the next negotiation cycle.
- Establish contracting criteria based on key terms that affect financial and operating performance.
- Identify specific strategies and tactics for effective contract negotiations.
Who Should Participate
Hospital or medical group executives responsible for negotiating health plan agreements; CEOs; CFOs
Faculty
Terri L. Welter, Principal, ECG Management Consultants
Terri Welter leads ECG Management Consultants, Inc.'s Managed Care Services practice. Her experience in reimbursement and strategy gives her the skills necessary to address the issues facing today's health care leaders. She has extensive experience in the area of provider reimbursement and managed care, including strategy development, contract negotiations, and operations; and has assisted numerous hospitals and medical groups in the financial planning and turnaround of their managed care contracts.Welter served as a board officer and the managed care committee chairperson for the Healthcare Financial Management Association’s (HFMA’s) Washington Metropolitan Chapter. She holds a master of science degree from Villanova University and a bachelor of arts degree in preprofessional studies from the University of Notre Dame.
Purvi B. Bhatt, Manager, ECG Management Consultants
Purvi B. Bhatt works in ECG Management Consultants, Inc.'s Health Care practice. Her experience and educational background in marketing, strategic planning, quality improvement, and service line development provide her with a broad range of skills necessary to address a variety of health care issues. Prior to joining ECG, Bhatt worked in marketing and strategic planning at The Methodist Hospital System in Houston, Texas, and at Washington Hospital Center in Washington, D.C., as part of the quality improvement program evaluation team. Her work has focused on improving operational and financial performance for health systems, community hospitals, and physical rehabilitation centers. While at ECG, Bhatt has provided managed care support on numerous client engagements, with a focus on health plan contract negotiation, contract modeling, and revenue recovery for hospitals and medical groups. She has also assisted hospitals and health systems with physician supply and demand studies, medical staff resource planning, and nursing productivity assessments. Bhatt has masters degrees in business administration and health services administration from the University of Houston and a bachelor of arts degree in psychology from the University of Texas at Austin.
The views expressed by the speaker do not necessarily reflect the policies or opinions or the Wisconsin Hospital Association.
Registration Information
Fee
$295.00 for one phone line per site
Please register only one name per connection.
Additional phone lines will be billed at $295.00 each.
How the Webinar Will Work
Dial-in instructions, on-line login instructions and any other reference materials will be emailed to each registrant approximately three days prior to the conference. If you do not receive them by this date, please email llittel@wha.org.
It is the responsibility of the registrant to access presentation materials prior to the day of the event. If your e-mail address changes, you do not receive an e-mail with instructions from WHA, or if you are unable to open presentation materials, please contact Lisa Littel at WHA two days prior to the event to allow time to address the issue.
Substitution, Transfer and Cancellation Policy
Cancellations received in writing up to five business days prior to an event will be given a full refund less a $50 processing fee. No refunds will be given for cancellations received less than five business days prior and day-of-program no-shows. Substitutions are accepted.
Register for this event online:
June 24, 2009 ($295 per line)
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