Want access to Benchmarking insights, tactics to improve ROI and how to effectively collaborate with providers?
Key themes:
Payer-Provider Collaboration
Explore strategies for fostering transparency and trust, focusing on critical aspects like interoperability, seamless data exchange, and modernized contracting practices. Learn how to overcome challenges in communication and build partnerships that optimize care delivery and payment systems, all while driving cost efficiencies.
Tackling Emerging Fraud Trends
Dive into the latest trends in hospice fraud, telehealth abuse, wound care schemes, sleep apnea exploitation, and prescription fraud. Through expert insights and case studies, you’ll gain the tools to identify red flags, implement robust fraud prevention strategies, and safeguard your organization’s resources in an ever-changing landscape.
Navigating the Trump Administration's Impact on Policy
Explore how regulatory shifts in the wake of the Trump administration's return to the political stage may affect payer-provider dynamics, regulatory compliance, and payment integrity programs. Gain a clearer understanding of the anticipated impacts on operational workflows and learn how to proactively adapt to ensure your organization remains compliant and efficient.
Integrating Risk Adjustment and Payment Integrity
Discover how to design payment integrity programs that not only account for accurate risk adjustment but also prioritize member experience and equitable care. Learn from industry leaders how to balance cost containment with patient-centric strategies that improve outcomes for members while protecting organizational sustainability.
OUR COMMUNITY OF PAYERS
Legacy Payment Integrity Speakers:
What to Expect:
Enhanced Payer-Provider Networking:
Joint discussions and tailored networking sessions designed to bridge communication gaps and foster collaboration, helping payers and providers address shared challenges effectively.
Facilitated 1:1 Vendor Connections:
Personalized matchmaking to connect payers with vendors offering innovative tools and strategies that align with their goals, ensuring meaningful conversations and actionable partnerships.
Broader Spectrum of Content:
Expanded agenda covering critical intersections like risk adjustment, provider relationships, and member experience, offering strategies to create payment integrity programs that drive cost containment while building more well-rounded health plans.
Exclusive Benchmarking Insights:
Access to the MCC Benchmarking Group and its comprehensive report, providing health plans with PMPM savings metrics to evaluate and improve their performance against industry standards.