Please note that this is a preliminary program and schedule, multiple updates, including speakers, are expected closer to the date as the program is finalized. We are not accepting speaker applications for this program.

Tuesday, May 18, 2021
 
2:00 p.m. to 2:15 p.m. Welcome Remarks
 
2:30 p.m. to 3:30 p.m. The Basics & the Value Proposition
The first step in the “life cycle” is to learn exactly what Direct Provider Contracting means, including knowing the difference between a “one-off” contract and building out an entirely new network and the variations in between. Value propositions from both the payer and provider perspective will then be discussed. This session will provide that foundation so you will have a clear idea of the “what” and the “why” in order to determine whether such arrangement would make sense for your organization and/or your clients.
 
3:30 p.m. to 4:30 p.m. Getting the Buy In
So you now understand the “what” and “why” and have concluded this is a market segment that would be good for your business, what’s next? You need to share this knowledge in order secure the necessary “buy in” to actually move forward. For providers, this means an internal sell within your organization to convince key decision-makers of the positive business opportunities. In the self-insured payer world, TPAs and/or brokers/advisers would need to take the time to educate their employer clients. The is session will share some proven, real world approaches that have resulted in “go” decisions.
 
4:30 p.m. to 5:30 p.m. Interactive Networking Happy Hour
Network with other attendees in small group Zoom video chat rooms.
 
Wednesday, May 19, 2021
 
2:00 p.m. to 3:00 p.m. The Set Up
Once the preliminary due diligence has been completed and a provider and payer are ready to do business together, the real work begins…actually setting everything up. This session will focus on key considerations for both providers and payers as they begin to structure their partnership arrangement, as well as the important “nuts and bolts” details that need to be addressed. Specific topics will include mutual alignment of value props, goal-setting, understanding what both parties are taking on, build or buy options, geographic reach, how to deal with competing strategies, and related details.
 
3:00 p.m. to 4:00 p.m. Building the Team
Once there is general agreement between payer and provider on the framework for their direct contracting arrangement, it is likely that additional professional resources will need to be brought into the development process. Areas of expertise will likely include actuarial, stop-loss, data analytics, legal, and employee communications. This session will provide specific guidance for both payers and providers on determining who needs to be added to the team and the role they should play.
 
4:00 p.m. to 5:00 p.m. The Launch
The team has put it all together and now it’s time to go live. This session will provide a detailed checklist of key implementation details to help ensure a successful start, as well as address the importance of clearly defining roles and responsibilities from the beginning. As part of this, we’ll also discuss internal and external communication strategies both providers and payers can utilize to encourage optimum utilization and positive patient experience.
 
5:30 p.m. to 7:00 p.m.

Interactive Networking Happy Hour
Network with other attendees in small group Zoom video chat rooms.

Thursday, May 20, 2021
 
2:00 p.m. to 3:00 p.m. Administration
With everything now operational, the success or failure of your direct contracting arrangement is now dependent on effective administration. This session will help payers and providers ensure that their administration functions have accounted for key considerations including transparency/access to data, documentation, vendor contracts, stop-loss claims reporting and billing practices.
 
3:00 p.m. to 4:00 p.m. Measure Success
Congratulations, your direct provider contract has been up and running with active utilization for some time now. But is it working as planned and meeting expectations? This session will focus on how payers and providers can leverage data analytics as well as other tools and strategies to quantify results on an ongoing basis. Both clinical and non-clinical outcomes will be addressed.
 
4:00 p.m. to 5:00 p.m. Wrap-up and Closing Networking Happy Hour

 

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