Bridging the Chasm Between Provider and Payer

Session Year: 
2015
authors: 
Sally Brooks, MD Ronald J. Shumacher, MD Philip Painter, MD

This session will consist of a moderator and panelists representing a skilled care provider, managed care organization (MCO) payer, physician group taking risk for use of high acuity services and, a provider of a clinical program, and services within a MCO. Each will spend 10 minutes describing the value drivers from their different perspectives. Barriers and solutions for collaboration will be discussed. Case-based role play, amongst the panelists, will provide examples of how a clinician leader can engage with the payer on behalf of patients and their facility or organization.

cmd: 
1.5 Management
cme: 
1.5