Sponsor: Portico Systems Inc.
Featured Analyst Firm: Gartner
Speakers: Robert Booz, Ned Moore, Chris Brehm
Type: Video (28 minutes)
As a health plan organization, how can you best engage with your customers, providers and members? How can you streamline and tailor your services and products to better serve your employer clients, members, and providers? How can you create and monitor performance-based provider contracts? How can you make your processes and information transparent and easily available? And how can you quickly adapt and roll out successful programs to a wider range of constituents?
Check out this new program and hear industry experts from featured analyst firm, Gartner, Inc., provide answers to these questions and more.
In this program, these experts will look at an integrated approach to provider management and they’ll discuss why provider management is more important today than in the past.
In addition, you’ll learn:
- The reasons why tailored networks are critical enablers of competitive success
- The fundamentals behind incentive alignment, i.e. paying for value
- Ways to utilize collaboration to drive provider and member management
- Techniques to reduce administration costs with lean provider administration
Plus you’ll hear Ned Moore, Chairman, Chief Executive Officer, and Co-Founder of Portico Systems Inc., discuss an integrated approach to managing providers that reduces healthcare costs. This integrated provider management platform enables you to design, build, pay, and manage the performance of the delivery network.
CASE STUDY
Chris Brehm, Director of Provider Information & Credentialing at CareFirst Blue Cross Blue Shield, will outline the tools and solution his organization use to solve their provider management needs and respond to the changes impacting the healthcare industry. Hear how they were able to save resources, ensure accuracy, reduce cycle times, decrease training times and reduce staffing needs.
Watch this new program now and learn more about how this solution helped CareFirst Blue Cross Blue Shield and how it can help your organization move forward with your future strategic initiatives. Go now.
**********
About Robert Booz , Managing VP, Gartner
Robert Booz is a managing vice president at Gartner, where he is the team manager for the Insurance segment of the Financial Services Industry Advisory Services team. The insurance team is a worldwide group serving property and casualty clients and life and health insurance clients, focusing on the intersection of IT and business issues. His personal research coverage areas include health insurance, including product development and implementation, strategic and tactical business transformation, and financial services in health products. He has a practitioner's approach to IT problem solving.
Mr. Booz has more than 30 years of experience in the health insurance and managed care industry, including executive roles leading managed care organizations and consulting with the nation's largest managed care companies. His work has also included IT strategic planning, packaged software implementation and business operations improvement, as well as work with senior management to develop strategic/tactical plans, market and product expansions, and turnaround activities.
Mr. Booz was a fellow in the First HMO Management Fellowship Program. He also holds a faculty position and is an associate research fellow at the Center for Healthcare and Insurance Studies of the University of Connecticut, where he teaches both undergraduates and graduate students at the School of Business and the School of Public Health.
About Ned Moore, Chairman, Chief Executive Officer, Co-Founder of Portico Systems Inc.
Ned Moore has been involved in the healthcare industry working with health care payers since 1997. He brings to Portico Systems an understanding of the current market challenges along with their strategic impact and the opportunities that they present for the industry. Building on this experience, Ned was a key visionary behind the Portico product platform that is currently the entire focus of Portico Systems.
Ned graduated with a Bachelor of Science degree in Economics from Villanova University and is a member of the Board of Directors of the Philadelphia Boys Choir & Chorale where he also serves as the Chairman of the Robert G. Hamilton Endowment Fund. Ned has been recognized by the Eastern Technology Council as the 2008 Technology CEO of the Year, was a recipient of the 2007 Philadelphia Business Journal Forty Under Forty award.
About Chris Brehm, Director, Provider Information & Credentialing, CareFirst Blue Cross Blue Shield
Chris Brehm is a long term employee at CareFirst BlueCross BlueShield, a regional BlueCross BlueShield Plan, serving 3 million members in the Maryland, DC and Northern Virginia area. Her current responsibilities include Provider Business Owner of Corporative Initiatives, such as NPI, automation of Provider Information and Credentialing, Thomas-Love case, and a consolidation project which requires the implementation of a freestanding pricer. Chris also supports day-to-day business in the Provider Information and Credentialing Department for system enhancements and fixes. Chris' experience at CareFirst also includes Provider Information and Credentialing, Professional Relations, and Provider Service.
