Concurrent Managed Care Session Abstracts

The Future of Medicare Managed Care
Friday, November 14, 2003, 10:45 – 11:45 am
Speaker: Gary A. Bailey, MA

Find out about current trends in the changing managed care environment and associated health plan models. CMS and MCOs are involved with demonstration projects such as the PPO and other ideas for creative product offerings. Gary Bailey will offer a brief description of options currently being developed and how CMS solicits new ideas.

Innovating and Breaking Tradition as a Catalyst of Increased Access and Profitability
Friday, November 14, 2003, 1:30 – 2:30 pm
Speaker: Matt Nilsen, MHA

Find out how a group of orthopedic surgeons uses non-traditional skill mixes, aggressive triaging and technology to increase the number of patients they see, while improving their own lifestyle. Their innovative approach includes taking advantage of secretarial skill sets, recognizing opportunities to delegate activities away from the doctors and triaging cases to more appropriate physicians. An investment in technology has created additional efficiencies within the clinical environment.

Contracting: What You Don’t Know Can Hurt You 
Friday, November 14, 2003, 3:15 – 4:15 pm
Speaker: Sarah Freymann Fontenot, BSN, JD

In the era of managed care, contracts and contracting skills have become increasingly important for all healthcare professionals. This session will review basic contracting principles and the “Top Ten” pitfalls that may lurk in managed care contracts, and end with a plea for legislative changes that could assist providers in the future.

Model to Improve Delivery of Clinical Preventive Services (CPS) Among Health Plans
Friday, November 14, 2003,  4:30 – 5:30 pm
Speakers: Hurdis M. Griffith, PhD, RN, FAAN
               Cynthia G. Ayres, PhD, RN

Learn how to improve the delivery of clinical preventive services (CPS). Clinicians contract with a number of health plans and are confronted with many sets of conflicting and confusing guidelines for preventive care. The purpose of this project is to improve the delivery of CPS through the development of consensus guidelines among health plan medical directors. This study provides a systematic approach to reaching consensus on CPS guidelines, minimizing the barrier of inconsistency experienced by clinicians.

Understanding the Dental Service Line: The View from 100,000 Feet
Saturday, November 15, 2003, 8:00 – 9:00 am
Speaker: Col James L Kretzschmar, BA, DDS, MBS, CAAMA, USAF

Dental expenditures in the United States total $65 billion annually. This presentation will include discussions on disease prevalence, treatments, resources, delivery of care, population demographics, markets and insurance. How dental professionals can augment the nation’s response to a bioterrorist attack will be presented. Utilizing this understanding of dental care in the United States, medical administrators can enhance the management and coordination of total healthcare for the populations they serve.

Enhanced Revenue Production Through Alternative Cardiovascular Services
Saturday, November 15, 2003,  9:15 – 10:15 am
Speaker: Harry Schulman, MPA

Has your organization focused on ways to enhance revenue production? Attend this session to identify innovative ways to generate revenue through outpatient specialty testing focused on customer service. You will learn how to maximize physician productivity through manpower organization. See how to reap rewards by creating unique services focused on the Cath Lab.

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