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  • How a value-based P4P program impacts consumers and physicians

  • Accurate and appropriate strategies that benefit your organization using a value-based P4P approach

  • Maximizing the collaboration between physicians and providers for a successful value-based P4P Stephen Orndoff Associate Vice President of Provider and Community Affairs AMERIGROUP MERCY HEALTH PLANS

10:45 Optimizing Payor and Physician Relationships: The Influence of P4P

Payor and physician perceptions of P4P programs and quality measurement differ. By involving physicians in the design and implementation of targeted P4P and quality measurement program, physician engagement increases and payors’ expectations are likely to achieve program goals. A physician organization’s history and case examples of bringing payors and physicians together to achieve maximum collaboration and P4P success will be shared. The session covers:

  • Contrasting physician and payor views and perception of P4P programs

  • Impact of physician involvement in P4P program design

  • Tools and methods used to assist physicians in meeting quality targets

  • Using quality performance reporting to improve patient care while building a

physician organization and payor strategy that is mutually beneficial

Linda Clem Director Clinical Performance Improvement MT. CARMEL PHYSICIAN ORGANIZATION

11:30 Improving Utilization & Quality in Emergency Department Use: Emphasis on Pilot Studies with P4P

Hospitals and payors alike are concerned over the inappropriate utilization of the emergency room. The session explores the issues, models and outcomes

of two different models. Both models interact with a community of providers in a fee-for-service environment and provide incentives to redirect inappropriate utilization of the ER, while educating the patient and producing a quality health outcome for the Molina member. Specific session highlights include:

  • Understanding P4P guiding principles

  • Evaluating data that defines the scope

  • Critically examining pilot components

  • Analyzing the outcomes Sue Foster Director Provider Services MOLINA HEALTHCARE

12:15 Value-Based Benefits for the Diabetic Population

In the past, value-based benefit designs have targeted health outcomes. Recently, researchers focused their attention to a new area — the impact of a prescription-based, value-based benefit design on pharmacy, healthcare utilization and expenditure. The University of Colorado teamed up with various health plans to measure the following outcomes: diabetic prescription utilization, emergency room, hospitalizations, outpatient visits, and laboratory/diagnostic services and pharmacy and healthcare expenditures. This session focuses on:

  • Understanding the importance of value-based benefit design

  • How this study can serve as a pilot for future studies involving other

healthcare populations (i.e., asthma, cardiac, cancer)

  • Evaluating the pitfalls and successes of this value based benefit design

Kavita Nair, PhD Associate Professor UNIVERSITY OF COLORADO SCHOOL OF PHARMACY

1:00 Conclusion of Main Program

9/19/2008

10/10/2008

10/10/2008

9/19/2008

10/10/2008

10/10/2008

Conference ONLY

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$1,495

$1,795

$1,595

$1,795

$2,095

Conference + 1 Workshop

$1,595

$1,795

$2,095

$1,895

$2,095

$2,395

Conference + 2 Workshops

$1,895

$2,095

$2,395

$2,195

$2,395

$2,695

Register before: Register before: Register after: Register before: Register before: Register after:

Sponsorship & Exhibit Opportunities

Don’t miss out on this opportunity to showcase your products and services to executives at the highest levels of spine care management. Your competitors will be networking and selling their services to this targeted group, shouldn’t you?

e-mail: info@worldrg.com www.worldrg.com/p4p

7

Registration Information

Health Plans Hospitals & , S tandard Rate Commercial Rate Employers

Fee includes morning coffee, lunch, refreshments, and conference documentation CD-ROM. Please make checks payable to WRG Research, Inc.

TEAM DISCOUNT: Register 3 team members from the same organization at the same time and the 4th team member attends FREE! (Valid only at regular registration rate.)

PAYMENT POLICY/SUBSTITUTIONS/CANCELLATIONS: Registration fees must be paid by November 19, 2008. Your registration may be transferred to a member of your organization up to 24 hours in advance of the conference. All cancellations received on or before November 19, 2008 will be subject to a $195 administrative charge. We regret that no refund for cancellations will be made after this date. In case of conference cancellation, World Research Group’s liability is limited to refund of the conference registration fee only. World Research Group reserves the right to alter this program without prior notice. All cancellations must be submitted in writing on or before 14 days prior to the conference date in order to receive a refund, minus cancellation fee.

SATISFACTION GUARANTEED: World Research Group stands behind the quality of its conferences. If you are not satisfied with the quality of the conference, a credit will be awarded towards a comparable World Research Group conference of your choice.

CONFERENCE VENUE: Doubletree Paradise Valley Resort 5401 N. Scottsdale Road Scottsdale, AZ 85250-7090 Phone: 480-947-5400 • Fax: 480-946-1524

BENEFITS OF SPONSORSHIP INCLUDE:

  • Direct and personal access to potential clients at the event

  • Extensive publicity through direct mail, space ads, web pages, and more

  • Provide a permanent reminder of your full range of products and/or services in the form of promotional materials contained in the delegates’ CD-ROMs

IF YOU ARE INTERESTED IN SPONSORING OR EXHIBITING:

Lunch • Cocktail Reception • Breakfast • Advertising in the delegate CD-ROM

Please contact Bob Barcenilla at 646-723-8056 or rbarcenilla@worldrg.com.

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