Giving Physicians Actionable Information in the Medical Home
In 2011, CareFirst launched a ground-breaking PCMH program that rewards their PCP’s for lowering the total medical spend by actively managing the patients within their panel. Providers receive incentives for participating in the program, as well as creating and maintaining care plans and meeting cost and quality objectives. In developing their program, CareFirst identified several key domains: Structure, Access, Effectiveness of Care, Appropriate Use of Services and PCP Engagement.
Dr Brian Silverstein, SVP of the Patient Centered Medical Home program at CareFirst, will discuss the scope of their PCMH
Andy Fitzsimmons, Vice President of Informatics at CareFirst will discuss the need, use and value of data and accurate measurement
David Morris, Vice President of Business Development with IMS Health will highlight how CareFirst is integrating IMS’ physician performance management solution with their CareFirst’s own internal technology to provide an integrated and automated communications with and deliver actionable scorecards to their physicians, including calculation of incentive awards, automated appeals, and views of data by physician, group and panel.
This Webinar examines:
- Winning approaches for architecting and managing a Patient-Centered Medical Home
- Specific ways technology can be used to engage physicians
- The measures CareFirst selected for use in their medical home and how they communicate that to their PCP’s
- How CareFirst integrated the IMS physician performance management solution into their physicians’ interactions with the plan
Who Will Benefit?
VP/Directors of Network Management, Provider Relations, Medical Management, Informatics, IT, Medical Directors of Quality - CMO
For additional information on the IMS Provider Performance Management solutions, click here.
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About our Speakers
Brian Silverstein, M.D. is senior vice president Patent-Centered Medical Homes at CareFirst, BlueCross Blue Shield, in Baltimore, MD. He has almost 20 years of experience in the health care industry with extensive expertise in the areas of national healthcare trends, changing clinical practices, future care delivery models, medical technology innovation and adoption, and alignment of hospital and physician interests.
A highly respected industry thought leader and national keynote speaker; Dr. Silverstein has provided advisory services for a variety of providers - from small, rural community hospitals to large non-profit hospital systems as well as physician groups. In addition, he has consulted for various academic medical centers, integrated delivery networks, pharmaceutical and medical device companies.
Prior to joining CareFirst, Dr. Silverstein served as senior vice president at the Camden Group where he was in charge of the Chicago office. Before joining the Camden group, Silverstein was vice president and national thought leader for Sg2 Health Care Intelligence.
Dr. Silverstein holds appointments as a faculty member for ACHE, ACPE, The Governance Institute and is an advisor for the Medical Leadership Institute. In addition, he frequently presents for National organizations such as, Society of Healthcare Strategy and Market Development (SHSMD), Radiological Society of North America (RSNA), Society of Critical Care Management (SCCM), College of American Pathologists (CAP), DARPA, Healthcare Strategy Institute, Bio, VHA, and numerous hospitals, health systems, and physician groups.
Dr. Silverstein received his M.D. from the University Of Chicago Pritzker School Of Medicine. He completed his internship in internal medicine with McGaw Medical Center of Northwestern University. His undergraduate bachelor of business administration degree as valedictorian with highest distinction came from the Goizueta School of Business at Emory University, where he also completed a second major in biology, summa cum laude.
Andy Fitzsimmons – Vice President, Informatics: Andy Fitzsimmons has been with CareFirst for over 20 years. He is currently responsible for developing and maintaining data infrastructures to enable operational and analytical reporting for all of CareFirst’s business segments. Prior to this, Andy was Vice President of Financial Planning and Data Management and has held several positions within the Finance Division including Pricing Actuarial Valuation accountabilities for analysis and monitoring. Andy completed his undergraduate degree from The University of Connecticut and he is an Associate in the Society of Actuaries (ASA).
Additionally, register for The World Congress 2nd Annual Leadership Summit on Analytics for Data-Driven Organizations and ACOs on May 17-18, 2012 in Washington, DC. Hear Murray Aitken Executive Director from Institute for Healthcare Informatics, IMS present on Healthcare Utilization Trends.Healthcare Utilization and Spending Patterns for the Privately Insured Segment Under Age 65
- Novel insights into the characteristics and drivers of healthcare utilization and cost
- Identifying healthcare spending variation across members with specified chronic conditions, cancers, and auto-immune or other conditions treated with specialty medications
- Empowering constituents across the entire healthcare system through a deeper understanding of members who have the greatest impact on healthcare costs in order to effectively design and implement care management programs, manage costs and price services
Institute for Healthcare Informatics, IMS
Web link to full Agenda
For more information on this live conference, please: Click Here