Physician Employer Group Producer Member/ Patient Hospital Lab Pharmacy Payer.

Slides:



Advertisements
Similar presentations
Explanation of Benefits. Why read an EOB ? To make sure you are not paying more than you should. Did the insurance get the correct information and process.
Advertisements

Chapter 6 Insurance and Coding
Infotech Global, Inc (IGI) Healthcare Connectivity Solutions.
A Presentation to the HIE Steering Committee Mendocino Informatics Thursday December 19, 2007 A. John Blair, III, MD CEO, MedAllies.
INSURANCE AND CODING Chapter 6 © 2012 THE MCGRAW-HILL COMPANIES, INC. ALL RIGHTS RESERVED 6-1.
Working Together to Help Keep Connecticut’s Economy Healthy Eileen Auen, President Health Net of the Northeast CBIA Economic Forum September 4, 2003.
August 22, 2002 THE HIPAA COLLOQUIUM at Harvard University A. John Blair, III, MD Chairman and Chief Executive Officer Taconic IPA, Inc. Fishkill, NY HIPAA.
Getting to Zero Strategies to Reduce Central Line Associated Bloodstream Infections (CLABs) Brian S. Koll, MD, FACP Medical Director, Infection Prevention.
1 Connecting California -- Building a Statewide Health Information Exchange Donald Holmquest, MD, JD, PhD CalRHIO President and CEO.
Care Delivery in RI Now, and A Look Ahead May 2015 Gus Manocchia, MD Senior Vice President & Chief Medical Officer BCBSRI.
Patient Centered Care on the Internet Anna-Lisa Silvestre Vice President, Online Services Internet Services Group January 2005.
Preparing the Financial Case For Hospital Support ASA Practice Management Conference 2008 Joe Laden & Michael J. Monea.
The Alithias Transparency Platform Healthcare Work Confidential, Alithias, Inc.
MA-SHARE MedsInfo-ED Engaging Community Leaders: Developing a Plan and Strategy for the MedsInfo-ED Project A patient safety initiative to automate communication.
Practice Management: Tips for a Successful GI Practice James J. Weber, MD President & CEO of Texas Digestive Disease Consultants.
Directory Services in the Health Care Enterprise Toward a Consolidated Infrastructure Ronald B. Williams Application and Security Architectures Technology.
Patricia E. Scipio, CIA, CPA Vice President, Auditing Wellchoice, Inc. Empire Blue Cross Blue Shield.
2007 Health Care Leaders Forum The Value Chain Case for Health Care Reform Detroit Regional Chamber Federal Reserve Bank of Chicago – Detroit Branch April.
Third Party Reimbursement Conference on Ethical and Policy Issues Related to Solid Organ Transplantation in People with HIV July, 2001 Cheryl Janov, RN,
CEO Report UW Hospital and Clinics Authority Board Donna Katen-Bahensky President and CEO UW Hospital and Clinics November 3, 2010.
Transformation of Health Care Delivery: Navigating the Challenges and Opportunities Barbara Spivak, M.D. Mount Auburn Cambridge Independent Practice Association,
ACO’s Al Kurose, M.D. President & CEO Coastal Medical.
Integrate Risk Evaluation & Mitigation Strategies (REMS) with Health Management Craig Kephart, President & CEO Centric Health Resources, Inc. July 15,
THINC RHIO, Inc. Connecting Communities Learning ForumApril 9-11, 2006 Taconic Health Information Network & Community Fundamentals of Securing Upfront.
1 Massachusetts HealthCare System Transformation through Technology 2005 Progress Report Ed Esposito, Vice President Blue Cross Blue Shield of Massachusetts.
Copyright © 2003 HealthTrio, Inc. 1 Achieving HIPAA and E-Business Objectives in Less than 90 days Ralph A. Korpman, MD CEO, HealthTrio 6 th Annual HIPAA.
Brian Yeaman MD CMIO NRHS Medical Director, Greater OKC Hospital Counsel Concepts and Terminology Of HIE.
© 2013 The McGraw-Hill Companies, Inc. All rights reserved. Ch 8 Privacy Law and HIPAA.
Hospital System Presented By: Ayman Wahbeh Represented To: Dr.Luai Malheis Dr.Raed Al Qadl Eng Ashraf Armoush Special Thanks To Eng. Samer Arandi.
Stroke Support Groups Mitzi Beckett, RN, BSN Stroke Program Coordinator Cabell Huntington Hospital.
1 Responding to the Challenge of Rising Health Care Costs: Employer and Health Plan Strategies Health Policy Audio Conference Robert S. Galvin, MD July.
RI Statewide PCMH Learning Collaborative February 5, 2011 Andrea Arena MD Chris Campanile MD.
Sustaining Primary Care in the Adirondacks Trip Shannon August 2, 2010 Office of Rural Health Policy Rural Health Network Development.
Imagining the Future of Fee for Value Bill Bartzak President & CEO, MD On-Line.
CareFirst BlueCross BlueShield is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross and Blue.
1 Smart Health David Katz Former Executive Director Currently Director, Center for Technology Integration El Camino Hospital March 13, 2009 Home Pharmacy.
PMI Membership Benefits Alamo PMI Chapter.
The U. S. Health Care System Challenges, Opportunities and Solutions Fifth National HIPAA Summit Clinical Data Standards and the Creation of an Interconnected,
© MAeHC. All rights reserved. MASSACHUSETTS eHEALTH COLLABORATIVE August 2005.
Large impotence practice Large incontinence practice Large CaP practices Practices that have large numbers of patients on medical therapy for BPH Large.
1115 Waiver Proposals California Children’s Services Program.
August 24, 2004 THE QUALITY COLLOQUIUM at Harvard University A. John Blair, III, MD President and Chief Executive Officer Taconic IPA, Inc. Fishkill, NY.
Davis Wright Tremaine LLP Gerry Hinkley com July 19, 2006 Key Topics for Organizing and Governing Heath Information Exchange Efforts.
Assessing Progress in End-of-Life and Serious Illness Care May 23, 2016.
Draft, Washington Prediabetes Advocacy Plan.
Online Employee Benefits Management System. Agenda  What is BenefitNet  How BenefitNet Works  Sample workflows  HR System  Key Benefits  Implementation.
1 Key Activities Establishing patient attribution and financial benchmarking standards Developing performance measurement guidelines Identifying data sharing.
E-Prescriptions Krishi. E-Prescriptions Overview One major contributor to PAEs is patient medication errors, and the implementation of e-prescription.
Trends in Disease Management Quality Improvement THE QUALITY COLLOQUIUM August 22, 2006.
Anonymous Landing page top navigation
Taconic Health Information Network & Community
Trend Rate Adjustment Updating new business rates for trend effective 04/01/11. Increase is 2.58%. The following table lists the impacted (DMHC only) plans.
Omar M. Lattouf, MD, PhD, FACC, FACS
Dimensions John Richardson Director, Data Analytics Kathy Trytten
Taconic Health Information Network & Community
Jonathan D. Davis, MD, MPHS, Margaret A
National Medicare Prescription Drug Congress
Hospitals Role in The Accountable Marketplace
Jonathan D. Davis, MD, MPHS, Margaret A
Transforming to an IT-Enabled Health Care System: Health Plan Role
Imaging for the Management of Community-Acquired Pneumonia
President and Chief Executive Officer
President Trump’s Triple Aim
Provider Consolidation
President and Chief Executive Officer
Taconic Health Information Network & Community
Introduction to SIR’s Evaluation and Management Toolkit
President and Chief Executive Officer
Presentation transcript:

Physician Employer Group Producer Member/ Patient Hospital Lab Pharmacy Payer

Physician Producer Member/ Patient Hospital Lab Pharmacy ? ?? ? Employer Group

INTERPLAN TOOLKIT MEMBER TOOLKIT PROVIDER TOOLKIT BROKER TOOLKIT EMPLOYER TOOLKIT Presentation Service Layer Business Service Layer Data Service Layer

Over 5,000 ITS Connections

Michael A. Stocker, M.D. President and CEO Empire HealthChoice, Inc.

H.R. Brereton (Gubby) Barlow President and CEO Premera Blue Cross

Leonard D. Schaeffer Chairman and CEO Blue Cross of California

Par Plan Communication Uniform Benefit Administration Adjustment Processing Request for Change

CEODEMO1 PASSWORD