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Engaging Health Plan Colleagues HFMA’s Perspective

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Presentation on theme: "Engaging Health Plan Colleagues HFMA’s Perspective"— Presentation transcript:

1 Engaging Health Plan Colleagues HFMA’s Perspective

2 Who is HFMA? We’re the Healthcare Financial Management Association representing 38,000+ leaders in healthcare finance, clinicians, and health plans in the United States. We bring together professionals across the healthcare continuum to collaborate and deliver value. Our mission is to lead the financial management of health care through National and regional events and 66 local chapters. We have two sister organizations in the UK and Australia adding an additional 15,000 members.

3 HFMA Member Resources Get knowledge, insights, and perspectives from across the industry on such topics as innovative payment models, measuring the total cost of care, improving population health Contribute to, and benefit from, HFMA’s collaborative task forces and work groups convened to address issues that affect the industry Collaborate toward achievement of shared goals "HFMA has been invaluable to me over the past 20 years with exceptional education programs, networking opportunities, and career advancement. I read hfm magazine each month, attend webinars as often as my schedule permits, and attend local, regional and national educational and social events. All of these resources are important to me for staying topical on issues pertaining to the ever-changing landscape of healthcare."  Peter Sabal RVP, Anthem Blue Cross Blue Shield

4 MEMBER CONTENT Members receive: hfm magazine
Leadership: Health Plan Resources Member-only content Chapter membership Special reports, white papers, plus regulatory updates

5 HFMA AFFINITY GROUPS HFMA Affinity Groups offer educational and networking opportunities to learn and connect with peers across the industry. Healthcare Economics Professional /BPCI/APM Council Financial Analytics Council Physician Practice Executive Council “Being a member of HFMA helps me understand the perspective of the provider community around financial management, and the specifics of what they deal with day to day. I find that perspective very helpful in figuring out ways to work together.” Philip Kane Actuary, Florida Blue

6 Bridge the Gap Today, it's more important than ever for health plans, hospitals and physicians to be on the same page—to understand each other's viewpoints, collaborate around the goals they share, and bridge the gaps on the issues that divide them. That’s why HFMA is reaching out to health plans.

7 Leadership: The C-Suite Magazine
What You Can Do Sign up for a free subscription to this monthly e-magazine yourself at hfma.org/leadership Share interesting and thought-provoking articles with your health plan colleagues Recommend the Leadership e-newsletter to health plan leaders hfma.org/leadership/healthplan

8 Content Dedicated to Health Plans
Check it out: Share the link: ership/healthplan/ Visit the page to look for relevant stories or features and share a specific link hfma.org/leadership/healthplan

9 Price Transparency: Role for Health Plans
What You Can Do Familiarize yourself with the guidelines “Walk the talk”—provide information that health plans need to serve their members Reference the guidelines in your business conversations hfma.org/transparency

10 A Resource for Members: Consumer Guide to Healthcare Prices
What You Can Do Read the guide to understand how consumers work with health plans and providers to obtain price estimates Post the guide on your organization’s website Share the link with health plan colleagues. hfma.org/consumerguide

11 Partnering With Health Plan Colleagues to Foster Collaboration

12 The Value Project: Discover Strategies for High-Value Health Care
hfma.org/valueproject

13 Total Cost of Care Study

14 Total Cost of Care Study

15 Total Cost of Care Study

16 Total Cost of Care Study

17 White Paper: Data Analytics
What You Can Do Follow the link and read the collaborative report. Share this link with health plan colleagues. hfma.org/analyticswhitepaper

18 Value-Based Payment Readiness Survey*
What You Can Do Use this health plan-sponsored research as a springboard for discussion with your health plan colleagues. Talk about the obstacles faced by both providers and health plans and how ─ together ─ you can overcome them. hfma.org/surveyreadiness *Survey conducted with support from Humana

19 HFMA Webinars What You Can Do View health plan-oriented webinars to health plan professionals. Recent webinars: Hierarchal Condition Categories and Clinical Documentation: The Core of Risk Adjustment Quality Payment Program Updates: Implications of Proposed Rule and More Leveraging Operational Insights and Analytics for Bundled Payment Success hfma.org/webinars hfma.org/virtualconference

20 Health Plan Top Issues*
Modeling value based payments Developing commercial contracts with alternative payment models Operationalizing structures and processes to reflect changing payment models Predictive analytics and modeling Managing and measuring the total cost of care Managing quality metrics Value based physician compensation models Managing the implementation and business outcomes of bundled/episodic payments *Top Issues of interest to HFMA health plan members, based on 2017 annual national member needs survey

21 Contact Us for More Information
Name Area/Title Phone Jinna Davis Regions 1, 2, and 3 Pat Kosar Regions 5, 7, 9, 10, and 11 Ada Lleshanaku Regions 4, 6, and 8 Tracy Packingham Director, Chapter Relations Todd Nelson Director, Partner Relationships and Chief Partnership Executive


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