2021 Reducing Hospital Readmissions Forum

Reduce Hospital Readmissions through Enhanced Discharge Planning, Improved Payer-Provider Collaboration, and an Efficient Care Transitions Program – Develop an Effective Population Management Model and Enhance the Patient Experience!

October 14 – 15, 2021 • The Roosevelt, A Waldorf Astoria Hotel • New Orleans, LA

Sponsors/Exhibitors & Partners

Overview

Preventable hospital readmissions are costing the healthcare system approximately $25 billion on an annual basis, and it is estimated that one out of every five Medicare patients is readmitted to the hospital within 30 days of discharge. In an attempt to control excessive spending on avoidable healthcare costs as well to as improve quality care, performance and patient health, CMS has instituted new regulations and higher penalties. Hospitals and health systems are especially affected by the new mandates, and are exposed to increasing financial risk.

We have created a high-level forum featuring providers and payers who will share their insights and expertise on how to lower readmission rates through recognized and proven discharge programs and follow-up plans, simultaneously reducing costs and improving quality of care. This impressive program will include distinguished members from highly regarded institutions comprised of hospitals, health systems, health plans and industry experts; featuring best practices to utilize in today's rapidly evolving world.

This is the only conference on Reducing Hospital Readmissions that will equip you with innovative strategies and tools to be better prepared for 2021. By attending the 2021 Reducing Hospital Readmissions Forum, you will learn what others in clinical integration, utilization management, patient care and reimbursement are doing to be prepared for the challenges that lie ahead in 2022. Register today to reserve your seat at the conference and take advantage of early bird discounts!

We look forward to greeting you in New Orleans!

From Hospitals, Health Systems, Health Plans, Employer Plans, TPAs & Managed Care Organizations:

Chief Executive Officers, Chief Medical Officers, Chief Clinical Officers, Chief Operating Officers, Chief Financial Officers

Also, Vice Presidents, Directors, Managers & Executives of:

Also of interest to Healthcare Consultants, Solution Providers, Vendors, Purchasers, Physician Groups, Behavioral Health Centers, Healthcare Technology Innovators, Data Analytics Providers, Pharmacy Benefit Managers, Disease Management Organizations, Home Health Care Companies, Third Party Administrators, Pharmaceutical & Medical Device Companies, IT & Business Process Outsourcing Companies, Enrollment Brokers and More!

Day One – Thursday, October 14, 2021

Day Two – Friday, October 15, 2021

Thursday, October 14, 2021 • 5:30 p.m. – 7:30 p.m.

The Role of Data Analytics in Reducing Avoidable Hospital Readmissions

By utilizing historical patient data, providers can start to see which factors will impact future health outcomes, and begin to develop risk score and predictive algorithms to create tailored care interventions. Creating analytics out of Big data is useful, but only when implemented properly. The key is to develop strategies that work to take what the data is telling us and turning it into actionable items. In this session, we will:

• Discuss several analytic tools to help manage readmissions
• Discuss how to take these results and turn them into actionable items
• Discuss how to determine which areas/conditions first since we all have limited resources.

About the Workshop Leaders:
Susan Pantely, FSA, MAAA is a Principal & Consulting Actuary at Milliman. Susan provides actuarial and consulting services to a broad range of clients, including Blue Cross/Blue Shield plans, HMOs, commercial insurers, government agencies, and healthcare providers. Her work includes rate development, provider contract review, reserve certification, capitation development, Medicare risk feasibility studies, HMO start-ups, HMO due diligence, and development of risk sharing and reimbursement arrangements for physician groups, PHOs, ACOs, and other integrated delivery systems. In addition, Susan has extensive experience with the valuation, financial analysis, and projection of healthcare services for several state public health insurance (Medicaid) programs.

Raheel Sohail, MD, MBA is a Healthcare Management Consultant at Milliman. Raheel is a physician who comes to Milliman with extensive experience in health care administration. In many leadership positions, he has garnered extensive experience in planning, developing, and executing strategies for ACO and clinically integrated networks. Prior to joining Milliman, he worked for Prospect Medical, where he was the Executive Director of Next Generation ACO. He was responsible for the operations of an ACO, care coordination, and data analytics. Previously, he worked at a health care consulting firm where he consulted for ACOs, value-based care, care coordination, quality, and data analytics, and physician improvement, marketing, and business improvement.

Exhibitors

Guideway offers Care Guidance services that impact personal factors and social determinants of health in order to drive patient behavioral change as well as patient compliance with clinical instructions. Although clinical workers such as nurses and physicians are experts inside the clinical walls, it's imperative to find economical ways to engage patients outside those clinical walls.  Guideway's Care Guidance services fuse people and technology to take concrete action and remove non-clinical issues, barriers and obstacles that negatively impact patients' care journey, and which prevent patients and care teams from achieving the best possible outcomes. Guideway's services help improve quality, cost, and experience metrics for hospitals in bundles and other alternative payment models, reduce readmissions, improve population health performance for ACOs and CINs, and manage healthcare costs for self-insured employers.

Lumeon provides Care Pathway Management (CPM) solutions that enable healthcare organizations to efficiently coordinate healthcare delivery, connect gaps in care and quickly launch next-generation care experiences. Its award winning automation platform acts like an autopilot for healthcare journeys, autonomously managing low risk patient journeys, while focusing care teams on a coordinated plan of activities for those most at risk. Lumeon's Care Transitions Management solution reduces readmissions by automatically coordinating follow-up appointments, risk stratifying and monitoring patients and transferring key information to post-acute providers. The platform is deployed across more than 70 health systems across the US and Europe.

For Sponsorship & Exhibit Opportunities, please reach out to This email address is being protected from spambots. You need JavaScript enabled to view it.

The Roosevelt, A Waldorf Astoria Hotel
130 Roosevelt Way
New Orleans, LA 70112

Phone: 504-648-1200

*Mention Group Code "World Conference Forum" to get the discounted rate of $239/night.

*You can also book online at:

https://book.passkey.com/go/6eba46be

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