The managed care industry faces a series of challenges in 2007 that may change how business is conducted for both health providers and payors. Pressures to lower healthcare costs and increase the quality of care, along with the growing army of uninsured, will all have an effect on managed care plans.
- States, disgruntled with the lack of movement by the federal government to solve the uninsured problem, are moving with versions of universal healthcare for their residents. Some want to work with plans, others want to abandon plans in favor of a single payor.
- The high cost of health insurance is impacting individuals and employers. Many employers do not offer the benefit. Others are looking for ways to reduce expenses.
- Increased demands to increase transparency and improve quality of care will be felt throughout the managed care sector.
While health plans have faced many of the same pressures and challenges for the past two decades, this year the demand for the healthcare industry to transform itself is high. Employers are saying the current US employer-based insurance model cannot be sustained.
The general consensus is that the present healthcare model needs to change. However, what are the features needed for a sustainable health system and how will these changes be reflected in managed care contract negotiations? This year the industry is being forced to confront the challenges.
Join the Managed Care Information Center and The Executive Report on Managed Care for a review of the challenges ahead in the 90-minute audio conference on CD-ROM, “Forecast: What’s Ahead for Managed Care in 2007.” This executive-level program took place on February 20, 2007.
Agenda:
- The top managed care issues for the year ahead
- New and emerging developments in the payor-provider arena
- Results of PwC’s Healthcast 2020: The seven features of a sustainable health system
- Medical cost trends for 2007: the inflators and deflators
- The healthcare market forces and pressures leading to revolutionary change for health plans
- How the entry of financial, retail and other threats brings new business models that impact health plans
- The increased focus on consumerism and transparency around pricing, quality measures, safety standards and community benefit
- Best practices for pay-for-performance and other initiatives to improve quality of care
- Leveraging technology to eliminate duplication and administrative inefficiencies
- Managed care contracting issues today
- The payor-provider negotiation climate
- Implications and action steps for payors
- Live question and answer session
Listen in to this program with your staff members to hear about the multiple forces shaping the health and managed care industry.
Who Will Benefit From This Audio Conference?
CEOs, COOs, CIOs, hospital and managed care executives, government officials, vice president of operations, vice president of finance, business development, strategic and implementation consultants, medical directors, sales executives and marketers, network services, public relations executives, Health plans and providers, pharmaceutical and disease management companies, medical device manufacturers, healthcare technology companies, PBMs, compliance officers, operations executives, executive directors, team leaders, planners, product managers, knowledge managers, department heads, pharmacists, human resource benefit managers, employer health plan decision makers, network development and provider services directors, strategic planners, utilization management, MCO plans, healthcare management, TPAs, network managers, physician practice management, company executives, medical management directors, PHO and IPA leadership, analysts, implementer consultants, account services and administration executives and ancillary products managers.
©2007 Health Resources Publishing





