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Evolution of Business Models for Health Information Exchanges

Posted By Jiban Khuntia on 4/21/2013 9:00:00 AM |  Last Edited By Steve Stocker on 4/24/2013 1:14:42 PM
HIEs

**For presentation at the HAE Forum on May 9, 2013**

(Part of Session 2.2: 10:45 AM - 12:30 PM)

HIEs are new organizational forms that facilitate digital exchange of health data across multiple stakeholders, and are central to the envisioned digital transformation of healthcare. Based on surveys of HIEs in the US from 2008 to 2010, we find that foundational service offerings have higher positive influence on operational maturity and financial sustainability of HIEs, compared to vendor driven or advanced service offerings. While subscription-based revenue models are more advantageous in early stages, transaction-based revenue models lead to higher operational maturity in later stages.

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Health Insurance Exchanges

Posted By Lisa DeMoss on 4/19/2013 3:43:00 PM |  Last Edited By Steve Stocker on 4/24/2013 1:14:09 PM
Health

**For presentation at the HAE Forum on May 9, 2013**

(Part of Session 4: 3:45 - 5:30 PM)

As we transition the individual and small group health insurance markets under the Affordable Care Act, how will coverage and patient demographic issues impact physicians practicing in Michigan? Who are the newly insured and how do their needs differ from existing patient populations? How will existing managed care contractual relationships be affected? How will insurance products evolve after the two year trial period on the Exchange? How will physicians and health systems be challenged to meet new regulatory and contractual requirements when attempting to efficiently deliver care to the newly insured?

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Mobile PHRs: Strengthening the Patient-Physician Connection

Posted By Steve Stocker on 4/19/2013 3:40:00 PM |  Last Edited By Steve Stocker on 4/24/2013 1:15:20 PM

Mobile

**For presentation at the HAE Forum on May 9, 2013**

(Part of Session 3.2: 1:30 - 3:15 PM)

This presentation focuses on ways in which elderly patients, especially those who may have one or more chronic diseases, can be facilitated technologically to manage their ongoing health concerns. With the integration of advancing mobile technologies and modern-day conceptualization of personal health records (PHRs), health IT innovations can efficiently and effectively bridge the gaps between clinical providers and patients not only in enhancing the care delivery process, but also in improving the relationships between patients and physicians.
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Reimbursement Trends - Bundled Payments and their Impact on Medical Practices

Posted By Anthony Colarossi on 4/19/2013 1:00:00 PM |  Last Edited By Steve Stocker on 4/24/2013 1:17:11 PM
Bundled

**For presentation at the HAE Forum on May 9, 2013**

(Part of Session 1: 8:30 - 10:15 AM)

Public and Commercial payors are experiencing radical changes in business similar to other participants in the healthcare value chain. This presentation will introduce the mechanics of risk management and adjustment utilized by payors to illustrate the potential benefits of bundled payment arrangements. Additionally, details on the impact of bundles on the medical practice economics and operations will be discussed to assist attendees in preparing a financial analysis and readiness assessment.

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Accountable Care Organizations (ACOs) & the Medicare Shared Savings Program (MSSP)

Posted By Monica Navarro on 4/19/2013 12:00:00 PM |  Last Edited By Steve Stocker on 4/24/2013 1:17:57 PM
ACO

**For presentation at the HAE Forum on May 9, 2013**

(Part of Session 1: 8:30 - 10:15 AM)

ACOs (Accountable Care Organizations) and their participation in the Medicare Shared Savings Program (MSSP) are central to healthcare reform as a means for improving health care while reducing costs. Until such a time as particular legal concerns are expressed by the exchange participants regarding ACOs, my intention is to speak about the basic legal structure of the ACO and its operations. I will cover things like legal structure, governance, and leadership of an ACO; I will touch on the financial mechanisms, structures, and questions under the proposed regulations for ACOs; and I will touch on the antitrust and fraud and abuse legal issues raised by ACOs, as well as the availability of waivers from prosecution under such laws.

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