New Regulations of Medical Loss Ratio
An Opportunity for Case/Care Managers To Demonstrate Outcomes
New regulations issued by the Department of Health and Human Services (HHS) require health insurers to spend 80 to 85 percent of consumers' premiums on direct care for patients and efforts to improve care quality.
What does this mean to professionals involved in care coordination? It means professionals will have to clearly demonstrate how the work they do contributes to the improvement in direct care to patients and quality improvement.
The next Case In Point Webinar tackles this topic by bringing together four diverse professionals involved in care coordination at the point of care who will demonstrate how the work they do improves the care patients receive across the care continuum.
About the Webinar
With healthcare costs reaching $ 2.5 trillion dollars, all eyes and minds are working on ways to ensure that healthcare dollars are spent on direct care and quality improvement efforts and not to duplication, overutilization or ineffective treatment. As a result, transparency and accountability for how we do our work is critical.
Up until now, case/care managers and other professionals involved in medical management/care coordination know intuitively that their work positively impacts patients, but could not clearly demonstrate how.
With the cost of healthcare escalating, delivery of care questioned, and quality concerns rising, lawmakers are searching for ways to ensure that the dollars that go to healthcare premiums are spent to care for patients and improve quality. This will require all professionals to demonstrate the value they bring to ensuring patients receive safe, evidenced-based, efficient care throughout the care continuum.
By facilitating access to the right care and treatment at the right time – and by avoiding unnecessary and duplicative tests and treatments – professionals involved in care coordination are able to improve the patient/family experience, ensure cost effectiveness of care delivery, and improve clinical outcomes, including enhanced patient safety.
Education of professionals regarding accountability and transparency will be important going forward. Also, taking advantage of advances in technology that enable data to demonstrate outcomes and improve process will also be essential.
Our Webinar Will Answer These Questions
Who Should Attend
For questions regarding the Webinar or to register by phone, contact the Marketing Department at 301-354-1769.
If you are having any technical difficulties or need assistance meeting these requirements, please contact our Technical Support Center at 1-866-709-8255.
*Dorland Health does not offer any refunds for the webinar. All sales are final.
How Does the Webinar Work?
The live audio is delivered to your location over the telephone or your computer speakers. The Power-Point presentations are presented over the Internet and are available to print out before the program. This is like a talk-radio program with visuals on the Web. You and your team will be able to have a live Q&A with all the speakers.