Can we achieve care delivery without payer/provider friction? 

Full agenda to come

Program outline

Despite their common goal of enabling efficient, effective healthcare, payer and provider organizations often find themselves at odds, struggling to navigate the intersections where disparate processes and systems converge.

Week 1: How payers and providers work together to improve outcomes and reduce costs of care?
Building a strong partnership between payer and providers: this episode focuses on the efforts payers and providers are undertaking to improve their working relationships –relationship building, data sharing, workflow improvements, and prior authorization requirements. How do we continue moving healthcare toward frictionless care delivery, care transitions, and payer/provider coordination?

Related content includes:
• Data sharing/Interoperability
• Prior authorizations
• the changing payment landscape – value-based care
• moving beyond relationships fraught with lack of trust/lack and transparency
• workflows and payment processes supporting needs among all organizations AND the patient.
• changes and the challenges in reimbursement models & incentives

Week 2: What Outcomes are we seeing and what does success look like?
During these episodes, we explore several Payer/Provider Initiative reducing the friction by facilitating trust, collaboration, and alignment among payers, providers, and HIT vendors – partnerships employing solutions to reduce costs and inefficiencies and improve the patient experience.

KLAS awarded 14 such collaborations in their 2022 Points of Light, illustrating the art of the possible. Sessions explore case studies and collaborations, share the types of challenges tackled, dive into processes and technologies employed, and learn from the outcomes achieved.

Week 3: The future of what is possible
Week 3 episodes focus on emerging trends in revenue cycle including artificial intelligence, machine learning, solving for staffing shortages, prior authorization trends, the march to new payment models and the increasing value of and complexity with patient payments. KLAS shares insights from data relative to what the next 3-5 years will hold.

Related content:
• Impact of the No Surprises Act
• What is preventing health plans and providers from fully adopting value based care?
• What are the top challenges we can solve in the next two years?
• Payer/provider initiatives relative to the Quadruple Aim
• What technologies show greatest promise/value in revenue cycle and payer engagement?