Lunch and Payer Panel Discussion: Bridging the Knowledge Gap Between Payers and Providers: Solutions to Evolving Reimbursement Challenges and the Future of Behavioral Healthcare
Date & Time
Wednesday, December 12, 2018, 12:00 PM - 2:30 PM
Taft Parsons III, Enterprise Medical Director for Behavioral Health, Humana
Robert Hall, Chief Medical Officer, Optum
Lee Arian, Partner, Nelson Hardiman, LLP
Maximilian Sirianni, General Counsel and Chief Compliance Officer, Infinity Behavioral Health Services
Douglas (Doug) Nemecek, Chief Medical Officer, Cigna
As insurance coverage and benefits are expanding access to care, disputes have developed and escalated between treatment providers and Payers. Yet it is important that both groups work together to ensure the best outcomes for those that need treatment and to build collaborative relationships. To this end, the Treatment Center Investment & Valuation Retreat has convened a panel of payer representatives to offer providers their perspective on mental health and addiction treatment services. Focusing on quality and access, the panel will deliberate how do we expand access, reduce cost and maximize effectiveness.
This moderated panel will discuss where we are today, evolving payer standards on outcomes and measurement, what is the future of SUD care, and how the field is evolving to improve access and quality. The panel will offer practical guidance in addressing the Payer-provider relationship while focusing on solutions to evolving reimbursement challenges.
Upon attending this session, participants will be able to:
• Identify opportunities to build collaborative partnerships with payers
• Discuss challenges payers identify in providing behavioral healthcare benefits to their members—and how providers can respond
• Evaluate the current importance of outcomes measurement and prepare for evolving payer expectations