Managed Care and Revenue Officers
The Meetings
The Members formally convene two times per year, spring and fall, for a two-day interactive session. Participants identify the issues they want to explore and the experts they want to hear from. A typical two-day Roundtable seminar will feature 3-5 speakers (outside speakers and/or Members themselves) making presentations on recent trends and innovative projects.
Issues may include topics such as:
- What will Health Care Reform look like under the Obama Administration? How will each of the system's constituents be impacted?
- How are hospitals responding to the economic downturn?
- Revenue optimization strategies; revenue cycle management: from contracting through collections--How do you best audit and manage the flow of processes and procedures to maximize revenue?
- Developing an effective denials management process that will really yield a significant harvest with the payors.
- Developing termination strategies with large payors over I/P & O/P reimbursement, unacceptable contract language, low rates, claims denials, etc.
- Continue payor focus on pricing including; R&C reductions (even when a contract exists), requested annual limits on chargemaster increases, mark-up policy issues for supplies and implantables.
- Physician-owned ancillaries contracting with the health plans.
- Can we really control "medical inflation" given new technology, wonder and designer drugs, and the aging of the "baby boomers"?
- Consumer directed health care programs and tiered benefits. What markets are seeing this and how well is it accepted?
- What tools are available in the market place to respond to the increasing complexities and ever-changing rules hospitals and clinics face in order to be paid by accurately and on time?
- Price transparency & defensible pricing methodologies--What if your organization is the high-priced facility in a two-hospital town?
- Changing the whole paradigm on how hospitals price services, i.e. commodity versus unique and specialty pricing.
- Charity care and bad debt issues, pricing policies for the uninsured and underinsured
- Dealing with the high cost of Information Technology, including EMR, and the continuing effort to optimize benefit against cost
- The continued formation of large single specialty physician groups which is causing health plan physician network deficiencies.
- Getting hospital based physicians to contract with the health plans with which the Health System participates.
- Wellness Programs--What are other providers doing in this area or in other products/areas to stay connected with employers and the brokerage community?
The participants also enjoy the cross-pollination of ideas during Open Discussion sessions. Members are encouraged to present the issues/problems they are currently facing so that fellow Members can advise one another as peer consultants. During these interactive discussions, Members share new innovations and projects-in-process using a "grand rounds" format.
All Roundtable Meetings are skillfully facilitated to avoid wandering discussions and to promote productive dialogue and the efficient use of time spent "around the table." The "think tank" approach of the Roundtable provides a very high quality educational experience one cannot easily find elsewhere.
The Roundtable Dues, Attendance and Guest Policy
Tuitions at these meetings are covered by yearly membership dues. Meeting attendance must be a high priority. A Member is strongly encouraged to send an appropriate substitute in the event he or she is unable to attend a scheduled Roundtable Meeting.
A Member may bring one guest to any Meeting, particularly an individual who is considering membership. Guest registrations are made in advance (at no additional charge)--limited to four total per Roundtable Meeting.
In order to cover the costs of
the semi-annual meetings, including speaker fees, appropriate research,
and operating expenses, Members pay $2,995 for two consecutive
meetings.
Scheduled Meetings of The Healthcare Roundtable
for Managed Care & Revenue Officers
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October 22--23, 2009
Le Meridien
San Francisco, CA
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April 15--16, 2010
The Fairmont
Dallas, TX
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View Our Membership List
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“The open discussion with other members facing similar challenges is truly invaluable. I treasure the friends and insights I've gained from participating in the Roundtable over the past 15 years.”
--Mayumi Fukui, VP of Managed Care, University of Chicago Hospitals & Health System, Chicago, IL
“The Healthcare Roundtable has been an invaluable resource for me for the past thirteen years. The discussions are relevant and timely and provide cutting edge insight into our continually evolving industry. The discussion segments also yield excellent ideas and learning. I strongly value the collegial relationships I have enjoyed with other Roundtable members and am always excited to attend the two meetings each year, knowing the time will be well spent.”
--Linda Roberts, Vice President Managed Care, Clarian Health Partners, Indianapolis, IN
“The Healthcare Roundtable has been an invaluable resource. I have been a member for over ten years and it allowed me to build a phenomenal national network of resources. Anytime you have a question or issue, you are immediately able to query a large of group of managed care and net revenue experts from around the country. The organization also provides members a great opportunity to meet and brainstorm about current issues. I have truly enjoyed my participation in the Healthcare Roundtable.”
--Eric D. Shatanof, Corporate VP, Managed Care & Network Development, Baptist Health, Coral Gables, FL
“ I have been a roundtable member for 14 years and without fail I leave every meeting with a tangible idea that allows my hospitals to either generate new revenue or reduce expenses. More importantly, I have made a number of great friends who always feel free to openly share their successes or failures.”
--Greg Meyers, System Vice President, Contracting and Revenue Cycle Management, INTEGRIS Health, Oklahoma City, OK
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