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  1. Vendor demonstrations of AI based solutions to understand the real life impact of AI on processes within a health plan,
  2. Develop an understanding of how this technology can enhance cost containment efforts and lead to a return on investments for consumers.
  1. Learn how to evaluate and integrate technology vendors to enhance payment integrity outcomes.
  2. Understand the role of technology in optimizing payment integrity processes and reducing inefficiencies.
  3. Discover diverse assessment methods for continuously enhancing payment integrity programs and vendor partnerships.
Track 2: Developing Payment Integrity Function
  1. Explore the potential of blockchain technology in enhancing security and transparency in payment integrity operations.
  2. Understand how blockchain can streamline payment processes, reduce fraud, and improve data integrity.
  3. Listen to a case study of blockchain implementation in general payment integrity efforts outside of healthcare and the benefits reaped.
Track 1: Advanced Payment Integrity Function
Miles Light Speaker Spotlight
  1. Understand how new healthcare regulations impact payment integrity operations and compliance efforts.
  2. Learn about key legislative changes, such as the No Surprise Act, and their implications for coding, billing, and claims processing.
  3. Explore strategies for staying compliant with evolving regulatory requirements and adapting payment integrity programs accordingly.
Track 2: Developing Payment Integrity Function
  1. Learn the importance of data sharing between payers and providers to improve payment integrity, and general claims processes.
  2. Listen to both payers and providers voice concerns and issues they have faced around data sharing, and provider education efforts.
  3. Gain insights into overcoming challenges and building partnerships to bridge the payer-provider gap in data sharing.
Track 1: Advanced Payment Integrity Function

Author:

Vladimir-Ducarmel Joseph

CDI Program Manager
Beth Israel Lahey Health Hospital & Medical Center

Vladimir-Ducarmel Joseph is one of the Clinical Documentation Integrity Program Directors at Beth Israel Lahey Health, where he spearheads a dedicated team of CDI professional experts to optimize clinical documentation best practices. With almost a decade in CDI leadership across diverse healthcare environments, Vladimir-Ducarmel holds a Master of Health Administration from George Washington University and his expertise encompasses physician leadership, team dynamics, CDI provider education, and program management. A fervent advocate for healthcare excellence, Vladimir-Ducarmel is adept at bridging the gap between clinical and administrative roles. He is proficient in various healthcare-oriented analytical and business tools, leveraging them to drive impactful CDI outcomes.

... read more

Vladimir-Ducarmel Joseph

CDI Program Manager
Beth Israel Lahey Health Hospital & Medical Center

Vladimir-Ducarmel Joseph is one of the Clinical Documentation Integrity Program Directors at Beth Israel Lahey Health, where he spearheads a dedicated team of CDI professional experts to optimize clinical documentation best practices. With almost a decade in CDI leadership across diverse healthcare environments, Vladimir-Ducarmel holds a Master of Health Administration from George Washington University and his expertise encompasses physician leadership, team dynamics, CDI provider education, and program management. A fervent advocate for healthcare excellence, Vladimir-Ducarmel is adept at bridging the gap between clinical and administrative roles. He is proficient in various healthcare-oriented analytical and business tools, leveraging them to drive impactful CDI outcomes.

  1. Engage in an interactive discussion on the benefits of value-based care for both payers and providers.
  2. Explore strategies for improving relationships and creating incentives to encourage participation in value-based care arrangements.
  3. Learn practical tips for maximizing the benefits of value-based care contracts and enhancing patient outcomes.

Author:

Frank Shipp

Executive Director
Johns Hopkins Medicine

Frank E. Shipp currently serves as Executive Director of the Johns Hopkins Clinical Alliance, the clinically integrated network of Johns Hopkins Medicine. The network includes over 3,000 providers, consisting of both employed and independent practices.

Frank transitioned to value-based care after 25 years of hospital-based operations experience in both community and academic health systems. During the past nine years, Frank has held executive positions in a Payor-Provider Organization in NYC and has built a highly successful CIN over a five-year period in Northern New Jersey. Frank speaks regular at national healthcare conferences regarding value-based care strategies and tactics.

Frank completed his MBA at Fairleigh Dickinson University, is a certified Fellow of the American College of Healthcare Executives and a trained Black Belt in Lean Six Sigma from Villanova University.

... read more

Frank Shipp

Executive Director
Johns Hopkins Medicine

Frank E. Shipp currently serves as Executive Director of the Johns Hopkins Clinical Alliance, the clinically integrated network of Johns Hopkins Medicine. The network includes over 3,000 providers, consisting of both employed and independent practices.

Frank transitioned to value-based care after 25 years of hospital-based operations experience in both community and academic health systems. During the past nine years, Frank has held executive positions in a Payor-Provider Organization in NYC and has built a highly successful CIN over a five-year period in Northern New Jersey. Frank speaks regular at national healthcare conferences regarding value-based care strategies and tactics.

Frank completed his MBA at Fairleigh Dickinson University, is a certified Fellow of the American College of Healthcare Executives and a trained Black Belt in Lean Six Sigma from Villanova University.