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  • Investing in strategies that promote effective care transitions, care coordination, patient education, and data analysis
  • Working with providers to identify patients at higher risk of readmission
  • Reducing avoidable readmissions to achieve better overall quality of care and support cost savings
Track 1: Payment Integrity
  • Providing an overview of the No Surprises Act, an explanation of key provisions, and the impact it has had on provider billing practices
  • Highlighting how the No Surprises Act has influenced provider-payer interactions and insights into new payment methodologies introduced by the act to resolve billing disputes
  • Examples of how providers have adapted their practices to comply with the act
Track 2: Revenue Cycle Management & Revenue Integrity
  • Highlighting key pain points that health systems face in PI operations and how it impacts their operations
  • Talking about “what if” scenarios or successful use cases of AI and data management to help in AI operations
  • Painting a picture of outlook of PI with emphasis on pre-pay
  • Picture vendor landscape and talk about Everest Group findings in the market
Track 1: Payment Integrity
  • Elucidating the impact of value-based care on revenue cycle management, including the need for new metric, payment models, and performance measures
  • Revisiting existing RCM approaches and understanding how RCM can be optimized based on value
  • Case studies of successful revenue cycle management transformations based on VBC principles
Track 2: Revenue Cycle Management & Revenue Integrity
  • A discussion focused on strengthening ties and reducing provider abrasion
  • Case studies of successful payer-provider initiatives and effective provider engagement strategies
  • Progressing mutually beneficial initiatives in a collaborative manner

Author:

Janell Zuckerman

Director, Provider Network Development
Select Health

Janell Zuckerman has been at Select Health since 2021 as the Provider Network Development Director for Idaho. She leads the strategy and operations for network development including provider relations, contracting, and performance.  Her focus is on building partnerships with regional clinically integrated networks and hospitals, and improving interaction models between payers and providers. She has successfully developed a direct Select Health network in Idaho and new clinically integrated network agreement, with new product launches across Southern Idaho for commercial and Medicare lines of business.

 

Janell has 15 years of experience in areas of acute care and ambulatory operations, clinically integrated networks, value-based care, and public health and policy, with time at St. Luke’s Health System and the YMCA. In 2023 she was an Idaho Business Review’s Women of the Year honoree. She is a board member and vocal artist with Opera Idaho and association member with HFMA and ACHE. She is a purpose-driven leader and serves as a connector across the health care ecosystem.

 

Janell is an Idaho native and lives with her husband and two children in Boise, Idaho.  She holds a B.A. in English from Tufts University and Masters in Health Administration from Ohio University.

Janell Zuckerman

Director, Provider Network Development
Select Health

Janell Zuckerman has been at Select Health since 2021 as the Provider Network Development Director for Idaho. She leads the strategy and operations for network development including provider relations, contracting, and performance.  Her focus is on building partnerships with regional clinically integrated networks and hospitals, and improving interaction models between payers and providers. She has successfully developed a direct Select Health network in Idaho and new clinically integrated network agreement, with new product launches across Southern Idaho for commercial and Medicare lines of business.

 

Janell has 15 years of experience in areas of acute care and ambulatory operations, clinically integrated networks, value-based care, and public health and policy, with time at St. Luke’s Health System and the YMCA. In 2023 she was an Idaho Business Review’s Women of the Year honoree. She is a board member and vocal artist with Opera Idaho and association member with HFMA and ACHE. She is a purpose-driven leader and serves as a connector across the health care ecosystem.

 

Janell is an Idaho native and lives with her husband and two children in Boise, Idaho.  She holds a B.A. in English from Tufts University and Masters in Health Administration from Ohio University.

Author:

Stina Redford

Director of Payment Innovation
Blue Cross of Idaho

Stina Redford

Director of Payment Innovation
Blue Cross of Idaho