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Oct
3

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Driving Quality & Savings with Employer Direct Contracting With Cleveland Clinic

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An emerging trend among self-funded employers is the rise of Direct Contracting, arranging a contract with healthcare providers to purchase healthcare services, usually for certain conditions, and a pre-negotiated rate. There is no healthcare provider better suited to discussing the finer points of Direct Contracting than the famous Cleveland Clinic.

Major employers, most notably Lowe’s, send their cardiothoracic patients to Cleveland. As the 2nd rated hospital overall in the United States, with over 3,500 physicians and over 200,000 annual surgical cases, and a three-star rating for heart surgery (which only 1 percent of hospitals can claim) there is no place better to receive this care.

“What we do better than anyone else in the world is cardiothoracic surgery,” said  Jerry Fiala, Director of Sales & Marketing for Cleveland Clinic.

So how does this translate to cost savings? Traditionally, the equation for value has been: Value = outcomes/cost. However, the Clevland Clinic uses the equation:  Value = (quality+patient experience+ functional status)/(event+episode+ongoing care). While this might seem very technical, due these additional factors, Cleveland Clinic clients like Lowe’s report 10 percent more saving per patient!

They also reduce costs by reducing or eliminating unneeded or wasteful procedures. Physicians are not paid per procedure, so there is no incentive to perform a procedure they do not feel are necessary.

“We will be the first one to tell someone a procedure is unnecessary,” said Fiala.

So by sending employees to Centers of Excellence like the Cleveland Clinic, employers can save a lot on their healthcare costs while being assured they are receiving the highest quality care.

Oct
3

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Engagement Strategies for an Effective Employer; Provider Bundled Payment Partnership

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Chip Burgett, Director, Contracting – Global One Ventures, LLC; Michael B. Larsen, Executive Director – Municipalities Colleges and Schools Insurance Group (MCSIG); and Tom Wilson, CEO – Monterey Peninsula Surgery Centers (MPSC) spoke at the World Medical Tourism & Global Healthcare Congress about how they partnered to effectively engage plan members to utilize bundled surgery rates for substantial savings to the plan sponsors and plan members. Both organizations operate in the Monterrey, CA area. MCSIG developed unique incentives for plan members to utilize the program and MPSC deployed a strategy to identify and communicate with MCSIG plan members and alert them to the benefit incentive opportunities.

Mr. Larsen spoke about MCSIG’s history. They were founded in 1982, and prior implementing bundled payments with MPSC had 8,000 attendees on an Anthem PPO plan in 2015. Their medical costs were 40 to 80 percent over the national average, and 20 to 30 percent higher than the average of California’s other large cities Los Angeles and San Francisco.  To help manage these costs, they moved to a direct contracting model.

They saved $1.2 million in surgical costs in 2015 and improved their outcomes. Because they still had their PPO, and some employees were still using their traditional hospital rather than MPSC, they were able to create a natural experiment for outcomes. During this period, 20 surgeries were performed under the PPO, of which 8 had complications. Over that same period, 75 employees used MPSC with a total of zero complications. Zero.

After this success, they went the Anthem and removed preauthorization for surgery centers and added it to hospitals, and then finally cut their surgery center copay in half.

As for MPSC, they see approximately 17,00 cases annually, making them the 6th highest volume surgical provider in California. They have 192 surgeons on staff (95 percent of all surgeons in the county) from 13 specialties — they do not perform heart or brain surgery.  Of their 17,000 surgeries in 2016, they only had 8 complications.

Oct
3

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Women’s Leadership Fireside Chat Closes Out First Day of WMTC17

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The first day of GHR came to a close with the Women’s Leadership: Ask the Experts Fireside Chat. The event was a joint event between the Employer Healthcare & Benefits Congress and the World Medical Tourism & Global Healthcare Congress served as a forum to share ideas, opportunities and means to overcome the obstacles women face in the workplace. The event featured six powerful women from Silicon Valley and media.

The event was moderated by Rasheda Ali, Author, Media Spokesperson, Speaker and Parkinson’s Advocate and daughter of boxing legend Muhammad Ali. She opened the fireside chat with the story of how women influenced her life, including how her grandmother helped raise her after her father’s Parkinson’s diagnosis.

“She raised four children after my father met his greatest opponent, and it wasn’t Sonny Liston,” said Ali.
Ali, as moderator, took advantage of “rare opportunity to talk to these amazing and powerful women,” who included:

  • Cat Lee, Head of Culture – Pinterest
  • Pat Wadors, Chief HR Officer & SVP of Global Talent – LinkedIn
  • Becky Cantieri, SVP, Human Resources – SurveyMonkey
  • Lorna Borenstein, CEO & Founder – Grokker, Inc.
  • Patricia Diesel, Speaker, Author, Coach; Owner – Keep it Simple Now, LLC

Ali wasted no time and asked the panel for any lessons they learned about work/life balance.
“It’s about prioritization. Sometimes, home is more important and sometimes work is. Balance is a fake idea of perception, it’s about flexibility,” said Becky Cantieri.

Another thoughtful response was to Ali’s question about what women can do to advance their career. “Raise your hand when the opportunity for advancement comes, men do it all the time. Also, be advocates for each other. If you see someone talking over a woman during a meeting, change the tone by saying that you want to hear her idea, and then actually listen and ask questions. Finally, know your worth. You are worth a lot. Be aware of your skills and don’t be afraid to be proud of them,” said Pat Wadors.
Coming around to the theme of the event, Ali asked why it was important for women to care for their health and well-being.
“It sets women up for success. If you don’t have health what do you have? You want to have peace of mind and an environment conducive to wellness and be in a positive mindset,” said Patricia Diesel.

Lorna Borenstein gave excellent advice to the future women leaders when she said, “I am a big believer in visualization. If you can see what your future is, you can manifest it and if you can’t it is unlikely to happen. Then find your superpower, the thing you do better than anyone else. Mine is, other than being hilarious is the ability to see future consumer trends easily. What’s yours? Figure that out and leverage it.”

The session served as an excellent end of the first day. By inspiring the next generation of women across the ideas of health, wellness and business we rediscover why we entered this industry – to help empower people to live up their ultimate potential.

Stay tuned for more as the Congress enters the second day.

Oct
2

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Certified Medical Tourism Professional Workshop Kicks Off 10th World Medical Tourism Congress

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The Certified Medical Tourism Professional® workshop took place today as part of the first day of the World Medical Tourism & Global Healthcare Congress. The all-day workshop was a comprehensive course covering the core competencies required for professionals in the medical tourism and medical travel fields.

The course covered nine modules to educate across all aspects of medical travel, including:

  • Build a successful business in the Medical Tourism industry.
  • Mitigate risk unique to the Medical Tourism industry.
  • Select appropriate marketing tools and strategies for your business.
  • Select qualified Healthcare Facilities & Providers.
  • Build relationships with other international professionals around the world.
  • Become educated in quality, transparency, legal and privacy issues surrounding health and wellness travel.
  • Learn how US Companies such as Lowe’s, Pepsi and other international corporations are implementing health and wellness travel into their benefits.

All workshop attendees must now pass an online exam to qualify as a Certified Medical Tourism Professional®. They will receive a three-year designation as well as membership to the Medical Tourism Association which provides them ongoing support as well as discounts to other MTA events. 

“The CMTP designation is something everyone involved in the medical tourism community should have,” said Stephen Shearer, Senior Trainer for the Medical Tourism Association and instructor for today’s course. “Everyone involved in the process of patient care, not just the facilitators but the doctors and nurses too. Ensuring that everyone is knowledgeable about the medical tourism process and the expectations of patients are essential to a successful medical tourism initiative. Having everyone on the same page, from the custodians to the head of medicine is crucial.” 

 

Sep
27

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SPECMED joins the Employer Healthcare & Benefits Congress in LA, Oct. 2 – 4

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SPECMED will exhibit at the Employer Healthcare & Benefits Congress (EHBC) in Los Angeles October 2 – 4. They, along with 2,000 attendees and 150 exhibitors from across the world for three days of learning the latest news and information in their industry and networking with peers. Attendees will be immersed in an exciting and vibrant environment to spark new ideas for improving employee health and benefits.

If you are involved in creating and maintaining worksite wellness programs, oversee healthcare reform compliance, offer or sell voluntary workplace benefits or administer a self-funded health plan, you cannot afford to miss the insight available at the EHBC. Highlights of this year’s event include:

  • An extensive conference agenda, featuring everything from benefits design to handling the taboo topics in the workplace and everything in between
  • 6th Medical Director Summit, a half-day session bringing together  Medical Directors and Chief Medical Officers from around the world for high-level discussions on the latest trends and challenges in destination medicine and the development of global medical networks
  • The Employer Direct Contracting & Bundled Payment Summit, exploring how leading employers are working directly with providers to better maintain employee health and employer healthcare costs 
  • 7th Global Ministerial Summit, where Government Delegates, including Ministers of Health, Tourism, Economic Development, Trade Commissioners, Health Attaches, and Consul Generals, from all over the world to discuss long-term, sustainable results for expansion and growth of their healthcare infrastructure while at the same time addressing the immediate health concerns different countries face.
  • Earn your Certified Medical Tourism Professional® designation live on-site. 
  • Keynote Speaker Pat Wadors, Chief HR Officer, LinkedIn

About SPECMED

Since its founding, the company has expanded its scope of activity from an organization running a few clinics to a large interdisciplinary complex. Currently, the company operates in several locations in south-eastern Poland. Annually, in all our departments, we provide more than 160,000 consultations. The dynamic development of the company has been facilitated by its high standards. Highly qualified staff and management, state-of-the-art diagnostic and treatment equipment, and the introduction of innovative new technologies

About the Employer Healthcare & Benefits Congress

With multiple initiatives and platforms to unite the thriving employer healthcare industry, the Employer Healthcare & Benefits Congress (EHBC) is one of the largest healthcare conferences in the country. Participants and attendees will have the opportunity to take advantage of the hundreds of one-on-one networking opportunities with registrants from all of the Employer Healthcare & Benefits Conferences, providing seven times the traffic and networking for everyone attending the conferences this year. For more information, visit Employerhealthcarecongress.com

Sep
26

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Retreat Premier Addiction Treatment Centers is Bronze Sponsor of the Employer Healthcare & Benefits Congress in LA, Oct. 2 – 4

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Retreat Premier Addiction Treatment Centers is a bronze sponsor of the Employer Healthcare & Benefits Congress (EHBC) in Los Angeles October 2 – 4. They, along with 2,000 attendees and 150 exhibitors from across the world for three days of learning the latest news and information in their industry and networking with peers. Attendees will be immersed in an exciting and vibrant environment to spark new ideas for improving employee health and benefits.

If you are involved in creating and maintaining worksite wellness programs, oversee healthcare reform compliance, offer or sell voluntary workplace benefits or administer a self-funded health plan, you cannot afford to miss the insight available at the EHBC. Highlights of this year’s event include:

  • An extensive conference agenda, featuring everything from benefits design to handling the taboo topics in the workplace and everything in between
  • 6th Medical Director Summit, a half-day session bringing together  Medical Directors and Chief Medical Officers from around the world for high-level discussions on the latest trends and challenges in destination medicine and the development of global medical networks
  • The Employer Direct Contracting & Bundled Payment Summit, exploring how leading employers are working directly with providers to better maintain employee health and employer healthcare costs 
  • 7th Global Ministerial Summit, where Government Delegates, including Ministers of Health, Tourism, Economic Development, Trade Commissioners, Health Attaches, and Consul Generals, from all over the world to discuss long-term, sustainable results for expansion and growth of their healthcare infrastructure while at the same time addressing the immediate health concerns different countries face.
  • Earn your Certified Medical Tourism Professional® designation live on-site. 
  • Keynote Speaker Cat Lee, Head of Culture, Pinterest

About Retreat Premier Addiction Treatment Centers

Retreat Premier Addiction Treatment Centers offers addiction services from medically monitored detox, residential rehabilitation & outpatient aftercare services, providing a full continuum of care. We work with most commercial insurers, offer 24/7 admissions and complimentary transportation.  We have locations in Lancaster County, PA and Palm Beach County, FL. At Retreat, we pride ourselves in providing a compassionate and spiritual environment for those struggling with addiction in a secure and comfortable setting with dedicated and caring staff.

About the Employer Healthcare & Benefits Congress

With multiple initiatives and platforms to unite the thriving employer healthcare industry, the Employer Healthcare & Benefits Congress (EHBC) is one of the largest healthcare conferences in the country. Participants and attendees will have the opportunity to take advantage of the hundreds of one-on-one networking opportunities with registrants from all of the Employer Healthcare & Benefits Conferences, providing seven times the traffic and networking for everyone attending the conferences this year. For more information, visit Employerhealthcarecongress.com

Sep
25

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The Medical Tourism Cluster of Jalisco Joins at the Employer Healthcare & Benefits Congress in LA, Oct. 2 – 4

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The Medical Tourism Cluster of Jalisco joins the Employer Healthcare & Benefits Congress (EHBC) in Los Angeles October 2 – 4, along with 2,000 attendees and 150 exhibitors from across the world for three days of learning the latest news and information in their industry and networking with peers. Attendees will be immersed in an exciting and vibrant environment to spark new ideas for improving employee health and benefits.

If you are involved in creating and maintaining worksite wellness programs, oversee healthcare reform compliance, offer or sell voluntary workplace benefits or administer a self-funded health plan, you cannot afford to miss the insight available at the EHBC. Highlights of this year’s event include:

  • An extensive conference agenda, featuring everything from benefits design to handling the taboo topics in the workplace and everything in between
  • 6th Medical Director Summit, a half-day session bringing together  Medical Directors and Chief Medical Officers from around the world for high-level discussions on the latest trends and challenges in destination medicine and the development of global medical networks
  • The Employer Direct Contracting & Bundled Payment Summit, exploring how leading employers are working directly with providers to better maintain employee health and employer healthcare costs 
  • 7th Global Ministerial Summit, where Government Delegates, including Ministers of Health, Tourism, Economic Development, Trade Commissioners, Health Attaches, and Consul Generals, from all over the world to discuss long-term, sustainable results for expansion and growth of their healthcare infrastructure while at the same time addressing the immediate health concerns different countries face.
  • Earn your Certified Medical Tourism Professional® designation live on-site. 
  • Keynote Speaker Dr. J. Craig Venter, Co-Founder, Human Longevity Institute, and Sequencer of the Human Genome 

About The Medical Tourism Cluster of Jalisco

Technology, on the cutting-edge, professionalism, hospitality, and human touch, the perfect combination for any medical treatment.  Guadalajara offers first-class health services in Mexico and to the world.

About the Employer Healthcare & Benefits Congress

With multiple initiatives and platforms to unite the thriving employer healthcare industry, the Employer Healthcare & Benefits Congress (EHBC) is one of the largest healthcare conferences in the country. Participants and attendees will have the opportunity to take advantage of the hundreds of one-on-one networking opportunities with registrants from all of the Employer Healthcare & Benefits Conferences, providing seven times the traffic and networking for everyone attending the conferences this year. For more information, visit Employerhealthcarecongress.com