TRUVEN HEALTH GOVERNMENT EXPERT SERIES
Join experts across the healthcare spectrum as we examine trends that affect the government community and highlight methodologies and analysis that work to address today's most important issues.
PAST EXPERT SERIES EVENTS
Ensuring Program Integrity in a managed care environment — Insights from Iowa Medicaid Enterprise
September 20, 2017, 2:00-3:00 PM EST
Join us Wednesday, September 20th, as experts from Iowa will share their insights on efforts to ensure program integrity in their state, including best practices on encounter data validation work, navigating managed care contractual provisions, eligibility analysis and analytics to turn identified fraud, waste and abuse into actual recoveries.
Innovative Approaches to Substance Use Disorder
Learn How Montgomery County Courts partnered with IBM Watson Health, the Judge now has a standardized, web-based mechanism to review all information related on a Juvenile enrolled in the Drug Court Program. This helps the team view data and collaborate on the Juvenile's case plan. Also hear about market trends and challenges for health and human service organizations regarding substance use.
2017 Key Algorithms
Learn new fraud schemes and trends we’ve uncovered and the latest technical and analytical detection approaches that can be used in fighting fraud, waste and abuse.
Balancing Long-term Services and Supports — History, Status and Strategies
Medicaid long-term services and supports (LTSS) have undergone a profound transformation over three decades from an almost exclusive emphasis on institutional services to the current reality in which home and community-based services (HCBS) are a majority of LTSS expenditure. Health research experts examine the latest available LTSS data as well as some of existing levers to achieving a more balanced system and practical strategies states can use to improve their LTSS system.
Putting Analytics and Information to Work in Health & Human Services
More than ever, government agencies are putting their data to work, making informed decisions that improve program quality and reduce costs through data warehousing and advanced analytics. But how are they doing it? Gain insight on data integration and innovative business intelligence technologies as we showcase state best practices on how to use a data warehouse and analytics system effectively. Featuring the Idaho Department of Health and Welfare and the Colorado Department of Health Care Policy and Financing.
Addressing Evolving Threats in Fraud, Waste and Abuse — Innovations and Insights
Discover the latest innovations we’ve uncovered in fighting fraud, waste and abuse in a managed care environment, including predictive analytics, algorithms, oversight and reporting. Truven Experts share best practices will be shared on closing the gap between needing to reduce waste and abuse in the managed care environment — and the ability to do so successfully and cost-effectively while ensuring MCOs actively engage in program integrity.
Value Based Payment Reform Insights
As the payment landscape in healthcare continues to evolve, is your organization aware of the latest breakthroughs and prepared for the new risks and opportunities to gain from the CMS Framework? Truven Health federal payment reform experts discuss the significant growth in value-based payments and the role the CMS Framework and the Health Care Payment Learning and Action Network (LAN) continues to play in accelerating the transition already underway.
The Opioid Epidemic in Medicaid
Over 2 million individuals with substance use disorders have gained Medicaid coverage since the Affordable Care Act went into effect in 2014. The opioid abuse epidemic has brought into stark relief the need for a robust, effective treatment system. In this presentation, Truven Experts discuss new opportunities and tools for state Medicaid programs to develop an accountable, efficient, and effective substance use disorder services system.
2016 Key Algorithms
Each year, Truven Health Analytics identifies and releases a set of key fraud-fighting algorithms that have yielded excellent results for our customers over the past year. Collated and prepared by our expert analyst teams in the program integrity unit, this is your chance to discover effective ways to find and recover program dollars.
Mitigating the Cadillac Tax in 2018 and Beyond
Beginning in 2018, employer sponsored plans will be required to pay a 40% excise tax on high-cost health plans. Learn more about what impact this is anticipated to have and options to help public employers mitigate substantial impacts to employees and early retirees.
The Evolution of the Health & Human Services Data Warehouse
2015 Key Algorithms
As the need for robust healthcare data analytics continues to rise, states are looking for flexible and fast data warehouse solutions to get them the results they need quicker. In this presentation Truven Health's data experts will provide an in-depth look at the evolution of data warehouse models – where they've been and where they are going.
Each year, Truven Health Analytics identifies and releases a set of key fraud-fighting algorithms that have yielded excellent results for our customers over the past year. Collated and prepared by our expert analyst teams in the program integrity unit, this is your chance to discover effective ways to find and recover program dollars. During this session, our panel of program integrity experts introduce some useful new ideas for algorithms and the latest trends in aberrant billing practices and suspicious recipient behavior.
Vulnerability Assessments and Provider Risk Statistics
Truven Health experts Jillian Thomas, Manager of Client Services and Mark Gillespie, VP, Government Solutions Management highlight informative national provider risk statistics and how this information can be useful to you in monitoring and managing the risk of your providers. In this session, we review a proven approach to baseline, describe, and prioritize payment integrity risk in your provider population, as well as successful intervention strategies.