Please join us on Wednesday, March 3, 2021, at 1 PM Eastern as Milliman’s Brent Jensen and Matthew Smith discuss the impact of COVID-19 on payment arrangements and utilization in alternative provider payment models, in the HealthcareWebSummit event: How COVID-19 Impacts Risk-Based Contracting.
Webinar: Wednesday, March 3, 2021, at 1:00 PM – 2:00 PM Eastern
- What the current Alternative Payment Model market looks like
- The COVID-19 effect on provider payment dynamics
- The overall impact of COVID-19 on payment arrangements and utilization in provider payment models
- Considerations of implications for providers going forward
Faculty: Brent Jensen, FSA, MAAA, Consulting Actuary, Milliman; and Matthew Smith, FSA, MAAA, Consulting Actuary, Milliman
While providers have started to take on various types of risk through alternative payment models (APMs), there are important factors for provider organizations to consider before taking on risk for the total cost of care. The factors include the ability to manage the total cost of care, overall risk tolerance, and attributed member group size. Some challenges associated with these factors have led to providers not taking on additional risk.
An interesting effect of COVID-19 is that many of the providers who have taken on the most risk through APMs have been most protected from provider revenue declines during the pandemic due to deferred and canceled care during 2020. Providers should not enter risk-sharing arrangements in hopes of pandemic-like events to trigger savings, but there are certainly protections to be had with risk-sharing arrangements.
As stakeholders progress through 2021 and hopefully out of the COVID-19 pandemic, the question remains about the pandemic's impact on the trends of APMs. It is possible that more providers will find value in taking on more risk, given the protection that is provided to some during the pandemic.
This session explores the current and future impact of COVID-19 on Alternative Payment Models for providers, examining the current state of APMs, the key effects of COVID-19 on the dynamics involved in provider payments, the impact of COVID-19 on the main types of APMs and the implications for providers considering current or potential risk-based contracting arrangements.
- Individual Registration: $195
- Individual Registration and Post-event materials - Includes webinar video and presentation pdf file: $240 for attendees
- Post-event materials for non-attendees - Includes webinar video and presentation pdf file. Available after the event: $260
MCOL Premium members receive a 50% discount on all Healthcare Web Summit events. Members can get the discount code on the Premium Member Website. Non-members can learn about MCOL Premium memberships and sign-up to get the 50% discount on this and future events.
Need a Printable Form? Download a registration form you can fax or mail.
In addition to the main faculty presentation, this event includes a fun whiteboard drawing format opening video, a brief moderated faculty interview, and concluding live audience questions and answers. Within in business day of your registration, you'll receive login information. You will also receive a reminder both 1 day and 1 hour before the live event, which will include a link to the downloadable companion presentation slides.
One day after the live event, you'll receive a follow-up request for feedback, also offering an opportunity to provide any final questions that can be forwarded to the faculty. Also, if you need support before, during or after the event, you can contact HealthcareWebSummit office at 209.577.4888.
After attending this webinar, attendees will be able to:
- Understand the elements of risk, the risk path spectrum for providers, and the types of models involved with the current APM market.
- Examine the COVID-19 effect on provider payment dynamics, primarily relating to utilization risk and population risk, and risk score impacts.
- Consider the overall impact of COVID-19 on payment arrangements and utilization in provider payment models including fee-for-service, shared savings, and global capitation.
- Explore implications for providers considering or currently entered in APM arrangements going forward
- Benefit from interactive learning including opportunities to engage with faculty with questions and discussion
Interested attendees would include:
- C-Suite Executives
- Provider and Payer Contracting Executives and Staff
- Provider Network Management Executives and Staff
- Actuarial Executives and Staff
- Analytics Executives and Staff
- Value-Based Payment Executives and Staff
- Revenue Cycle Management Executives and Staff
- Planning and Strategy Executives and Staff
- Business Intelligence Staff
- Other Interested Parties
Attendees would represent organizations including:
- Hospitals and Health Systems
- Provider Networks
- Accountable Care Organizations
- Clinically Integrated Networks
- Medical Groups
- Health Plans
- Solutions Providers
- Associations, Institutes and Research Organizations
- Government Agencies
- Other Interested Organizations
Brent Jensen, FSA, MAAA, is a consulting actuary with the Salt Lake City office of Milliman. He joined the firm in 2010. Brent’s consulting experience covers a wide range of health actuarial projects. He leads projects including pricing, reserving, employer health and welfare benefits consulting and financial forecasting. His clients include large employers, insurance companies, and hospital and physician groups.
Brent is a Fellow with the Society of Actuaries and is a Member of the American Academy of Actuaries. He received a BA in Economics from Brigham Young University.
Matthew Smith, FSA, MAAA, is a consulting actuary with the Phoenix office of Milliman. He joined the firm in 2006. For the last several years, Matthew has worked with numerous Medicare Advantage (MA) plan sponsors on the plan design and pricing of their MA bids. He has also worked with multiple clients on CMS bid and financial audits, as well as financial projections for start-up plans, and plans considering expansions to new service areas and adding new lines of business.