Lunch with FTI: Managing Financial Risk in Value Based Care Arrangements

Date: Wednesday, March 27, 2019
Length: 30 minutes

Why Watch?

Value Based Care is now prevalent in virtually every aspect of today’s health care environment. Quality, cost and the patient experience combine to create value for today’s consumers and purchasers of health care. So just what exactly is value based care? And more importantly, how can you be successful in value based care arrangements? This webinar explores today’s popular value based care arrangements and the strategies necessary to be successful in managing the total cost of care. In addition, the role of risk adjustment in successful value based arrangements and the importance of sound risk adjustment programs are also discussed.

Learn About:

Popular Value Based Care arrangements between health plans and providers
Successful strategies in managing the Total Cost of Care in VBC arrangements
How risk adjustment is a key component in VBC arrangements
The importance of a sound risk adjustment program based on recent DOJ investigations

Who Should Watch?

Hospital C-Suite
Administrative Executives
Physicians

Presenters:

Biggs Cannon
Senior Managing Director
FTI Consulting Health Solutions

Biggs Cannon is a Senior Managing Director at FTI Consulting. He has worked with numerous Part C and D plan sponsors and provider groups throughout his career and has over 10 years of Medicare and related healthcare experience. Mr. Cannon has worked extensively with Medicare Advantage plans, helping identify potential compliance concerns while supporting and educating internal resources on appropriate ways to remediate identified issues. He has led the identification, reconciliation and reprocessing of Medicare Advantage submissions to CMS as well as the quantification of potential repayments related to those reprocessed submissions. He has also led process improvement initiatives for these plans to put compliant policies and procedures in place in these organizations going forward.

Mark Fish
Managing Director
FTI Consulting Health Solutions

Mark Fish is a Managing Director at FTI Consulting. He is part of the Health Solutions segment, focusing on Health Plans, Managed Care and Value Based Care. Mr. Fish has more than 25 years of healthcare industry experience. He has served in various leadership positions in his career in finance, contracting, strategy, analytics, actuarial and risk management. Prior to joining FTI, Mr. Fish served as the Chief Financial Officer at MVP Health Care, where he was responsible for overall financial operations for the company. Mr. Fish held previous executive positions within MVP in Actuarial, Finance, Network Management and Medical Affairs. Additionally, Mr. Fish worked as a Consulting Actuary at Milliman and began his professional career at Aetna in the company’s Actuarial Leadership Development Program where he attained Fellowship in the Society of Actuaries.

Ali Alagha
Consultant
FTI Consulting Health Solutions

Ali Alagha is a Consultant at FTI Consulting. He is part of the Health Solutions segment, focusing on Value Based Care. Mr. Alagha’s experience has focused on the use of data analytics and visualization to provide actionable insight. He has experience analyzing value-based payment models, social determinants of health, and telehealth metrics.