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Winning Strategies in the Medicare Private Fee for Service Market

Tuesday, December 11, 2007 1:00 – 2:30 p.m. EST

PURCHASE RECORDING | PRICING INFORMATION
 

Private fee-for-service (PFFS) plans are the most popular and controversial Medicare Advantage products. The private fee-for-service plans were primarily developed for rural areas with poor coverage; however, the reimbursement structure has made them popular with all regions with current enrollment estimated at 1.3 million. Winning Strategies in the Medicare Private Fee for Service Market will take an in-depth look at the rapid growth of the Medicare private fee-for-service specifically effective benefit design strategies and compliant marketing efforts required when developing a PFFS product.

In this 90-minute webinar, you will hear proven cases studies from healthcare leaders: Daniel C. Lyons, senior vice president government programs for Independence Blue Cross and Barth Kevin, vice president of operations for Veridign Health Solutions who will report from the front lines on how their organization has successfully implemented a private fee-for-service plan and gained market acceptance from providers, brokers and beneficiaries.

Formal presentations will be followed by a 30-minute Q&A to answer your most pressing Medicare private fee-for-service questions.
Learning Objectives

Tune into this live 90-minute webinar from the convenience of your office to learn how to:

  • Understand the basic elements of the PFFS plan
  • Identify the key benefits of implementing a PFFS plan
  • Overview the rapid growth of the Medicare private fee-for-service and recognize the factors that could cause its pitfall
  • Create a value position and proper pricing to maintain optimal market share
  • Discuss the many strategies for program management that ensure compliance and sustainability
  • Analyze and assess the outlook for PFFS
Who Will Benefit

Chief Executive Officer, Chief Operating Officer, Medical Officer, Vice President, Director and Manager for:

  • Medicare Advantage
  • Medicare Marketing
  • Medicare Sales
  • Healthcare Consultant
  • Government Programs
  • Retiree Markets
  • Senior Products
  • Provider Relations
  • Pharmacy
  • Member Education
  • Member Services
  • Product Development
  • Broker Relations
  • Operations
  • Business Development

From:

  • Managed Care, Health Plans, PBMs and Corporations that have or are interested in private fee-for-service plans.
Speakers

Daniel C. Lyons, MD, MPH
Senior VP Government Programs
Independence Blue Cross

Kevin Barth
Vice President of Operations
Veridign Health Solutions, LLC

About Our Speakers

Daniel C. Lyons has been a key contributor to the health insurance industry for the past two decades, following a distinguished career in clinical practice. He serves as Senior Vice President, Government Programs for Independence Blue Cross, a large regional health insurer in southeastern Pennsylvania. In his role, Dan is responsible for IBC's insured government and social mission programs. These include Medicare Advantage, Medigap, CHIP, and AdultBasic insurance programs, and the Caring Foundation social mission activities. Collectively these programs provide comprehensive benefits to over 500,000 members through a variety of health plan options.

He serves on a variety of industry councils, is a member of the Board of Visitors of Temple University School of Medicine, and holds a federal appointment to the CMS Advisory Panel on Medicare Education, which he also Chairs. Dr. Lyons holds a Master's Degree in Public Health from the Medical College of Wisconsin, an M.D. degree from Temple University, and a B.A. from the University of Virginia. During his clinical career, he was a board-certified family practitioner and geriatrician, practicing in central Pennsylvania. He served on physician quality committees for several health plans, and was a physician reviewer for Pennsylvania's QIO.

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Kevin Barth is the Vice President of Operations for Veridign Health Solutions. Kevin is responsible for the oversight of all operational areas, including member and provider services, account implementation, claims payment, and systems development and production.

He leads a cross-functional team of business and IS professionals in defining, developing, and successfully implementing PFFS products & processing capabilities for both insured and ASO markets.

Prior to joining Veridign Health Solutions, Kevin worked for CIGNA Corporation in a variety of executive positions, most recently as the Vice President of Customer Service. In this capacity, he was responsible for a wide range of operational activities, such as account implementation and management, call center operations, claims processing, premium accounting, site consolidation, and information systems. Over the course of his career, Kevin has led a number of strategic reengineering initiatives in both operations and sales that produced significant improvements in customer satisfaction and productivity. He also served with distinction in the United States Marine Corps.

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Corporate Research Group Webinar Sponsorship Opportunities

Webinar sponsors represent select companies that share a common mission; business advancements through leadership, strategic interaction and innovation. We invite companies to contact us for detailed information on sponsoring one or more of our Webinar events. Take advantage of either a Lead Sponsor position with the privileges of exclusivity or a Webinar Affiliate Sponsor position.

About Us: Corporate Research Group has been serving the managed healthcare marketplace for over 14 years as the industry’s leading source for Healthcare News. CRG products consist of custom consulting and advisory services, print and electronic newsletters, conferences, audio conferences and online information services. CRG’s subscribers consist of senior level decision makers that purchase the reports, newsletters and attend conferences as well as webinars

Interested, Contact Shaun McNally at 781-939-2560, email shaun.mcnally@corporateresearchgroup.com. ASK US about an exclusive customized lead webinar on a topic of your choice!

Pricing Information
$299 for live webinar, plus materials packet

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