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We all know that medical cost trends are used by insurance companies to estimate premium increases for the projecting year. But what influences these increases and how are they determined? Join us for our late July webinar to learn about the influences of medical cost trends. Topics will also include medical cost for 2008, geographic variation in health costs, medical cost categories, variation in costs, pharmacy trends, cost sharing, and other healthcare trends.
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| Learning Objectives |
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Part 1: Introduction (5 minutes)
Part 2: Presentation by Milliman Representative (60 minutes)
- Medical cost for 2008
- Geographic variation in health costs
- Medical cost categories
- Variation in costs
- Pharmacy trends
- Cost sharing
- Other healthcare trends
Part 3: Q & A (20 minutes)
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| Who Will Benefit |
- Payers
- Providers
- Health Plans
- Employers
- Pharmaceutical Benefits Management
- Pharmaceutical Companies
- Senior Management for Health Plans
- Managers Responsible for:
- Cost management
- Health Plan Benefit Design
- Chief Medical Officers
- Chief Operating Officers
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| Speakers |
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Lorraine Mayne, FSA, MAAA
Principal, Consulting Actuary
Milliman
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Kathryn Fitch, RN, MED
Principal, Healthcare Management Consultant
Milliman
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| Moderator |
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Alicia Chung, MPH
Consultant
Corporate Research Group
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| About our Speakers |
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Lorraine Mayne, is a Principal in the Salt Lake City office of Milliman. She joined the firm in 1991. Lorraine's experience encompasses many aspects of healthcare financing, both public and private. Her clients include employers, purchasing alliances, insurance companies, HMOs, hospitals and physician groups.
Much of her work focuses on cost effectiveness and plan design. Lorraine's experience includes:
- Evaluation of claim liabilities
- Design and pricing of dental, vision and disability benefit plans
- Consumer directed plan designs
- Risk adjusters for risk-adjusted benchmarking
- Capitation and other risk-sharing arrangements for healthcare providers
- Healthcare reform and regulatory compliance
- Rating and underwriting models
- Reserving
Kathryn Fitch, is a principal and healthcare management consultant in the New York office of Milliman. She joined the firm in 1999.
Kate's expertise is in the intersection of disease processes, financing health benefits, and managing care. She leads teams of actuaries, benefits consultants, clinicians, and data analysts in projects for disease management companies, hospitals, employers, HMOs, pharmaceutical companies, and healthcare industry trade organizations. As project lead, she is instrumental in designing data analytics and communicating the implications for clients, as well as managing Milliman resources.
Kate leads projects that require analyzing quantitative and financial outcomes of therapies, processes, and care management, and converting these findings into measurable improvements in healthcare organizations' outcomes. Kate's role typically includes promoting these findings in organizations through reengineering, training, and process improvement.
Recent projects have included evaluating disease management outcomes for commercial, Medicare, and Medicaid populations; a variety of population-based cardiovascular risk studies; health plan medical management program assessments; and inpatient process improvement at several hospitals focused on improved denial management and length of stay reduction.
Prior to joining Milliman, she worked for a case management company where she developed the company's case manager training and education program. Kate was previously an instructor in the nursing program at Columbia University School of Nursing. Prior to that, she was a research assistant at Memorial Sloane Kettering, where she was involved in nursing research studies. She also worked as a research assistant in pharmaceutical research studies at Roosevelt Hospital.
Kate's clinical background includes extensive experience as a registered nurse in emergency, adult inpatient, and ambulatory care units.
In addition to being a frequent speaker at industry events, Kate is author or co-author of numerous publicly-available reports, including Metabolic Syndrome and Employer Sponsored Benefits, Covering Smoking Cessation as a Health Benefit: A Case for Employers, Pandemic Influenza Risk Management for Employers, End Stage Renal Disease: Who Pays?, Medicare Cost in Hospice and Non-Hospice Cohorts, Americans Are Getting Healthier, Controlling Hypertension Among Medicare Beneficiaries, Managing Health Costs: The Need for Better Cholesterol Control, and Obesity: A Big Problem Getting Bigger.
Moderator:
Alicia Chung, Consultant, Corporate Research Group, manages the competitive market analysis consulting projects for CRG. She is the co-author of ROI and Outcomes of Wellness Initiatives, Best Practices of On-Site Employee Health Clinics, and The Consumer-Driven Healthcare Revolution: Myth or Reality?. Before joining the CRG team, Alicia served as a pharmacy contracting and compliance analyst for IMS Health. Her work includes research and consulting on rebate and pricing methodologies related to Medicare and Medicaid, training and development of disease management programs, and various public health data management projects. She holds a Master's Degree in public health from Tufts University.
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| Registration
Information |
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$299 for online webinar archive recording |
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