Payment reform is much talked about, often written about and now becoming real in today's world. The move to value-based reimbursements and other new business models is an inevitable reality that is dramatically reshaping the US healthcare system. The underlying technology systems health insurers are using to run their businesses must have the agility to
change as new business models are introduced. Otherwise, there is tangible risk of those health plans being left behind.
This webinar will explore the technology implications for health insurers as they face the swelling wave of payment reform. Using the recent MACRA rule as a case study, executives from Medica and HealthEdge will discuss how:
health plans must be ready to capture data related to new quality and performance measures
to leverage a technology infrastructure with the agility to manage new benefit and payment models quickly and efficiently
health plans can adjust the way services delivered are reimbursed while embracing new models
Andrew Davis is the Vice President and General Manager of the Medicare Segment. Medica serves over 175,000 Medicare beneficiaries in Minnesota, North Dakota, South Dakota and
Wisconsin. Andrew joined Medica in January of 2013 with more than 20 years of diverse healthcare leadership experience. He most recently was a vice president at Express Scripts, Inc where he was part of the leadership team that oversaw the UnitedHealth Group account. He has also held leadership roles related to corporate business development, health care reform strategy and has led a national Medicare Part D Prescription Drug Plan. Early in his career, he held positions with the Minnesota Departments of Health and Commerce as well as served as a legislative assistant to U.S. Rep. James Oberstar.
Andrew received a Bachelor of Arts degree in Political Science from The George Washington University.
Harry Merkin, Vice President of Product Marketing, HealthEdge
Harry Merkin has worked with both payers and providers through many dynamic changes in
healthcare for a number of years. He is currently responsible for Product Marketing at HealthEdge and previously had similar responsibilities at Evariant and NaviNet. Merkin has collaborated with many transformative entities across the healthcare landscape. He has helped introduce and promote enterprise software solutions that enable payers to improve their competitive effectiveness, as well as perform valuable communications between payers and providers, and allow providers to effectively collaborate with patients and consumers as well as with each other. He received a BA in economics from Brandeis University.