Available on Demand
Understand Health Outcome Drivers with CareIntel
Webinar highlighting how ZeOmega’s CareIntel solution can leverage your organization’s data to improve health outcomes, reduce costs, and enhance member engagement.
ZeOmega clinical and data experts will walk through the top population health management challenges and how they can be solved by CareIntel’s unique combination of explainable AI, supervised machine learning, our Sentinel Rules Engine (SRE), and our decision tree algorithms.
PRESENTERS:
Rahul Singal, MD, Chief Medical Officer, ZeOmega
Sandra Hewett, RN, BSN, CCM, Chief Nursing Officer, ZeOmega
Pravin Pant, Sr. Director, BI, Analytics and Machine Learning,ZeOmega
Available on Demand
Achieving CMS Interoperability with ZeOmega
In this webinar, ZeOmega interoperability experts walk through the CMS Final Rule requirements and explain how we can help you achieve compliance with the Patient Access, Provider Directory, and Payer-to-Payer Data Exchange regulations.
During these challenging times, it’s more important now than ever for organizations to improve the care management process and reduce overhead costs. The CMS Interoperability Final Rule presents a unique opportunity for payers to leverage information exchange technologies using API connection points to drive value, instead of just “checking the box.”
You’ll also learn more about:
- ZeOmega’s expertise in interoperability as founding members of the HL7 DaVinci Project
- ZeOmega’s turn-key data formatting to CMS regulations
- Supported frameworks, implementation guides, and demonstrated use cases
- And more!
FEATURING:
Rahul Singal, Chief Medical Officer, ZeOmega
Tony Sheng, Director, Interoperability Strategy, ZeOmega
Matt Adamson, Vice President, Product Planning, ZeOmega
Available on Demand
Managing Vulnerable Populations in the Post COVID-19 Healthcare Environment
In this one-hour webinar, experts at ZeOmega, Florida Blue, and Lumeris will share first-hand accounts of effective strategies for managing Medicare and Medicaid populations in an ever-changing pandemic landscape.
In this webinar you will learn how to:
- Leverage Social Determinants of Health (SDOH) for Medicaid and Medicare populations
- Enhance reporting through dashboards
- Proactively address CMS compliance and audits
- Streamline tracking and management of grievances and appeals
Speakers:
- Karen Iapoce, Director, Government Programs – ZeOmega
- Dominick Sparandeo, Sr. Director of Clinical Operations – Florida Blue
- Cathy Linsin, Vice President, Clinical Strategy – Lumeris
Moderator:
- Matt Adamson, Vice President, Product Planning – ZeOmega
Available on Demand
The Value of Leveraging Social Determinants Of Health (SDOH) for Medicaid Health Plans
Addressing the social determinants that affect the health of your most vulnerable populations is a challenge, but their impact on both outcomes and cost can’t be overstated. In this live webinar, our experts share tips to develop your organization’s SDOH data strategy and how to employ technology and process improvements for maximum effectiveness.
In this webinar you’ll learn:
- How to uncover critical new insights from your members’ SDOH data
- The most meaningful data inputs to enhance your SDOH strategy
- The value of combining SDOH data with other sources such as assessments and open-source census data
- How to leverage SDOH access to engage and manage vulnerable Medicaid populations
Speakers:
- Trisha Swift, DNP, RN, Vice President, Innovation & Transformation – ZeOmega
- Sandra Hewett, BSN, RN, Chief Nursing Officer, – ZeOmega
- Rahul Singal, MD Chief Medical Officer – ZeOmega
- Pravin Pant Senior Director, Business Intelligence, Reporting and Analytics – ZeOmega
Available on Demand
Transforming Consumer Engagement with Live Chat and AI
Join us for a discussion with our healthcare consumer engagement platform partner Comm100 as we explore why and how healthcare organizations are embracing live chat, and how AI can take consumer engagement to the next level.
During this session you’ll learn:
- How to eliminate communication friction with healthcare consumers
- How live chat supports and enhances your population health management strategy
- How live chat and AI make your agents more productive and more effective
- How to build a business plan for the transition to digital in 2020
Available on Demand
Aligning Quality & Value to the Whole Person
Delivering patient-centric, quality healthcare requires a proactive, whole-person approach that goes beyond treating illness. Anticipating patient needs is critical to improving outcomes and meeting your quality and value goals.
In this 45-minute webinar, our team of experts share:
- How measuring healthcare quality has evolved
- Strategies to take your quality program to the next level
- Tools for getting ahead of care gaps
- Methods for effective patient engagement
View this webinar to explore the maturity curve for healthcare quality and what it takes to be a top performer.
Speakers:
- Trisha Swift, DNP, RN
Vice President, Clinical Trasformation, ZeOmega - Sandra Hewett, BSN, RN
Chief Nursing Officer, ZeOmega - Matt Adamson
Vice President, Product Planning & Innovation, ZeOmega
Available on Demand
Managing Complex Long-term Services and Supports (LTSS) Patients to Improve Care and Reduce Costs
Medicaid covers the medical, behavioral, dental, and long-term services and supports (LTSS) needed by millions of low-income Americans of all ages. Historically, managing the complex LTSS population to deliver quality outcomes at low cost has been challenging for many health plans because:
- Often times, LTSS patients present disabilities and multiple chronic conditions. Typical patients include profoundly, developmentally disabled children; adults with trauma or acute debilitating illness; and seniors challenged with immobility, cognitive, or debility issues. Many require 24-hour services and support.
- It can be difficult to coordinate care among the complicated web of LTSS caregivers. Nursing facilities, custodial home services, transportation, daily living assistance, and family caregivers are just a few of the many teams that need to be sharing member information and alerted to crucial care updates in real time.
View this webinar to hear industry thought leaders and subject matter experts discuss how Jiva helps health plans effectively manage the LTSS life cycle, handling everything from eligibility and assessments to care plans, individual service plans, authorizations, and budget management.
Speaker:
- Frank Spinelli, Consultant, LTSS Transformation, Giela Consulting
- Karen Iapoce, RN, MS, Senior Manager, Government Solutions, ZeOmega
Available on Demand
Population-based Care Management: How Health Plans Can Leverage PHM Solutions for Value-based Care (Part II)
In this final Part of our two-part series, we continue discussing how population health management (PHM) solutions can help health plans significantly scale care management to broader member populations. Many challenges arise with expansion of whole-person focused care. But with the right PHM solutions, many of those challenges can be overcome.
A powerful PHM platform helps organizations push past barriers by helping them:
- Utilize risk identification and stratification tools to factor in broad clinical and non-clinical factors, not just costs.
- Create assessments and care plans that are scalable and optimized for integrated care management.
- Manage patients with both chronic and behavioral conditions using an integrated platform and programs.
- Incorporate social determinants of health, not just clinical factors, for an enhanced and holistic delivery of care.
View Part II of this complimentary two-part series.
Join us to hear industry thought leaders and subject matter experts discuss how ZeOmega clients have successfully transformed their care management programs using innovative technologies for:
- Integrated Care Management.
- Managing social determinants of health.
Speakers:
- Sandra Hewett, Vice President, Clinical Solutions, ZeOmega
- Bonnie Sirott, Senior Clinical Consultant, ZeOmega
Moderator:
- Matt Adamson, Vice President, Product Planning & Innovations, ZeOmega
Available On-Demand
Population-based Care Management: How Health Plans Can Leverage PHM Solutions for Value-based Care (Part I)
Facing ever-increasing pressure to reduce healthcare costs, health plans have been looking for new ways to significantly scale care management to broader member populations. Newly released NCQA Population Health Management (PHM) standards—like the use of more patient-centered assessments to determine care needs—provide yet another catalyst for health plans to forge change.
However, expanding whole-person focused care (as opposed to disease-state focused care) to a sizable portion of the member population requires health plans to address several challenges, including:
- Risk identification and stratification to factor in broad clinical and non-clinical factors, not just costs.
- Assessments and care planning tools that are scalable and optimized for integrated care management.
- Integrated platform and programs to manage patients with both chronic and behavioral conditions.
- Effective assessment and management of social determinants of health, not just clinical factors.
View Part I of this invaluable, two-part series. Hear industry experts discuss how ZeOmega clients have successfully transformed care management using:
- Integrated identification and stratification.
- Integrated assessments and care planning.
Speakers:
- Sandra Hewett, Vice President, Clinical Solutions, ZeOmega
- Kay Sherwin, Principal Consultant, Clinical Support Services, ZeOmega
Moderator:
- Matt Adamson, Vice President, Product Planning & Innovations, ZeOmega
Available On-Demand
Improve Care Transitions and Reduce Readmissions: How Health Plans and Providers Can Collaborate to Make an Impact
High rate of readmissions is a significant burden for the U.S. healthcare system. Medicare spends $26B per year for readmissions and almost $17B for avoidable readmissions. In 2013, the average cost of all-cause readmission was $13,800 per readmitted Medicare beneficiary. Now in 2018, CMS penalty for readmissions under the HRRP is $564M in total for 2,591 hospitals (~80% of evaluated hospitals), a 6.7% increase over 2017.
Readmissions are costly and are also indicative of quality of care. They are a critical part of STAR, HEDIS, and ACO quality measures. Even though they are a significant challenge, change is possible. If health plans work together with providers, they have a better chance of addressing readmission issues than if either were working alone.
To succeed, health plans and providers must collaborate closely to address:
- Difficulties related to the identification of patients and risk levels of readmission.
- Barriers that impede care coordination among various providers across care settings.
- Problems with chronic conditions.
- Challenges related to medication management.
View Recorded Webinar from ZeOmega® to learn how how innovative population health management (PHM) solutions can help overcome these challenges.
Listen as industry thought leaders and subject matter experts discuss interoperability, analytics, integrated assessments and care planning, disease management, and support for multidisciplinary teams that can assist health plan/provider collaboration.
Speakers:
- Matt Adamson, Vice President, Product Planning & Innovations, ZeOmega
- Sandra Hewett,Vice President, Clinical Solutions, ZeOmega
Available On-Demand
Optimizing Care Management Compliance with First Tier, Downstream, and Related (FDR) Entities Under Medicare Advantage
How do you work with contracted care management vendors to effectively manage member care?
Furthermore, how do you ensure that you are only working with FDRs that can meet CMS compliance requirements?
Medicare Advantage (MA) plans work with a broad range of FDRs. Some are Accountable Care Organizations (ACOs) while others are vendors offering services such as utilization management, case management, health reimbursement arrangements (HRAs), STAR gaps-in-care closure, and behavioral health. CMS recently expanded the definition of supplementary benefits, adding various and diverse service providers to the mix.
With so many organizations involved in care, major challenges arise. One of the biggest road blocks is trying to figure out if the services delivered by these FDRs meet your requirements. Additionally, it is difficult to confirm that they are compliant—which is imperative—because the consequences of noncompliance can be significant.
Ensuring compliance can positively impact your organization by avoiding:
- Corrective action plans.
- Civil Money Penalties (CMPs).
- Intermediate sanctions.
- Immediate termination of CMS contracts.
View this webinar from ZeOmega® to learn how innovative population health management (PHM) solutions can help you get what you want, and need, out of an FDR.
Hear industry thought leaders discuss how a comprehensive care management platform for data integration/sharing, timeline monitoring, co-management, communications and reporting can help MA plans work with FDRs more effectively. With the right solutions, delivering improved care and services becomes easier while ensuring CMS compliance becomes more straightforward.
Speakers:
- Rahul Singal, MD Chief Medical Officer, ZeOmega
- Elizabeth Barnett, BSN, JD Government Programs Consultant
Available On-Demand
Experiencing Challenges with Your Behavioral Health Program? New Population Health Management Technology Can Help!
Behavioral health (BH) issues are a multi-faceted challenge for the U.S. healthcare system. In 2014, the U.S. spent $220B on mental health and substance use disorder treatment (SAMHSA). One in five adults experiences a mental health condition each year (NAMI). Over 24M Americans age 12 or older had illicit drug use in the past month (NIDA), and 11.5 million Americans misused opioids in 2015 (HHS).
Managing behavioral health has many challenges, including:
- How do you effectively identify BH patients when many are under- or mis-diagnosed?
- How do you manage BH issues within complex BH conditions, comorbidities, low adherence and high risks in transitions, as well as frequent social and familial issues?
- How do you coordinate care across highly fragmented BH services, including distinct and substantial public services, disparate community resources, and other BH providers?
- How do you track BH patients’ medication effectiveness when provider prescription patterns are difficult to gather, patient adherence to medication is low, and medications are often misused?
View this webinar from ZeOmega® today to learn how innovative population health management (PHM) solutions can help overcome these challenges.
Industry thought leaders and subject matter experts will discuss the challenges facing BH management today. Learn how innovative solutions in data integration, analytics, integrated assessments and care planning, holistic care management, utilization management and stakeholder engagement can help BH programs more effectively manage challenging BH issues.
Speakers:
- Elizabeth Barnett, Government Programs Consultant
- Todd Hancock, M.D., Clinical Solutions, ZeOmega
- Bonnie Sirott, RN, Senior Clinical Consultant, ZeOmega
Moderator:
- Matt Adamson, Vice President of Client Relations, ZeOmega