Live Webinar – Self-Funding of Employee Health Plans: Care Management and Provider Networks
April 27 @ 9:00 am - 11:00 am CDTFree – $70
David A. Grunke CHC, RHU, ChHC
Speaker, Coach & Instructor
This class will explore the components of both provider networks and care management to control both the cost per unit and the number of units of care delivered.
The class will discuss the evolution of provider networks, wide vs narrow, and the pricing per service that reflects the cost per service and well as current trends in service pricing, referenced based, and others.
Secondly, the class will discuss the various components of care management and their use in controlling the intensity of service the number of units of care delivered.
50 minutes – Provider Networks
- Wide Vs Narrow
- Centers of Excellence
- Service pricing trends
50 minutes – The Components of Care Management
- Acute case management
- Expedited access coordination to reference-based pricing (when appropriate)
- Overall wellbeing management, from physical wellness to mental health
- Chronic condition management
- Complex condition management
- Biometric screenings