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Partner Event: Colorado Healthcare Strategy & Management – The Rising Cost of Healthcare – A Payer’s Perspective
November 17, 2017 @ 7:00 am - 9:00 am
• What issues keep payers up at night and what strategies are they using in collaboration with employers and consumers in response?
• How can payers and providers work together and collaborate through consolidation for the benefit of all stakeholders?
• What does the future of value-based payment look like from the payer’s point of view and how does that impact others?
Health plans are thoughtfully adapting and managing through incredible market volatility. Gain insights and perspectives from health plans on the latest trends that are driving cost increases and how employers, providers and consumers can collaborate with payers to reduce costs and improve quality during this time of dynamic transformation.
Janet Pogar, Regional Vice President, Provider Solutions, Anthem
Janet has a passion for reducing the cost of health care and has worked on all sides of the delivery system. Her career has included working with several physician organizations in Colorado Springs and Denver, including Physician’s Network (IPA) and their associated HMO. Since re-joining Anthem Blue Cross Blue Shield in 1999, she has overseen all hospital, physician, ambulatory surgery centers and ancillary negotiations, as well as numerous operational functions. Janet has also been involved in employer facing meetings to help with concerns over the rising cost of health care and product strategies/cost of care initiatives to reduce premiums.
Gretchen Flanders McGinnis, MSPH, Sr. VP Healthcare Systems & Accountable Care, Colorado Access
Over the past 17 years Gretchen has focused on Medicaid, CHP and integrated care. She has overseen the implementation of a number of public sector contracts won by Colorado Access including three RCCO (Regional Collaborative Care Organization – Medicaid ACO) contracts, the CHP+ SMCN, Medicare Advantage programs and Medicaid long term care and single entry point programs. Gretchen has over 20 years of healthcare experience and previously worked at the National Conference of State Legislatures focusing on health policy as well as at the CU Health Sciences Center on a primary research project for Type 1 diabetes.
Dean Grohskopf, VP, Network Management, Mountain States Region, Cigna
Dean joined Cigna as VP, Network Mgmt, Mountain States Region, in 2011. He has leadership responsibilities for provider contracting and delivery system management in Colorado, New Mexico, Utah and Wyoming. Dean brings more than 20 years of experience in the health insurance industry. Prior to joining Cigna, he served as VP of Network Management for Aetna in Colorado. He holds a bachelor’s degree in Business Administration from Colorado Christian University.
Jennifer L Misajet, MHA, RN,CNOR CSSM, VP Care Delivery External & Surgical Services for Kaiser, CO
Jennifer is responsible for a wide range of functional areas primarily focused around care delivery operations of surgical, hospital, and peri-hospital services. She is an RN with over 20 years experience in healthcare leadership. Her previous roles have included Director, Admin. Director & Exec. Director at Regional & System levels. Jennifer’s experience includes critical access to large integrated delivery systems including expertise in healthcare remodel & construction, quality and safety improvement collaboratives as well as supply/expense reduction initiatives. She maintains certifications in Surgical Services Management (CSSM) and perioperative nursing practice (CNOR).
Kim Bimestefer, President, KB Solutions LLC
Kim has been a senior healthcare executive for more than 25 years with a performance record that includes four successful market turnarounds and two successful start-ups, including development of a $10 billion business serving more than a million customers for a Fortune 100 Wall Street firm. As the local Board Chair, President & General Manager for Cigna Mountain States from 2012 through 2016, Kim was accountable for corporate strategy, customer satisfaction, medical costs, employee relations, branding, membership growth and earnings. In this role, Kim revitalized a struggling culture post acquisition and pioneered new partnerships with high-performing healthcare delivery systems and physician groups. Today, Kim is President of KB Solutions, a strategic consulting firm that helps firms thrive through the dynamics of a healthcare market in transition.
Friday, November 17, 2017
7:00 a.m. – 7:45 a.m. Registration, Breakfast, and Networking
7:45 a.m. – 9:00 a.m. Program and Question & Answer Session
Click link below to register