Provider-Centric Approaches to Payment Reform | Kisaco Research

Learn how one health plan worked to implement both primary care capitation and global capitation in their market.  The healthplan will explain how they leveraged their provider relationships to develop capitation models, configured their systems to pay capitation and were able to deepen the collaboration with providers.

1. Learn how to leverage your system capabilities and data to implement capitation.

2. Explore better strategies to collaborate with providers implementing payment change.

3. Understand how to measure success under a capitated contract.

Session Topics: 
Track 1: Advanced Payment Integrity Function
Speaker(s): 

Author:

Cathy Newman

Managing Director Value-Based Strategy
Blue Cross Blue Shield of Rhode Island

Cathy Newman is the Managing Director of Value-Based strategy for Blue Cross Blue Shield of Rhode Island.  Her experience in the healthcare industry spans over twenty years working for both large integrated providers, small IPAs, and health plans.  In her ten years with Blue Cross, she has worked to advance value-based opportunities from pay for performance to full-risk global capitation models.  She is passionate about her work and has been able to develop more collaborative and meaningful relationships with providers throughout the state of Rhode Island.

Cathy Newman

Managing Director Value-Based Strategy
Blue Cross Blue Shield of Rhode Island

Cathy Newman is the Managing Director of Value-Based strategy for Blue Cross Blue Shield of Rhode Island.  Her experience in the healthcare industry spans over twenty years working for both large integrated providers, small IPAs, and health plans.  In her ten years with Blue Cross, she has worked to advance value-based opportunities from pay for performance to full-risk global capitation models.  She is passionate about her work and has been able to develop more collaborative and meaningful relationships with providers throughout the state of Rhode Island.