Making Value-Based Reimbursement Work – Best Practices In Program Design & Management
May 13, 2021
Value-based reimbursement (VBR) got a boost during the pandemic and will likely retain its importance after the pandemic is over. As the field moves from “crisis mode” to a post-pandemic health and human service landscape, executive teams must figure out how best to navigate that transition and answer the question: What measures of organizational performance are critical for success?
Most executives know that VBR is the way of the future, but many still don’t know how to design and manage a program that works. In this web forum, two executives with a wealth of experience will share their advice on how to negotiate, design, and implement a successful VBR relationship with a health plan.
The session will feature to case studies:
- The VBR program at Hazelden, including development, design, and management
- The perspective of a large payer
Ashley Gibson Director Of Payer Relations, Contracts & Utilization, Hazelden Betty Ford Foundation
Ashley Gibson has been part of Hazelden Betty Ford since 2006, working in a direct clinical role and then shifting focus to using her clinical skills and expertise to support clients through her work with third party payers. Having direct clinical experience, coupled with the Utilization Review background working on both the payer and provider sides has lent itself well to supporting Hazelden Betty Ford in maximizing payer relationships and patient experience as it relates to utilization.
Donna Esposito, Director of Payer Relations, THRIVE DETECT
Donna Esposito has over 20 years of health care leadership experience predominantly in value-based care developing innovative solutions from both payer and provider perspectives, across all lines of business for both physical and behavioral health populations. Ms. Esposito is an avid public speaker on value-based care and has supported the ASCO Payment Reform Workgroup as the only non-clinical member in developing VBC guidelines and a member of IHA Technical Payment Committee, the largest APM in the country. Her work in designing, negotiating, and operationalizing physical and behavioral health integration has led to two innovative APMs publicized through press release. Ms. Esposito holds an undergraduate degree in accounting, served as a mentor in the field of economics, holds a Master’s degree in health care administration, and she is currently studying for her doctorate in the same.
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