Value (Business Strategy and Financial Management)

Facilitated Roundtable Discussion

V-13 - A Commercial Payer's Perspective on Payment Models for Virtual Care

Monday, April 30
4:35 PM - 5:00 PM
Location: Education Zone, Booth 2416, Zone 4

The transformation from Fee-for-Service to Value-Based Care has both insurers and providers focusing attention on service and payment models expected to increase value by increasing access, improving quality, and enhancing the patient experience, while decreasing the cost of care. Both insurers and providers are driving the adoption of virtual visits as technology, consumerism, and budgetary pressures converge to reveal the value proposition of virtual visits. Realization of the value of virtual visits is dependent upon provider adoption of the service, yet reimbursement is reported as the most significant barrier to provider adoption. Learn how one commercial payer developed a reimbursement strategy designed to achieve both provider and insurer goals.

Learning Objectives:

Melinda L. Schriver

Senior Director, Telehealth Strategic Solutions
UPMC

Melinda provides executive leadership for Telehealth Strategic Solutions for UPMC Health Plan. In her Telehealth role, Melinda develops the telehealth strategy, including reimbursement strategy, and oversees the implementation and operation of virtual visits ; recommends appropriate strategic initiatives for virtual visits, remote patient monitoring, and telemedicine; and evaluates critical components of the UPMC telehealth strategies across the enterprise.

Presentation(s):

Send Email for Melinda Schriver

Julie Lamb

Senior Manager
UPMC

...As the Senior Manager for Telehealth Operations, Julie manages the implementation and operation of virtual visits, including patient-initiated On Demand services, scheduled patient-provider services, and provider-to-provider in-home consult services. Julie also recommends new service initiatives for virtual visits, remote patient monitoring, and telemedicine; and oversees the daily operations of all virtual visit services.

Presentation(s):

Send Email for Julie Lamb


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