Health risk assessment data, claims analysis and primary care physician referrals can all identify patients who are at risk of current or future chronic care needs. But knowing who they are is just half the battle. To have an impact on both patient outcomes and healthcare costs, health plans and disease management companies need to not only identify members with the greatest opportunity for improvement, but provide them with the appropriate intervention.
During this 90-minute audio conference on CD-ROM, your expert panel of speakers, Thomas Ferraro, business development director with Mayo Clinic Health Management Resources and Penelope Kokkinides, national vice president of disease management with AmeriChoice, a United Healthcare Company, provide inside details on stratification strategies used by their respective organizations to provide the most appropriate intervention to patients with chronic healthcare needs.
You will get details on:
- What factors are examined when stratifying members;
- Special considerations for commercial, Medicare or Medicaid populations;
- How race, ethnicity, socioeconomic status and access issues factor into stratification; and
- Case studies of stratification methodologies.
You can "attend" this program right in your office and enjoy significant savings – no travel time or hassle; no hotel expenses. It’s so convenient! Invite your staff members to listen in.
Who Will Benefit From This Audio Conference?
CEOs, medical directors, disease management directors, managers and coordinators, health plan executives, care management nurses, business development and strategic planning directors.
About Our Panelists:
Thomas F. Ferraro
Thomas F. Ferraro is the director of business development with Mayo Clinic Health Management Resources in Rochester, Minn. In this role, Ferraro is responsible for creating unique relationships and revenue channels in newly identified national markets. His product focus is on population health management tools, which include Mayo Clinic’s e-Health portal, telephonic behavior change programs and Mayo Clinic print publications.
Ferraro joined Mayo Clinic in 1996, serving as chief marketing officer and chief operating officer for MMSI, a Mayo health company and third-party administrator. In this role, he was responsible for sales, marketing, compliance, claims, membership, network development, provider relations and customer service. Prior to joining Mayo, Ferraro was the regional sales director for Blue Cross Blue Shield of Michigan. His regional staff provided client service support to more than 3,600 employer groups, generating over $334 million in annual premiums.
In addition to his work experience, Ferraro has leadership experience in several professional organizations. He was president and chairman of the board for the Health Underwriters Association in Lincoln, Neb.; served as a member of the Planning Committee of the Michigan State University Managed Care Institute in East Lansing, Mich.; was on the Health Plan Administrators Advisory Board for the Capital Area Health Alliance of Greater Learning in Lansing, Mich., and was a member of the Board of Directors for the Nebraska State Association of Health Underwriters in Nebraska.
Ferraro holds a Bachelor of Science in Marketing Communications from Grand Valley State University in Allendale, Mich.
Penelope Kokkinides is the vice president of case management and disease management programs for AmeriChoice. AmeriChoice is business unit of UnitedHealth Group, the nation’s largest health and well-being company, and is the country’s premier provider of high quality, personalized public sector healthcare programs. Since 1989, AmeriChoice has served the public sector market exclusively. Today, it facilitates care for more than 1.2 million beneficiaries of government healthcare programs in 13 states.
Kokkinides is responsible for implementing the Personal Care Model at AmeriChoice. The AmeriChoice Personal Care Model™ features direct member contact by AmeriChoice clinicians trained to foster an ongoing relationship between the health plan and members suffering from serious and chronic conditions. In addition, Kokkinides is responsible for developing, implementing and operationalizing AmeriChoice’s disease management programs in asthma, diabetes, CHF, COPD, HIV/AIDS, SCD, Hepatitis C and renal disease.
Prior to her position as vice president of disease management and care management, Kokkinides was responsible and instrumental in developing AmeriChoice’s Healthy First Steps Program (Maternity and NICU Program).
Kokkinides graduated from the State University of New York with a Bachelor of Arts in Biological Sciences and Classical languages. She has a master’s degree in Social Work from New York University and a master’s degree in Public Health from Columbia University. Currently, she is a doctoral candidate in Public Administration.
"The program was timely and the content was applicable to what is occurring in my organization...it contained information to our current circumstances," said the director of Group Health Cooperative.
"The conference provided very useful information, especially on how adminstering an effective HRA can help identify high risk people and intervene on them to drive down cost," said Annabelle Suarez, program manager with Merck & Co, Inc.