Robust Analytics for Health Plans in an Era of Reform

A CFO WebcastSponsored by Teradata Corporation

Wednesday, December 5th, 201212:00 PM ESTRegister today: http://bit.ly/RVIBE2

ROBUST ANALYTICS FOR HEALTH PLANS IN AN ERA OF REFORM

ROBUST ANALYTICS FOR HEALTH PLANS

The Patient Protection and Affordable Care Act introduces a confounding number of new fiscal responsibilities to the finance departments of health plans. Solving this compliance conundrum in ways that also provide valuable insight into data for strategic decision-making purposes has become a key goal of health plan CFOs.

Three key compliance issues dominate Finance and Performance Management objectives for health plans:

• Medical loss ratio analyses, which affect planning, budgeting and operational reporting;

• Health Insurance Exchanges, in terms of tracking the cost of sale and profitability in this new segment; and

• Reinsurance, risk corridors and risk adjustment, the transitional risk sharing model creating plan profitability uncertainty due to adverse selection.

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The analytics to attend to these issues requires the integration of general ledger, internal cost accounting data and claims data -- the healthcare transaction itself.

From a CFO standpoint, the goal is to do more with less -- reduce enterprise cost by consolidating, simplifying and standardizing Finance IT architecture, and optimize cash flow through working capital improvements. The best decisions come from having greater visibility into data -- a key aim to reduce earnings volatility and enhanced flexibility to adapt to market changes.

During this Webcast, a distinguished panel of experts will explore the challenges before health plan CFOs in this era of pronounced reform and regulatory change. Panelists will present the current compliance landscape, position ways to acquire and improve high-level analytics, and introduce world-class Finance and Performance Management practices for health plans.


ROBUST ANALYTICS FOR HEALTH PLANS

Arthur Tacchino is an Assistant Professor of Health Insurance at The American College. He is a recent graduate from Widener University School of Law where he received his JD. He received his BS in Economics from Susquehanna University. At The American College, Arthur is responsible for several Huebner School courses as well as course development and design. Aside from The American College, Arthur has taught Business Law and Ethics at Widener Undergraduate in Chester, PA. Mr. Tacchino is currently assisting with the responsibilities of several health insurance courses offered by the American College and extensively researching Health Care Reform.


PANELISTS

David Wiggin is the Program Director, Healthcare and Life Sciences, for Teradata Corporation. His responsibilities include industry strategy, marketing, offer development and field enablement and support. Prior to joining Teradata, David was with the healthcare business of Thomson Reuters, now Truven Health Analytics, for 25 years, supporting employer, health plan, provider and government markets. He has worked in a variety of roles including product management, product development, project management, data warehousing, operations management, and systems architecture. David has experience with both the business and IT dimensions of the healthcare industry. David received a BS degree from Ithaca College and earned his MBA from the State University of New York at Albany.


PANELISTS (CONT’D)

As group vice president, Scott Lundstrom is responsible for managing IDC Health Insights' research-based advisory and consulting offerings, which provide full coverage of the health care industry value chain, including the payer, provider and life science segments. Mr. Lundstrom's experience has given him a thorough understanding of market dynamics, business strategies and processes, and technology solutions. Prior to joining IDC, Mr. Lundstrom was a Senior Vice President and Chief Technical Officer at AMR Research, where he was responsible for AMR's business process and technologies research teams, including ERP, supply chain, CRM, compliance and enabling technologies. He is a regular speaker and a source for the media on healthcare and life science issues by major publications such as USA Today, Investor’s Business Daily, The Boston Globe and BusinessWeek.


PANELISTS (CONT’D)

7 04/18/2023 Teradata Confidential

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Robust Analytics for Health Plans in an Era of Reform

Brought to you by CFO

Sponsored by Teradata Corporation

Wednesday, December 5th, 201212:00 PM EST


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Robust Analytics for Health Plans in an Era of Reform