A Rare International Dialogue (Sunday, May 12, 2019)
Theme One: Diagnosis and Beyond
Cell and Gene Therapy from Laboratory to Market
Workshop G-Danielle Rollmann, Next Wave Consulting
This document discusses governing and managing collaborative applied research and development (R&D). It outlines three levels of collaboration - communication, coordination, and co-investment. It also describes three governance options for collaborative R&D - full co-investment, coordination, and communication. The full co-investment model involves pooled resources and integrated management, while the communication model keeps resources separate. Key aspects of governance include clarifying expectations, articulating the value of collaboration, setting decision-making processes, and using program management agreements and research contracts. Scoping research questions, understanding end-user contexts, and clarifying knowledge needs are also important strategies.
Lorraine Hawkins: Payment reforms in Europe:Is it time to re-think "Payment b...Nuffield Trust
1) Payment systems alone cannot achieve all goals and a variety of payment methods are needed for different services and patient groups.
2) "Payment by Results" (PbR) has limitations in incentivizing prevention, shifting care to communities, and coordination across providers. Other countries are exploring alternatives like pay-for-performance, bundled payments, and global capitation models.
3) Successfully implementing alternatives to PbR such as bundled payments, capitation models, or pay-for-performance requires addressing challenges like standardizing metrics, integrating provider networks, and allocating financial risk.
Whats Changed in 401(k)s? More Than You ThinkSkoda Minotti
This document provides an overview and agenda for a presentation on changes to 401(k) plans. The presentation covers fiduciary responsibilities and best practices, investment management strategies, optimizing plan design, financial wellness programs for employees, and understanding fees, services, and plan structures. It discusses topics like the types of fiduciary advisors, the DOL fiduciary rule, proprietary vs non-proprietary funds, active vs passive management, benchmarking plan features against peers, and analyzing plan fees. The goal is to help 401(k) sponsors navigate their fiduciary duties, manage investments prudently, design competitive plans, engage employees, and understand fees.
Re-enrollment involves automatically moving all plan participants' existing assets and future contributions into the plan's qualified default investment alternative, usually a target date fund based on the participant's date of birth, unless they opt-out or make a new selection. Re-enrollment provides key benefits like strengthened fiduciary protection, high adoption rates of target date funds, professional investment management, age-appropriate diversification and rebalancing, and minimized extreme investment outcomes. The document recommends plan sponsors order a re-enrollment toolkit to take advantage of these benefits.
This presentation was given by Alberto Milan and Richard Neweman, CCAFS, at an internal meeting where participants discussed how to increase the Investment Impacts of the Low-Emissions Development Flagship projects. Learn more about the LED Flagship: https://ccafs.cgiar.org/flagships/low-emissions-development
This document outlines guiding principles and a self-evaluation tool for sustainable infrastructure projects created by the Global Energy Basel Foundation. It defines 10 key themes for sustainable projects: accountability, transparency, customer focus, results orientation, poverty responsiveness, power-balanced partnerships, shared incentives, sound financing mechanisms, proactive risk management, and resource protection. It then provides a brief overview of each theme. The document concludes with a sample self-evaluation chart to assess project performance across the 10 themes.
APM Benefits Summit 2017 : Realising benefits in a changing world
From ambition to delivery: Don't just do something, stand there and think!
presented by Joseph Lowe, HMRC
22 June 2017
Opportunities In Microfinance Amidst The Global Financial CrisisJohn Owens
This presentation provides an update on the challenges and new opportunities for rural banks who provide microfinance services in the Philippines in light of the current global financial crisis.
This was presented during the RBAP-MABS National Roundtable Conference held in Manila, Philippines on May 12-13, 2009.
To learn more about RBAP-MABS, see www.rbapmabs.org/home
This document discusses governing and managing collaborative applied research and development (R&D). It outlines three levels of collaboration - communication, coordination, and co-investment. It also describes three governance options for collaborative R&D - full co-investment, coordination, and communication. The full co-investment model involves pooled resources and integrated management, while the communication model keeps resources separate. Key aspects of governance include clarifying expectations, articulating the value of collaboration, setting decision-making processes, and using program management agreements and research contracts. Scoping research questions, understanding end-user contexts, and clarifying knowledge needs are also important strategies.
Lorraine Hawkins: Payment reforms in Europe:Is it time to re-think "Payment b...Nuffield Trust
1) Payment systems alone cannot achieve all goals and a variety of payment methods are needed for different services and patient groups.
2) "Payment by Results" (PbR) has limitations in incentivizing prevention, shifting care to communities, and coordination across providers. Other countries are exploring alternatives like pay-for-performance, bundled payments, and global capitation models.
3) Successfully implementing alternatives to PbR such as bundled payments, capitation models, or pay-for-performance requires addressing challenges like standardizing metrics, integrating provider networks, and allocating financial risk.
Whats Changed in 401(k)s? More Than You ThinkSkoda Minotti
This document provides an overview and agenda for a presentation on changes to 401(k) plans. The presentation covers fiduciary responsibilities and best practices, investment management strategies, optimizing plan design, financial wellness programs for employees, and understanding fees, services, and plan structures. It discusses topics like the types of fiduciary advisors, the DOL fiduciary rule, proprietary vs non-proprietary funds, active vs passive management, benchmarking plan features against peers, and analyzing plan fees. The goal is to help 401(k) sponsors navigate their fiduciary duties, manage investments prudently, design competitive plans, engage employees, and understand fees.
Re-enrollment involves automatically moving all plan participants' existing assets and future contributions into the plan's qualified default investment alternative, usually a target date fund based on the participant's date of birth, unless they opt-out or make a new selection. Re-enrollment provides key benefits like strengthened fiduciary protection, high adoption rates of target date funds, professional investment management, age-appropriate diversification and rebalancing, and minimized extreme investment outcomes. The document recommends plan sponsors order a re-enrollment toolkit to take advantage of these benefits.
This presentation was given by Alberto Milan and Richard Neweman, CCAFS, at an internal meeting where participants discussed how to increase the Investment Impacts of the Low-Emissions Development Flagship projects. Learn more about the LED Flagship: https://ccafs.cgiar.org/flagships/low-emissions-development
This document outlines guiding principles and a self-evaluation tool for sustainable infrastructure projects created by the Global Energy Basel Foundation. It defines 10 key themes for sustainable projects: accountability, transparency, customer focus, results orientation, poverty responsiveness, power-balanced partnerships, shared incentives, sound financing mechanisms, proactive risk management, and resource protection. It then provides a brief overview of each theme. The document concludes with a sample self-evaluation chart to assess project performance across the 10 themes.
APM Benefits Summit 2017 : Realising benefits in a changing world
From ambition to delivery: Don't just do something, stand there and think!
presented by Joseph Lowe, HMRC
22 June 2017
Opportunities In Microfinance Amidst The Global Financial CrisisJohn Owens
This presentation provides an update on the challenges and new opportunities for rural banks who provide microfinance services in the Philippines in light of the current global financial crisis.
This was presented during the RBAP-MABS National Roundtable Conference held in Manila, Philippines on May 12-13, 2009.
To learn more about RBAP-MABS, see www.rbapmabs.org/home
This document discusses enterprise challenge funds (ECFs), which are instruments used by aid agencies to provide targeted subsidies to inclusive business ventures in developing countries. It examines the rationale for using ECFs, their design, and whether they are effective tools. ECFs provide firm-specific incentives on a competitive basis to encourage investments that benefit the poor as suppliers, employees or consumers. The document analyzes the objectives and types of poverty reduction interventions, and provides a decision tree for determining what type of assistance is most appropriate. It concludes there are two main types of ECFs - those that support small business development, and those that encourage large companies to engage small suppliers and employees.
Presentation by Jeff Rosen and Michael Lent of The Solidago Foundation and Veris Wealth Partners; at the Take Action! 2010 Impact Investing Conference in Boston.
Firm Business Plan August 2016 (Print version)Jim Rowe
The document outlines the firm's historical focus on large institutional clients and consultants, plans to expand into mid-size consultants and direct sales to insurers and large asset owners, and projections that increasing assets under management will lead to consistent revenue growth and profitability as fixed costs are covered. The firm also maintains a proprietary database to track index constituents, process daily prices and corporate actions, and execute trades for indexed and ESG-focused portfolios while reviewing holdings and reporting to clients.
How to Determine the Right Measure of LossLibby Bierman
1. Sageworks is a financial information company that provides credit risk management solutions and data to over thousands of financial institutions.
2. The presentation discussed different methods that banks can use to measure loan losses, including historical loss rates, migration analysis, and PD/LGD models.
3. The speakers emphasized the importance of carefully analyzing a bank's portfolio performance and selecting loss measurement methods that accurately estimate expected losses.
The document discusses challenges in the credit environment and recommendations for various participants in the credit channel, including banks, manufacturers, distributors, and resellers. It notes a fragile global economic recovery, ongoing credit issues, and new challenges from trends like cloud computing. It provides advice to strengthen partnerships, improve risk management, focus on value-added services, and utilize financing options like leasing to improve cash flow and support customers during uncertain times.
MA DOER_Prentation_Darling_Final (With Notes)tomdarling
1) The document discusses strategies for transitioning energy efficiency financing from linear to exponential growth by expanding markets and increasing acceptance rates.
2) It recommends targeting large markets with low penetration rates where financing is a barrier to efficiency upgrades. The strategies propose serving reactive customers with fast, attractive financing and transitioning them to proactive programs.
3) Leveraging program resources through credit enhancement and incentives is suggested to increase the scale and impact of efficiency financing programs.
Opportunities In Microfinance Amidst the Financial CrisisMABSIV
The document discusses the impact of the global financial crisis on microfinance. It notes that microfinance has been more resilient than subprime lending due to its methodology focusing on cash flow and character rather than assets. While the crisis is affecting microfinance institutions in different ways, some banks in the Philippines participating in MABS have remained stable so far. The document recommends strategies for banks such as increasing equity, diversifying funding sources, improving risk management, and expanding services like microinsurance to seize opportunities during the crisis.
What's Sustainable About This? Business Alongside Corporate Social ResponsibiltyJon Petrochko, MBA
Thesis for my Master of Business Administration degree at Wilkes University. The topic is on small and large businesses and their ability to be environmentally sustainable and social responsible. Corporate Social Responsibility and Environmental, Social, Governance Performance Indicators were the highlight of the research.
Where is the money and how to make it flowSteven Fawkes
There is a large untapped market opportunity in energy efficiency of $0.9-1.3 trillion. However, a lack of standardization in project development and documentation is a major barrier to increasing investment. Standardizing processes can reduce risks and costs, enabling projects to meet capital market requirements. Developing a robust pipeline of strategic projects that highlight benefits beyond energy savings, such as improved health and productivity, can better attract investors. Bringing together project finance, pipeline development, capacity building and standardization requires new organizational models to scale up energy efficiency investment.
Case management involves several core functions including assessment, planning, linkage, monitoring, and advocacy. It enhances the scope and effectiveness of addiction treatment by supporting clients' movement through the recovery continuum. Case managers act as a single point of contact for clients' multiple needs, advocate for clients, and assist with issues outside the direct scope of substance abuse treatment. The document discusses different models of case management and their key features, as well as the importance of evaluation and quality improvement for case management programs.
Budget management and transformation - Zi Hao Wong & Yan Chun Lim, SingaporeOECD Governance
This presentation was made by Zi Hao Wong & Yan Chun Lim, Singapore, at the 14th OECD-Asian Senior Budget Officials Meeting held in Bangkok, Thailand, on 13-14 December 2018
This document provides an overview of 17 potential funding sources for ventures and startups. It discusses each source under the headings of pros and cons. The sources range from self-funding using personal savings to various forms of debt, equity investments from angel investors or accelerators, government grants, crowdfunding, and pre-sales. The document aims to help entrepreneurs understand their options for financing a new business idea and consider how the benefits and drawbacks of each source might apply to their unique situation and venture goals.
The Impact of Sustainable and Responsible InvestmentNia Rock
Sustainable, responsible and impact investors are a force for positive change. They have helped to improve the environmental, social and governance (ESG) practices of publicly and privately traded companies in the United States and around the world, indirectly benefiting countless individuals and communities. They have pursued investment strategies that foster economic development and expand financial services in lower-income communities.
Our release today, summarizing results from our survey with Canadian individual investors about financial advice and advisor compensation. Two detailed reports on our site offer detailed findings about advisor compensation, mutual fund purchase options and deferred sales charges and data concerning Canadian investors’ reliance on professional and digital advice services.
The document recommends awarding a $1.25 billion, 5-year contract for purchasing card programs to JPMorgan Chase based on their ability to generate the highest rebates. JPMorgan Chase's proposal would provide over $1.3 million more in annual rebates than the current provider and an additional $125,000 annual rebate to fund program advancements. While some card holders would need to migrate, most existing JPMorgan Chase card holders could continue with no changes.
Physician Contracting for Exceptional HospitalsMD Ranger, Inc.
Some hospitals have complexities that require careful consideration while determining a physician contracting compliance process. This video will help you identify potential solutions for academic medical centers, children's hospitals, trauma centers, and small hospitals.
Non-profits in the U.S. generate over $1 trillion in annual revenue and $2.4 trillion in total assets. As fiduciaries, boards of non-profits must effectively oversee endowment investments to support the organization's mission over the long term. Key considerations include setting an appropriate spending policy, asset allocation, and risk management to balance intergenerational equity and stability of support. Effective endowment management requires defining goals and responsibilities as well as monitoring performance, costs, and potential risks.
This document discusses strategies for controlling costs associated with Other Post-Employment Benefits (OPEB). It outlines several options including:
1) For small employers (<50 employees), charging retirees the actual cost of health benefits rather than a blended rate, eliminating implicit subsidies.
2) Making adjustments to existing OPEB plans like changing prescription drug copays or eligibility requirements.
3) Pre-funding OPEB liabilities through irrevocable trusts like VEBAs, which can provide higher discount rates and investment flexibility.
4) Transitioning to defined contribution accounts for new hires, replacing open-ended liabilities with known costs and more secure benefits for employees.
It
This document discusses risk adjustment in payer-provider contracting. It begins by outlining the evolution of risk adjustment models from the 1980s to present day. It then discusses the shift from fee-for-service to value-based arrangements and the spectrum of risk-based models now being used. Key considerations for different payment models are outlined. The uses of risk adjustment in contracting are explained, and limitations of traditional models are noted. The document concludes by discussing blended models, customized risk adjusters, and operational tactics for providers taking on risk.
Iclio eCourse Navigating Patient Assistance Programs for ImmunotherapyStephanie Moore
View the webinar presentation given by Charles Lynch, Program Coordinator of Oncology Medication Assistance Program at the Smilow Cancer Hospital at Yale-New Haven to learn about patient assistance programs for immunotherapy patients.
This document discusses enterprise challenge funds (ECFs), which are instruments used by aid agencies to provide targeted subsidies to inclusive business ventures in developing countries. It examines the rationale for using ECFs, their design, and whether they are effective tools. ECFs provide firm-specific incentives on a competitive basis to encourage investments that benefit the poor as suppliers, employees or consumers. The document analyzes the objectives and types of poverty reduction interventions, and provides a decision tree for determining what type of assistance is most appropriate. It concludes there are two main types of ECFs - those that support small business development, and those that encourage large companies to engage small suppliers and employees.
Presentation by Jeff Rosen and Michael Lent of The Solidago Foundation and Veris Wealth Partners; at the Take Action! 2010 Impact Investing Conference in Boston.
Firm Business Plan August 2016 (Print version)Jim Rowe
The document outlines the firm's historical focus on large institutional clients and consultants, plans to expand into mid-size consultants and direct sales to insurers and large asset owners, and projections that increasing assets under management will lead to consistent revenue growth and profitability as fixed costs are covered. The firm also maintains a proprietary database to track index constituents, process daily prices and corporate actions, and execute trades for indexed and ESG-focused portfolios while reviewing holdings and reporting to clients.
How to Determine the Right Measure of LossLibby Bierman
1. Sageworks is a financial information company that provides credit risk management solutions and data to over thousands of financial institutions.
2. The presentation discussed different methods that banks can use to measure loan losses, including historical loss rates, migration analysis, and PD/LGD models.
3. The speakers emphasized the importance of carefully analyzing a bank's portfolio performance and selecting loss measurement methods that accurately estimate expected losses.
The document discusses challenges in the credit environment and recommendations for various participants in the credit channel, including banks, manufacturers, distributors, and resellers. It notes a fragile global economic recovery, ongoing credit issues, and new challenges from trends like cloud computing. It provides advice to strengthen partnerships, improve risk management, focus on value-added services, and utilize financing options like leasing to improve cash flow and support customers during uncertain times.
MA DOER_Prentation_Darling_Final (With Notes)tomdarling
1) The document discusses strategies for transitioning energy efficiency financing from linear to exponential growth by expanding markets and increasing acceptance rates.
2) It recommends targeting large markets with low penetration rates where financing is a barrier to efficiency upgrades. The strategies propose serving reactive customers with fast, attractive financing and transitioning them to proactive programs.
3) Leveraging program resources through credit enhancement and incentives is suggested to increase the scale and impact of efficiency financing programs.
Opportunities In Microfinance Amidst the Financial CrisisMABSIV
The document discusses the impact of the global financial crisis on microfinance. It notes that microfinance has been more resilient than subprime lending due to its methodology focusing on cash flow and character rather than assets. While the crisis is affecting microfinance institutions in different ways, some banks in the Philippines participating in MABS have remained stable so far. The document recommends strategies for banks such as increasing equity, diversifying funding sources, improving risk management, and expanding services like microinsurance to seize opportunities during the crisis.
What's Sustainable About This? Business Alongside Corporate Social ResponsibiltyJon Petrochko, MBA
Thesis for my Master of Business Administration degree at Wilkes University. The topic is on small and large businesses and their ability to be environmentally sustainable and social responsible. Corporate Social Responsibility and Environmental, Social, Governance Performance Indicators were the highlight of the research.
Where is the money and how to make it flowSteven Fawkes
There is a large untapped market opportunity in energy efficiency of $0.9-1.3 trillion. However, a lack of standardization in project development and documentation is a major barrier to increasing investment. Standardizing processes can reduce risks and costs, enabling projects to meet capital market requirements. Developing a robust pipeline of strategic projects that highlight benefits beyond energy savings, such as improved health and productivity, can better attract investors. Bringing together project finance, pipeline development, capacity building and standardization requires new organizational models to scale up energy efficiency investment.
Case management involves several core functions including assessment, planning, linkage, monitoring, and advocacy. It enhances the scope and effectiveness of addiction treatment by supporting clients' movement through the recovery continuum. Case managers act as a single point of contact for clients' multiple needs, advocate for clients, and assist with issues outside the direct scope of substance abuse treatment. The document discusses different models of case management and their key features, as well as the importance of evaluation and quality improvement for case management programs.
Budget management and transformation - Zi Hao Wong & Yan Chun Lim, SingaporeOECD Governance
This presentation was made by Zi Hao Wong & Yan Chun Lim, Singapore, at the 14th OECD-Asian Senior Budget Officials Meeting held in Bangkok, Thailand, on 13-14 December 2018
This document provides an overview of 17 potential funding sources for ventures and startups. It discusses each source under the headings of pros and cons. The sources range from self-funding using personal savings to various forms of debt, equity investments from angel investors or accelerators, government grants, crowdfunding, and pre-sales. The document aims to help entrepreneurs understand their options for financing a new business idea and consider how the benefits and drawbacks of each source might apply to their unique situation and venture goals.
The Impact of Sustainable and Responsible InvestmentNia Rock
Sustainable, responsible and impact investors are a force for positive change. They have helped to improve the environmental, social and governance (ESG) practices of publicly and privately traded companies in the United States and around the world, indirectly benefiting countless individuals and communities. They have pursued investment strategies that foster economic development and expand financial services in lower-income communities.
Our release today, summarizing results from our survey with Canadian individual investors about financial advice and advisor compensation. Two detailed reports on our site offer detailed findings about advisor compensation, mutual fund purchase options and deferred sales charges and data concerning Canadian investors’ reliance on professional and digital advice services.
The document recommends awarding a $1.25 billion, 5-year contract for purchasing card programs to JPMorgan Chase based on their ability to generate the highest rebates. JPMorgan Chase's proposal would provide over $1.3 million more in annual rebates than the current provider and an additional $125,000 annual rebate to fund program advancements. While some card holders would need to migrate, most existing JPMorgan Chase card holders could continue with no changes.
Physician Contracting for Exceptional HospitalsMD Ranger, Inc.
Some hospitals have complexities that require careful consideration while determining a physician contracting compliance process. This video will help you identify potential solutions for academic medical centers, children's hospitals, trauma centers, and small hospitals.
Non-profits in the U.S. generate over $1 trillion in annual revenue and $2.4 trillion in total assets. As fiduciaries, boards of non-profits must effectively oversee endowment investments to support the organization's mission over the long term. Key considerations include setting an appropriate spending policy, asset allocation, and risk management to balance intergenerational equity and stability of support. Effective endowment management requires defining goals and responsibilities as well as monitoring performance, costs, and potential risks.
This document discusses strategies for controlling costs associated with Other Post-Employment Benefits (OPEB). It outlines several options including:
1) For small employers (<50 employees), charging retirees the actual cost of health benefits rather than a blended rate, eliminating implicit subsidies.
2) Making adjustments to existing OPEB plans like changing prescription drug copays or eligibility requirements.
3) Pre-funding OPEB liabilities through irrevocable trusts like VEBAs, which can provide higher discount rates and investment flexibility.
4) Transitioning to defined contribution accounts for new hires, replacing open-ended liabilities with known costs and more secure benefits for employees.
It
This document discusses risk adjustment in payer-provider contracting. It begins by outlining the evolution of risk adjustment models from the 1980s to present day. It then discusses the shift from fee-for-service to value-based arrangements and the spectrum of risk-based models now being used. Key considerations for different payment models are outlined. The uses of risk adjustment in contracting are explained, and limitations of traditional models are noted. The document concludes by discussing blended models, customized risk adjusters, and operational tactics for providers taking on risk.
Iclio eCourse Navigating Patient Assistance Programs for ImmunotherapyStephanie Moore
View the webinar presentation given by Charles Lynch, Program Coordinator of Oncology Medication Assistance Program at the Smilow Cancer Hospital at Yale-New Haven to learn about patient assistance programs for immunotherapy patients.
As consumers face more choice, complexity, and financial exposure for their health care in an increasingly uncertain world, they are highly influenced by Age , Income and Education factors.
Pros And Cons Of Payment Models For Internal Medicine Billing.pptxRichard Smith
Internal medicine billing can be a complex and challenging process, and it’s crucial to have a payment model that works for both healthcare providers and payers. In recent years, there have been several different payment models that have emerged in the field of internal medicine billing, each with its own pros and cons.
Pros And Cons Of Payment Models For Internal Medicine Billing.pdfRichard Smith
Internal medicine billing can be a complex and challenging process, and it’s crucial to have a payment model that works for both healthcare providers and payers. In recent years, there have been several different payment models that have emerged in the field of internal medicine billing, each with its own pros and cons.
Health Reform - Opportunities in Payer & Health Services - March 2017Andrew Rosenthal
(Deck created and provided by Ari Gottlieb, Strategy& / pwc.) Strategy and data analysis showing overview of healthcare dollars in US including funding and spending breakdowns with payers and providers, as well as government share of dollars spent. Also highlights opportunities for growth.
The document provides an overview of the Comprehensive Primary Care Initiative (CPC Initiative) which aims to establish a new model for purchasing and delivering comprehensive primary care. It discusses the goals of better health outcomes, better care experiences, and lower costs. Practices will receive care management fees and have opportunities for shared savings. They will be required to meet milestones related to care management, access, patient experience, use of data, care coordination, and meaningful use of EHRs. The webinar invites primary care practices to apply and outlines the application process and requirements.
Edifecs CJR: don't fumble with your bundle ssEdifecs Inc
Comprehensive Care for Joint Replacement (CJR) opens the door to opportunity for improved joint replacement patient care delivery. With full accountability for both cost and quality for the joint replacement episode, hospitals must share critical data in near real time to align and coordinate the full continuum of post-acute providers. The top complexities Jay Sultan addressed include:
The top complexities Jay Sultan addressed include:
Considerations for entering into contracts with your orthopedic surgeons and other collaborating episode providers
Episode bundle administration and monitoring; gain sharing administration
Real-time data acquisition from collaborating providers
Analytics and reporting, focused care delivery management, and preparation for CMS audits
Whatever burning issues and questions are on your mind
MGSI provides healthcare eligibility verification services to streamline your medical claim processes at affordable prices. Choose us as your billing partner!
This document outlines 7 steps for value-based commissioning of healthcare for a population: 1) Identify the target population and their needs through local data and stakeholder input. 2) Define the parameters of the population and build stakeholder commitment for change. 3) Raise awareness of the new approach across providers, patients, and local leaders to engage them in the process. 4) Determine the appropriate budget by analyzing historic spending and benchmarks. 5) Work with stakeholders to identify outcomes and quality measures for the population. 6) Check that the expected outcomes are realistic given the resources. 7) Determine the procurement approach to implement the new model of care.
This document summarizes a panel discussion on healthcare reform strategies for employers. The panelists discussed the complex new healthcare environment created by the Affordable Care Act and strategies employers are considering. These include evaluating options like public insurance exchanges, defined contribution plans, and private exchanges. The panel also discussed the City of Greenville's approach of moving to new health plans with larger cost sharing, introducing wellness incentives, and considering a consumer-driven health plan. Strategies gaining more attention included increased focus on wellness engagement, chronic condition management, and high performing provider networks.
Take a deeper look at the operations of PayerFusion. Learn about the services we provide, how we can help better the healthcare industry, and the benefits of partnering with us.
‘An overview of the insurance sector in the Pacific and recent initiatives’ UNDP Climate
Presented by Michael Carr, Chartered Insurer Regional Inclusive Insurance Specialist, The Pacific Financial Inclusion Programme at the Pacific Regional Dialogue on Financial Management of Climate Risk (26-28 June 2017, Apia)
Three Keys to a Successful Margin: Charges, Costs, and LaborHealth Catalyst
How can cost management and complete charge capture protect and enhance the margin?
In this webinar, we will look at 2024 margin pressures likely to impact your organization’s financial resiliency. This presentation will also share how organizations can move from Fee-for-Service to Value; bringing Cost to the forefront.
The number of patients with high-deductible plans continues to grow. Effective collection of patient financial responsibilities must be a priority for a practice to stay on the path of financial health. Download this eBook to learn key straegies for optimizing patient collections.
The document discusses strategies for optimizing self-pay patient collections. It notes that collecting from self-pay patients is challenging but critical for practices' financial health as more revenue comes from patients. It recommends verifying patient insurance at check-in to collect copays and establish credit card on file programs. Establishing clear policies on collecting balances, offering payment plans, and using agencies only as a last resort are also discussed. The implications of the Affordable Care Act, like grace periods for unpaid premiums, are reviewed along with average exchange plan deductibles. Overall it provides best practices for effective self-pay collection processes and policies.
Compliance and Legal Risks in Laborist, Surgicalist, and Hospitalist Arrangem...MD Ranger, Inc.
Have you structured your hospital-based physician contracts to address all aspects of compliance?
Hospitalist agreements involve unique compliance and financial issues, particularly when global payments and advanced practice providers are involved. Risks include indirect compensation, billing and other compliance issues. This presentation will discuss compliance risks and provide guidance on how to structure compliant contracts and business arrangements.
The document discusses several key aspects of medical insurance claims processes:
1) It outlines the basic processes of claims assessment including verifying eligibility, coverage, treatment costs and ensuring proper documentation.
2) Reasons for controlling claims costs such as rising medical costs, potential for fraudulent claims and high loss ratios.
3) Methods used by insurers to control costs including negotiated pricing with providers, use of clinical guidelines and technology like smart cards.
4) Key principles of managed care plans including pre-defined employer payments, large member networks, and data sharing with providers.
5) The use of procedure codes to rapidly assess claims and analyze disease trends. Coding helps standardize descriptions for accurate computer processing.
The document discusses the importance of medical revenue cycle management (RCM) for physician practices. It outlines key factors that affect practice revenue, including proper billing/coding, credentialing, preauthorizations, and accounts receivable (A/R) management. The document uses an example to show that while a lower RCM fee may seem better, a service that improves reimbursements by 5% and charges a slightly higher fee of 5.75% can provide greater overall revenue to the practice. Effective RCM requires ongoing attention to timely claim filing, proper use of modifiers, credentialing updates, eligibility verification, and A/R monitoring through metrics like payment rates and days in A/R. Outsourcing RCM to an experienced
Similar to Workshop G: Danielle Rollmann, Cell and Gene Therapy from Laboratory to Market (20)
This document discusses strategies to improve access to drugs for rare diseases in Canada. It proposes establishing Centres of Expertise across the country to provide coordinated rare disease services. It also recommends creating a national rare disease research network and an accelerated drug access pathway. This would involve concurrent regulatory review and managed access programs to provide early access to drugs while collecting additional evidence. The goal is to deliver on the promise of value-based access to rare disease treatments for Canadians.
The document summarizes a webinar on rare diseases held on June 9th, 2023. It discusses the mandate of CORD-RQMO, which is a network of over 100 patient groups that aims to improve the lives of those with rare diseases. It outlines some of the services provided through IRARE, including information sharing and awareness raising. It also discusses challenges with drug access for rare diseases in Canada, including slow reimbursement processes and limited access and treatment for eligible patients. Finally, it announces that the federal government will invest up to $1.5 billion over 3 years in a new Rare Disease Drug Strategy to improve access to drugs and support for patients.
On this webinar, we’ll hear from experts on the issue and invite an open conversation with stakeholders. We need discussion, shared questions and answers and a review of case studies, which is why we are hosting this session.
Panelist:
Neil Palmer, Principal Consultant, WN Palmer & Co. and former PMPRB staff
Michael Dietrich, Executive Director, Policy, Innovative Medicines Canada
Laurene Redding, Global Head, Strategic Pricing (ex-China), BeiGene
Durhane Wong-Rieger, President & CEO, CORD
Moderator: Bill Dempster, CEO, 3Sixty Public Affairs
Rare Disease Drug Access within Rare Disease System
This document discusses challenges with rare disease drug access and proposes frameworks to address barriers. It summarizes an operational description of rare diseases developed by experts that includes a core definition and descriptive framework. The frameworks recognize challenges from a disease's rarity, the need for greater recognition of rare disease burden, and that addressing unmet needs requires coordinated action. The document also outlines health system pathways to treatment access and frameworks for mapping the drug journey and identifying barriers. It proposes three pillars - financing, health services, and governance - for optimal rare disease drug programs.
1) The document outlines Canada's strategy for rare diseases and rare drug access. It discusses the need for improved coordination between patients, healthcare providers, regulators, insurers, and industry.
2) A key focus is on patient engagement and empowerment throughout the process, from diagnosis to treatment to ongoing care. The roles and advocacy of patient groups have changed over time.
3) The strategy proposes several pillars to guide improvement, including increasing access to rare disease treatments consistently across Canada, optimizing evidence collection to inform decisions, supporting optimal patient outcomes and healthcare sustainability, and strengthening alignment between research and innovation systems and access objectives.
This document summarizes a presentation about creating Canada's rare disease network. It discusses barriers to accessing treatments, the role of physician advocacy, and an approach taken in Manitoba and Saskatchewan to build capacity for diagnosing hereditary metabolic disorders. A key part of this approach is the "OMICS First" strategy of starting with comprehensive DNA testing rather than traditional testing. This aims to improve timelines, reduce hospital stays and tests, and lower costs while maintaining quality of care. The presentation also discusses challenges of pricing for rare disease treatments and the need for real-world evidence to be incorporated into decision making.
CORD Rare Drug Conference: June 8-9, 2022
Registries and Real-World Data
INFORM RARE: Beth Potter, Alexandra Wyatt, Pranesh Chakraborty,
Monica Lamoureux, John Adams, Kim Angel
Orion Buske, CEO of Phenotypes, gave a presentation at the CORD Spring Conference in June 2022 about using patient phenotypes to drive genomic diagnostics for rare diseases. He explained that while genome sequencing can diagnose thousands of genetic conditions at once, clinicians need detailed phenotypic information to determine which are relevant to each patient's condition. PhenoTips is a digital platform that uses structured phenotypic data from sources like the Human Phenotype Ontology to help match patients to potential diagnoses, genes, and other related information to support precision medicine. It allows data sharing between hospitals, clinics, and research initiatives to help solve more rare disease cases.
This document summarizes a presentation by Dr. Kym Boycott on clinical genome-wide sequencing. The key points are:
- Genome-wide sequencing (GWS) can diagnose 25-60% of rare genetic diseases, improving patient care and reducing misdiagnoses. However, it requires specialized interpretation and many patients see multiple specialists over 3-6 years before receiving a diagnosis.
- Over 200,000 rare disease patients have been clinically sequenced worldwide. Guidelines developed in Canada recommend GWS for diagnostic evaluation.
- Projects in several Canadian provinces are working to implement clinical GWS, but a national data solution is needed to realize the promise of precision medicine for rare diseases in Canada.
- The proposed
CORD Rare Drug Conference: June 8-9, 2022
Registries and Real-World Data
INFORM RARE: Beth Potter, Alexandra Wyatt, Pranesh Chakraborty,
Monica Lamoureux, John Adams, Kim Angel Opportunities and Challenges for Data Management
CORD Rare Drug Conference June 8-9, 2022
Global, International, and National Rare Disease Networks
Rare Disease Research Network and National Children’s Hospital - Marshall
Summar, Rare Disease Institute
CORD Rare Drug Conference: June 8-9, 2022
Global, International, and National Rare Disease Networks
WHO-RDI Global Rare Disease Network - Matt Bolz-Johnson, EURORDIS
CORD Rare Drug Conference: June 8-9, 2022
Global, International, and National Rare Disease Networks
Canadian Network of Rare Disease Centres of Excellence - Paula Robeson, Children’s Healthcare Canada
Bonescanada.org aims to empower healthcare professionals and patients dealing with childhood-onset rare bone disorders through collaboration, a multidisciplinary team of experts, and overcoming challenges like limited resources, integrating research and care, and facilitating technology and regulatory processes. They have enrolled over 400 children in their research program on conditions like Duchenne muscular dystrophy and osteogenesis imperfecta, using centralized imaging to support international clinical trials. Lessons from research also inform their clinical program and advocacy efforts.
More from Canadian Organization for Rare Disorders (20)
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Workshop G: Danielle Rollmann, Cell and Gene Therapy from Laboratory to Market
1. Global Access Discussions
RDI/CORD Meeting
Workshop G: Cell and Gene Therapy from Laboratory to Market
May 12, 2019
Danielle Rollmann, Next Wave Consulting, LLC