Responding to Challenges- Insurance Violations & Value Based Purchasing

This full day educational program includes 3 segments, the morning begins with Laura Dillon from the NYS Department of Financial Services who will provide an in-depth overview of NYS Prompt Payment Law, including how to determine what constitutes an insurance violation. This overview will also include a discussion on timely filing, reimbursement, claim audits & recoupment requests and how to determine between a grievance and an appeal. The morning program concludes with a step- by-step demonstration on how to file an electronic insurance complaint with the NYS Department of Financial Services.

Our lunch and learn program will provide a legislative update by Debra Silverman of Garfunkel Wild, who will review historic and recent legislative changes.

The afternoon program is dedicated to Value Based Purchasing (VBP) and will include vital information as the industry continues the progression to VBP. Hear from Mark Fish of FTI Consulting who will give an in-depth overview of VBP and Michael Berger of Mt. Sinai who will offer a presentation on the Mt. Sinai VBP experience.

The afternoon concludes with a panel discussion moderated by David Evangelista of Medisys Health System and panelists, Gerry Meklaus (Accenture), Grace Wong (One City Health), Michael Berger (Mt. Sinai) and Patrick Tong (Northwell). A discussion not to be missed as these area experts explain the challenges and successes of their VBP transition.