Healthcare Opportunities Abound at PAYMENTS 2013

Explore the impact and opportunities healthcare payments provide at PAYMENTS 2013, April 21-24, in San Diego. Sessions will focus on emerging healthcare solutions and evolutionary procedures and policies. Discover new strategies for achieving compliance and mitigating risk in sending and receiving healthcare payments by attending the sessions below:


 
Fundamental Guide to Understanding Healthcare Payments

Room 7A
Monday
| 9:30 am - 10:30 am
Healthcare Opportunities

While most day-to-day payment transactions are instantaneous, paying for healthcare services requires a lengthier period—up to 90 days, during which a third-party receives and processes the payments. The workflow of healthcare payments is complex. Speakers explain the cycle of healthcare payments and the different parties involved and their roles and responsibilities. They review recent legislative and regulatory mandates, associated EFT operating rules, and how these impact financial institutions, providers and payor clients.
Level: Fundamental

Irfan Ahmad
VP, Healthcare Payments, The Clearing House

Stuart Hanson
Director, Healthcare Provider Solutions Executive, Citi
 


 
Implications of HIPAA Requirements on Healthcare Payment Processing

Room 7A
Monday | 11:15 am - 12:15 pm
Healthcare Opportunities

This session provides a key understanding of the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health (HITECH) Act regulatory implications that all financial institutions and their customers who send, receive and process healthcare payment information should consider. Speakers provide a basic overview of considerations for financial institutions with respect to HIPAA and HITECH as well as key terms and requirements. They also offer a summary of recent enforcement and legal actions under HIPAA through OCR. Speakers discuss what HIPAA requires of financial institutions and what healthcare customers should ask their financial institution partners. They also elaborate on perceived differences, from HIPAA’s viewpoint, between the CCD+ and the CTX ACH transaction.
Level: Fundamental

John Meyers, JD, MBA
VP, Senior Product Strategy Mgr, Healthcare Solutions, Fifth Third Bank

Linda M Wolverton
Vice President, Compliance, Team Health
 


 
Implications of Reform on Healthcare & Insurance Payables

Room 7A
Monday | 1:30 pm - 2:30 pm
Healthcare Opportunities

The landmark healthcare reform law will impact payables processes, presenting unique challenges for corporate treasury departments in the insurance and healthcare industries. Speakers examine how reform mandates may affect payables, such as complying with Medical Loss Ratio refund requirements and related one-time payments. They provide an example of collaboration and how it led to innovative and efficient solutions, including tracking recipients, managing escheatments, selecting appropriate payment types, and mitigating fraud. Speakers provide an overview of current and future regulatory requirements, their impact on payables, and cost-effective solutions.
Level: Intermediate

Cecilia Walpole-Griffin
Vice President, Treasury Operations & Services, United Health Group

Ravin Yadav
VP, Treasury Services, J.P. Morgan
 


 
Ease the Pain of Collecting Healthcare Payments

Room 7A
Monday | 4:30 pm - 5:30 pm
Healthcare Opportunities

A typical healthcare event requires at least three different payments. While the January 1, 2014 mandate requires payors — insurance companies — to be able to make electronic payments to healthcare providers, it does not address any remaining consumer payments due to the provider. Speakers identify provider pain points in collecting patient out-of-pocket expenses and identify potential remedies available in the financial services industry.
Level: Intermediate

Irfan Ahmad
VP, Healthcare Payments, The Clearing House

Kenneth J. Merrill
Product Management Executive, Healthcare Product Solutions, Bank of America Merrill Lynch
 


 
Case Study: Automating Healthcare Supplier Payments

Room 7A
Tuesday | 8:00 am - 9:00 am
Healthcare Opportunities

Healthcare lags significantly behind many other industries in AP automation and efficiency. Only 13 percent of hospitals pay suppliers electronically compared to 45 percent of companies in other sectors. In addition, healthcare providers face continued regulatory and market pressures to lower costs while improving quality. Switching supplier payments away from paper checks and manual processing to automated, ACH and card payments can reduce high transaction costs, shorten payment processing cycle time, and open the potential for rebate earnings and even improve supplier relationships. Speakers discuss how one healthcare provider automated payments.
Level: Advanced

Robert Raucci
Director, Treasury Operations, Thomas Jefferson University

June St. John
Senior Vice President, Wells Fargo
 


 
How Financial Institutions Can Help Healthcare Providers

Room 7A
Tuesday | 10:00 am - 11:15 am
Healthcare Opportunities

There is little debate about the advantages of healthcare payment automation and reconciliation, yet many organizations continue to struggle with best ways to implement effective systems. Fueled by the federally mandated operating rules of Section 1104 of the Patient Protection and Affordable Care Act, financial institutions and technology companies are in a good position to help providers that are overwhelmed by the surplus of process automation solutions in the market, and unsure what their next steps should be. Speakers highlight key pain points for healthcare providers and provide practical guidance on how to navigate the industry to improve overall efficiencies in payments and claims processing.
Level: Intermediate

Aaron Mitchell
Assistant Treasurer, Healthways, Inc

Sharon Potter
First Vice President, Treasury & Payment Solutions, SunTrust Bank

Martie Stabelfeldt
Director, CAM & Physical Medicine Operations, Healthways WholeHealth Networks, Inc.
 


 
Financial Institutions Support Healthcare Payments & Remittance Automation

Room 7A
Tuesday | 1:30 pm - 2:30 pm
Healthcare Opportunities

Due to the Patient Protection and Affordable Care Act (PPACA), the healthcare industry is deep in the process of transforming its entire payment process and flow to meet the Department of Health and Human Services’ (HHS) January 2014 deadline. Speakers provide a snapshot of current implementation status for the more than 200,000 healthcare entities impacted by the new regulation. They also discuss how financial institutions can support healthcare entities in implementing the federally mandated standards and operating rules by providing specific examples.
Level: Intermediate

Erin Richter
CORE Senior Manager, CAQH

Douglas E. Downey, CTP
Assistant Vice President, Treasury, HCA

Merri-Lee Stine
Manager, Aetna
 


 
The Impacts of Change in Healthcare Payments

Room 7A
Tuesday | 3:15 pm - 4:15 pm
Healthcare Opportunities

The healthcare payments space may have finally reached a tipping point. The coalescence of healthcare reform, technology developments, providers’ emphasis on cutting costs, new operating rules and other government mandates, e.g, CMS, is driving a new focus on streamlining healthcare payment and the healthcare revenue cycle overall. This session highlights the impact of key changes affecting the healthcare payments arena, including new electronic funds transfer (EFT) and electronic remittance advice (ERA) operating rules, and the role financial institutions can play in navigating the evolving landscape.
Level: Intermediate

Ambrish Bansal
Vice President, Product Management for Emerging Payments in North America, Citi Transaction Services

Stuart Hanson
Director, Healthcare Provider Solutions Executive, Citi

Scott Lambert, AAP
Treasury Director, Cigna Corporation