Chicago, IL
Renaissance Chicago Downtown Hotel
Oct. 2-3, 2017

Cliff Frank

Executive Director
Shore Quality Partners

Cliff Frank is the interim Executive Director of Shore Quality Partners, a clinically integrated network in Somers Point, New Jersey.  This accountable care organization works with commercial payers and earned a bonus from its first year of operation.
Frank has more than 25 years of healthcare experience with demonstrated abilities in managed care contracting, provider/payer relationships, bundled payment design, capitation program design and management, accountable care design and operations, and evaluation of managed care models and structures.
He served as the turnaround CEO of FirstCare Health Plans of Texas, a 140,000 member-health plan that has commercial HMO and PPO plans, self-insured products, Medicare HMO plans and Medicaid managed care, now financially profitable.
Frank is also involved in a number of business leadership ventures. He is co-founder of Partnera, a company providing turnkey products and services that grow health systems’ market share and brand loyalty, and president of Healthcare Management Solutions, Inc., a managed care consulting located in Dunedin, Florida;
Frank earned a master’s degree in health services administration from the University of Michigan, and a bachelor’s degree from UCLA.  He is co-author of the book titled “Physician Empowerment through Capitation.”

October 2, 2017
2:50pm - 3:20pm
Grand Ballroom

New Jersey-based Shore Quality Partners, a clinically integrated network that includes 240 physicians, over the past few years sought to better manage the health of their patients, including 15,000 recently laid-off workers from Atlantic City, who found themselves without healthcare.

In this session, attendees will learn how Shore Quality used data and analytics, non-traditional care activities – free counseling and educational resources, for example – and established new clinical care protocols to better manage psychosocial aspects of patient health.

Overall, the 1,250 non-billable encounters had a remarkable impact on overall costs. This included decreasing spending by high-ED utilization patients by $1,600 per member per month and inpatient utilization rates by 15%.

Key takeaways will address:

  • The impact of social and behavioral factors on the health risk of a population.
  • A holistic approach to pop health, including strategies to manage social factors for high-risk patients.
  • The clinical & financial impact of non-billable services in addressing social determinants of health in value-based care.
October 2, 2017
9:50am - 10:30am
Grand Ballroom

The only certainty in healthcare is uncertainty but what does this uncertainty mean for population health management? How does it affect strategy, purchasing, and implementation? Do you stay the course? Put the brakes on? Or some of both?

Our panel of experts will address this head on. Likewise, in keeping with the panel’s state-of-the-industry format, they’ll also address topics key to pop health success, such as clinical workflow improvement, decreasing utilization, data visualization, choosing vendors, measuring results, and more.

This session will provide attendees with a great overview and set the stage for the sessions to follow.

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