AACVPR TELECONFERENCE CD NOW AVAILABLE

Prices, Payors and Programs:
Expanding Your Clinical Programs by
Partnering with Insurers and Employers

Presented By:
Jean Einerson, MS, FAACVPR, Chair HP&R Business Committee
Joli Studley, MS & Walt Horner, MS

U.S. health care costs doubled from 1990 to 2001 and are expected to double again by 2012. Employers and insurers are looking to hold health care costs down. Since most of the costs are due to chronic diseases, cardiac and pulmonary rehabilitation professionals are in a position to offer unique opportunities to provide preventive services for employers and insurers. Joli Studley, Manager of Clinical Reporting and Evaluation from Highmark, will share the top five ways clinical programs can provide outreach services to an insurance company. Jean Einerson, Program Director and Clinical Manager at University Hospital Preventive Cardiology Program, will present survey results the Health Policy & Reimbursement Committee sent AACVPR membership. This will provide an overview of how clinical programs have expanded services outside the traditional reimbursement model. Also Walt Horner, the Program Director at Hamot Hospital, will share how partnering with an insurance company has impacted his programs, cardiac rehabilitation, community service, local competition and bottom line.

Following the presentation, participants will:

• Be able to identify five ways to outreach to an insurance company.

• Understand how cardiac and pulmonary rehabilitation programs can become a vendor for insurers and employers.

• Become aware of how community and lifestyle programs can benefit their hospital and clinical programs.

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