Customer Engagement Summit Healthcare

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Customer Engagement Summit Healthcare CUSTOMER ENGAGEMENT SUMMIT HEALTHCARE OCTOBER 29, 2019 BOSTON, MA Agenda | Customer Engagement Summit Healthcare | October 29 9 :00 AM Registration and Breakfast 10:00 AM Welcome & Introduction The Heart of Digital Transformation 10:15 AM Alan Trefler Founder and CEO, Pegasystems Client Speaking Session 10:45 AM Brian C. Lein, MD, FACS Vice President Graduate Medical EducationTriStar Division, HCA 11:15 AM Pega Mainstage Demonstration Engagement Panel Consumerism in healthcare: More than consumer choice and impacting engagement, operations, and profitability across healthcare and life sciences organizations Organizations delivering on consumerism are creating integrated offerings that address a real customer need, transform experience, and unlock value. For HC and LS organizations to transform, they need to look from a future consumer-centric experience back to today and create a map for transformation that capitalizes on opportunities uncovered. Our panel looks at the consumer-centric future through engagement, customer satisfaction, 11:45 AM and responsive benefit administration to share lessons learned and ideas to inform transformation. Norman Wright Executive Vice President, Chief Customer Officer, Optum Moderated by: Kelli Bravo Vice President, Healthcare and Life Sciences, Pega 12:30 PM Networking Lunch, Technology Pavilion, and Partner Spotlight Talks Industry Breakouts Payer CRM Payer Core Admin Life Sciences Provider CRM Hear success stories from Industry disruption is forcing Fulfilling the promise of Learn from providers about care 1 :45 PM – 3 :30 healthcare payers who are payers to rapidly address gaps personalized medicine requires management transformation and PM leveraging digital automation, in their core administration frictionless processes and engaged the impact of patient engagement proactive and personalized systems. Hear from payers who patients. Find out how Life programs designed to help service and 1:1 member are successfully modernizing Sciences leaders are responding to patients through difficult journeys, engagement to transcend the their operations to gain major industry transformation reduce readmissions, improve pressures of consumerism, efficiency, transparency and the and deploying technology to health outcomes and build loyalty. consolidation, and the explosion ability to quickly capitalize on achieve better value-based clinical of the Medicare market. new market opportunities. outcomes. 1:45 PM – 2:15 PM Healthcare Transformation in the Product Modernization Delivers Empathy & Hope – the two pillars of Delivering personalized care while Birthplace of Managed Care Enterprise Value next-gen patient engagement reducing care gaps for high-risk Medicaid members Take a peek at Blue Shield of Employer groups, dissatisfied with Celgene produces several products to California’s (BSC) current digital the ability of existing offerings to treat patients with life-threatening Managing care coordination is not just transformation effort, including the help them and their employees diseases. But, these products carry important for medical care. Delta Dental revitalization of their customer reduce total cost of health, are serious safety concerns. As a result, has built a care coordination program service center with a focus on shopping for new products in larger Healthcare Authorities around the globe using Pega Care Management to drive improved member engagement and numbers (62%) and changing require Risk Management programs to improved care for its high-risk Medicaid proactive customer service. Part of carriers at a growing rate. Ability to help ensure the benefits of these Members. Delta Dental’s goal was to this vision is to provide better access rapidly respond to customer medications outweigh the risks. better coordinate personalized care to information with seamless demands with personalized Patients, prescribers, pharmacists and across dental and medical care for their integration for the agents who serve healthcare benefit and product Celgene all have tasks to perform in fragile members. Trying to manage care their members by connecting the design has emerged as key complying with these Risk Management manually or via spreadsheets was not systems such as claims and data capabilities in insurance sales. programs. Technology serves as a efficient or effective and left the needed to create a complete view of critical enabler for these programs. potential for gaps in care. Reducing the member’s journey. Hear about In response, Health Alliance Plan gaps in care and providing better BSC’s mission and objectives for their (HAP), the insurance arm of leader In this session, learn how Celgene is: coordination to improve patient transformation and how Pega Henry Ford Health System, utilized relationships are the key drivers behind Infinity, Customer Service for Pega’s Product Composer System - Leading the charge in creating global their program. (PCS) in conjunction with the Sales solutions for the safety of their patients Healthcare and decisioning are being Automation for Healthcare (SAHC) - Reducing the burden of prescribers From this session you’ll learn, how Delta implemented to meet those and Customer Service for Healthcare and pharmacies using their products to Dental is: objectives. (CSHC) to create an integrated treat patients solution which manages the product - Leveraging the PEGA platform to - Bringing care back to care Learn about BSC’s tactical plans for lifecycle across the enterprise. create centralized global solutions to management for its high-risk Medicaid using this CX solution to: Features of the solution include serve their healthcare communities members ability to handle multiple product - Delivering personalized care while - Transform their internal operations lines, generate product Kevin White reducing care gaps - Re-imagine their member and documentation (e.g. SBC), load Executive Director, Celgene - Improving patient relationships and provider relationships in a digital benefit data into the claims system, business and health outcomes ecosystem allowing them to deliver true - Drive better health and business member-centric service. Michael Dunbar outcomes Manager Applications Development, Donald Evans Conversion & Integration, Delta Dental Carla Dailey Director, Information Technology - Senior Director of Business Planning & Customer Service, Health Alliance Plan Kintu Gupta Strategy, Blue Shield of California Technical Specialist, Conversion & Integration, Delta Dental 2:20 PM – 2:50 PM How Express Scripts continues to Social Determinant of Health Scaling Pega to do what could not be Sutter Health’s Vision of drive innovation and leadership Driven Benefit Designs done Transforming Healthcare with digital customer engagement Steve Goldberg Scaling Pega allows Sanofi to bring Sutter Shared Services (S3) plays a Express Scripts, Inc. (ESI), with over Quest Diagnostics digitalization to Patient Support Teams critical role in Sutter Health’s vision of 100M members, will provide a view and Patients in small markets that transforming healthcare and finding into key market leading offerings for Susan Taylor would not warrant the kind of innovative ways to deliver high-quality clinical prior authorization, Sales VP, Healthcare and Life Sciences, Pega technology investment required. It is and affordable healthcare for patients. CRM, and care management. not as complicated as you think. S3 has first-hand knowledge of the Powered by Pega, this unique digital pressures healthcare systems face to customer engagement suite, keeps Learn how we did it and what we wish save on cost while still providing a the patient at the center of we knew before we started. Find out seamless patient journey. To achieve everything for ESI. what is next as Sanofi continues to scale affordability objectives and improve the Pega to capitalize on the patient journey, S3 has focused on In this session you will: pharmaceutical growth in emerging centralizing its contact centers—in markets. multiple locations and two states—to - Learn how low-code development continue to support the 24 hospital and agile, rapid delivery brought real- Kathleen Macke campuses across the Sutter Health time, web self-service for medical IT Director, Patient Services Program network, as well as external clients. and pharmaceutical authorizations Owner, Sanofi Earlier this year, S3 elected to invest in a - Hear how ESI dramatically new technology solution to support a decreased turnaround times for large Universal Agent project in its patients and physicians contact centers. The project aims to - See what sophisticated customer simplify complex workflows and help service looks like for 100M members patient service representatives overcome challenges in provider Bijal Parekh scheduling preferences. This Senior Director Technology, Express presentation will discuss how S3 plans Scripts to implement PEGA to address the cost pressures that force contact center Ramandeep Kaur centralization and the complexity of Director of Coverage Review, Express provider scheduling rules. Scripts Steve Chambers Rob Seyss VP Contact Center, Sutter Shared Services Senior Director Pharmacy Systems, Express Scripts 3:00 PM – 3:30PM The New Era of Healthcare: Claims Process Automation Partnering for Innovation in a The New Era of Healthcare: Transformation as a Result of Regulated Environment Transformation as a Result of Payer/Provider Convergence Claims can no longer be viewed as Payer/Provider Convergence transactions, they are experiences Family-owned
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