Adaptis Sponsored Event Will Help Ensure Medicare Advantage Readiness

Panel Experts Will Provide Crucial Planning & Preparation Roadmap

July 10, 2006

Seattle, WA — Adaptis, a leading single source provider of Business Process Outsourcing (BPO) solutions for health payers, today announced that it will facilitate a panel of experts who will provide health plans with actionable strategies to ensure Medicare Advantage operational readiness. The one day conference will be held on Tuesday, July 25th in Costa Mesa, California at the Hilton Costa Mesa. The hands-on agenda is designed to help small- to medium-sized health payers avoid surprises and effectively ready their operations for expansion into Medicare Advantage.

Adaptis recently delivered a similar educational seminar to more than 50 health plan executives at the Medicaid Health Plan of America's "Medicare Part D: The First 100 Days." Thomas Johnson, the association's Executive Director, commented, “The value of the information provides help to anyone's bottom line in this business.”

Teri Mullaney, Vice President of Strategic Solutions for Adaptis, will facilitate for the expert panel who will address the following critical topics and provide attendees with a roadmap for planning and preparation for Medicare Advantage:

• Reimbursement Challenges—Key Impacts of CMS’ Risk-based Premium Methodology. This session will cover the likely issues that will exist, how they will impact a plan’s revenue over the long haul, in addition to providing strategies for working with provider networks to establish coding and claims resubmission processes. Presented by Adaptis business partner, Michael Taggart, FSA, CEO, Aperion Health Analytics.
• Effective Compliance Measurements. This presentation will focus on the measurement of “effective” compliance and the need to not only assure internal controls, but ensure partner and provider compliance. Presented by Adaptis business partner, Derek Jansen, PhD, MPH, CCP, Principal, Practice Management Alternatives.
• Delegation—Contractual Implications and Health Plan Responsibilities. This session will include a discussion of the general delegation requirements, Medicare Advantage Oversight and Beneficiary Protection Guidance, Reporting Requirements and Compliance with other laws and regulations. Presented by, Cynthia Marcotte Stamer, PC, Glast, Philips and Murray, P.C.
• When Is It the Right Time To Outsource? A detailed look at the options available when plans are assessing bringing on a new business line and need to consider core claims and administration systems support for their business. Presented by Mike Comick, Principal and Co-Founder, HealthCare Technology Advisors.