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July Education Program  
   

Managed Care:

  • The Future Political Landscape & Managed Care Contracting
  • Disease Management
  • Medicaid Managed Care

Date: Thursday July 24, 2008

Location:

Windows on the River
2000 Sycamore
The Flats
Cleveland, OH 44113
216.861.1445
Windows.com/

Speakers:
Susan O. Scheutzow,
Vice President and Chief Legal Officer of Southwest General Health Center, Middleburg Heights, Ohio since 2002 where she is responsible for all corporate legal services and administrative supervision of a variety of departments and programs as well as serving as the Health Center’s Privacy Officer. From 1990 to 2002 she was a partner in large Cleveland law firms with a hiatus in 1997 and 1998 when she was a full time Visiting Faculty Member at Cleveland-Marshall College of Law where she also served as an Adjunct Faculty Member from 1988 to 2000. She had been named to The Best Lawyers In America (Woodward/White) for eight years and has been listed as a Leading Lawyer in Northeast Ohio by Inside Business for the past six years. She speaks and writes extensively on health care law topics, and authored the book “Ohio Health Care Provider Law” published by Banks Baldwin.

Dr. David Epstein
Market Medical Executive, CIGNA HealthCare of the Great Lakes Region. Dr. Epstein has served in various medical director roles for national and regional managed care organizations including United HealthCare, Blue Cross Blue Shield of Georgia and The Travelers Insurance Companies. He also served as medical director for Matria, a national disease management company and chief medical officer for an IPA/PHO in upstate New York. He also was a senior consultant for Towers Perrin, an international employee benefits/health care consulting firm, working with Fortune 100 employers and large provider-sponsored health plans and systems to improve their health plan performance. Dr. Epstein, a board-certified Emergency Medicine physician. He served on the original HEDIS pilot project steering committee in 1994. Dr. Epstein currently serves in several regional and community industry leadership positions including the Partnership to Fight Chronic Disease, Aligning Forces for Quality, Camp Ho Mita Koda/Diabetes Association of Greater Cleveland and Steps to a Healthier Cleveland. Dr. Epstein also earned an MBA degree from Emory University (1989) and original certification from the American Board of Medical Management through the American College of Physician Executives (1991).

Charles Cataline
Charles staffs the OHA Finance and Admitting, Billing and Collection Committees. He also serves on a number of state and national boards and committees, including the 2005 chair of the Allied Association of Hospital Accountants and Financial Specialists, 15 years with the National Uniform Billing Committee, and current appointments to the CMS Outpatient Medicare Technical Advisory Group, the American Hospital Association’s (AHA) Model Practices Group and the Editorial Advisory Board of AHA’s Coding Clinic for HCPCS.
Charles Cataline is the senior director of health policy for the Ohio Hospital Association in Columbus, where, he manages many of the association’s finance and patient financial services activities. Charles also acts as a liaison for Ohio hospitals to the Centers for Medicare and Medicaid Services’ (CMS) and Bureau of Workers’ Compensation on Medicare and BWC policy interpretation and payment initiatives.
A 1974 graduate of the Ohio State University, Charles has been in the health care industry since 1975 and with OHA for more than 25 years.

Register for this program

Cost: Lunch and Happy Hour Networking Reception Included
Members: $65.00 Non-Members: $90.00
Agenda
11:30 - 12:00
  Registration
   
12:00 - 1:00
Lunch
 
1:00 - 1:15
  Meeting Introductions and Announcements
 
1:15 - 2:15   Topic: Managed Care and the Future Political Landscape
 
Speaker: Susan Scheutzow, Vice President & Chief Legal Officer, Southwest General Hospital
   
2:15 - 3:15 Topic: Managed Care and Chronic Disease Management
 
Speaker: Dr. David Epstein, Medical Director, Cigna Healthcare
     
3:15 - 3:30   Break
     
3:30 - 4:30  

Topic: Managed Care and Medicaid

Speaker: Charles Cataline, Senior Director of Health Policy, Ohio Hopsital Association

     
4:30 - 6:00   Happy Hour Networking Reception

Program Objective
• Overview of the Positions of each Presidential Candidate
• How the Healthcare Landscape will be Changed
• How to Prepare for the Potential Changes
• The Financial Implications of Chronic Diseases
• The Long-Term Effects of the Chronic Disease Crisis
• The Good News for Employers
• Update on ODJFS/OAHP/OHA Medicaid Managed Care Taskforce
• OHA Response to ODJFS Proposed Changes to Ohio Administrative Code Sections on Medicaid Mgd Care
• Transfer/Deferment of Enrollees from MCP to MCP
• Potential Effects of Sub. H.B. 456 on Medicaid Managed Care and Coverage of Uninsured Ohioans
• "Roundtable" Discussion of Medicaid Managed Care Issues and Answers

Continuing
Professional Education:

The Accountancy Board of Ohio
has approved this Program for
3 CPE credits.

 

 
   
 
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