Back to Basics: How to Navigate the Payer Landscape + Q4 Payer Updates
Over the past few months, ROC has gone deep on audits, prepayment reviews, and the strategy behind them. Now we’re bringing it back to the fundamentals.
We went straight to the source, and payers are telling us the same thing: show us what we’re looking for, do it consistently, and we’ll pay.
Join Patrick Dunn, Chief Strategy Officer, and Alexxis Ames, VP of Client Services at Hansei Solutions, as they break down what that looks like in practice.
What we’ll cover:
Q4 payer updates with Alexxis Ames: what’s changing with Blue Shield of California, Carelon, and BCBS heading into Q4. Plus a new benefit design that could change how you approach admissions and verification.
Recapping PPR wins: why reviews are getting lifted and how partnership drives success rates.
The payer playbook, simplified: takeaways from our BHOC26 parity panel, themes straight from Carelon and Optum representatives, and what reviewers look at so you can meet it every time.
Outcomes tracking: measure progress during treatment, show quality of life after discharge, and connect results back to your program.
Tuesday, October 13th
11am - 12pm PDT
Our Speakers
Alexxis Ames
Vice President of Client Success
Hansei Solutions
Patrick Dunn
Chief Strategy Officer
Hansei Solutions