VBC 202: Utilization Management & Financial Performance

With Jonathan Meyers, FSA, MAAA, CEO of Seldon Health Advisors, we’ll dive into the financial and operational aspects of driving success in VBC, including optimizing utilization, reducing avoidable admissions, guiding patients to cost-effective sites of care, and maintaining high-quality outcomes while managing spend. We’ll talk about building and using real-time dashboards to monitor clinical, quality, and financial performance, as well as practical change management techniques to engage clinicians and staff in the process. Finally,we’ll address the regulatory and compliance landscape, from data privacy and interoperability rules to audit readiness for RADV reviews and best practices in AI governance.