Session Details

Name
Business Growth Through Payer Network Development & Innovation
Track
Billing & Compliance
Date & Time
Wednesday, June 11, 2025, 2:45 PM - 3:45 PM
Location Name
Room 3 & 4

Speakers

Learning Objectives

Name
Business Growth Through Payer Network Development & Innovation
Description

As the homecare industry faces persistent challenges, undeniable opportunities for growth exist at the intersection of payer network development and innovation. Traditional barriers like closed payer networks, coverage, and reimbursement are surmountable as payers adopt innovative solutions with clear bottom-line benefits, such as telehealth, RPM, AI, and healthtech solutions. These innovations allow purposeful HME providers to differentiate offerings, drive growth, and impact cost, quality, and access to care. This session will provide a strategic framework for leveraging innovation in payer network development – and payer revenue development. Attendees will learn how to assess and adopt impactful solutions, craft effective marketing and payer strategies, and establish value-based partnerships. Drawing on extensive growth experience in homecare and healthtech through innovative payer strategies, Richard will share actionable insights and a practical, optimistic perspective. The overarching message: HMEs must take control, be change agents, and lead the transformation in payer engagement.

Proposed Learning Objective (1)
Analyze the key barriers to payer network development, such as licensure restrictions and closed networks, and identify how innovative solutions like telehealth and AI can overcome these challenges to drive business growth through data analysis and case studies.
Proposed Learning Objective (2)
Develop a strategic framework to evaluate and adopt payer-facing innovations by incorporating factors such as reimbursement strategies, commercialization pathways, and value-based contracts to maximize cost savings and payer engagement through structured planning and assessment.
Proposed Learning Objective (3)
Design tailored marketing and payer strategies that align with organizational goals, emphasizing the integration of innovative offerings to differentiate HME services and achieve sustainable growth in payer network development through targeted marketing and strategic alignment.

CEU and CEC

When applicable, the CEU or CEC credits for each accrediting body are displayed below.