SPEAKER:
From
keynote addresses to workshops, Stephen George has taken an
active and visible role within his professional community and is
uniquely able to help position his clients to improve their own
visibility.
PSO's and Private Label Plans
Medicare and Medicaid Risk Contracting
Managed Care and Capitation
Managing Risk in a Capitated Environment
Organizational Response to a Changing Environment
Case Study: Applied Risk contracting
Advanced Risk Contracting
Stop Loss Insurance: Keys to Fashioning Proper Coverage
Introduction to Managed Care
Capital Financing - Creating Your Own Insurance Company
Ms. Jones' possesses technical and managerial expertise in Provider Stop
loss auditing, administration, underwriting, adjudication and catastrophic claims
management. She has successfully held several executive level positions with
leading reinsurers. These positions include: Vice President of Marketing and
Client services, and Executive Director of Claims.
Ms. Jones graduated from Florida International University in 1996 with a
Bachelor of Science Degree in Health Information Management. She received her
Registered Records Administrators (RRA) designation from the American Health
Information Management Association in 1996. She is listed among the Who's Who
Among Students in American Colleges and Universities.
PROFESSIONAL ASSOCIATIONS:
American Health Information Management Association (AHIMA)
Florida Health Information Management Association (FHIMA)
South Florida Health Information Management Association (SFHIMA) (Board Member; Director)
Provider Excess Loss Association (PELA)
Group Underwriters Association of America (GUAA)
SPEAKER:
Bridget Jones has taken an active and visible role within the Provider Stop Loss
professional community. She has spoken nationally at several programs and continues
to train claims professionals on the intracacies of Provider Stop Loss claim adjudication on
such topics as Understanding Capitation and Managed Care, Provider Excess Loss 101-103.
SFHIMA Kendall Regional Medical Center Miami, FL
Swiss Re Healthcare Marketing and Underwriting Seminar Atlanta, GA
Copyright©1997, Provider Risk
Website by InterMedia Enterprises
With over fifteen years experience in the practical and academic issues of managed care,
Stephen George brings a deep understanding of the managed care field to his clients.
Bridget Jones joins Provider Risk with over thirteen years of experience within the managed
care insurance industry. Ms. Jones has spent the last five years specializing in Provider Stop
Loss. Having adjudicated over $60 million in provider excess claims on behalf of
leading reinsurers, she is nationally respected as one of the nation's top Provider Stop Loss
specialists. A material member of our Policy Installation Team, Ms. Jones makes sure the
client is clear on all the many reporting issues. Bridget Jones heads up Provider Risk's
exclusive 
Stuart Akeson hails from Horne CPA Group, a public accounting and consulting firm that is among the
top 100 firms nationally, and one of the Southeast's top 10. Their
experience with several leading HMOs offers prospective clients faster
access through the paid claims process.
Stuart was Manager, Healthcare Division, with
eight years of experience in Healthcare Finance and Analyses. Using a
proprietary system, Mr. Akeson worked with many of the country's largest HMOs
to acquire rough data and refine it in support of client reinsurance
initiatives, using Horne CPA Healthcare Division's scalable resources to
collect, decipher, clean, report, file and audit reinsurance claims. Mr.
Akeson consults with physicians, hospitals and managed care
organizations, offering them the latest techniques in IT data collection and
reporting. He holds special expertise in data analysis, claims adjudication
systems, contracting and reporting.
Marshall Cook has represented the interests of physicians and other health care providers since 1993.
As a principal of the firm, he oversees the health care practice of Hirschler Fleischer,
focusing on the representation of individual physicians, physician groups, hospitals, other
health care professionals and providers in all aspects of their medical practice and business
affairs. His experience in the organization, operation and management of Virginia's only
statewide IPA (6,000+ physicians), in the negotiation of a joint venture HMO with the
nation's second largest health care company, and in current managed care contract
negotiations on behalf of some of Virginia's largest physician groups provide him
not only with the most current skills in health law, but also with practical,
operational knowledge of the practices of health care professionals and insurers alike.
Chris Keenan heads the Health Care Sector of John Burham & Company, a 100 year old employee-owned
insurance firm, which is among the nation's top 60 agencies with $150 million in annual
premiums. Mr. Keenan concentrates his health care practice in the area of group and
association professional liability programs. He works closely with IPA's, MSO's, PHO's, and
professional associations to bring their market clout to bear in reducing the cost of
liability insurnace.
Adele J. Price is President of Price Professional Consulting Services, a
healthcare consulting firm.
Guide for Physicians and Managers