Bundled Payment Summit
Bundled Payment Summit
Bundled Payment Summit
Bundled Payment Summit
Bundled Payment Summit
Bundled Payment Summit



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Go to Agenda:
Preconference | Day 2

Agenda: Day I
Wednesday, June 8, 2016
7:30 a.m. Registration Commences
OPENING PLENARY SESSION
8:00 a.m.

Welcome, Introductions and Summit Overview

Erin Smith, JD
VP of Policy and Government Affairs, naviHealth; Former Director, Division of Technical Model Support, and Lead, Bundled Payments for Care Improvement (BPCI) Initiative, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Washington, DC (Co-chair)

    Speaker Bio

    Prior to taking a role at PACCR, Erin served as the Director of the Division of Technical Model Support at CMS in the Center for Medicare and Medicaid Innovation, where she led the team that implements the Bundled Payments for Care Improvement initiative and develops new bundled payments models. Prior to CMS, Erin was a tobacco control policy analyst at the World Health Organization. More recently, Erin served as a Senior Manager at Avalere Health, where she provided strategic insights into Medicare fee-for-service payments and innovative payment policies, with particular insight into the development and operationalization of alternative payment models.
8:15 a.m.

CMS Keynote

Amy Bassano, MA
Deputy Director, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services; Former Lead Medicare Analyst, Medicare Part B and D, Office of Management and Budget, Baltimore, MD

    Speaker Bio

    Amy Bassano is the Deputy Director of the Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services. Prior to assuming this position in April 2016, Ms. Bassano was the Director of the Patient Care Models Group at CMMI leading CMS's efforts on bundled payments including the Bundled Payments for Care Improvement (BPCI) Initiative and the Comprehensive Care for Joint Replacement model and the development of physician specialty models such as the Oncology Care Model. In addition, she was responsible for the Home Health Value Based Purchasing Model and the Medicare Care Choices Model. Ms. Bassano also held senior management positions in the Center for Medicare at CMS overseeing Medicare payment policy for a variety of areas including inpatient and outpatient hospitals, physicians, ambulatory surgical centers, clinical laboratories, and Part B drugs.
    Presentation Material (Acrobat)
8:45 a.m.

Health Plan Bundled Payment Initiatives Panel

Marc Berg, MD, PhD
Principal and National Lead of Government Healthcare Transformation, KPMG; Former Professor in Health Policy and Management, Erasmus University, Rotterdam, Washington, DC

    Speaker Bio

    Marc Berg leads KPMG's national Government Health Care Transformation group, and is Global Center of Excellence member for Outcome Measurement and Payment Reform. He pioneered the introduction of measuring value of care for defined populations, working for governments and payers, building upon an integrated set of claims data, patient-reported outcome measures and clinical data. He has developed and helped implement several national delivery- and payment reform programs for governments and commercial payers, including New York State. He is a former Professor of Health Policy and Management and has published widely on health care information management, quality management and payment reform.
Lili Brillstein, MPH
Director, Episodes of Care, Horizon Blue Cross Blue Shield New Jersey; Former Senior Director, Medicare & Retirement, UnitedHealthcare, Newark, NJ

    Speaker Bio

    Lili Brillstein is the Director of Episodes of Care for the Market Innovations division of Horizon Blue Cross Blue Shield of New Jersey. She is responsible for the overall direction, strategy, design and oversight of the Episodes of Care/Bundled Payment Program. When Lili joined Horizon in January of 2013, the Episodes program was still in pilot and included only total hip and total knee replacement episodes. Under Lili's leadership, the program has grown to include additional orthopaedic episodes, obstetrics and gynecology, GI, cardiology, oncology, and is the largest commercial Episodes program in the country. Lili also plays a leadership role in the advancement of Horizon's PCMH, ACO and other value-based models.

    Lili serves as an advisor to CMS and other organizations, nationally, on episodes of care and bundled payment development, and is a recognized thought leader in the advancement of the Episodes of Care model as a health care value strategy for specialty care.
Mark Sanderson, PhD
Physician and Hospital Analytics, Cigna Healthcare, Hartford, CT

    Speaker Bio

    Mark Sanderson leads Cigna's provider analytics team, which supports the design, reporting, and evaluation needs for Cigna's episode of care and ACO programs. Sanderson holds a doctorate in neuroscience from Brown University.
    Presentation Material (Acrobat)
Kimberly Hartsfield, MPA
Senior Manager, ECG Management Consultants; Former Director of Bundled Payments, Arkansas Blue Cross, Washington, DC (Moderator)

    Speaker Bio

    Kimberly specializes in healthcare payment transformation with a focus on designing and implementing Medicare, Medicaid, commercial, and direct-to-employer bundled payment programs. With more than 22 years of experience in both the payor and provider arenas, Kimberly is uniquely qualified to help organizations achieve operational and financial success with bundled payment solutions that are mutually beneficial to all parties at the table. Prior to ECG, Kimberly was a Vice President in the Bundled Payment practice at The Camden Group, working with clients to implement successful bundled payment arrangements. She spent 20 years with Arkansas Blue Cross and Blue Shield (BCBS), serving most recently as Director of Enterprise Business Intelligence-Medical Informatics.
9:45 a.m. Break
10:15 a.m.

What Providers Should Really Know About Employer-Led Bundled Payment Programs

Don Lovasz
President and Chief Executive Officer, KentuckyOne Health Partners, Louisville, KY

    Speaker Bio

    With 30 years of both clinical and healthcare executive experience, Don has worked with patients, clinicians and payers in settings of community hospital, regional integrated delivery system and multi-state healthcare system. Don was Vice President at a regional integrated health system, a System Vice President at a Baldrige winning national health system, then President of a healthcare IT outsourcing company serving Canada and the USA. He later was CEO at an outsourcing firm supporting Medicare's national quality improvement programs, their public reporting system care management and the pay-for-performance initiatives. Don is now President/CEO of KentuckyOne Health Partners, one of the nation's Top 15 Accountable Care Organizations (ACO). Kentucky One Health System is a state-wide organization serving the Commonwealth and is part of the national Catholic Health Initiatives (CHI) organization.

    Don has a Bachelor degree from Olivet University, a University of Chicago Respiratory Therapy diploma and an MBA from the University of Illinois.
Daniel Murrey, MD, MPP
Orthopedic Spine Surgeon and Chief Executive Officer, OrthoCarolina and Transformant Healthcare Solutions, Charlotte, NC

Presentation Material (Acrobat)
Michael McMillan
Senior Vice President for Strategic Solutions, Valence Health; Former Executive Director of Market and Network Services, Cleveland Clinic, Cleveland, OH (Moderator)

    Speaker Bio

    Michael McMillan is Senior Vice President for Strategic Solutions for Valence Health. In this role, Mr. McMillan works with Valence Health clients to refine approaches to implementing value-based payment and population health solutions. Prior to joining Valence Health, Mr. McMillan was Executive Director of Market and Network Services for the Cleveland Clinic. He was responsible for all aspects of the business relationships with commercial health plans, government payors and employers. He led the development of Cleveland Clinic's groundbreaking direct to employer agreements, including those with Lowes and Wal-Mart. He also played a leadership role in implementing the Cleveland Clinic's approach to value-based care and risk-sharing.
    Presentation Material (Acrobat)
11:15 a.m.

Using Bundles to Engage Clinical Specialists

Lindsay E. Jubelt, MD
Medical Director of Population Health, Mount Sinai Health Partners; Assistant Professor, Internal Medicine, Mount Sinai Health System, New York, NY

    Speaker Bio

    Lindsay Jubelt, MD, MSc is the Medical Director of Population Health at Mount Sinai Health System and Assistant Professor of Medicine in the Icahn School of Medicine. Dr. Jubelt leads clinical program redesign across the health system. In her work, she aims to strengthen the health system's role as a learning laboratory to improve the quality and value of care provided to patients. She is also a practicing general internist in the IMA PACT clinic.

    Dr. Jubelt received her B.A. from the University of Pennsylvania her M.D. from Stony Brook University. She completed her internal medicine residency at the Massachusetts General Hospital followed by training in health services research via the Robert Wood Johnson Clinical Scholars Program at the University of Pennsylvania.
Alexis Kowalski, MPA
Senior Director, Mount Sinai Health Partners, Mount Sinai Health System, New York, NY

    Speaker Bio

    Alexis Kowalski is a Senior Director of Population of Health in the Mount Sinai Health Partners. Ms. Kowalski is currently responsible for the design, implementation and evaluation of new care models. Her work with various cross-functional teams has put the concepts of care models into practice.
    Presentation Material (Acrobat)
Andrew Edeburn, MA
Vice President, Population Health, GE Healthcare Camden Group, El Segundo, CA (Moderator)

    Speaker Bio

    Mr. Edeburn is a vice president with GEHC Camden Group, with more than 20 years of healthcare consulting experience, specializing in acute, primary, post-acute, and senior care services. He is a nationally recognized expert on post-acute care. His areas of expertise include strategic planning, acute/post-acute integration, provider network development, and managed care.

    Prior to joining GEHC Camden Group, Mr. Edeburn was vice president of continuum strategies at Health Dimensions Group in Minneapolis, Minnesota, where he led the consulting practice area for continuum strategy and integration engagements.

    Before joining Health Dimensions Group, Mr. Edeburn held various senior consultant positions in healthcare marketing and communications, including consulting manager at CliftonLarsonAllen, in Minneapolis, Minnesota, where he managed consulting engagements and provided direct consulting guidance to aging service clients, including skilled-nursing, long-term care facilities, senior housing organizations, as well as to hospitals and health systems.

    Mr. Edeburn is a frequent speaker on a range of topics including healthcare reform readiness, strategic planning, acute and post-acute integration, and change management.

    Mr. Edeburn received his master's and bachelor's degrees from South Dakota State University in Brookings, South Dakota.
12:15 p.m. Networking Luncheon

AFTERNOON CONCURRENT SESSIONS I
CONCURRENT SESSION I: MEDICARE BPCI: LESSONS LEARNED AND IMPLICATIONS FOR THE FUTURE
1:00 p.m.

Overview, Panel Discussion and Q&A

Deirdre Baggot, PhD, MBA, RN
Principal and Bundled Payments, Practice Leader, ECG Management Consultants; Former Expert Reviewer, BPCI Program; Former Lead, ACE Program, Centers for Medicare and Medicaid Services, Washington, DC (Moderator)

    Speaker Bio

    Principal and Practice Leader for Bundled Payments, ECG Management Consultants, and a nationally recognized expert and Keynote speaker in the area of bundled payments. Author of more than 20 papers on bundled payments, healthcare reform, and payment transformation and featured expert on National Public Radio's Morning Edition, All Things Considered and Planet Money. In 2012 Ms. Baggot was an appointed expert reviewer by Centers for Medicare & Medicaid Services ("CMS") for the BPCI for Models 2-4. Ms. Baggot also served as a former lead for CMS Acute Care Episode ("ACE") Bundled Payment Demonstration. Prior to joining ECG Management Consultants spent ten years in academic healthcare at Northwestern Memorial Hospital and The University of Michigan Health System in key leadership roles. Ms. Baggot holds a Doctor of Philosophy, University of Colorado; Masters in Business Administration and Gregory LaVert Scholar, Loyola University Graduate School of Business; Bachelor of Science in Nursing (summa cum laude), Southern Illinois University.
Hannah Alphs Jackson, MD, MHSA
Program Director, Value-Based Delivery, Northwestern Memorial HealthCare, Chicago, IL

    Speaker Bio

    Hannah Alphs Jackson, MD, MHSA, is Assistant Professor of Surgery at Northwestern University's Feinberg School of Medicine and Program Director for strategy, operations and program development of the Northwestern Medicine health system's value-based delivery portfolio. She is also currently serving as Alternate Payment Model Fellow at the American Association of Medical Colleges in their division of Healthcare Affairs. Dr. Alphs Jackson has lead the implementation of multiple bundled payment and Center of Excellence partnerships with large, national employers across four service lines. She facilitated Northwestern Medicine's application to the CMS Bundled Payment for Care Improvement initiative and is leading the implementation of this program at two hospitals across five medical and surgical episodes. In addition, Dr. Alphs Jackson has contributed to the design and implementation of the infrastructure to support a population health-based program for Northwestern Memorial HealthCare's employee group health plan and a clinically integrated, post-acute preferred provider network.
Pamela M. Pelizzari, MPH
Healthcare Consultant, Milliman, Former Senior Technical Advisor and Program Lead, Centers for Medicare & Medicaid Services, New York, NY

    Speaker Bio

    Pamela is a healthcare consultant with the New York office of Milliman. She has a broad background in integrated delivery system administration and healthcare payment reform. She has worked in both clinical and payer settings and has extensive experience in alternative risk contract strategies.

    Pamela has particular expertise in analysis of healthcare claims and the development of episode-based payment definitions and benchmarking methodologies.

    Prior to joining Milliman, Pamela held a technical advisory role in the U.S. federal government. She was responsible for developing and implementing novel payment methodologies to transform healthcare delivery and payment nationwide. Previously, Pamela also worked in quality improvement at an academic medical center.
2:00 p.m. Break

CONCURRENT SESSION II: UPSTREAM: CONDITION-BASED VS. PROCEDURAL BUNDLES
1:00 p.m.

Overview, Panel Discussion and Q&A

Michael M. Abecassis, MD, MBA
Director, Comprehensive Transplant Center, Chief, Division of Surgery-Organ Transplantation, James Roscoe Miller Distinguished Professor of Medicine; Professor, Surgery-Organ Transplantation and Microbiology-Immunology, Feinberg School of Medicine, Northwestern University, Chicago, IL

    Speaker Bio

    Dr. Michael Abecassis is the J. Roscoe Miller Distinguished Professor, Departments of Surgery and Microbiology/Immunology, Chief of the Division of Transplantation, Department of Surgery, and the Founding Director of the Northwestern University Comprehensive Transplant Center. Dr. Abecassis is a clinically active transplant surgeon, specializing in kidney and liver transplantation, including living donor liver transplants. He also specializes in complex hepato-biliary surgery. In addition, to his clinical and administrative activities, Dr. Abecassis has received continuous funding from the National Institutes of Health for the past 18 years for research in molecular viral immunology, and more recently in biomarker discovery and functional genomics. Based on the latter, he co-founded a company, Transplant Genomics Inc. in order to fund commercialization of peripheral blood signatures predictive and diagnostic of organ rejection. Finally, Dr. Abecassis has a long-standing interest in bundled care and payment models beginning with transplant case rates over 20 years ago, and more recently extending to helping design and operationalize bundled episodes of care through BPCI and large employers, focusing on both medical and surgical bundles.
    Presentation Material (Acrobat)
Andrew John Haig, MD
Vice President, Accountable Care, Mary Free Bed Rehabilitation Hospital; Former Professor, Physical Medicine & Rehabilitation, University of Michigan Health System; President, The International Rehabilitation Forum, Ann Arbor, MI

    Speaker Bio

    Vice President for Accountable Care and Medical Informatics at the Mary Free Bed Rehabilitation Hospital network, Andrew Haig is also Active Emeritus Professor of Physical Medicine and Rehabilitation at the University of Michigan, and president of Haig et al., Consulting, He is widely recognized as a top innovator and leader in American rehabilitation medicine.

    Haig's consulting work is characterized by development and mentoring of local leaders who can create innovative, sustainable, quality programs. He advises executives on strategic planning, marketing and resource allocation. This year's projects include help with Yale University's Musculoskeletal Institute, retooling of Aurora Health Care's 10 hospital rehabilitation system, and design of the national rehabilitation strategy for the country of Brunei. At Michigan Haig founded the university's Spine Program and its top-ranked fellowship, the UM Cancer Rehabilitation Program and led rebirth of the health system's e-Health Telemedicine program.
    Presentation Material (Acrobat)
Constantine A. Mantz, MD
Board-Certified Radiation Oncologist, Chief Medical Officer, 21st Century Oncology, Lehigh Acres, FL

    Speaker Bio

    Constantine Mantz MD is a practicing radiation oncologist and Chief Medical Officer of 21st Century Oncology. In 2012, he led his company's efforts in executing the first national bundled payment agreement for radiation therapy services with a major commercial payer. This agreement remains active today, and he has since helped design and execute similar arrangements for other smaller payers. Dr. Mantz is also a member of his professional society's Alternative Payment Model group and is assisting in its development of quality-based payment models.
    Presentation Material (Acrobat)
2:00 p.m. Transition Break

CONCURRENT SESSION III: CREATING SUCCESSFUL POST-ACUTE PARTNERSHIPS FOR BUNDLED PAYMENTS
1:00 p.m.

Overview, Panel Discussion and Q&A

Bryce Henson
Development Director at Access Companies, Dayton, OH

    Speaker Bio

    Bryce is the Director of Development at the Access Companies; offering progressive, performance and outcomes focused, managed care and bundled payment infrastructure support to providers. Access Advantage was founded in 2009 to capture managed care market share. Access Innovations is a CMS approved Convener for the Bundled Payment Collaboration Initiative (BPCI). Access Elite works closely with post-acute providers in a consulting fashion. Working predominately with heritage driven providers our forte is progressive use of IT and systems married to long term relationship development with healthcare purchasers, including managed care plans, employers, hospitals, MDs and now CMS with progressive, uniform and replicable services to support both providers and purchasers in delivering better quality, and less costly, care individualized to local market, consumer driven needs. Bryce also does data analytic consulting on an individualized basis.
Kristi Short, MA
Senior Vice President, Navvis & Company, St. Louis, MO

    Speaker Bio

    Kristi Short leads care continuum strategies and post-acute network development to equip physician groups and health system clients to manage episodes of care and succeed under evolving value-based payments. Kristi has more than 20 years of experience in strategic planning, business development and strategy implementation in the healthcare and financial services industries, and brings a valuable perspective to her work with client organizations having led broad-based initiatives in two heavily regulated and dynamic sectors.

    Prior to joining Navvis Healthways, she developed post-acute networks for two national post acute providers as VP of Market Development. There she served as the lead developer in orchestrating post- acute hospital joint ventures with large academic medical centers as well as smaller community providers. Previously, she directed planning activities for BJC Healthcare, one of the largest non-profit healthcare organizations in the country based in St. Louis, MO. Before entering the healthcare industry, Kristi worked in the financial services area. She served as senior vice president with responsibility for strategic planning and oversight of the electronic payments operations for the Eighth Federal Reserve District. She also chaired several Federal Reserve Subcommittees during her 13-year tenure.

    Kristi is a graduate of Kansas State University and holds a Master's in Journalism from the University of Missouri.
    Presentation Material (Acrobat)
2:00 p.m. Transition Break

AFTERNOON CONCURRENT SESSIONS II
CONCURRENT SESSION IV: DEMONSTRATED DIFFERENCE: EMPLOYERS CENTERS OF EXCELLENCE NETWORK, INCLUDING HOW BUNDLED PAYMENTS CHANGE THE PROVIDER/PATIENT EXPERIENCE, AND OUTCOMES FROM TWO YEARS OF JOINT REPLACEMENT SURGERIES (OVER 1000 CASES)
2:15 p.m.

Overview, Panel Discussion and Q&A

Olivia Ross, MPH, MBA
Associate Director, New Initiatives Team, Pacific Business Group on Health, San Francisco, CA

    Speaker Bio

    Olivia Ross is an Associate Director with the Pacific Business Group on Health responsible for the operation and expansion of the Employers Centers of Excellence Network (ECEN). The ECEN is a national, multi-employer initiative that identifies and provides employees access to high quality surgical care through prospective bundled rates. Before joining PBGH, Olivia spent four years managing several projects at Northwestern University. Her work with the Chicago Pediatric Patient Safety Consortium and the Transplantation Outcomes Research Collaborative focused on risk assessment, improving clinician communication and teamwork. Olivia holds an MPH from UCLA and an MBA from Northwestern University's Kellogg School of Management.
    Presentation Material (Acrobat)
3:15 p.m. Break

CONCURRENT SESSION V: EPISODES OF CARE -- LESSONS LEARNED FROM THE LARGEST COMMERCIAL PROGRAM IN THE COUNTRY
2:15 p.m.

Overview, Panel Discussion and Q&A

Lili Brillstein, MPH
Director, Episodes of Care, Horizon Blue Cross Blue Shield New Jersey; Former Senior Director, Medicare & Retirement, UnitedHealthcare, Newark, NJ

    Speaker Bio

    Lili Brillstein is the Director of Episodes of Care for the Market Innovations division of Horizon Blue Cross Blue Shield of New Jersey. She is responsible for the overall direction, strategy, design and oversight of the Episodes of Care/Bundled Payment Program. When Lili joined Horizon in January of 2013, the Episodes program was still in pilot and included only total hip and total knee replacement episodes. Under Lili's leadership, the program has grown to include additional orthopaedic episodes, obstetrics and gynecology, GI, cardiology, oncology, and is the largest commercial Episodes program in the country. Lili also plays a leadership role in the advancement of Horizon's PCMH, ACO and other value-based models.

    Lili serves as an advisor to CMS and other organizations, nationally, on episodes of care and bundled payment development, and is a recognized thought leader in the advancement of the Episodes of Care model as a health care value strategy for specialty care.
Joseph O'Hara, MBA
Director, Market Innovation, Horizon Blue Cross Blue Shield New Jersey; Former AVP, Health Services, Wellpoint and Empire BlueCross BlueShield, Newark, NJ (Moderator)

    Speaker Bio

    Joseph O'Hara is the Director of Marketplace Innovations at Horizon Blue Cross Blue Shield of New Jersey.

    Upon Joining Horizon BCBSNJ, Mr. O'Hara served as the director of two innovations teams at Horizon BCBSNJ, building programs for Accountable Care Organizations (ACO) and Episodes of Care (EOC). These programs are designed to yield improved patient outcomes while efficiently using health care resources. Today, these programs include more than 750,000 Horizon BCBSNJ members, over 20 hospitals and thousands of physicians.

    Mr. O'Hara has over 25 years of experience in the health care industry. Previously, he worked on the health care reform initiative under the Clinton administration, as the Director of Managed Care for the Health Insurance Association of America. In that role, he built industry policy responses to key reform initiatives.
    Presentation Material (Acrobat)
3:15 p.m. Break

CONCURRENT SESSION VI: MAJOR JOINT REPLACEMENTS BY THE NUMBERS
2:15 p.m.

Overview, Panel Discussion and Q&A

Pantelis Karnoupakis
Director, Bundled Payments - Payer Contracting and Strategy, Hospital for Special Surgery; Former Lead Risk Contracting Specialist, EmblemHealth, New York, NY

    Speaker Bio

    Pantelis Karnoupakis, Director Payor Strategy & Contracting, joined the Hospital for Special Surgery (HSS) in July 2012. Pantelis plays a major role in the Hospital's development and execution of strategies to measure, report, and improve health care value through programs such as Medicare's BPCI and CJR initiatives, as well as Direct Employer commercial bundles. Through innovative alternate reimbursement models, Mr. Karnoupakis continues strengthen HSS's position as the leading orthopedic institution in the country.

    Prior to joining HSS Pantelis was with Emblem Health for 10 years, overseeing areas in Claims, Provider Contracting and Business Technology Solutions.
Coleen Kivlahan, MD, MPH
Executive Director of Primary Care Services, UCSF Health System, San Francisco, CA; Former Senior Director, Association of American Medical Colleges (AAMC); Former Director, Missouri Department of Health; Former Associate Chief of Staff, University Hospital; Director, Office of Clinical Effectiveness, University of Missouri Health Care; Former Medical Director, Fantus Health Center, Cook County Bureau of Health Services, Washington, DC

    Speaker Bio

    Dr Coleen Kivlahan currently serves as the Executive Director for Primary Care Services at UCSF. She guides 9 academic primary clinics in their efforts to maintain PCMH status, expand access, drive down costs, and improve quality in a competitive California environment. She practices medicine in the Laurel Village clinic site.

    Until February, 2016, she was the Senior Director of the Alternative Payment and Health Systems Innovation group at the Association of American Medical Colleges (AAMC), Washington D.C. In that role, she supported the provision of high quality, patient-centered care within academic health centers engaged in alternative payment models.
Jonathan Pearce, CPA, MBA, FHFMA
Principal, Singletrack Analytics, LLC, Woodbury, NJ (Moderator)

    Speaker Bio

    Jonathan Pearce is the Founding Principal of Singletrack Analytics, a healthcare consulting firm focused on healthcare data and financial analysis. With more than 35 years of healthcare consulting experience, he has worked with numerous clients in understanding the details of healthcare payment systems and in structuring the analysis of data to facilitate decision-making.

    Jon is a Certified Public Accountant and holds a BS in Industrial Engineering and an MBA in Finance. He is also a Microsoft Certified IT Professional in business intelligence, and is a Fellow of the Healthcare Financial Management Association.
    Presentation Material (Acrobat)
3:15 p.m. Break

AFTERNOON CONCURRENT SESSIONS III
CONCURRENT SESSION VII: BALANCING STATE, FEDERAL AND INTERNAL BUNDLED PAYMENT INITIATIVES
3:45 pm

Overview, Panel Discussion and Q&A

Brittany Cunningham, MSN, RN
Director, Episodes of Care, Vanderbilt University Medical Center, Nashville, TN

    Speaker Bio

    Brittany Cunningham, MSN, RN, CSSBB is the Director for the Episodes of Care Office at Vanderbilt University Medical Center. A nurse by training, she completed her Masters in Health systems administration with 7 years of cardiology nursing before transitioning to her administrative roles. Her past experience as the Quality and Patient Advisor in the Vanderbilt Heart and Vascular Institute for 7 years allowed her to gain experience working on implementing projects such as reducing readmissions, reducing infections, increasing core measures, managing clinical registries and rolling out the Valve Surgery Bundle Initiative in 2014 with CMS. Now as the leader of the Episodes of Care office, she and her team are responding to state and federal initiatives of alternative payment model changes. Brittany is additionally trained in QI methodology including being a certified Six Sigma Black Belt.
    Presentation Material (Acrobat)
4:45 p.m. Transition Break

CONCURRENT SESSION VIII: CAPTURING TRIPLE AIM VALUE ACROSS THE CARE CONTINUUM IN CARDIAC BUNDLED PAYMENTS
3:45 pm

Overview, Panel Discussion and Q&A

Matthew Ducsik, MPH, PMP
Cardiovascular Program Manager, Providence Health and Services, Portland, OR

    Speaker Bio

    Matthew Ducsik is the Cardiovascular Program Manager for Providence Heath & Services, an integrated health system serving five state in the Western United States. In his current role, Matthew is responsible for the development and execution of system strategy for cardiovascular services and leadership of major enterprise-wide projects. From 2012-2014, he worked with cardiovascular providers and executives to develop commercial bundled payment products for Coronary Artery Bypass Graft (CABG) surgery and Percutaneous Coronary Intervention (PCI).

    Matthew holds a Masters of Public Health with a concentration in Health Management and Policy from Portland State University and a BA in Psychology from Boston College. Prior experience includes time at McLean Psychiatric Hospital in Massachusetts working with ADHD, Seasonal Affective Disorder, and Eating Disorder patients, health advocacy for foster children, and cardiovascular outcomes reporting. In 2015, Matthew received the Providence Health & Services President's Award for his work to support value-based purchasing.
    Presentation Material (Acrobat)
4:45 p.m. Transition Break

CONCURRENT SESSION IX: BUNDLED PAYMENT MODEL FOR ONCOLOGY THAT BUNDLES THE DRUG COSTS AND ONCOLOGY COSTS TOGETHER
3:45 pm

Overview, Panel Discussion and Q&A

Ann Woo, PharmD
Contractor, Oncology Alternative Payment Models, Hill Physicians Medical Group, San Ramon, CA

    Speaker Bio

    Ann Woo is currently a consultant for Hill Physicians Medical Group, where she manages the ongoing operations and expansion of the Oncology Case Rate program.

    She is also active in the development of new performance measures for the Integrated Healthcare Association (IHA), whose Value Based Pay for Performance (VBP4P) program has grown into one of the largest alternative payment models in the country.

    Prior to becoming a consultant, Ann spent 17 years at Hill Physicians Medical Group. During her time there, she developed and implemented the Oncology Case Rate program for selected oncology practices in the network. To date, the program resulted in increased adherence to evidence based guidelines, reduced off label use of oncology drugs while improving patient and referring provider satisfaction. She also developed the clinical quality measures for the primary care physicians at Hill, and made the measures a key component of the physician incentive program. Ann also focused the organization's attention on clinical variation in specialty areas such as Ob-Gyn and Orthopedics, creating and distributing unblinded reports to referring primary care physicians.

    She holds a Bachelor's Degree in Biochemistry from the University of California at Berkeley and earned her Pharm.D. degree from the University of California at San Francisco School of Pharmacy.
    Presentation Material (Acrobat)
4:45 p.m. Transition Break

AFTERNOON CONCURRENT SESSIONS IV
CONCURRENT SESSION X: PREDICTIVE ANALYTICS TO DRIVE QUALITY AND EFFICIENCY GAINS UNDER BUNDLED PAYMENT MODELS
5:00 pm

Overview, Panel Discussion and Q&A

Brian Alexander, MBA
Chief Administrative Officer, Novato Community Hospital, Sutter Health, Novato, CA

    Speaker Bio

    Since 2013, Mr. Alexander has spearheaded Sutter Health's bundled payment strategy and pilot program at Novato Community Hospital. Starting with lower extremity joint replacement, the Novato BPCI program has expanded to represent more than 50% of its Medicare patient base while serving as a system testing ground for both clinical process redesign and physician engagement activities. Mr. Alexander earned a Bachelor's of Arts from Northwestern University in Evanston, Illinois and his Master's in Business Administration from the University Of Chicago Booth School Of Business.
Andy Schuetz, PhD
Senior Data Scientist, Research, Development and Dissemination, Sutter Health, Walnut Creek, CA (Moderator)

    Speaker Bio

    C. Andy Schuetz, Ph.D. is a Sr. Data Scientist in Sutter Health's Research Development & Dissemination group. Prior to Sutter Health, Andy managed the early development of the Evalytica cloud-based pharmacovigilance solution for Evidera. At Archimedes, he led the development of the ARCHeS SaaS product suite that leveraged the Archimedes model to improve the quality and efficiency of healthcare. His research has focused on improving care for patients with type 2 diabetes and cardiovascular disease. He has authored publications in high impact journals such as Health Affairs and PLOS ONE, and has spoken at conferences such as Health Datapalooza and the Society for Medical Decision Making Annual Meeting. He received his Ph.D. and B.S. in mechanical engineering from the University of California at Berkeley.
    Presentation Material (Acrobat)
6:00 pm Adjournment and Networking Reception

CONCURRENT SESSION XI: MATERNITY BUNDLES
5:00 pm

Overview, Panel Discussion and Q&A

Tricia Balazovic
Administrative Director, Minnesota Birth Center, Minneapolis, MN

    Speaker Bio

    Tricia Balazovic has a degree in economics and is currently pursuing a Masters in Healthcare Administration degree at the University of Minnesota's School of Public Health. Her interest in maternity care and payment reform began when she was pregnant with her second child and a patient at Minnesota Birth Center (MBC)--her experience led her to change career paths from corporate retail to leading the business team as administrative director of MBC. Her career aspiration is be a change-agent by educating consumers on the clinical and cost benefits of care models like Minnesota Birth Center's and the BirthBundle®.
Steve Calvin, MD
Board Certified in OB/GYN and Maternal-Fetal Medicine, Medical Director, Minnesota Birth Center, Minneapolis, MN (Moderator)

    Speaker Bio

    Steve Calvin is board-certified in OB/GYN and Maternal-Fetal Medicine. He has 35 years of experience in caring for mothers and babies with the entire range of pregnancy concerns. As founder and medical director of the Minnesota Birth Center he strongly supports pregnancy care for low-risk mothers that is provided by nurse midwives in birth centers and hospitals. He believes that health care reform should start where we all did - with pregnancy and birth and that all mothers deserve comprehensive team-based care for a single package price. To that end he developed the BirthBundle®. He blogs at www.pregnant-pauses.org.
    Presentation Material (Acrobat)
6:00 pm Adjournment and Networking Reception

CONCURRENT SESSION XII: THE NEXT ERA OF HEALTH CARE: IMPROVING PATIENT SATISFACTION AND REDUCING READMISSIONS WITH EPISODE-BASED PAYMENT MODELS
5:00 pm

Overview, Panel Discussion and Q&A

Tamara Cull
National Director Population Health, Catholic Health Initiatives, Albuquerque, NM

    Speaker Bio

    Tamara Cull, DHA , MSW, LCSW, ACM is currently the National Director of Population Health for Catholic Health Initiatives with leadership responsibility for Value Based Programs and Operations and Population Health Account Management. Prior to this role at CHI, Dr. Cull served for over 20 years in acute hospital settings as the System Director of Care Management. Dr. Cull holds a Doctorate of Health Administration from Medical University of South Carolina and a Master's Degree in Social Work and is frequently a featured speaker at national conferences as a subject matter expert on Population Health.
    Presentation Material (Acrobat)
Andrew Edeburn, MA
Vice President, Population Health, GE Healthcare Camden Group, El Segundo, CA (Moderator)

    Speaker Bio

    Mr. Edeburn is a vice president with GEHC Camden Group, with more than 20 years of healthcare consulting experience, specializing in acute, primary, post-acute, and senior care services. He is a nationally recognized expert on post-acute care. His areas of expertise include strategic planning, acute/post-acute integration, provider network development, and managed care.

    Prior to joining GEHC Camden Group, Mr. Edeburn was vice president of continuum strategies at Health Dimensions Group in Minneapolis, Minnesota, where he led the consulting practice area for continuum strategy and integration engagements.

    Before joining Health Dimensions Group, Mr. Edeburn held various senior consultant positions in healthcare marketing and communications, including consulting manager at CliftonLarsonAllen, in Minneapolis, Minnesota, where he managed consulting engagements and provided direct consulting guidance to aging service clients, including skilled-nursing, long-term care facilities, senior housing organizations, as well as to hospitals and health systems.

    Mr. Edeburn is a frequent speaker on a range of topics including healthcare reform readiness, strategic planning, acute and post-acute integration, and change management.

    Mr. Edeburn received his master's and bachelor's degrees from South Dakota State University in Brookings, South Dakota.
6:00 pm Adjournment and Networking Reception


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