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 1


Agenda: Day II
Wednesday, June 18, 2014
CLOSING PLENARY SESSION
8:00 a.m.

Welcome and Introduction

Mark Hiller, MBA
Vice President for Innovative Solutions and Leader, Premier Bundled Payment Collaborative, Premier, Charlotte, NC (Co-chair)

    Speaker Bio

    Mark Hiller is Premier's Vice President for Innovative Solutions and has extensive experience in financial analysis and developing practical tools to assist hospitals in reducing their costs. He leads the Premier Bundled Payment Collaborative that is providing education, episode development, care re-design, quality and other measurement, cost reduction identification, physician alignment / gain sharing, etc. Mark also led the Premier Accountable Care Collaborative Leadership workgroup which had responsibilities in the areas of ACO organization, governance, financial analysis, contracting, etc. In addition to his work with Premier he has led multiple facets of the financial and operating infrastructure of a multiple hospital system across multiple states.

    Mark also designed Premier's Accountable Care Financial Impact model which has been used by many Premier members to better estimate the potential financial impact on their systems related to the application of accountable care principals. He also designed, developed, and implemented an ACO the industry's first revenue management analytical tool that supports a hospitals ability to reduce waste and errors in the revenue cycle process. He also developed a patent pending model to measure the supply intensity across service lines. This model helps health care systems identify cost savings opportunities based on the underlying supply cost for each MS-DRG. Mark frequently makes presentations at National meetings to describe these collaborative services, tools and other hospitals financial and operating issues to hospital, physician, and post-acute provider audiences across the nation.
8:15 a.m.

Report-outs from Breakouts

Medicare BPCI:
Charles Wiggins, MHA
Co-founder, Remedy Partners, New York, NY
Statewide Initiatives:
David Nuzum, MBA
Principal, McKinsey & Company, New York, NY

    Speaker Bio

    David Nuzum is a Principal in the Washington, DC Office of McKinsey & Company. He has spent more than 15 years working with the management teams of leading healthcare organizations to address the Triple Aim of better health, better care, and lower costs.

    David currently leads our Health Care Value service line in North America including health plan network strategy and contracting, payment innovation, care management, and transparency initiatives. He also co-leads McKinsey's Health Care Value Analytics division, an advanced analytics unit that supports value-based payment models through a combination of consumer research, clinical research, actuarial science, statistics, economics, and software programming capabilities.

    David's recent projects have included:
    • Exchange network strategy and/or provider network contracting for Qualified Health Plans in nearly 20 states
    • Design and implementation of ACO and medical home initiatives on behalf of numerous private insurers and state Medicaid programs
    • Design and implementation of the largest multi-payer bundled payment initiative in the U.S., involving 75 hospitals and more than 3,000 physicians
    • Development of State Health Innovation Plans for several states participating in the CMMI State Innovation Models initiative
    David received his M.B.A. in Healthcare Management from the Wharton School at the University of Pennsylvania. In addition, David received an A.B. in Biological Sciences from Harvard University; also while at Harvard, he completed significant graduate coursework in healthcare economics and public policy at the Harvard School of Public Health and the Kennedy School of Government. David resides in Brooklyn, New York.
    Presentation Material (Acrobat)
Provider Strategies:
Deirdre Baggot, PhD (c), MBA, RN
Vice President, The Camden Group, Expert Panel Reviewer, CMMI Bundled Payment for Care Improvement Initiative Models 2-4, El Segundo, CA

    Speaker Bio

    Ms. Baggot is a vice president at The Camden Group and a nationally recognized expert in the area of bundled payment. In 2012, Ms. Baggot was appointed by Centers for Medicare & Medicaid Services ("CMS") to be an expert reviewer for the Bundled Payments for Care Improvement Initiative ("BPCI") for Models 2 through 4.

    Prior to joining The Camden Group, Ms. Baggot served as the administrator of the cardiac and vascular institute at Exempla Saint Joseph in Denver, Colorado, where she played a key role in helping the hospital win the bid to be selected as an Acute Care Episode cardiovascular services pilot program - only one of four in the nation.

    Prior to joining Exempla Saint Joseph Hospital, Ms. Baggot worked for ten years in academic healthcare, first at Northwestern Memorial Hospital and later at The University of Michigan Health System in a number of key leadership roles.

    Currently, Ms. Baggot serves on the Board of the Colorado Organization of Nurse Leaders and is completing her Ph.D. at the University of Colorado, Denver, Colorado.
    Presentation Material (Acrobat)
9:30 a.m.

CMMI Bundled Payments Update

Sean Cavanaugh
Deputy Administrator and Director, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Baltimore, MD

    Speaker Bio

    Sean Cavanaugh is the Deputy Administrator and Director of the Center for Medicare at the Centers for Medicare & Medicaid Services. He is responsible for overseeing the regulation and payment of Medicare fee-for service providers, privately-administered Medicare health plans, and the Medicare prescription drug program. Medicare provides health coverage to 50 million elderly and disabled Americans, with an annual budget of over $550 billion.

    Prior to assuming his current role, Sean was the Deputy Director for Programs and Policy in the Center for Medicare and Medicaid Innovation. In that capacity, he was responsible for overseeing the development and testing of new payment and service delivery models, including accountable care organizations and medical homes.

    He attended the University of Pennsylvania and the Johns Hopkins School of Hygiene and Public Health.
10:15 a.m. Transition Break
10:30 a.m.

Roundtable on Bundled Payment Strategies

Mary Barton, MD
Vice President, Performance Measurement, National Committee for Quality Assurance (NCQA); Former Scientific Director, US Preventive Services Task Force, Agency for Healthcare Research and Quality, Washington, DC

    Speaker Bio

    Mary Barton, MD is Vice President for Performance Measurement at NCQA. Dr. Barton oversees the team supporting new quality measure development and the upkeep of existing measures in the HEDIS measure set. She also leads selected grants and contracts that focus on NCQA's strength as a measure developer and an experienced evaluator of health care. She is a member of NCQA's Leadership Team. Prior to coming to NCQA, Dr. Barton was for over five years Scientific Director of the U.S. Preventive Services Task Force (USPSTF) at the Agency for Healthcare Research and Quality (AHRQ). Dr. Barton trained in primary care internal medicine at Brigham and Women's Hospital in Boston, and completed a general medicine research fellowship at Harvard. Prior to joining AHRQ, she was an assistant professor at Harvard Medical School, where she performed clinical epidemiology and health services research related to cancer screening and prevention in terms of access, test performance, and outcomes. She is a member of the American College of Physicians and the Society of General Internal Medicine. Dr. Barton received her MD from Harvard University and a master's in public policy from the Kennedy School of Government at Harvard.
    Presentation Material (Acrobat)
Andrea Caballero
Program Director, Catalyst for Payment Reform, Former Vice President for Enterprise and Health Services Policy, UnitedHealth Group, Los Angeles, CA

    Speaker Bio

    Andréa Caballero is currently the Program Director for Catalyst for Payment Reform. Andréa comes to CPR with over 15 years of experience in the health care industry. In the 2 plus years she's been at CPR, she has led several significant projects, including the release of the first ever National Scorecard on Payment Reform, and a National Compendium on Payment Reform. In addition to tracking and quantifying progress in payment reform, she also leads CPR's work on health care price transparency and bundled payment.

    Prior to joining CPR, Andréa served as Vice-President, Enterprise and Health Services Policy for UnitedHealth Group. In that capacity, she worked on a range of health care policy issues at the state and federal levels. Andréa was previously a member of PacifiCare's Public Affairs team as the Director of State Government Relations and a Regional Legislative Manager at Humana in Wisconsin.
Brent R. Eller, Esq.
Partner, Davis Wright Tremaine, Seattle, WA

    Speaker Bio

    Brent Eller is a partner in the health care practice group in the Seattle office of Davis Wright Tremaine. Brent's practice focuses on health care transactions and regulatory compliance. He represents hospitals, medical groups, medical device companies and others within and outside the health care industry in structuring, acquiring, and merging business enterprises; contracting with vendors and service providers; developing corporate governance and legal compliance policies; and conducting compliance investigations. He also advises providers who are developing or participating in accountable care organizations, bundled payment programs, service line co-management arrangements, and other collaborative endeavors.
    Presentation Material (Acrobat)
Joseph Fifer, FHFMA, CPA
President and Chief Executive Officer, Healthcare Financial Management Association (HFMA); Former Vice President-Hospital Finance, Spectrum Health, Westchester, IL

    Speaker Bio

    Joe Fifer, FHFMA, CPA is president and chief executive officer of the Healthcare Financial Management Association. HFMA provides the resources healthcare organizations need to achieve sound fiscal health in order to provide excellent patient care.

    Prior to assuming this position in June 2012, Fifer spent 11 years as vice president of hospital finance at Spectrum Health, in Grand Rapids, Mich. Mr. Fifer also spent time with McLaren Health Care Corporation, Flint, Mich., as vice president of finance and Ingham Regional Medical Center, Lansing, Mich., as senior vice president of finance and CFO.

    A Fellow of HFMA and a CPA, Fifer received his bachelor's degree in Business Administration from Saginaw Valley State University, University Center, Mich.
Mark Hiller, MBA
Vice President for Innovative Solutions and Leader, Premier Bundled Payment Collaborative, Premier, Charlotte, NC (Moderator)

    Speaker Bio

    Mark Hiller is Premier's Vice President for Innovative Solutions and has extensive experience in financial analysis and developing practical tools to assist hospitals in reducing their costs. He leads the Premier Bundled Payment Collaborative that is providing education, episode development, care re-design, quality and other measurement, cost reduction identification, physician alignment / gain sharing, etc. Mark also led the Premier Accountable Care Collaborative Leadership workgroup which had responsibilities in the areas of ACO organization, governance, financial analysis, contracting, etc. In addition to his work with Premier he has led multiple facets of the financial and operating infrastructure of a multiple hospital system across multiple states.

    Mark also designed Premier's Accountable Care Financial Impact model which has been used by many Premier members to better estimate the potential financial impact on their systems related to the application of accountable care principals. He also designed, developed, and implemented an ACO the industry's first revenue management analytical tool that supports a hospitals ability to reduce waste and errors in the revenue cycle process. He also developed a patent pending model to measure the supply intensity across service lines. This model helps health care systems identify cost savings opportunities based on the underlying supply cost for each MS-DRG. Mark frequently makes presentations at National meetings to describe these collaborative services, tools and other hospitals financial and operating issues to hospital, physician, and post-acute provider audiences across the nation.
11:30 a.m.

The Role of Bundled Payments in Accountable Care

Mark McClellan, MD, PhD
Director, Engelberg Center for Health Care Reform, Leonard D. Schaeffer Chair in Health Policy Studies, The Brookings Institution; Former CMS Administrator and FDA Commissioner, Washington, DC

    Speaker Bio

    Mark McClellan is senior fellow, director of the Engelberg Center for Health Care Reform, and Leonard D. Schaeffer Chair in Health Policy Studies at the Brookings Institution. Established in 2007, the Engelberg Center provides practical solutions to achieve high-quality, innovative, affordable health care with particular emphasis on identifying opportunities on the national, state and local levels.

    A doctor and economist by training, McClellan has a highly distinguished record in public service and academic research. He is a former administrator of the Centers for Medicare & Medicaid Services and former commissioner of the Food and Drug Administration. McClellan served as a member of the President's Council of Economic Advisers and senior director for health care policy at the White House under President George W. Bush. He also served in the Clinton administration as deputy assistant secretary of the Treasury for economic policy, where he supervised economic analysis and policy development on a range of domestic policy issues.

    Previously, McClellan was an associate professor of economics and associate professor of medicine with tenure at Stanford University, where he directed Stanford's Program on Health Outcomes Research; served as associate editor of the Journal of Health Economics; and was co-principal investigator of the Health and Retirement Study, a longitudinal study of the health and economic status of older Americans.

    McClellan holds an MD from the Harvard University-Massachusetts Institute of Technology (MIT) Division of Health Sciences and Technology, a PhD in economics from MIT, an MPA from Harvard University, and a BA from the University of Texas at Austin.
    Presentation Material (Acrobat)
12:15 p.m. Bundled Payment Summit Adjournment


Go to Agenda:
Preconference | Day 1




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