BUNDLED PAYMENT KEYNOTE SPEAKERS
Francois de Brantes, MBA
Senior Vice President, Commercial Business Lines, Remedy Partners, Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT
Christina S. Ritter, PhD
Director, Patient Care Models Group (PCMG); Former Deputy Director, Hospital and Ambulatory Policy Group Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MA
FEATURED SESSION: LESSONS LEARNED
FROM THE ONCOLOGY CARE MODEL
Lili Brillstein, MPH
Director, Episodes of Care, Horizon Healthcare Innovations, Horizon Blue Cross Blue Shield New Jersey
Alice G. Gosfield, JD
Founding Partner, Alice G. Gosfield & Associates
Barbara L. McAneny, MD, FASCO, MACP
President, American Medical Association, Board-Certified Medical Oncologist/ Hematologist
Randall A. Oyer, MD
Medical Director, Ann B. Barshinger Cancer Institute, Lancaster General Hospital
Jay Sultan
Vice President, Product Management, Cognizant (Moderator)
ACO/BUNDLED/MACRA JOINT PLENARY
SESSION KEYNOTE SPEAKERS
Marc Berg, MD, PhD
Partner, McKinsey, Former Principal and National Lead Government Healthcare Transformation, KPMG LLP USA, Washington, DC
Joseph Egan
Director of Operations, Value-Based Programs, Tenet Healthcare, Former Administrative Director, Michigan Pioneer ACO, Royal Oak, MI
Ezekiel J. Emanuel, MD
Vice Provost for Global Initiatives, University Professor and Chair, Department of Medical Ethics and Health Policy, University of Pennsylvania; Senior Former Special Advisor, Office of Management and Budget, National Economic Council, Philadelphia, PA
John Gorman
Founder and Former Executive Chairman, Gorman Health Group, Former Assistant to the Director, Office of Managed Care, HCFA, Washington, DC
Pauline Lapin, MHS
Director, Seamless Care Models Group, Centers for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, Baltimore, MD
Peter Long, PhD
President and CEO, Blue Shield of California Foundation, Former Senior Vice President, Henry J. Kaiser Family Foundation, San Francisco, CA
Barbara L. McAneny, MD, FASCO, MACP
President, American Medical Association, Co-founder and Managing Partner, New Mexico Oncology Hematology Consultants Ltd., Albuquerque, NM
Elizabeth Mitchell
Senior Vice President of Healthcare and Community Health Transformation, Blue Shield of California, Former President and CEO, Network for Regional Healthcare Improvement, San Francisco, CA
Lori Morgan, MBA
President and Chief Executive Officer, Huntington Hospital, President, Legacy Emanuel Medical Center, Pasadena, CA
Kavita Patel, MD
Nonresident Senior Fellow Brookings Institution; Member, Physician-Focused Payment, Model Technical Advisory Committee (PTAC); Former Director of Policy, The White House (Obama), Washington, DC
James D. Sharp, MPH, JD
Director, Health Care Strategy and Transformation, BlueCross BlueShield of North Carolina, Former Policy and Strategy Advisor, Office of the Director, Center for Medicare and Medicaid Innovation, Washington, DC
Mark D. Smith, MD, MBA
Co-chair, Guiding Committee, Health Care Payment Learning and Action Network, Clinical Faculty, UCSF, Attending Physician, Positive Health Program for AIDS Care, San Francisco General Hospital, San Francisco, CA
Michael Thompson
President and Chief Executive Officer, National Alliance of Healthcare Purchaser Coalitions, Former Principal, Health Care, PricewaterhouseCoopers, Washington, DC
AGENDA AT A GLANCE
DAY I: MONDAY, JUNE 17
JOINT PRECONFERENCE
DAY II: TUESDAY, JUNE 18
JOINT ACO/BUNDLED/MACRA OPENING PLENARY SESSION
CMS/CMMI Accountable Care, Primary Care, CPC-Plus and Other Primary Care Models Keynote Address
Keynote Update on Private Sector ACO Initiatives
Co-chair Keynote Roundtable: A Lightning Round on the Hot Accountable Care Issues of Today
Special LAN Mini Summit I: The Health Care Payment and Learning Action Network’s (LAN) Roadmap for Driving High Performance in Alternative Payment Models
II: Oncology Care & Radiation Therapy Bundles
III: Effective Use of Waivers & Gainsharing in Bundled Payment Projects
Special LAN Mini Summit I: The Health Care Payment and Learning Action Network’s (LAN) Roadmap for Driving High Performance in Alternative Payment Models
IV: MIPS Basics and Myths & Medicare Advantage and Advance APM Status
V: Rural and Safety Net APMs
VI: Risk Adjustment in MIPS and APMs & MIPS and APMs Quality Measures
CMS/CMMI Keynote Address on Bundled Payment Policy
Keynote Update on Private Sector Bundled Payment Initiatives
Co-chair Keynote Roundtable: A Lightning Round on the Hot Bundled Payment Issues of Today
VII: Accountable Care Case Studies: Humana and Aledade & NY ACOs
VIII: Social Determinants of Health & Substance Abuse (Opioids Plus) Programs
IX: Valuebased Contracting & Patient Experience in Accountable Care
X: An Assessment of the Anticipated CMS/CMMI New APM Models
XI: Specialty APMs & Engaging Specialists through Specialty Payment Chassis Design
XII: Using Quality as a Service & Methods for Managing Post Acute Care
CMS/CMMI Keynote Address on MACRA Policies
MACRA Keynote Address: Are Alternative Payment Models Better than Fee for Service?
Co-chair Keynote Roundtable: A Lightning Round on the Hot Accountable Care Issues of Today
Adjournment and Joint Networking Reception
XIII: Accountable Care Organizational Resources : NAACOS, ACLC and APG
XIV: Integrating Behavioral Health and Primary Care & Shared Decision Making and Personalized Care into Value-based Arrangements
XV: What’s Next for Next Gen ACOs?
XVI: Actuarial Strategies and Risk in Value-based Payment Arrangements & Health Insurer and a Provider Overcome Bundled Payment Barriers
XVII: AI, Analytics, Big Data and Blockchain Technologies to Drive Bundled Payment Success
XVIII: Risk/Bundle Selection & Getting “Bundle Ready
DAY III: WEDNESDAY, JUNE 19
JOINT ACO/BUNDLED/MACRA CLOSING PLENARY SESSION
BUNDLED PAYMENT SUMMIT FEATURED FACULTY
Deirdre Baggot, PhD, MBA, RN
Healthcare Strategist and Payment Innovation Expert, Former Expert Reviewer, BPCI Program, Former Lead, CMS ACE Program, Washington, DC
Chris Birkmeyer, MS
Executive Vice President, Analytics, ArborMetrix, Former EVP, Analytics and Products, SCIO Health Analytics, Former Director of Informatics, Health Dialog, Ann Arbor, MI
Nick Bluhm, MA, JD
Senior Director, Strategy and Government Policy, Remedy Partners, Former Litigation Attorney/Health Insurance Specialist, US Department of Health and Human Services, Washington, DC
Thomas Buckingham, BSN, MBA
Executive Vice President, Select Medical, President, Allevant Solutions, Member, Guiding Committee, Health Care Payment Learning and Action Network, Mechanicsburg, PA
Mark J. Carley, MA, MBA/MSHA
President, Colorado Health Neighborhoods Value Based Care Delivery, Vice-President, Managed Care and Payor Relations, Centura Health, Arlington, VA
Basit Chaudhry, MD, PhD
Founder, Tuple Health, Former Medical Scientist, IBM, Former Researcher, The Rand Corporation, Washington, DC
Monica Deadwiler, MBA
Senior Director, Payment Innovation, Cleveland Clinic, Cleveland, OH
John Dickey
Vice President, Population Health, Sound Physicians, Bakersfield, CA
Bill Finerfrock
President, Capitol Associates (CAI), Executive Director, National Association of Rural Health Clinics, Former Director of Federal Affairs, American Academy of Physicians Assistants, Alexandria, VA
Alice G. Gosfield, JD
Founding Partner, Alice G. Gosfield & Associates, Past Chair, American Health Lawyers Association, HCI3 and National Committee for Quality Assurance, Philadelphia, PA
Kyle A. Gotchy, JD
Associate, Davis Wright Tremaine, Former Senior In-house Counsel, Seattle Children’s Hospital, Seattle, WA
Aparna Higgins
President and CEO, Ananya Health Innovations Inc., Policy Fellow, The Duke-Margolis Center for Health Policy; Visiting Scholar at The Heller School of Social Policy and Management, Brandeis University, Dunn Loring, VA
Anne Hubbard, MBA
Director of Health Policy, American Society for Radiation Oncology, Former Director of Governmental Affairs, Maryland Department of Health and Mental Hygiene, Baltimore, MD
Constantine A. Mantz, MD
Radiation Oncologist and Chief Medical Officer, 21st Century Oncology, Fort Myers, FL
David Mauzey
General Manager, Bundle Pay Manager, Optum, Dallas, TX
Jeff Meyerhofer, MBA
President, UnitedHealthcare Bundled Payment Solutions, Minneapolis, MN
Randall A. Oyer, MD
Medical Director, Ann B. Barshinger Cancer Institute, Lancaster General Hospital, Lancaster, PA
Seema Parmar, MHA, PhD
Associate Partner and Senior Expert, McKinsey, Calgary, Alberta, Canada
Geoff Price, MBA
Chief Operating Officer, Oak Street Health, Chicago, IL
Sheila Rege, MD
Radiation Oncologist, Kadlec Providers, Vice President, American College of Radiation Oncology, Kennewick, WA
Jordan Reigel, MBA
Vice President, Medicare Payment Strategy, United HealthCare, Former Network Management, Kaiser Permanente, Parker, CO
FEATURED VIDEO FROM 2018 BUNDLED
PAYMENT SUMMIT VIII
Update on CMS Bundled Payment Policies
FEATURING
Christina S. Ritter, PhD
Director, Patient Care Models Group (PCMG); Former Deputy Director, Hospital and Ambulatory Policy Group Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MA