AGENDA: PRECONFERENCE SYMPOSIA
WEDNESDAY, JUNE 6, 2018
(Registration optional; separate registration required)
7:00 am
Registration Open
PRECONFERENCE: HEALTH PLAN SPONSORED APMS: MAKING THEM WORK FOR MACRA AND HELPING PHYSICIANS GET OUT OF MIPS
8:00 am
Introduction and Overview
Francois de Brantes, MBA
Former Executive Director, Health Care Incentives Improvement Institute; Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT (Co-moderator)
Former Executive Director, Health Care Incentives Improvement Institute; Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT (Co-moderator)
François de Brantes is a recognized expert in health care payment innovation and policy. As Executive Director of the Health Care Incentives Improvement Institute, he led a team that designed and implemented innovative payment and benefit plan programs to motivate physicians, hospitals, and consumer-patients to improve the quality and affordability of care. Mr. de Brantes’ work in developing breakthrough programs such as Bridges To Excellence and Prometheus Payment have paved the way for much of the movement in value-based payments.
Valinda Rutledge, MBA
Vice President, Public Payor Health Strategy, Care Coordination Institute, Greenville Health System; Former Group Director, Patient Care Model Group and BPCI Lead, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Greenville, SC (Co-moderator)
Vice President, Public Payor Health Strategy, Care Coordination Institute, Greenville Health System; Former Group Director, Patient Care Model Group and BPCI Lead, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Greenville, SC (Co-moderator)
8:15 am
A View From The Field — Lessons Learned from a PTAC-recommended AAPM
Shawn Martin
Senior Vice President, Advocacy, Practice Advancement and Policy, American Academy of Family Physicians; Former Director of Government Relations, American Osteopathic Association, Washington, DC
Senior Vice President, Advocacy, Practice Advancement and Policy, American Academy of Family Physicians; Former Director of Government Relations, American Osteopathic Association, Washington, DC
Frank Opelka, MD, FACS
Medical Director, American College of Surgeons; Former Vice Chancellor for Clinical Affairs, LSU Health Science Center, New Orleans, LA
Medical Director, American College of Surgeons; Former Vice Chancellor for Clinical Affairs, LSU Health Science Center, New Orleans, LA
9:15 am
A Step-by-Step Guide for Health Plan APMs to Qualify As AAPMs
Francois de Brantes, MBA
Former Executive Director, Health Care Incentives Improvement Institute; Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT
Former Executive Director, Health Care Incentives Improvement Institute; Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT
François de Brantes is a recognized expert in health care payment innovation and policy. As Executive Director of the Health Care Incentives Improvement Institute, he led a team that designed and implemented innovative payment and benefit plan programs to motivate physicians, hospitals, and consumer-patients to improve the quality and affordability of care. Mr. de Brantes’ work in developing breakthrough programs such as Bridges To Excellence and Prometheus Payment have paved the way for much of the movement in value-based payments.
Valinda Rutledge, MBA
Vice President, Public Payor Health Strategy, Care Coordination Institute, Greenville Health System; Former Group Director, Patient Care Model Group and BPCI Lead, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Greenville, SC
Vice President, Public Payor Health Strategy, Care Coordination Institute, Greenville Health System; Former Group Director, Patient Care Model Group and BPCI Lead, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Greenville, SC
10:00 am
Break
10:15 am
What States and Medicaid MCOs Should Know and Do
Christian Soura, MA
Vice President, Policy and Finance, South Carolina Hospital Association; Former Director, South Carolina Department of Health and Human Services; Former President, National Association of Medicaid Directors, Columbia, SC
Vice President, Policy and Finance, South Carolina Hospital Association; Former Director, South Carolina Department of Health and Human Services; Former President, National Association of Medicaid Directors, Columbia, SC
Christian L. Soura is Vice President of Policy and Finance at the South Carolina Hospital Association. He most recently served as Director of the South Carolina Department of Health and Human Services and also as President of the National Association of Medicaid Directors. Soura came into government in 2001 and ultimately became Pennsylvania’s Secretary of Administration and Chairman of the Pennsylvania Employees Benefit Trust Fund. After coming to South Carolina in 2011, he was Deputy Chief of Staff to Governor Nikki Haley, with responsibility for the state’s Executive Budget and for the administration’s policy initiatives.
11:00 am
What Commercial Plans Should Know and Do
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
Senior Director, Strategy and Government Policy, Remedy Partners; Former Litigation Attorney/Health Insurance Specialist, US Department of Health and Human Services, Washington, DC
Hoangmai H. Pham, MD
Vice President, Provider Alignment Solutions, Anthem; Former Chief Innovation Officer, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Washington, DC
Vice President, Provider Alignment Solutions, Anthem; Former Chief Innovation Officer, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Washington, DC
11:45 am
Co-moderator Wrap-up
12:00 pm
Adjournment – Lunch on Your Own
AGENDA: DAY 1
WEDNESDAY, JUNE 6, 2018
DAY 1 OPENING PLENARY SESSION: ACCOUNTABLE CARE
1:00 pm
Introduction, Overview and Co-chair Roundtable on Status of Accountable Care Implementation
Sanjay Doddamani, MD
Senior Director in Population Health, Geisinger Health System, Chief Medical Officer, Keystone ACO, Danville, PA (Co chair)
Senior Director in Population Health, Geisinger Health System, Chief Medical Officer, Keystone ACO, Danville, PA (Co chair)
S. Lawrence Kocot, JD, LLM, MPA
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Former Senior Advisor to the Administrator, CMS, Washington, DC (Co chair)
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Former Senior Advisor to the Administrator, CMS, Washington, DC (Co chair)
Larry Kocot is a Principal at KPMG, LLP and National Leader of KPMG’s Center for Healthcare Regulatory Insight. Prior to joining KPMG, Mr. Kocot practiced law at Epstein Becker Green, PC, and Dentons, US LLP; he also served as Deputy Director of the Engelberg Center for Health Care Reform at Brookings and was a visiting fellow in the Economic Studies Program at the Brookings Institution.
Previously, he was Senior Advisor to the Administrator of the Centers for Medicare and Medicaid Services (CMS) at the U.S. Department of Health and Human Services.
Mr. Kocot also served as Senior Vice President and General Counsel at the National Association of Chain Drug Stores, a Fellow in International Security Studies at the Center for Strategic and International Studies (CSIS) and an adjunct fellow at CSIS. Mr. Kocot has served on a number of boards including the Partnership for a Healthier America, ICF International, Inc. and the Commonwealth Health Research Board.
Previously, he was Senior Advisor to the Administrator of the Centers for Medicare and Medicaid Services (CMS) at the U.S. Department of Health and Human Services.
Mr. Kocot also served as Senior Vice President and General Counsel at the National Association of Chain Drug Stores, a Fellow in International Security Studies at the Center for Strategic and International Studies (CSIS) and an adjunct fellow at CSIS. Mr. Kocot has served on a number of boards including the Partnership for a Healthier America, ICF International, Inc. and the Commonwealth Health Research Board.
David B. Muhlestein, PhD, JD
Chief Research Officer, Leavitt Partners, LLC; Adjunct Assistant Professor of The Dartmouth Institute, Geisel School of Medicine, Dartmouth College; Visiting Policy Fellow, Margolis Center for Health Policy, Duke University; Visiting Fellow, Accountable Care Learning Collaborative, Washington, DC (Co chair)
Chief Research Officer, Leavitt Partners, LLC; Adjunct Assistant Professor of The Dartmouth Institute, Geisel School of Medicine, Dartmouth College; Visiting Policy Fellow, Margolis Center for Health Policy, Duke University; Visiting Fellow, Accountable Care Learning Collaborative, Washington, DC (Co chair)
Dr. Muhlestein is Chief Research Officer at Leavitt Partners. He directs the study of accountable care organizations through the LP Center for Accountable Care Intelligence and leads the firm’s quantitative evaluation of health care markets. He is an expert in using policy analysis, predictive modeling, and applied analytics to understand the evolving health care landscape. David also serves as Adjunct Assistant Professor of The Dartmouth Institute (TDI) at the Geisel School of Medicine at Dartmouth College, is a Visiting Policy Fellow at the Margolis Center for Health Policy at Duke University, and is a Visiting Fellow at the Accountable Care Learning Collaborative. In these roles he conducts research to translate learnings of high-performing organizations for the benefit of the broader health care system.
Jay Sultan
Vice President, Product Management, Cognizant, Watkinsville, GA (Moderator)
Vice President, Product Management, Cognizant, Watkinsville, GA (Moderator)
1:45 pm
Medicare Advantage Holds the Key to Reforming the ACO Program
Farzad Mostashari, MD, ScM
Chief Executive Officer and Co-Founder, Aledade, Inc.; Former National Coordinator for Health Information Technology, US Department of Health and Human Services; Former Assistant Commissioner, New York City Department of Health and Mental Hygiene, Washington, DC
Chief Executive Officer and Co-Founder, Aledade, Inc.; Former National Coordinator for Health Information Technology, US Department of Health and Human Services; Former Assistant Commissioner, New York City Department of Health and Mental Hygiene, Washington, DC
Dr. Farzad Mostashari is the CEO of Aledade, a start-up he co-founded aimed at helping primary care doctors transform their practices and form accountable care organizations (ACOs). Prior to Aledade, he was a Visiting Fellow at the Brookings Institution in Washington DC, where he focused on payment reform and delivery system transformation. He served from 2011-2013 as the National Coordinator for Health Information Technology where he coordinated US efforts to build a health information technology infrastructure for healthcare reform and consumer empowerment, in addition to programs for health information exchange, health IT workforce, research, and privacy and security.
2:15 pm
How the CMS Blue Button, FHIR APIs for EHR Data and Other CMS IT Initiatives Can Support Care Redesign
Aneesh Chopra, MPP
President, CareJourney; Co-Founder/Executive Vice President, Hunch Analytics; Former Assistant to the President and Chief Technology Officer, Executive Office of the President (Obama), Washington, DC
President, CareJourney; Co-Founder/Executive Vice President, Hunch Analytics; Former Assistant to the President and Chief Technology Officer, Executive Office of the President (Obama), Washington, DC
2:45 pm
Is the Value Movement Delivering Value?
Joseph J. Grogan, JD
Associate Director, Health Programs, Office of Management and Budget, The White House, Former Head of Government Affairs, Gilead Sciences, Former Director, Global Regulatory Affairs and Safety, Amgen, Former Senior Policy Advisor, FDA, Washington, DC
Associate Director, Health Programs, Office of Management and Budget, The White House, Former Head of Government Affairs, Gilead Sciences, Former Director, Global Regulatory Affairs and Safety, Amgen, Former Senior Policy Advisor, FDA, Washington, DC
3:15 pm
Break
3:45 pm
Panel I: Private Sector Value-based Payment Initiatives
Julian Harris, MD, MBA
President, CareAllies, a CIGNA Company; External Advisory Board Member, Department of Population Health, NYU School of Medicine; Fellow, Mossavar-Rahmani Center for Business and Government and Taubman Center for State and Local Government, Harvard Kennedy School, New York, NY
President, CareAllies, a CIGNA Company; External Advisory Board Member, Department of Population Health, NYU School of Medicine; Fellow, Mossavar-Rahmani Center for Business and Government and Taubman Center for State and Local Government, Harvard Kennedy School, New York, NY
Brigitte Nettesheim, MBA
President, Joint Venture Market Operations, Aetna, Chicago, IL
President, Joint Venture Market Operations, Aetna, Chicago, IL
As president, Joint Venture Market Operations, Brigitte Nettesheim drives the execution of the business plans for Aetna’s Joint Venture markets with a focus on achieving goals through growth, advancing Aetna’s relationship with the provider and transforming the way care is delivered locally. . Brigitte earned a master’s degree in business administration from the Kellogg School of Management at Northwestern University. She received her Bachelor of Science in economics with a minor in systems engineering from the United States Military Academy and served in the US Army, departing with the rank of Captain.
Hoangmai H. Pham, MD
Vice President, Provider Alignment Solutions, Anthem; Former Chief Innovation Officer, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Washington, DC
Vice President, Provider Alignment Solutions, Anthem; Former Chief Innovation Officer, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Washington, DC
Amy Smith, MS Nursing
Manager, Episodes of Care, Horizon Blue Cross Blue Shield of New Jersey, Former Vice President, Perioperative Services, Robert Wood Johnson University Hospital, Martinsville, NJ
Manager, Episodes of Care, Horizon Blue Cross Blue Shield of New Jersey, Former Vice President, Perioperative Services, Robert Wood Johnson University Hospital, Martinsville, NJ
Jeff Micklos, JD
Executive Director, Health Care Transformation Task Force; Former Executive Vice President, Management, Compliance and General Counsel, Federation of American Hospitals, Washington, DC (Moderator)
Executive Director, Health Care Transformation Task Force; Former Executive Vice President, Management, Compliance and General Counsel, Federation of American Hospitals, Washington, DC (Moderator)
4:30 pm
Panel II: Making the Business Case for Value-Based Care: Real-World Provider Case Studies Show Evidence that Focusing on Value is a Better Business Model than Maximizing Volume
Karen Conway, MS
Vice President, Healthcare Value, Global Healthcare Exchange, Colorado Springs, CO
Vice President, Healthcare Value, Global Healthcare Exchange, Colorado Springs, CO
Karen Conway advances how improved supply chain data quality and visibility improves understanding of what increases value for patients and for those organizations that develop healthcare products and services. She is a recognized expert on unique device identification, a foundational element for real world evidence generation. Conway is immediate past chair of the Association for Healthcare Resource and Materials Management (AHRMM), a member the Strategic Marketplace Initiative (SMI) board of directors, the GS1 Global Healthcare Leadership Team, the expert advisory council for SCAN Health, and the healthcare advisory board for CAPS Research. Conway co-authored the book, Leading from the Edge, with the former chief talent officer of Cisco in 2013, and was a contributing author to eBusiness in Healthcare, published by Springer in 2008. Her column, Standard Practices, appears monthly in Healthcare Purchasing News.
Christopher Lloyd, MHA (Invited)
President, Piedmont Clinic; Former Chief Executive Officer, Memorial Hermann Physician Network and Memorial Hermann ACO, Atlanta, GA
President, Piedmont Clinic; Former Chief Executive Officer, Memorial Hermann Physician Network and Memorial Hermann ACO, Atlanta, GA
David B. Muhlestein, PhD, JD
Chief Research Officer, Leavitt Partners, LLC; Adjunct Assistant Professor of The Dartmouth Institute, Geisel School of Medicine, Dartmouth College; Visiting Policy Fellow, Margolis Center for Health Policy, Duke University; Visiting Fellow, Accountable Care Learning Collaborative, Washington, DC (Moderator)
Chief Research Officer, Leavitt Partners, LLC; Adjunct Assistant Professor of The Dartmouth Institute, Geisel School of Medicine, Dartmouth College; Visiting Policy Fellow, Margolis Center for Health Policy, Duke University; Visiting Fellow, Accountable Care Learning Collaborative, Washington, DC (Moderator)
Dr. Muhlestein is Chief Research Officer at Leavitt Partners. He directs the study of accountable care organizations through the LP Center for Accountable Care Intelligence and leads the firm’s quantitative evaluation of health care markets. He is an expert in using policy analysis, predictive modeling, and applied analytics to understand the evolving health care landscape. David also serves as Adjunct Assistant Professor of The Dartmouth Institute (TDI) at the Geisel School of Medicine at Dartmouth College, is a Visiting Policy Fellow at the Margolis Center for Health Policy at Duke University, and is a Visiting Fellow at the Accountable Care Learning Collaborative. In these roles he conducts research to translate learnings of high-performing organizations for the benefit of the broader health care system.
5:15 pm
Advancing Value-based Care with Payment Reform
Mark McClellan, MD, PhD
Director, Robert J. Margolis Center for Health Policy and Margolis Professor of Business, Medicine and Health Policy, Duke University; Former CMS Administrator and FDA Commissioner, Washington, DC
Director, Robert J. Margolis Center for Health Policy and Margolis Professor of Business, Medicine and Health Policy, Duke University; Former CMS Administrator and FDA Commissioner, Washington, DC