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)
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
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
11:00 am
What Commercial Plans Should Know and Do
Lynn (Bongiorno) Garbee, MBA (Invited)
Senior Director, Strategic Reimbursement and Collaborative Care, CIGNA; Former AVP, Claims Analytics and Consulting, McKesson, New York, NY
Senior Director, Strategic Reimbursement and Collaborative Care, CIGNA; Former AVP, Claims Analytics and Consulting, McKesson, New York, NY
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
Jordan Asher, MD, MS
Chief Clinical Officer, Ascension Care Management; Former Chief Clinical Officer and Chief Innovation Officer, MissionPoint Health Partners; Former Physician Executive, Saint Thomas Health, Nashville, TN (Co chair)
Chief Clinical Officer, Ascension Care Management; Former Chief Clinical Officer and Chief Innovation Officer, MissionPoint Health Partners; Former Physician Executive, Saint Thomas Health, Nashville, TN (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)
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)
Emily Brower, MBA (Invited)
Senior Vice President, Clinical Integration, Trinity Health; Former Vice President, Population Health, Atrius Health; Former Senior Director, Clinical Improvement Ventures, Harvard Vanguard Medical Associates, Livonia, MI (Co chair)
Senior Vice President, Clinical Integration, Trinity Health; Former Vice President, Population Health, Atrius Health; Former Senior Director, Clinical Improvement Ventures, Harvard Vanguard Medical Associates, Livonia, MI (Co chair)
Jay Sultan
Vice President, Product Management, Cognizant, Watkinsville, GA (Moderator)
Vice President, Product Management, Cognizant, Watkinsville, GA (Moderator)
1:45 pm
CMMI Value-based Payment Initiative Update
Adam Boehler
Deputy Administrator and Director, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Baltimore, MD
Deputy Administrator and Director, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Baltimore, MD
2:15 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
2:45 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
3:15 pm
Break
3:45 pm
Panel I: Private Sector Value-based Payment Initiatives
Lili Brillstein, MPH
Director, Episodes of Care, Horizon Healthcare Innovations, Horizon Blue Cross Blue Shield New Jersey; Visiting Lecturer, Harvard Business School; Member, CMS Advisory Panel on Oncology Bundles; Former Senior Director, Medicare & Retirement, UnitedHealthcare, Newark, NJ
Director, Episodes of Care, Horizon Healthcare Innovations, Horizon Blue Cross Blue Shield New Jersey; Visiting Lecturer, Harvard Business School; Member, CMS Advisory Panel on Oncology Bundles; Former Senior Director, Medicare & Retirement, UnitedHealthcare, Newark, NJ
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
Chief Executive Officer, Accountable Care Solutions, Aetna, Chicago, IL
Chief Executive Officer, Accountable Care Solutions, Aetna, Chicago, IL
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
Dana Gelb Safran, ScD (Invited)
Chief Performance Measurement and Improvement Officer and Senior Vice President, Enterprise Analytics, Blue Cross and Blue Shield of Massachusetts; Faculty, Department of Medicine, Tufts University School of Medicine, Boston, MA
Chief Performance Measurement and Improvement Officer and Senior Vice President, Enterprise Analytics, Blue Cross and Blue Shield of Massachusetts; Faculty, Department of Medicine, Tufts University School of Medicine, Boston, MA
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
Jordan Asher, MD, MS
Chief Clinical Officer, Ascension Care Management; Former Chief Clinical Officer and Chief Innovation Officer, MissionPoint Health Partners; Former Physician Executive, Saint Thomas Health, Nashville, TN
Chief Clinical Officer, Ascension Care Management; Former Chief Clinical Officer and Chief Innovation Officer, MissionPoint Health Partners; Former Physician Executive, Saint Thomas Health, Nashville, TN
Karen Conway, MS
Vice President, Healthcare Value, Global Healthcare Exchange, Colorado Springs, CO
Vice President, Healthcare Value, Global Healthcare Exchange, Colorado Springs, CO
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)
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