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



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Agenda: Preconference
Monday, June 16, 2014

Note, all times listed are Eastern Standard Time
(Registration optional)
11:00 a.m. Registration Commences
PRECONFERENCE: IMPLEMENTING A BUNDLED PAYMENT PROGRAM
1:00 p.m.

Welcome, Introductions Bundled Payment Program Implementation Overview

Douglas W. Emery, MS
Program Implementation Leader, Western Region, Health Care Incentives Improvement Institute (HCI3), Logan, UT (Moderator)

    Speaker Bio

    Doug Emery has been working in healthcare reform policy for 20 years. Beginning in 1991, at the Institute of Political Economy, he and other colleagues began to work out a new microeconomic model for healthcare economics and episode of care purchasing. Since then Mr. Emery has worked in the public sector (Public Employees Health Program of Utah), non-profit sector (eHealth Initiative) and the private sector as an executive and consultant (Oxford Health Plans, HealthSouth, HealthMarket, Medstat, Definity Health, etc.) He served as the Principal Investigator for the HRSA/OAT Connecting Communities for Better Health Cooperative Agreement, completed in May 2007.

    Mr. Emery has published many articles and two books on moving towards episode of care, or Evidence-informed Case Rate purchasing. Currently, he serves as Program Implementation Leader, Western Region for HCI3 (Prometheus Payment and Bridges to Excellence). He is also an Adjunct Professor at Jon Huntsman School of Business and Economics, Utah State University.

    From 1990 to 1998, Mr. Emery served in the Army National Guard in Fire Direction Control for self-propelled 8-inch howitzer battalions.
    Presentation Material (Acrobat)
1:30 p.m.

Data Preparation

Elizabeth Bailey, MPH
Program Implementation Leader, Central Region, Health Care Incentives Improvement Institute (HCI3), Midland, MI

    Speaker Bio

    Ms. Bailey is responsible for coordinating and supporting implementation efforts around quality and cost measurement. She also plays a key role in the development of the Episode Analytics and the support of the PROMETHEUS payment implementation sites. Prior to joining HCI3, Ms. Bailey was a research project manager within the Department of Health Policy and Management at the Harvard School of Public Health. In that role, she managed multiple patient-centered medical home pilot evaluations, an evaluation of pay for performance in Medicaid, and several projects focused on quality measurement and reporting.

    Ms. Bailey received her undergraduate degree in Quantitative Economics and Community Health from Tufts University. She earned a Masters of Public Health with a concentration in Health Policy and Management from Boston University.
2:00 p.m.

Data Driven Metrics and Decision Making



Stacey Eccleston
Program Implementation and Research Leader, Health Care Incentives Improvement Institute (HCI3); Former Assistant Commissioner for Health Research and Policy, Division of Health Care Finance and Policy, Massachusetts Department of Health and Human Services, Boston, MA

    Speaker Bio

    Ms. Eccleston is responsible for implementing HCI3's programs and analyzing their effects. Ms. Eccleston has more than 20 years experience in analyzing health care data and deriving solutions to improve the efficiency and quality of health care delivery systems. Throughout her career, Ms. Eccleston authored numerous publications in the areas of health care utilization and price trends, quality of care, and monitoring impacts of health reform and disseminating research results through presentations to various stakeholders and through public testimony.
2:30 p.m.

"Big Picture" Analytic Tools

Andrew Wilson, MPH, MA
Research Leader, Health Care Incentives Improvement Institute (HCI3), Boston, MA

    Speaker Bio

    Andrew Wilson is Research Leader at HCI3. In this capacity he oversees the development of new analytic methods and provides technical support to ongoing programs. Additionally, he is a doctoral candidate and Agency for Health Care Research and Quality (AHRQ) Fellow in health services research at Brandeis University's Heller School for Social Policy and Management. For his dissertation, he is studying the impacts of technology adoption on hospital performance. Andrew holds a Master of Public Health from the Tufts University School of Medicine and a Master of Arts in Social Policy from Brandeis.
3:00 p.m. Break
3:30 p.m.

Budget Creation

Elizabeth Bailey, MPH
Program Implementation Leader, Central Region, Health Care Incentives Improvement Institute (HCI3), Midland, MI

    Speaker Bio

    Ms. Bailey is responsible for coordinating and supporting implementation efforts around quality and cost measurement. She also plays a key role in the development of the Episode Analytics and the support of the PROMETHEUS payment implementation sites. Prior to joining HCI3, Ms. Bailey was a research project manager within the Department of Health Policy and Management at the Harvard School of Public Health. In that role, she managed multiple patient-centered medical home pilot evaluations, an evaluation of pay for performance in Medicaid, and several projects focused on quality measurement and reporting.

    Ms. Bailey received her undergraduate degree in Quantitative Economics and Community Health from Tufts University. She earned a Masters of Public Health with a concentration in Health Policy and Management from Boston University.
4:00 p.m.

Risk Adjustments

Amita Rastogi, MD, MHA, MS
Medical Director, Cost of Care Programs, Health Care Incentives Improvement Institute (HCI3), Chicago, IL

    Speaker Bio

    Dr. Amita Rastogi is the Chief Medical Officer at HCI3 and is the clinical architect behind Prometheus's evidence-informed case rates (ECRs). She works with clinicians to define the boundaries of an episode, works with statisticians to adequately risk-adjust ECRs, and interfaces with implementation leaders and medical directors to translate ECRs into bundled payments.

    Dr. Rastogi is a Mayo-trained cardiothoracic surgeon, with over 25 years of clinical and health services research experience. She received her Masters in Health Administration from the Martin School of Public Policy and Administration, University of Kentucky and her Masters in Health Studies (Biostatistics & Epidemiology) from the University of Chicago.
4:30 p.m.

Assessing Quality

Jessica DiLorenzo, MA
Program Implementation Leader, Northeast Region, Health Care Incentives Improvement Institute (HCI3), Albany, NY

    Speaker Bio

    Ms. DiLorenzo is a Program Implementation Leader for the Health Care Incentives Improvement Institute (HCI3) and is responsible for the national implementation of the Bridges to Excellence programs. With over ten years experience in health care, Ms. DiLorenzo focuses on expanding BTE by partnering with Electronic Medical Record companies, developing new Programs, and providing customer support. Prior to her current role, Ms. DiLorenzo was the Health Care Initiatives Team Leader for GE. Ms. DiLorenzo graduated from the State University of New York at Albany with a Bachelors of Arts and Sciences in Sociology.
5:00 p.m.

Scaling Bundled Payment

Douglas W. Emery, MS
Program Implementation Leader, Western Region, Health Care Incentives Improvement Institute (HCI3), Logan, UT (Moderator)

    Speaker Bio

    Doug Emery has been working in healthcare reform policy for 20 years. Beginning in 1991, at the Institute of Political Economy, he and other colleagues began to work out a new microeconomic model for healthcare economics and episode of care purchasing. Since then Mr. Emery has worked in the public sector (Public Employees Health Program of Utah), non-profit sector (eHealth Initiative) and the private sector as an executive and consultant (Oxford Health Plans, HealthSouth, HealthMarket, Medstat, Definity Health, etc.) He served as the Principal Investigator for the HRSA/OAT Connecting Communities for Better Health Cooperative Agreement, completed in May 2007.

    Mr. Emery has published many articles and two books on moving towards episode of care, or Evidence-informed Case Rate purchasing. Currently, he serves as Program Implementation Leader, Western Region for HCI3 (Prometheus Payment and Bridges to Excellence). He is also an Adjunct Professor at Jon Huntsman School of Business and Economics, Utah State University.

    From 1990 to 1998, Mr. Emery served in the Army National Guard in Fire Direction Control for self-propelled 8-inch howitzer battalions.
5:30 p.m. Adjournment

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