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
Friday, June 5, 2015
CLOSING PLENARY SESSION
8:00 a.m.

Welcome and Introduction

Francois de Brantes, MS, MBA
Executive Director, Health Care Incentives Improvement Institute, Newtown, CT (Chair)

    Speaker Bio

    Francois de Brantes is the Executive Director for the Health Care Incentives Improvement Institute, which is a not-for-profit company that designs and implements innovative payment and plan design programs to motivate physicians, hospitals and consumer-patients to improve the quality and affordability of care. Previously, Mr. de Brantes was the Program Leader for various healthcare initiatives at GE Corporate Health Care Programs, responsible for developing the conceptual framework and the implementation of GE's Active Consumer strategy. Mr. de Brantes attended the University of Paris IX - Dauphine where he earned a MS in Economics and Finance, and he attended the Tuck School of Business Administration at Dartmouth College, where he graduated with an MBA.

    Mr. de Brantes has been published in peer-reviewed journals such as the New England Journal of Medicine and Health Affairs and is frequently quoted in national media including the New York Times. He has also published two books, the latest being The Incentive Cure: The Real Relief For Health Care.
8:15 a.m.

Report-outs from Breakouts

Medicare BPCI
Deirdre Baggot, PhD, MBA, RN
Senior Vice President, The Camden Group; Expert Panel Reviewer, CMMI Bundled Payment for Care Improvement Initiative Models 2-4, El Segundo, CA

    Speaker Bio

    Senior Vice President and Practice Leader for Bundled Payments, The Camden Group and a nationally recognized expert and Keynote speaker in the area of bundled payments. Author of more than 20 papers on bundled payments, healthcare reform, and payment transformation and featured expert on National Public Radio's Morning Edition, All Things Considered and Planet Money. In 2012 Ms. Baggot was an appointed expert reviewer by Centers for Medicare & Medicaid Services ("CMS") for the BPCI for Models 2-4. Ms. Baggot also served as a former lead for CMS Acute Care Episode ("ACE") Bundled Payment Demonstration.

    Prior to joining The Camden Group spent ten years in academic healthcare at Northwestern Memorial Hospital and The University of Michigan Health System in key leadership roles.

    Ms. Baggot holds a Doctor of Philosophy, University of Colorado; Masters in Business Administration and Gregory LaVert Scholar, Loyola University Graduate School of Business; Bachelor of Science in Nursing (summa cum laude), Southern Illinois University.
Scaling Statewide Initiatives:
Francois de Brantes, MS, MBA
Executive Director, Health Care Incentives Improvement Institute, Newtown, CT

    Speaker Bio

    Francois de Brantes is the Executive Director for the Health Care Incentives Improvement Institute, which is a not-for-profit company that designs and implements innovative payment and plan design programs to motivate physicians, hospitals and consumer-patients to improve the quality and affordability of care. Previously, Mr. de Brantes was the Program Leader for various healthcare initiatives at GE Corporate Health Care Programs, responsible for developing the conceptual framework and the implementation of GE's Active Consumer strategy. Mr. de Brantes attended the University of Paris IX - Dauphine where he earned a MS in Economics and Finance, and he attended the Tuck School of Business Administration at Dartmouth College, where he graduated with an MBA.

    Mr. de Brantes has been published in peer-reviewed journals such as the New England Journal of Medicine and Health Affairs and is frequently quoted in national media including the New York Times. He has also published two books, the latest being The Incentive Cure: The Real Relief For Health Care.
Employer and Provider Strategies:
Douglas W. Emery, MS
Program Implementation Leader, Western Region, Health Care Incentives Improvement Institute (HCI3), Logan, UT

    Speaker Bio

    Doug Emery has been working in healthcare reform policy for nearly 25 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 Adjunct Professor, 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.
Optimizing Care:
Jordan VanLare, MD
Engagement Manager, McKinsey & Company; Former Value-Based Purchasing Portfolio Lead, Centers for Medicare & Medicaid Services, New York, NY

    Speaker Bio

    Jordan is an Engagement Manager in McKinsey & Company's Mid-Atlantic Office and is part of the Health Systems & Services practice.

    He has over 10 years of experience in healthcare in both the public and private sector. Jordan recently led value-based purchasing efforts in the Center for Clinical Standards and Quality at the Centers for Medicare & Medicaid Services and was previously a program officer in the Office of the Secretary of the Department of Health and Human Services. As a nationally regarded expert in health systems, he has authored multiple peer-reviewed publications in and served as a peer reviewer for journals including New England Journal of Medicine, JAMA, Health Affairs, and JAMA Internal Medicine.
    Jordan completed his A.B. at Harvard University and his M.D. at Columbia University. He received post-graduate training in medicine at Yale University.
9:00 a.m.

Risk Mitigation in Bundled Payment: When to Hold Them and When to Fold Them

Lily Pazand, MPH
Assistant Director, Managed Care Payment Reform, NYU Langone Medical Center, New York, NY

    Speaker Bio

    Lily Pazand joined NYU Langone Medical Center in August 2010 after receiving a Masters in Public Health from Columbia University. In her role, Lily is responsible for supporting the data analytics, reporting, and monitoring for demonstration projects, grants, contracts, and other provisions of payment reform.

    Lily completed her Master's practicum at Mount Sinai Hospital's Department of Internal Medicine, where she studied the value of primary care and its potential to reduce downstream hospital costs.

    Lily received her Bachelor's degree in Biology from McGill University.
Jonathan W. Pearce, MBA, CPA FHFMA
Principal, Singletrack Analytics, Woodbury, NJ

    Speaker Bio

    Jonathan Pearce is the Founding Principal of Singletrack Analytics and works with clients across the country to apply analytics to advanced payment systems. With more than three decades of healthcare financial consulting experience he has helped countless healthcare organizations understand the details of their environments from claims and operational data. Currently he is involved in providing analytics to more than four dozen Model 2 and Model 3 BPCI participants. Jon has an undergraduate degree in engineering, an MBA in finance, is a CPA and an HFMA Fellow.
Jessica Walradt, MS
Senior Payment Reform Specialist, Association of American Medical Colleges (AAMC), Former Medicaid Intern, Office of Management and Budget, White House, Washington, DC

    Speaker Bio

    Jessica serves as the AAMC's Alternative Payment team's policy content lead. She supports academic medical centers' involvement in Bundled Payments for Care Improvement using data and policy analyses to explain financial trends and provide strategic advice regarding participation.

    Prior to this, Jessica worked as a Health Policy Analyst helping providers to navigate Medicare payment policy issues. She completed graduate internships with the White House Office of Management and Budget's Health Division and Partners HealthCare's Finance Department.

    Jessica holds an M.S. in Health Policy and Management from the Harvard School of Public Health and a B.A. in Political Science from the University of Richmond.
    Presentation Material (Acrobat)
9:45 a.m.

CMMI Bundled Payments Update

Rahul Rajkumar, MD, JD
Acting Deputy Director, Center for Medicare and Medicaid Innovation Center for Medicare and Medicaid Services, US Department of Health and Human Services; Former Consultant, McKinsey and Company, Washington, DC

    Speaker Bio

    Rahul Rajkumar, MD, JD, is the Deputy Director at the Center for Medicare and Medicaid Innovation. The Center for Medicare and Medicaid Innovation is responsible for developing and implementing innovative health care service delivery programs that will help improve and update the Nation's health care delivery system. This Center has a growing portfolio and is testing various payment and service delivery models that aim to achieve better care for patients, smarter health care spending, and a healthier future for all Americans.

    Dr. Rajkumar joined CMS in 2012. As a member of the leadership team, he helped to build the Innovation Center from its startup phase and managed the design and launch of the Center's models.

    He has published articles in journals such as JAMA, New England Journal of Medicine, Health Affairs, and given national presentations on topics including health care policy, quality of care, payment reform and the transformation of clinical operations. Dr. Rajkumar holds a BA in History from Yale University, an MD from Yale School of Medicine and a JD from Yale Law School. Dr. Rajkumar is a recipient of a Paul and Daisy Soros Fellowship.
    Presentation Material (Acrobat)
10:45 a.m. Break
11:00 a.m.

The Path Forward

Earl P. Steinberg, MD, MPP
Executive Vice President of Innovation & Dissemination and Chief, Healthcare Solutions Enterprise, Geisinger Health System; Chief Executive Officer, xG Health Solutions; Former Senior Vice President for Clinical Strategy, Quality & Outcomes, WellPoint, Inc.; Former President and Chief Executive Officer, Resolution Health Inc., Danville, PA

    Speaker Bio

    Dr. Steinberg is Executive Vice President of Innovation and Dissemination at the Geisinger Health System and Chief Executive Officer of xG Health Solutions, a new company that has been formed by Geisinger to help other health care delivery systems improve their performance under at-risk payment arrangements. Prior to joining Geisinger, Dr. Steinberg served as Sr. VP for Clinical Strategy, Quality & Outcomes at WellPoint, Inc., CEO of Resolution Health Inc., Director of Quality Assessment and Improvement Systems at Covance, and Professor of Medicine and of Health Policy and Management at Johns Hopkins. Dr. Steinberg received both his medical and public policy degrees at Harvard University and completed his residency training in internal medicine at Massachusetts General Hospital.
12:00 p.m. Bundled Payment Summit Adjournment


Go to Agenda:
Preconference | Day 1




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