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



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Agenda: Preconferences
Wednesday June 3, 2015

(Registration optional; choose only one)
12:00 p.m. Registration Commences
PRECONFERENCE I: ADVANCED ISSUES IN BUNDLED PAYMENT/GAINSHARING IMPLEMENTATION
1:00 p.m.

Breakthrough Innovations in Bundled Payments Implementation: A Presentation of Best in Class Tools to Measure and Achieve Success

Peggy Crabtree, RN, MBA
Vice President, The Camden Group, Former Administrator, Cardiovascular and Imaging Service Line, Huntington Memorial Hospital, El Segundo, CA

    Speaker Bio

    Ms. Crabtree is a vice president with The Camden Group and an expert on bundled payment, service line planning and implementation, co-management arrangements, and hospital operations. She participated in the Integrated Healthcare Association's Bundled Payment Clinical team to develop Cardiovascular Episodes of Care.

    She has been featured in Trustee, Hospitals & Health Networks, Becker's Hospital Review, Issues in Oncology, and Physicians Practice and shared her expertise in service line strategy and bundled payment at national and state levels, including the National Bundled Payment Summit, VHA, and Hospital Council of Northern and Central California.

    Ms. Crabtree earned her master's degree in business administration from Pepperdine University, Graziadio School of Business and Management and her bachelor's degree in nursing from Loma Linda University, School of Nursing.
Kimberly Hartsfield, MPA
Vice President, The Camden Group; Former Director of Enterprise Business Intelligence -Medical Informatics, Arkansas Blue Cross and Blue Shield; Former Director of Provider Relations, Arkansas Children's Hospital, Little Rock, AR

    Speaker Bio

    Ms. Hartsfield is Vice President with The Camden Group. She specializes in hospital operations with a focus on designing and implementing Medicare and commercial bundled payments. She has more than 22 years of experience in the healthcare industry and has frequently presented at national speaking engagements on a variety of topics including value-based payment models and provider cost and quality transparency as well as provider engagement.

    Prior to The Camden Group, Ms. Hartsfield was the director of enterprise business intelligence -medical informatics for Arkansas Blue Cross and Blue Shield. There she was responsible for the implementation of Arkansas Health Care Payment Improvement Initiatives ("ACHPII"), a multi-payer statewide bundled payment initiative, including the development of reporting, methodology, and provider engagement. She also worked on the development and implementation of Accountable Care Organization ("ACOs") arrangements with facilities and provider groups throughout Arkansas and served as a healthcare consultant in both the employer and provider markets.

    Ms. Hartsfield earned her master's degree in public administration and her bachelor's degree from the University of Arkansas, Little Rock.
3:00 p.m. Break
3:15 p.m.

Case Study Approach: Successful Implementation of Complex Gainshare Models

Jennifer M. Cormano, Esq.
Associate, Nixon Peabody LLP, Los Angeles, CA

    Speaker Bio

    Jennifer M. Cormano is an associate in Nixon Peabody LLP's Health Care practice group in the Los Angeles office. Jennifer advises for-profit and nonprofit health care institutions and health care providers including hospitals, physician groups, academic medical centers, surgery centers, accountable care organizations, telemedicine businesses, and other organizations affiliated with the health care industry.

    Jennifer's practice focuses on transactional matters such as structuring mergers and acquisitions; entity formation and financing; including forming and operating joint ventures and other alliances; and negotiating agreements, such as physician contracts and management arrangements. Jennifer also works with clients in creating and entering into commercial and BPCI bundled payment programs with gainsharing arrangements.

    Jennifer received her law degree from University of San Diego School of Law graduating magna cum laude, and Order of the Coif. While in law school she was a Lead Articles Editor for the San Diego Law Review. She continues to write legal articles and co-authored "Legal Issues in Designing Bundled Payments and Shared Savings Arrangements in the Commercial Payor Context," sponsored by the Robert Wood Johnson Foundation, September 4, 2013.
Jill H. Gordon, Esq.
Partner, Nixon Peabody, Los Angeles, CA

    Speaker Bio

    Jill Gordon is a partner in Nixon Peabody LLP's Health Services practice group. As a health law and life sciences lawyer, Jill has extensive experience in representing hospitals, long-term care facilities, foundations and clinics, medical groups, accountable care organizations, and other entities affiliated with the health care industry.

    Jill primarily represents clients on transactional and regulatory matters, including forming and operating joint ventures and other alliances; structuring mergers and acquisitions; entity formation and financing; and negotiating agreements, such as physician contracts, leases, management and co-management arrangements, bundled payment relationships, pay for performance and gainsharing programs, and managed care contracts. In addition, Jill advises clients on physician self-referral (Stark law), anti-kickback, licensing and certification, and other health care compliance matters.

    Jill received her law degree from Washington University School of Law in St. Louis and a Masters in Health Administration from Washington University School of Medicine.
Jen Johnson
Managing Director, VMG Health, Dallas, TX

    Speaker Bio

    Jen Johnson is a partner with VMG Health and oversees the Professional Service Agreements Division. Her expertise is related to the in-depth knowledge required to understand the Fair Market Value challenges, market data, and regulatory guidelines associated with valuing professional service arrangements associated with both healthcare systems and life sciences companies.

    Mrs. Johnson is dedicated exclusively to the valuation of compensation agreements, and has been integral in developing internal compensation tools for some of the largest health systems in the country. She also provides full FMV opinions for any type of compensation arrangement including clinical services, Administrative services, call coverage, co-management agreements, and pay for performance arrangements, which include both shared savings and quality incentives. She is routinely published on these topics nationally through organizations such as American Health Lawyers Association, American Bar Association, Health Care Compliance Association, and Healthcare Financial Management Association.
Catherine Kay
Senior Counsel, Dignity Health, Los Angeles, CA

    Speaker Bio

    Cathy Kay has specialized in health care law since 1981, in private practice for many years and as the first chief counsel for L.A. Care Health Plan, the Medi-Cal Managed Care local initiative HMO for Los Angeles County. She currently is Senior Counsel for Dignity Health, a non-profit health system and largest hospital provider in California. Ms. Kay focuses her work on hospital-physician contracting and has been integrally involved in implementation of the CMMI Bundled Payments for Care Improvement initiative for Dignity Health. She is past president of the California Society for Healthcare Attorneys.
    Presentation Material (Acrobat)
5:15 p.m. Adjournment


PRECONFERENCE II: PUTTING VARIABILITY IN EPISODE COSTS AND BUNDLES TO WORK FOR YOU
1:00 p.m.

Introductions and Overview

Francois de Brantes, MS, MBA
Executive Director, Health Care Incentives Improvement Institute (HCI3), 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.
FEATURING
  • Session I: Health Plan Opportunities -- Discover the Source of Variability in Episodes and How to Capitalize on it
  • Session II: Provider Opportunities -- Closing the Gaps in Underuse, Misuse and Overuse to Build Margins in Value-Based Payments
  • Session III: Consumer Opportunities -- Finding and Managing Price Variability through Reference Pricing and Steerage
FACULTY
Francois de Brantes, MS, MBA
Executive Director, Health Care Incentives Improvement Institute (HCI3), 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.
Stacey Eccleston
Program Implementation and Research Leader, Health Care Incentives Improvement Institute (HCI3), Newtown, CT

    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.
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.
Amita Rastogi, MD, MPH 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.
Andrew Wilson, MPH, MA
Research Leader, Health Care Incentives Improvement Institute (HCI3), Newtown, CT

    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.
    Presentation Material (Acrobat)
5:15 p.m. Adjournment


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