SUMMIT PRESENTATIONS
Speaker presentations are password protected for 90 days from the start of the Summit. Registrants may log in by clicking here. For further information, email registration@hcconferences.com or call 800-503-7414.
Speaker presentations are password protected for 90 days from the start of the Summit. Registrants may log in by clicking here. For further information, email registration@hcconferences.com or call 800-503-7414.
Agenda Links: Preconference/Day I | Day III
AGENDA: DAY 2
THURSDAY, JUNE 7, 2018
7:00 am
Registration Open; Networking Breakfast
DAY 2 OPENING PLENARY SESSION: BUNDLED PAYMENTS
8:00 am
Welcome and Introduction
Francois de Brantes, MBA
Senior Vice President, Commercial Group, Remedy Partners, Norwalk, CT (Co-Chair)
Senior Vice President, Commercial Group, Remedy Partners, Norwalk, CT (Co-Chair)
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-Chair)
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-Chair)
8:15 am
Update on CMS Bundled Payment Policies
Christina S. Ritter, PhD
Director, Patient Care Models Group (PCMG); Former Deputy Director, Hospital and Ambulatory Policy Group Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MA
Director, Patient Care Models Group (PCMG); Former Deputy Director, Hospital and Ambulatory Policy Group Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MA
8:45 am
Reflection on an Inflection
Francois de Brantes, MBA
Senior Vice President, Commercial Group, Remedy Partners, Norwalk, CT
Senior Vice President, Commercial Group, Remedy Partners, Norwalk, CT
9:15 am
Creating a Patient-Centered Payment System
Harold D. Miller
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC), Pittsburgh, PA
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC), Pittsburgh, PA
9:45 am
Panel III: Bundling Complex Outpatient Medical Care: Strategies for Success in the Next Phase of Episode Based Payment
Kerin Bess Adelson, MD
Associate Professor, Chief Quality Officer, and Deputy Chief Medical Officer, Smilow Cancer Hospital at Yale-New Haven, New Haven, CT
Associate Professor, Chief Quality Officer, and Deputy Chief Medical Officer, Smilow Cancer Hospital at Yale-New Haven, New Haven, CT
Sarah Cevallos, MBA
Chief Revenue Cycle Officer, Florida Cancer Specialists’ Physician Network, Fort Myers, FL
Chief Revenue Cycle Officer, Florida Cancer Specialists’ Physician Network, Fort Myers, FL
Keely Macmillan, MSPH
General Manager of Bundled Payments for Care Improvement, Archway Health, Boston, MA
General Manager of Bundled Payments for Care Improvement, Archway Health, Boston, MA
Erin Smith, JD
Director II, Payment Innovation, Anthem; Former Director, Public Policy, Cardinal Health; Former Vice President, Policy and Government Affairs, naviHealth; Former Vice President and Executive Director, Post-Acute Care Center for Research, Washington DC
Director II, Payment Innovation, Anthem; Former Director, Public Policy, Cardinal Health; Former Vice President, Policy and Government Affairs, naviHealth; Former Vice President and Executive Director, Post-Acute Care Center for Research, Washington DC
Basit Chaudhry, MD, PhD
Chief Executive Officer and Founder, Tuple Health; Former Medical Scientist, IBM, Washington, DC (Moderator)
Chief Executive Officer and Founder, Tuple Health; Former Medical Scientist, IBM, Washington, DC (Moderator)
10:30 am
Break
10:45 am
Panel IV: How to Succeed in BPCI Advanced: Clinical, Operational and Financial Strategies
Christopher Garcia, CPA
Chief Executive Officer, Remedy Partners; Former Managing Partner, Enhanced Equity Funds, New York, NY
Chief Executive Officer, Remedy Partners; Former Managing Partner, Enhanced Equity Funds, New York, NY
Craigan Gray, MD, MBA, JD
Chief Medical Officer, Salient Healthcare; Former Director, North Carolina Medicaid, DHHS; Former Vice President for Medical Affairs, Bon Secours Health System Kentucky, Wake Forest, NC
Chief Medical Officer, Salient Healthcare; Former Director, North Carolina Medicaid, DHHS; Former Vice President for Medical Affairs, Bon Secours Health System Kentucky, Wake Forest, NC
Pamela M. Pelizzari, MPH
Healthcare Consultant, Milliman; Former Senior Technical Advisor and Program Lead, Centers for Medicare and Medicaid Services, New York, NY (Moderator)
Healthcare Consultant, Milliman; Former Senior Technical Advisor and Program Lead, Centers for Medicare and Medicaid Services, New York, NY (Moderator)
11:30 am
Panel V: Integrating BPCIA and ACOs into a Unified Strategy to Deliver People-Centered Care
Tricia Nguyen, MD, MBA
Chief Medical Officer, Inova; Chief Executive Officer, Commonwealth Health Network; Former President, Texas Health Population Health, Education & Innovation Center; Former CMO, Banner Health Network and CMO, Blue Cross Blue Shield of Kansas City, Washington, DC
Chief Medical Officer, Inova; Chief Executive Officer, Commonwealth Health Network; Former President, Texas Health Population Health, Education & Innovation Center; Former CMO, Banner Health Network and CMO, Blue Cross Blue Shield of Kansas City, Washington, DC
Michail Reiche, MA, MBA
Executive Director, Medicare Accountable Care, Steward Health Care Network, Boston, MA
Executive Director, Medicare Accountable Care, Steward Health Care Network, Boston, MA
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
Emily Brower, MBA
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 (Moderator)
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 (Moderator)
12:15 pm
Networking Luncheon
AFTERNOON MINI SUMMITS GROUP I: 1:15 pm – 2:15 pm
(Choose one Mini Summit only)
Mini-Summit I: MACRA: What Is PTAC’s Role in Fostering the Development of APMs?: Key Insights into Organizing a Successful APM
1:15 pm
Introductions, Panel Discussion and Q&A
Robert A. Berenson, MD
Institute Fellow, Urban Institute, Member, Physician-Focused Payment, Model Technical Advisory Committee (PTAC), Former Vice Chair, MedPAC, Washington, DC
Institute Fellow, Urban Institute, Member, Physician-Focused Payment, Model Technical Advisory Committee (PTAC), Former Vice Chair, MedPAC, 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
Albert L. Siu, MD, MSPH
Professor & Chair Emeritus, Geriatrics and Palliative Medicine, Professor of Population Health Science and Policy, and Professor of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Professor & Chair Emeritus, Geriatrics and Palliative Medicine, Professor of Population Health Science and Policy, and Professor of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Grace Emerson Terrell, MD, MMM, FACP, FACPE
Chief Executive Officer, Envision Genomics; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC); Former President and Chief Executive Officer, Cornerstone Health Care, Huntsville, AL
Chief Executive Officer, Envision Genomics; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC); Former President and Chief Executive Officer, Cornerstone Health Care, Huntsville, AL
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 (Moderator)
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Former Senior Advisor to the Administrator, CMS, Washington, DC (Moderator)
2:15 pm
Transition Break
Mini-Summit II: How to Improve Operational Performance through Participating in Bundled Payments
1:15 pm
Introductions, Panel Discussion and Q&A
Robert Dean, DO, MBA
Senior Vice President, Performance Management, Vizient, Inc.; Former Vice President of Performance Solutions, VHA Inc.; Former Chief Medical Officer/Vice President of Medical Affairs, Northern Michigan Regional Hospital, Grand Rapids, MI
Senior Vice President, Performance Management, Vizient, Inc.; Former Vice President of Performance Solutions, VHA Inc.; Former Chief Medical Officer/Vice President of Medical Affairs, Northern Michigan Regional Hospital, Grand Rapids, MI
Babar Khokhar, MD, MBA
Assistant Professor of Neurology and Chief Clinical Transformation Officer, Yale Medicine; Vice-Chairman, Operations; Chief, Division of General Neurology; Director, MDA-ALS/Motor Neuron Disease Clinic, New Haven, CT
Assistant Professor of Neurology and Chief Clinical Transformation Officer, Yale Medicine; Vice-Chairman, Operations; Chief, Division of General Neurology; Director, MDA-ALS/Motor Neuron Disease Clinic, New Haven, 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 (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 (Moderator)
2:15 pm
Transition Break
Mini-Summit III: Hospital Global Budgets
1:15 pm
Introductions, Panel Discussion and Q&A
Donna Kinzer
Executive Director, Maryland Health Services Cost Review Commission, Baltimore, MD
Executive Director, Maryland Health Services Cost Review Commission, Baltimore, MD
Gene Ransom, JD
Chief Executive Officer, The Maryland State Medical Society (MedChi), Baltimore, MD
Chief Executive Officer, The Maryland State Medical Society (MedChi), Baltimore, MD
Eric T. Roberts, PhD
Assistant Professor, Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA
Assistant Professor, Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA
Kate Slatt, MHA
Senior Director, Innovative Payment and Care Delivery, The Hospital and Healthsystem Association of Pennsylvania; Former Strategic Provider Relations and Initiatives Director, Highmark, Harrisburg, PA
Senior Director, Innovative Payment and Care Delivery, The Hospital and Healthsystem Association of Pennsylvania; Former Strategic Provider Relations and Initiatives Director, Highmark, Harrisburg, PA
Harold D. Miller
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC), Pittsburgh, PA (Moderator)
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC), Pittsburgh, PA (Moderator)
2:15 pm
Transition Break
Mini-Summit IV: Strengths, Weaknesses and Areas for Improvement for the MSSP
1:15 pm
Introductions, Panel Discussion and Q&A
Travis Broome, MBA, MPH
Vice President of Policy and ACO Administration, Aledade, Inc.; Former Team Lead for Policy and Oversight, Centers for Medicare and Medicaid Services, Washington, DC
Vice President of Policy and ACO Administration, Aledade, Inc.; Former Team Lead for Policy and Oversight, Centers for Medicare and Medicaid Services, Washington, DC
Tim Gronniger, MPP, MHSA
Senior Vice President, Development and Strategy, Caravan Health, Former Deputy Chief of Staff, Centers for Medicare and Medicaid Services; Former Senior Adviser for Health Care Policy, White House Domestic Policy Council, Washington, DC
Senior Vice President, Development and Strategy, Caravan Health, Former Deputy Chief of Staff, Centers for Medicare and Medicaid Services; Former Senior Adviser for Health Care Policy, White House Domestic Policy Council, Washington, DC
Danielle Lloyd, MPH
Senior Vice President, Private Market Innovations and Quality Initiatives, AHIP; Vice President, Policy and Advocacy, Premier; Senior Associate Director, American Hospital Association, Washington, DC
Senior Vice President, Private Market Innovations and Quality Initiatives, AHIP; Vice President, Policy and Advocacy, Premier; Senior Associate Director, American Hospital Association, Washington, DC
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)
2:15 pm
Transition Break
Mini-Summit V: ACOs, Bundles — How Do I Choose? A Case Study
1:15 pm
Introductions, Panel Discussion and Q&A
James (Jim) M. Daniel, Jr., MBA, JD
Attorney, Hancock, Daniel & Johnson, PC, Richmond, VA
Attorney, Hancock, Daniel & Johnson, PC, Richmond, VA
Travis B. Turner, MBA
Senior Vice President of Clinical Integration, Mary Washington Healthcare; Former Director of Physician Relations/ Executive Director of Cayuga PHO, Cayuga Medical Center at Ithaca, Washington, DC
Senior Vice President of Clinical Integration, Mary Washington Healthcare; Former Director of Physician Relations/ Executive Director of Cayuga PHO, Cayuga Medical Center at Ithaca, Washington, DC
2:15 pm
Transition Break
Mini Summit VI: Lessons Learned from BPCI and Overview of the CMMI BPCI Toolkit
1:15 pm
Introductions, Panel Discussion and Q&A
Elizabeth Currier, MBA/MPH, LSSGB, FACMPE
Senior Advisor, Episode Based Models, Learning and Diffusion Group, Center for Medicare & Medicaid Innovation, Centers for Medicare & Medicaid Service, US Department of Health and Human Services, Baltimore, MD
Senior Advisor, Episode Based Models, Learning and Diffusion Group, Center for Medicare & Medicaid Innovation, Centers for Medicare & Medicaid Service, US Department of Health and Human Services, Baltimore, MD
Lisa Davis, MS
Learning System Lead, BPCI and BPCI-Advanced, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MD
Learning System Lead, BPCI and BPCI-Advanced, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MD
Steven A. Farmer, MD
Senior Advisor and Senior Medical Officer, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Washington, DC
Senior Advisor and Senior Medical Officer, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Washington, DC
Geoffrey Frost
Project Coordinator and Program Manager, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Former Manager Pharmacy Services, UnitedHealthcare/OptumHealth, Baltimore, MD
Project Coordinator and Program Manager, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Former Manager Pharmacy Services, UnitedHealthcare/OptumHealth, Baltimore, MD
Karen McIntosh, MSN, RN, CCM
Vice President Transition of Care, Washington Regional Hospital, Fayetteville, AR
Vice President Transition of Care, Washington Regional Hospital, Fayetteville, AR
Alicia Goroski, MPH
Vice President, The Lewin Group, Former Director Of Performance Measurement, Center for Improving Value in Health Care, Former Associate Director of National Programs, Colorado Foundation for Medical Care, Littleton, CO (Moderator)
Vice President, The Lewin Group, Former Director Of Performance Measurement, Center for Improving Value in Health Care, Former Associate Director of National Programs, Colorado Foundation for Medical Care, Littleton, CO (Moderator)
2:15 pm
Transition Break
AFTERNOON MINI SUMMITS GROUP II: 2:30 pm – 3:30 pm
(Choose one Mini Summit only)
Mini Summit VII: MACRA: The All-Payer Combination Option for Qualifying as an APM
2:30 pm
Introductions, Panel Discussion and Q&A
Jane Eilbacher
Senior Advisor, Payment Innovation at Anthem, Inc., Anthem, Inc., Former Health Insurance Specialist, Centers for Medicare & Medicaid Services, Former Senior Payment Reform Specialist, Association of American Medical Colleges, Washington, DC
Senior Advisor, Payment Innovation at Anthem, Inc., Anthem, Inc., Former Health Insurance Specialist, Centers for Medicare & Medicaid Services, Former Senior Payment Reform Specialist, Association of American Medical Colleges, Washington, DC
Pamela M. Pelizzari, MPH
Healthcare Consultant, Milliman; Former Senior Technical Advisor and Program Lead, Centers for Medicare & Medicaid Services, New York, NY (Moderator)
Healthcare Consultant, Milliman; Former Senior Technical Advisor and Program Lead, Centers for Medicare & Medicaid Services, New York, NY (Moderator)
3:30 pm
Transition Break
Mini-Summit VIII: Issues and Opportunities in Value-Based Payment for Outpatient Specialty Care
How to design bundles not triggered by a Hospital Admission (Required in BPCI Advanced, except for a few Outpatient procedures), or a specific procedure or treatment (Required for the Outpatient Part of BPCI Advanced and the Oncology Care Model)
2:30 pm
Introductions, Panel Discussion and Q&A
Linda V. DeCherrie, MD
Clinical Director, Mount Sinai at Home, Mount Sinai Health System; Professor, Department of Geriatrics and Palliative Medicine; Associate Professor, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Clinical Director, Mount Sinai at Home, Mount Sinai Health System; Professor, Department of Geriatrics and Palliative Medicine; Associate Professor, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Gabrielle B. Rocque, MD
Member, UAB Oncology Care Model Steering Committee, Assistant Professor of Medicine, Divisions of Hematology and Oncology and Gerontology, Geriatrics and Palliative Care, UAB School of Medicine, Birmingham, AL
Member, UAB Oncology Care Model Steering Committee, Assistant Professor of Medicine, Divisions of Hematology and Oncology and Gerontology, Geriatrics and Palliative Care, UAB School of Medicine, Birmingham, AL
Harold D. Miller
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC), Pittsburgh, PA (Moderator)
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC), Pittsburgh, PA (Moderator)
3:30 pm
Transition Break
Mini-Summit IX: Actuarial and Risk Management Updates
2:30 pm
CMS ACOs Actuarial Insights and Findings
Jonah Broulette, ASA, MAAA
Actuarial Analyst, Milliman, New York, NY
Actuarial Analyst, Milliman, New York, NY
Howard Kahn, FSA, MAAA
Principal and Consulting Actuary, Milliman, New York, NY
Principal and Consulting Actuary, Milliman, New York, NY
3:00 pm
Risk Identification Assessment Tools and Care Coordination Risk Mitigation Strategies
Debbie Reber, MHA
Vice President, Clinical Services, Brooks Rehabilitation, Jacksonville, FL
Vice President, Clinical Services, Brooks Rehabilitation, Jacksonville, FL
3:30 pm
Transition Break
Mini-Summit X: The Missing Voice: The Patient/Consumer Role in Payment Reform
2:30 pm
Introductions, Panel Discussion and Q&A
Leonardo Cuello, JD
Director, Health Policy, National Health Law Program; Former Staff Attorney, PA Health Law Project, Washington, DC
Director, Health Policy, National Health Law Program; Former Staff Attorney, PA Health Law Project, Washington, DC
Katie Martin, MPA
Vice President for Health Policy and Programs, National Partnership for Women & Families, Former Acting Assistant Secretary for Planning and Evaluation, US Department of Health and Human Services (HHS), Washington, DC
Vice President for Health Policy and Programs, National Partnership for Women & Families, Former Acting Assistant Secretary for Planning and Evaluation, US Department of Health and Human Services (HHS), Washington, DC
Frederick Isasi, JD, MPH
Executive Director, Families USA; Former Health Division Director, National Governors Association; Former Vice President Health Policy, Advisory Board Company; Former, Senior Legislative Counsel for Health Care, Finance Committee and Committee on Health, Education, Labor, and Pensions, US Senate, Washington, DC (Moderator)
Executive Director, Families USA; Former Health Division Director, National Governors Association; Former Vice President Health Policy, Advisory Board Company; Former, Senior Legislative Counsel for Health Care, Finance Committee and Committee on Health, Education, Labor, and Pensions, US Senate, Washington, DC (Moderator)
3:30 pm
Transition Break
Mini-Summit XI: Case Studies in Successful Integrated Value-based Care
2:30 pm
MSSP ACOs in New York State — A Report from the Field
Gregory C. Burke, MPA
Director, Innovation Strategies, United Hospital Fund; Former Vice President for Planning, Montefiore Medical Center, New York, NY
Director, Innovation Strategies, United Hospital Fund; Former Vice President for Planning, Montefiore Medical Center, New York, NY
3:00 pm
Use of Electronic Patient Reported Outcomes and Wearables for Heart Failure Disease Management
Ashish Atreja, MD, MPH
Chief Innovation Officer, Medicine, at Mount Sinai; Co-founder Rx.Health, New York, NY
Chief Innovation Officer, Medicine, at Mount Sinai; Co-founder Rx.Health, New York, NY
3:30 pm
Transition Break
Mini-Summit A: What if FedEx and Amazon delivered Bundles?
Come to this session to learn how the same technology that powers JPMorgan’s portfolio accounting and Amazon’s logistics and customer experience personalization is being applied by leading organizations such as John Muir Health, Hoag Orthopedic Institute, and Orthopedic Centers of Colorado to drive success in bundles, ACO’s, and Medicare Advantage.
- Learn how emerging technology is filling the gaps in care across episodes and boosting early adopters to the top of the charts (e.g., John Muir Health earning $1,900 per CJR episode, placing it 4th in the US)
- Learn why precise case-mix adjustment matters in understanding total-cost-of-care at the patient, physician, facility, post-acute care partner, and market level
- Discuss proven strategies providers and service line leaders can implement to improve care coordination and collaboration across teams while reducing care team burden by 3x
- Find out how to use what you’ve learned to grow your value-based programs at scale
2:30 pm
Introductions, Presentation and Q&A
Jean Drouin, MD
Founder and CEO of Clarify Health Solutions, San Francisco, CA
Founder and CEO of Clarify Health Solutions, San Francisco, CA
3:30 pm
Transition Break
AFTERNOON MINI SUMMITS GROUP III: 4:00 pm – 5:00 pm
(Choose one Mini Summit only)
Mini-Summit XII: MACRA: Advanced Issues in APM Development and Qualification
- Many applicants are submitting to PTAC more than one payment model proposal for a particular care model. The impetus appears to be the desire to qualify as an advanced APM by adding on a risk payment model.
- Do the incentives to become an advanced APM overly emphasize risk when it may not be necessary or desirable to achieve the goals, in order to avoid MIPS and get the increased fee differential as an AAPM?
- Are there modifications in the current fee schedule that could in and of itself meet many of the objectives of MACRA (such as improvement in care coordination codes and other payment modifiers)?
- How can we redefine the relationship between care models and payment models in ways that can lead to enhanced care redesign?
- How can the move towards measuring outcomes versus process measures be approached in the constraints of MACRA at the beginning of the age of precision medicine?
4:00 pm
Introductions, Presentation and Q&A
Karen Cannon, MD, CPE
Chief Medical Operations Officer, CHESS Health Enablement Solutions; Clinical Documentation Improvement Officer, Cornerstone Health Care, High Point, NC
Chief Medical Operations Officer, CHESS Health Enablement Solutions; Clinical Documentation Improvement Officer, Cornerstone Health Care, High Point, NC
Tricia Nguyen, MD, MBA
Chief Executive Officer, Commonwealth Health Network; Former President, Texas Health Population Health, Education and Innovation Center; Former Chief Medical Officer, Banner Health Network, Washington, DC
Chief Executive Officer, Commonwealth Health Network; Former President, Texas Health Population Health, Education and Innovation Center; Former Chief Medical Officer, Banner Health Network, Washington, DC
Grace Emerson Terrell, MD, MMM, FACP, FACPE
Chief Executive Officer, Envision Genomics; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC); Former President and Chief Executive Officer, Cornerstone Health Care, Huntsville, AL (Moderator)
Chief Executive Officer, Envision Genomics; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC); Former President and Chief Executive Officer, Cornerstone Health Care, Huntsville, AL (Moderator)
5:00 pm
Transition Break
Mini-Summit XIII: Making Value-Based Payment Work for Small and Rural Physician Practices and Hospitals
4:00 pm
Introductions, Panel Discussion and Q&A
Don Klitgaard, MD
President, Heartland Rural Physicians Alliance and Heartland Physicians ACO; Chief Executive Officer and Chief Medical Officer, MedLink Advantage, Harlan, IA
President, Heartland Rural Physicians Alliance and Heartland Physicians ACO; Chief Executive Officer and Chief Medical Officer, MedLink Advantage, Harlan, IA
Shane McGuire
Chief Executive Officer, Columbia County Health System;
Participant, National Rural Accountable Care Organization, Dayton, WA
Chief Executive Officer, Columbia County Health System;
Participant, National Rural Accountable Care Organization, Dayton, WA
Michelle Mitchell, MD
Founder and Chief Executive Officer, Hawaii Family Health, Participant, CMS Comprehensive Primary Care Plus Initiative, Hilo, HI
Founder and Chief Executive Officer, Hawaii Family Health, Participant, CMS Comprehensive Primary Care Plus Initiative, Hilo, HI
Harold D. Miller
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC), Pittsburgh, PA (Moderator)
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC), Pittsburgh, PA (Moderator)
5:00 pm
Transition Break
Mini-Summit XIV: Lessons Learned from CJR
4:00 pm
Introductions, Panel Discussion and Q&A
Will Hahn, MBA
Director of Strategy and Business Development, Sutter Health; Former Director of Performance Excellence and Project Management, Palo Alto Medical Foundation, Santa Cruz, CA
Director of Strategy and Business Development, Sutter Health; Former Director of Performance Excellence and Project Management, Palo Alto Medical Foundation, Santa Cruz, CA
Lana Smith
MSN Nursing, Corporate Director, Service Lines at Adventist Health, Bakersfield, CA
MSN Nursing, Corporate Director, Service Lines at Adventist Health, Bakersfield, CA
David Terry, MBA
Founder and Chief Executive Officer, Archway Health, Boston, MA
Founder and Chief Executive Officer, Archway Health, Boston, MA
Peggy Crabtree, MBA, RN
Principal, Premier; Former Chief Executive Officer, Cardiology Consultants of the South Bay, El Segundo, CA (Moderator)
Principal, Premier; Former Chief Executive Officer, Cardiology Consultants of the South Bay, El Segundo, CA (Moderator)
5:00 pm
Transition Break
Mini-Summit XV: Bundled Payment Updates
4:00 pm
Success in Physician Led Bundles
Nicholas Jewell
Program Manager, Stryker’s Performance Solutions, Cornwall, CT
Program Manager, Stryker’s Performance Solutions, Cornwall, CT
Robyn McGann, MBA
Senior Consultant and BPCI Compliance Officer, Stryker Performance Solutions, Chicago, IL
Senior Consultant and BPCI Compliance Officer, Stryker Performance Solutions, Chicago, IL
4:30 pm
Non-elective Bundles
Bipin Mistry, MD, MBA
Vice President and Senior Medical Director, Remedy Partners, Darien, CT
Vice President and Senior Medical Director, Remedy Partners, Darien, CT
Devon Zoller, MD
Chief Medical Officer, Transitional Care, Sound Physicians, Tacoma, WA
Chief Medical Officer, Transitional Care, Sound Physicians, Tacoma, WA
5:00 pm
Transition Break
Mini-Summit XVI: Case Studies in Successful Integrated Value-based Care
4:00 pm
BPCI Advanced Episode Selection: Analytic Framework and Strategies from Northwestern Medicine
Jessica Walradt, MS
Manager, Value-based Care, Northwestern Medicine; Former Lead Specialist, Value-based Care Models, Association of American Medical Colleges (AAMC), Chicago, IL
Manager, Value-based Care, Northwestern Medicine; Former Lead Specialist, Value-based Care Models, Association of American Medical Colleges (AAMC), Chicago, IL
4:30 pm
A Case Study on Post-Acute Care Costs: Overcoming a Roadblock on the Path to Shared Savings
Craigan Gray, MD, MBA, JD
Chief Medical Officer, Salient Healthcare; Former Director, North Carolina Medicaid, DHHS; Former Vice President for Medical Affairs, Bon Secours Health System Kentucky, Wake Forest, NC
Chief Medical Officer, Salient Healthcare; Former Director, North Carolina Medicaid, DHHS; Former Vice President for Medical Affairs, Bon Secours Health System Kentucky, Wake Forest, NC
Amy Kotch, MHA
Senior Business Consultant, Salient Healthcare, Fort Lauderdale, FL
Senior Business Consultant, Salient Healthcare, Fort Lauderdale, FL
5:00 pm
Transition Break
AFTERNOON MINI SUMMITS GROUP IV: 5:15 pm – 6:15 pm
(Choose one Mini Summit only)
Mini-Summit XVII: MACRA: Integrating MACRA into Your Strategic Plan
5:15 pm
Introductions, Panel Discussion and Q&A
Lauren Seno, MA
Director, Payment and Policy, Sg2, Chicago, IL
Director, Payment and Policy, Sg2, Chicago, IL
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 (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 (Moderator)
6:15 pm
Adjournment
Mini-Summit XVIII: Bundled Payment Updates
5:15 pm
Examining BPCI Advanced: How Have We “Advanced” Since the Original Models?
L. Daniel Muldoon, MA
Healthcare Consultant, Milliman; Former Health Insurance Specialist, Center for Medicare and Medicaid Innovation, New York, NY
Healthcare Consultant, Milliman; Former Health Insurance Specialist, Center for Medicare and Medicaid Innovation, New York, NY
Pamela M. Pelizzari, MPH
Healthcare Consultant, Milliman; Former Senior Technical Advisor and Program Lead, Centers for Medicare and Medicaid Services. New York, NY
Healthcare Consultant, Milliman; Former Senior Technical Advisor and Program Lead, Centers for Medicare and Medicaid Services. New York, NY
5:45 pm
Navigating Today’s CJR Bundled Payment Program
Dawn Rakiey, MA
CJR Coordinator, University Medical Center, Lubbock, TX
CJR Coordinator, University Medical Center, Lubbock, TX
6:15 pm
Adjournment
Mini-Summit XIX: Bundling Oncology: Managing High Intensity Patients in Alternative Payment Models
5:15 pm
Bundling Oncology
Celeste Roschuni, PhD
Design Research Lead, Tuple Health, Washington, DC
Design Research Lead, Tuple Health, Washington, DC
Susanna Supalla, PhD
Tuple Health, Data Science Lead, Washington, DC
Tuple Health, Data Science Lead, Washington, DC
Basit Chaudhry, MD, PhD
Chief Executive Officer and Founder, Tuple Health; Former Medical Scientist, IBM, Washington, DC (Moderator)
Chief Executive Officer and Founder, Tuple Health; Former Medical Scientist, IBM, Washington, DC (Moderator)
5:45 pm
Implementation of a Homecare-Based Bundled Payment Navigator Program
Heather Peiritsch, MSN, RN
Bundled Payment Program Manager, Abington Jefferson Hospital, Willow Grove, PA
Bundled Payment Program Manager, Abington Jefferson Hospital, Willow Grove, PA
6:15 pm
Adjournment
Mini-Summit XX: Key Issues in Accountable Care Implementation
5:15 pm
Pitfalls and Success Factors for ACOs under MSSP and NextGen Programs
Donald Lovasz
President and Chief Executive Officer, KentuckyOne Health Partners, Lexington, KY
President and Chief Executive Officer, KentuckyOne Health Partners, Lexington, KY
Christopher S. Stanley, MD, MBA
Director, Value Transformation Practice, Navigant; Former System Vice President of Population Health, Catholic Health Initiatives; Former Senior Medical Director and Chief Medical Officer, United Healthcare of Colorado, New Mexico, Wyoming and Montana, Denver, CO
Director, Value Transformation Practice, Navigant; Former System Vice President of Population Health, Catholic Health Initiatives; Former Senior Medical Director and Chief Medical Officer, United Healthcare of Colorado, New Mexico, Wyoming and Montana, Denver, CO
5:45 pm
Regional Benchmarking
Travis Broome, MBA, MPH
Vice President for Health Care Policy, Aledade, Inc.; Former Team Lead for Policy and Oversight, Centers for Medicare and Medicaid Services, Washington, DC
Vice President for Health Care Policy, Aledade, Inc.; Former Team Lead for Policy and Oversight, Centers for Medicare and Medicaid Services, Washington, DC
6:15 pm
Adjournment
Mini-Summit XXI: The Use of Prospective Payment in Payment Bundles and ACOs
5:15 pm
Introductions, Panel Discussion and Q&A
Jennifer Mann
Senior Product Manager, Cognizant, Chicago, IL
Senior Product Manager, Cognizant, Chicago, IL
Jay Sultan
Vice President, Product Management, Cognizant, Watkinsville, GA (Moderator)
Vice President, Product Management, Cognizant, Watkinsville, GA (Moderator)
6:15 pm
Adjournment
Agenda Links: Preconference/Day I | Day III