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Monday May 23, 2005
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12:15 pm
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Sean Dougherty
Director Drug Assistance & Medicare Programs
AstraZeneca Pharmaceuticals LP
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12:30 pm
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1:30 pm
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2:00 pm
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Kevin "Kip" Piper MA, CHE
President
Health Results Group LLC
Former Senior Advisor to the Administrator
Centers for Medicaid and Medicare Services
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2:30 pm
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In this session you will:
- Understand how public and private alliances are maintaining cost and quality of care through pay for performance initiatives, health plan physician recognition programs, and the Chronic Care Improvement Program
- Analyze outcomes data from successful pay for performance programs
- Examine the transformation of the Medicare risk payment system from demographic to burden of illness
- Study how mature predictive modeling systems have enabled more accurate enrollee future risk assessment, basis on probable resource utilization
- Investigate ways that this transition has presented significant challenges and opportunities for Medicare Risk plans, from quality, provider relations, care coordination, and financial perspectives
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Margaret E. O’Kane
President
NCQA
 View Biography
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Fred Polsky M.D., MA, FACP
Chief Medical Officer
Elderplan Incorporated, Metropolitan Jewish Health System
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Scott Young MD
Director for Health Information Technology
Agency for Healthcare Research and Quality
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3:15 pm
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Based on extensive research, this session will explore the question, “Why isn’t Medicare setting the standard for quality improvement?” and discuss ways that disconnects in quality standards can be remedied through systematic change.
In this session you will:
- Address variations in a logical and manageable fashion by developing a clearer definition of unwarranted variation through categorization
- Analyze how CMS can use its purchasing power to address the challenges of variation and improve the quality of care
- Deliberate the challenges of moving traditional Medicare from being a payer of claims to a purchaser of health care
- Debate how to identify opportunities for change and pursue innovative strategies to move toward a truly improved model of care delivery
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David Wennberg M.D., MPH
Director, Center for Outcomes
Research & Evaluation
Maine Medical Center
Chief Operating Officer
Health Dialog Data Services
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4:00 pm
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4:45 pm
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Group Health is using a full featured electronic medical record and a sophisticated patient web portal to provide access to and transparency of the care process. Patients are able to share a view with their physicians into the same data, and are assisted through the use of technology and high quality content to help them understand their care and be better informed in their conversations with their physician. Technology also plays a role in helping facilitate better communication between patients and physicians through secure messaging between patient and care giver.
In this session you will:
- Examine the implications of using technology to support beneficiaries in their care
- Track how supporting technology impacts the care experience for beneficiaries
- Debate how electronic medical records and personal/shared health records will transform physician-patient interaction
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James Hereford
Executive Vice President, Strategic Services & Quality
Group Health Cooperative
View Biography
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5:30 pm
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Medicare Part D is an extensive and complex part of the Medicare Modernization Act. This panel joins leaders in Part D design and implementation to discuss its current state and projections for the coming years.
In this session you will:
- Develop responsive strategies for Part D implementation in 2006
- Identify and define categories for formularies and assessing the impact on cost and quality of care
- current capacity as well as plans for future enhancements in essential information
- attention to modeling efforts to estimate future demand
- Evaluate the effect of the Medicare Modernization Act on beneficiary selection and education and long term pharmaceutical pricing
- Analyze lessons learned from the Medicare Prescription Drug Discount Card Program and its impact on utilization, expenditures, and health care outcomes
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Steven B. Cohen PhD
Director of the Center for Financing, Access and Cost Trends
Agency for Healthcare Research and Quality (AHRQ)
View Biography
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Robert Epstein M.D.
Senior Vice President, Medical Affairs and Chief Medical Officer
Medco Health Solutions, Inc
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Kevin "Kip" Piper MA, CHE
President
Health Results Group LLC
Former Senior Advisor to the Administrator
Centers for Medicaid and Medicare Services
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Karen Williams
President
National Pharmaceutical Council
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6:30 pm
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