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Monday March 6, 2006

7:00 am
Registration and Continental Breakfast
8:00 am
Chairman's Welcome and Opening Remarks
Merrill Matthews Ph.D.
Director
The Council for Affordable Health Insurance

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8:15 am
OPENING KEYNOTE ADDRESS
George C. Halvorson
Chairman and CEO
Kaiser Foundation Health Plans and Hospitals

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3-hour Executive Breakout Seminars
Executive Seminar A: Member Outcomes and Benefits Solutions from Consumer Directed Health Initiatives
9:15 am Seminar Leader's Welcome and Opening Remarks
  Colleen Murphy
Asparity Decision Resources
9:30 am Maximizing and Integrating Data to Drive Consumer Behavior: A Case Study from EMC
Delia Vetter
Director of Benefits
EMC Corporation

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10:15 am A Case Study from Caterpillar - Controlling Costs Through Drug Transparency and Creating Provider Partnerships
This session will outline Caterpillar’s strategic plan to control costs across the organization, present outcomes data from drug transparency initiatives, and discuss plans for future provider partnerships.
Clay Elward
Benefits Product Manager
Caterpillar
11:00 am Refreshment Break
11:30 am A Case Study from IBM - Leveraging Consumerism to Drive Health Outcomes
This session will outline a strategy leveraging consumerism to improve health outcomes and reduce costs
  • Learn to structure benefits design to align consumer behavior
  • Discuss the role of tools to improve consumer engagement
Jane Barlow MD
Wellbeing Director
IBM

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12:15 pm Close of Seminar
Executive Seminar B: Analyzing the Value of Patient Portals for Effective Consumer Choice
9:15 am Seminar Leader's Welcome and Opening Remarks
Merrill Matthews Ph.D.
Director
The Council for Affordable Health Insurance

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9:30 am A Case Study from Group Health Cooperative - Information is Power: Correcting Information Asymmetry and Empowering Patients through a Shared Medical Record
Learn how Group Health is creating a new standard of transparency for patients through its MyGroupHealth portal and its electronic medical record to create a shared medical record. Group Health has over 100,000 members, which represents thirty-two percent of enrollees in Western Washington who are interacting with their clinical teams through MyGroupHealth. We will discuss how this intensity of usage of the web by patients indicates new possibilities for how care delivery is conceived and carried out, when combined with the capabilities of a powerful electronic medical record.
James Hereford
Executive Vice President, Strategic Services & Quality
Group Health Cooperative

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10:15 am A Case Study from Palo Alto Medical Foundation - Transforming Patient-Physician Relationships through Information Transparency
Up until now, patients have been denied convenient access to their health data. Creating information transparency through patient portals is an engaging way to provide patients with the data, knowledge and tools they need to adopt healthy behaviors.
Paul Tang MD
Chief Medical Information Officer
Palo Alto Medical Foundation Chair-Elect, AMIA
Chair, Committee on Data Standards for Patient Safety
Institute of Medicine

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11:00 am Refreshment Break
11:30 am A Case Study from Mayo Clinic - Using Patient Computer Dialogue to Improve Access and Quality, Lower Costs, and Build Provider Satisfaction
The use of a computerized system in medical care can result in huge expenses and waste of clinician time to do administrative work. This presentation will show the use of having patients enter information into computer systems or patient portals to improve access, quality of care, and decrease their medical costs.
John Bachman MD
Sanders Professor of Primary Care
Mayo Foundation

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12:15 pm Close of Seminar
Executive Seminar C: High Performance Networks and Pay for Performance
9:15 am Seminar Leader's Welcome and Opening Remarks
David Matheson
Senior Vice President
Boston Consulting Group

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9:30 am A Case Study from Partners HealthCare - How High Performance Networks Can Change Provider Behavior
This session will profile results from Partners’ five signature efforts to improve quality, efficiency and patient safety. Explore best practices and lessons learned from efforts spanning from building a technology infrastructure to pharmaceutical cost containment efforts, and present applicable solutions to the challenges of engaging providers in system wide change.
George Thibault MD
VP, Medical Affairs
Partners

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10:15 am A Case Study from Sentara Healthcare - Results from a 10 Year Journey to Increase Quality and Aligning Incentives
Through its quest to become a leader in quality, Sentara has developed a system of aligning incentives that spans all channels of healthcare delivery. This session will outline their current initiatives in using high performance networks to move toward greater quality and lowered cost.
David Bernd
CEO
Sentara Healthcare

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11:00 am Refreshment Break
11:30 am Question/Answer Discussion
12:15 pm Close of Seminar
12:15 pm -
1:15 pm
Break for Lunch
1:15 pm Conference Reconvenes
1:15 pm
Chairman's Announcements
1:30 pm
PANEL:
Creating a Framework for Consumer and Provider Engagement
  • Successful models for publishing meaningful cost and quality information
  • Creating effective decision support tools
  • Consumer incentive models to promote behavior change
Moderator
  Jay Garriss CEBS
Atlanta Office Leader
buckConsultants
Panelists
Jane Barlow MD
Wellbeing Director
IBM

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Richard Salmon MD, PhD
Vice President and National Medical Executive
CIGNA HealthCare
Craig Samitt MD, MBA
Chief Operating Officer
Fallon Clinic Inc.

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2:15 pm
From Pay for Performance to Consumer Directed Health: Creating Patient, Physician and Plan Partnerships for Success
One of the biggest challenges in responding to consumer directed health products is the lack of information availability and effective incentives for patients and physicians. Although plans are tasked with their role as information gatekeepers, they often lack the infrastructure to move their organizations forward to create patient/physician partnerships. This session will:
  • Profile the 'reality'of consumer level information and present strategies
  • to create effective partnerships with patients and physicians
  • Present real world examples to improve information sharing and drive consumer behavior
Howard Beckman M.D.
Medical Director
Rochester Individual Practice Association (RIPA)

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Kathleen Curtin
Senior Vice President for Client Services
MedVantage, Inc;
former Vice President for Practitioner Performance
Excellus Health Plan

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3:00 pm
Networking and Refreshment Break
3:30 pm
PANEL:
Setting Quality Standards and Communicating Metrics to Motivate Consumers and Providers
  • Using tiered networks to build peer and consumer transparency
  • Structuring spending accounts designs to incorporate incentives
  • Designing Pay-for-Performance models on provider behavior change
Moderator
Ann Robinow
VP and General Manager, Patient Choice
Medica
Panelists
Eric B. Larson MD, MPH, MACP
Director, Center for Health Studies,
Group Health Cooperative;
Immediate Past Chair, Board of Regents
American College of Physicians

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Margaret E. O’Kane
President
NCQA

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Carey Vinson MD
Vice President for Quality and Medical Performance Management
Highmark Blue Cross Blue Shield
4:15 pm
CLOSING KEYNOTE:
Using Innovation to Advance Consumerism
William Brody MD, PhD
President
Johns Hopkins University

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5:15 pm
Networking Cocktail Reception
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