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The Inaugural Network and Contract Management Summit for Payers and Providers features leading executives from both payer and provider sectors to discuss how they are collaborating on the most cutting edge trends and successful network and contract management strategies to meet the increasing demands of payment and delivery reform. The summit brings together a unique audience of SVPs, VPs, and Directors from Health Plans, Hospitals, Health Systems, and Physician Groups with responsibilities in Contracting, Network Management, Payer Relations, Payer Strategy, Provider Relations, and Provider Strategy.
Full Four Day Agenda
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Sunday, April 7, 2013
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5:30 pm -
8:00 pm
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6:00 pm -
7:30 pm
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Monday, April 8, 2013
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7:00 am -
7:00 pm
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8:00 am -
8:10 am
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8:10 am -
8:40 am
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8:40 am -
9:10 am
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Reactor Discussion |
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| Panelists: |
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David Goldhill
President and Chief Executive Officer
The Game Show Network;
Author, Catastrophic Care: How American Health Care Killed My Father -- and How We Can Fix It
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Ian Morrison
Futurist and Author; President Emeritus,
Institute for the Future
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Avik Roy
Senior Fellow
Manhattan Institute;
Author
The Apothecary
Forbes
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9:10 am -
10:10 am
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What Role Does Health Care Have in Federal Debt Reduction Strategies?
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- Examine health spending as an important component of the fiscal outlook for both federal and state governments
- Explore promising approaches to reduce both the growth rate of health spending and the revenue lost to health care tax expenditures
- Discuss underlying, system-wide spending issues
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| Moderator: |
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Ian Morrison
Futurist and Author; President Emeritus,
Institute for the Future
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Alice M. Rivlin , PhD
Senior Fellow, Economic Studies Program
Brookings Institution;
Co-Chair, Debt Reduction Task Force
Bipartisan Policy Center
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10:10 am -
11:10 am
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Partnering for Value – How Collaboration is Driving Change in our Health System
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- Explore critical success factors in delivering truly patient-centric care – Multi-sector innovation and collaboration
- Discuss critical pathways in transforming clinical practice to produce value – Increase quality, efficiency, and improve patient experience
- Highlight non-traditional partnerships that increase accountability and risk sharing to promote high quality care
- Analyze public and private sector leadership in driving to accountable care
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Gary Ahlquist
Senior Vice President, Global Health
Booz & Company
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Victor Dzau, MD
President and Chief Executive Officer, Duke University Medical Center and Health System;
Chancellor for Health Affairs, Duke University (USA);
Member, Board of Health Governors, World Economic Forum;
Chair, Global Agenda Council on Personalized and Precision Medicine, World Economic Forum
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Omar Ishrak
Chairman and Chief Executive Officer
Medtronic
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John Noseworthy, MD
President and Chief Executive Officer
Mayo Clinic
Member, Board of Health Governors, World Economic Forum
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Brad Wilson
President and Chief Executive Officer
Blue Cross and Blue Shield of North Carolina (BCBS NC)
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11:15 am -
12:00 pm
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12:00 pm -
1:15 pm
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1:15 pm -
2:15 pm
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The Next Frontier of ACOs – Going from Concept, to Contract, to Product
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- Discuss the “new relationships” and “aligned incentive” contracts that payers and providers are developing
- Understand the key building blocks that make these relationships work
- Explore the ACO journey from a payer and provider perspective, and how to go from the notion of an ACO to developing a product around an ACO contract
- Hear about one innovative ACO product strategy in development for both the employer and individual markets
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Garrett Black
Senior Vice President, Health Management
Blue Cross and Blue Shield of Minnesota
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Meg Hasbrouck
Vice President, Contracting and Reimbursement
Allina Health
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2:15 pm -
3:15 pm
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Strategic Network Design Strategies for Payers and Providers
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- Analyze network design strategies and their ideal provider and member populations, including preferred networks, tiered networks, and limited networks
- Evaluate consumer decision making for health services and the impact of network design on the quality and affordability of incentives
- Discuss the challenges associated with network design and cost reduction, including patient migration to out of network providers
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James Evans
Vice President, Network and Financial Management
McKesson Health Solutions
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Richard Salmon, MD, PhD
National Medical Executive, Performance Measurement and Improvement
CIGNA HealthCare
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3:15 pm -
4:00 pm
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4:00 pm -
4:05 pm
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4:05 pm -
5:05 pm
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Engaging the Consumer - Creating Awareness and Partnership in Health Care |
- Review key strategies to motivate healthy behaviors and engage consumers throughout the care continuum
- effective methods to engage consumers in their daily health decisions
- Leverage the provider and health plan as key influencers to patient engagement
- creating a culture of informed and shared decision making that works
- Understand what health care can learn from other industries that are leaders in consumer engagement
- simplicity and engagement that lead to better outcomes and quality
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| Moderator: |
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Stan Nowak
Chief Executive Officer
Silverlink Communications, Inc.
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John Donlan
Chief Operating Officer
Steward Health Care Network, Inc.
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5:05 pm -
6:05 pm
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Meet the Global Challenge of Developing Sustainable, Affordable Health Care Systems |
- Discuss strategies to contain the cost of delivering health care amid rising demand
- Develop resilient funding models sustainable over the long-term
- Explore mechanisms to improve the efficiency and productivity of health care delivery
- Analyze the shift of health systems from a sickness to a wellness focus to reduce downstream health costs
- Learn from international health systems
- Understand the global role of technology in enabling the delivery of sustainable health care
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| Moderator: |
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T.R. Reid
Correspondent
NPR, PBS, The Washington Post
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| Panelists: |
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Dr. Jason Cheah, MD
Chief Executive Officer
Agency for Integrated Care Pte Ltd, Republic of Singapore
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Patrick Jeurissen, PhD
Chief Strategy and Knowledge Management Group
Ministry of Health, Welfare & Sports, (The Netherlands);
Head of Celsus Academy of Sustainable Healthcare,
Raboud University Medical Center Nijmegen (The Netherlands)
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Steven J. Thompson
Chief Executive Officer, Johns Hopkins Medicine International;
Senior Vice President, Johns Hopkins Medicine
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Muhammad Yunus
Winner of the 2006 Nobel Peace Prize
Founder
Grameen Bank and Grameen Health
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6:05 pm -
7:05 pm
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7:05 pm -
8:35 pm
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Tuesday, April 9, 2013
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7:00 am -
7:00 pm
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7:00 am -
8:00 am
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8:00 am -
8:05 am
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8:05 am -
8:15 am
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8:15 am -
8:45 am
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8:45 am -
9:15 am
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9:20 am -
10:05 am
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10:05 am -
10:40 am
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10:40 am -
11:40 am
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Contracting Innovation – Driving High Quality, Low Cost Provider Utilization
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- Contracting approaches to improving quality and outcomes while slowing health care spending growth
- Risk mitigation and sharing strategies to ensure successful contract negotiation around aligned incentives
- The results –AmeriHealth NJ’s ACO/Exchange contracting strategies and Mount Auburn Hospital’s first contract period with the BCBSMA ACQ
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Kathryn Burke
Vice President of Contracting and Business Development
Mount Auburn Hospital
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| Summit Chairperson: |
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11:40 am -
12:40 pm
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Collaborating on Value – Contracting Strategies to Reduce Readmissions
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- Analyze readmissions methodologies including new payment structures, data tracking, education and engagement
- Evaluate the successes and potential of new payment models in reducing readmissions such as ACOs, Medical Homes and Bundled Payments
- Explore case examples readmissions reduction programs from specific care delivery settings and system wide programs
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Elyse Forkosh Cutler
Former Vice President, Strategic Planning and Network Development
Advocate Health Care
President and Founder
Sage Health Strategy
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| Summit Chairperson: |
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12:45 pm -
2:00 pm
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2:00 pm -
3:00 pm
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3:00 pm -
4:00 pm
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Increasing Trust and Payer/Provider Relations with Advanced Performance Improvement Models
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- Improve provider and member experience with enhanced performance improvement and provider service programs
- Leverage customer service programs to reduce the costs of claims and administrative expenses
- Apply sophisticated CRM tools for integrated contact and contract management
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John Iacuone, MD, MBA
Chief Medical Officer
Lovelace Health Plan
Fellow, American Academy of Pediatrics, American College of Physician Executives, and American College of Health Care Executives
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Robert Lerman, MD
Vice-President, Medical Director
Physician Integration
Dignity Health
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| Summit Chairperson: |
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4:00 pm -
4:05 pm
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4:05 pm -
5:05 pm
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Health Care Transformation through Technology Innovation
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- How is Health IT currently leveraged to create a connected, clinically integrated next generation care model?
- EMR, HIE, Cloud, and analytics that improve the quality and affordability of care
- remaining challenges in financing, scalability, and home-grown solutions
- What are the obstacles and opportunities around keeping health information secure?
- How can mobility solutions be used in this new model?
- disruptive and social innovations that advance health care
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| Moderator: |
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Joseph C. Kvedar, MD
Founder and Executive Director, Center for Connected Health
Partners HealthCare;
Past President and Board Member
American Telemedicine Association
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| Panelists: |
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Geeta Nayyar, MD, MBA
Chief Medical Information Officer, AT&T;;
Assistant Clinical Professor of Medicine
George Washington University
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Emad Rizk, MD
President, McKesson Health Solutions
Author of The New Era of Healthcare: Practical Strategies for Providers and Payers;
2011’s 50 Most Influential Physician Executives (Modern Physician)
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Bryan Sivak
Chief Technology Officer
US Department of Health and Human Services
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5:05 pm -
5:35 pm
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Building Care Innovations for This Time and Place
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- Building a network of innovation centers and agendas to provide better patient-centered care and improved outcomes
- Sharing a complete, online clinical library with real-time access to medical journals, textbooks, and care protocols
- Investing in future care including the world's largest DNA database to prevent, diagnose, treat, and research genetic-based diseases
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5:35 pm -
6:35 pm
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6:35 pm -
8:00 pm
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Wednesday, April 10, 2013
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7:00 am -
2:00 pm
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7:00 am -
8:00 am
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8:00 am -
8:10 am
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8:10 am -
9:10 am
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Health Care as a Strategic Business Imperative
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- Understand strategic investments in health and differing approaches to employee coverage
- commitments to coverage and shifts toward defined contribution
- Explore innovative wellness initiatives and outcomes
- incentivize employees to take responsibility for their health care
- gauge how greater access and on-site medical care impacts productivity
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| Moderator: |
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John Torinus
Chairman
Serigraph Inc.; Author, The Company that Solved Health Care; Co-Chair
Milwaukee Task Force on Health Care Cost Concerns
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9:10 am -
9:55 am
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9:55 am -
11:05 am
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11:05 am -
12:05 pm
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Reengineering of the American Health Care Workforce – Aligning with the Needs of an Integrated System
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- What must the health care workforce look like to meet the needs of an integrated system?
- trends re-shaping the health care workforce (e.g., shift to more cost-effective outpatient care, emphasis on primary care physicians)
- policies, laws, and regulatory issues that prevent health systems from getting to the right size and avoiding overlap
- The mindset for a successful workforce – accepting the loss of autonomy
- fully leverage technology including better systems and smart devices
- increase comfort-level when collaborating in a team environment
- Define the role of academic medical centers in an integrated health care system
- AMC’s as training sites for a new workforce
- how should medical training evolve to meet needs?
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| Moderator: |
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Arthur Garson, Jr., MD, MPH
Director, Center for Health Policy, University Professor
University of Virginia;
Chairman, The Grand-Aides Foundation
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Robert Pearl, MD
Executive Director and CEO
The Permanente Medical Group, Kaiser Permanente
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12:05 pm -
1:05 pm
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1:05 pm -
2:05 pm
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Person-Centricity: Leveraging Technology and Connectivity to Bend the Sickness Curve |
- Understand what PCMH and person-centric health can teach us about saving time, money, and lives
- Discover innovations that disrupt by getting the whole person, not just his or her skin, in the game
- Reduce costs by integrating smart technology to promote interaction between a person and his health care team
- Aggregate, structure, and share otherwise elusive behavioral, activity, and wellness information via the EHR
- Monitor and prescribe healthy behavior activities and solutions
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| Moderator: |
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Tracey W. Gaudet, MD
Director, Office of Patient Centered Care and Cultural Transformation
Veterans Health Administration
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| Panelists: |
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Kevin A. Dorrance, MD, FACP
Chief, Internal Medicine, Assistant Deputy Commander, Medical Services
Walter Reed National Military Medical Center
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Rain Henderson
Deputy Director, Clinton Health Matters Initiative
William J. Clinton Foundation
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Dennis A. Robbins, PhD, MPH
Director of Health Policy
PEARL at NYU
Advisor
National Research Network at AAFP and Board Member
DARTNet Institute
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2:05 pm
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