The 4th Annual Network and Contract Management Summit

Workshop A: Use Data to Partner More Effectively with Health Systems

Workshop B: Changing How We Change: Igniting a Culture for Innovation

Workshop C: Effective Self-Funding Strategies for Employers

• Inform scenario planning with insight from both sides of the aisle – How might election results impact your organization?
• Learn which ACA items to watch in the next 6-9 months

Remove the stress from networking. Peer-to-Peer Networking Breakfasts allow you to connect with peers, share notes and best practices, and discuss emerging trends in a relaxed environment. Begin your day enjoying breakfast with your counterparts, engaging in stimulating conversations, and building lasting relationships. While at the event, join one of the following groups on Tuesday morning for breakfast:

• Discussion of cost trends and major contributors
• How ACA elements impact cost: Medicaid expansion, exchanges, Medicare
• The long-term impact of cost shifting and high deductibles on the consumer
• The role of Medicare Advantage plans in producing value and lowering cost

Thought Leaders TBA

• Discuss efforts to meet the mandate of tying 50% of payment to value by 2018 - Are we ready?
• Explore accountable care models achieving results
• Foster community-based care and navigate the business impact on hospitals

Market Insight A: At The Crossroads of Payers and Providers: Optimizing the Connection

Market Insight B: The Silent Cost of Untreated Hearing Loss

*Additional Market Insight opportunities are available on Monday, Tuesday, and Wednesday.

If you have a product or solution that you would like to showcase in the Market Insight discussions, please contact us.

A-K: Bernie Weiss
Vice President, Business Development
[email protected]
781-939-2502

L-Z: Suzanne Carroll
Manager, Business Development
[email protected]
781 -939-2648

• Gain insight into a new mindset that goes beyond deal-making about rates to develop strategic, collaborative, win-win relationships
• What are reasonable needs and how can they be met collectively?
• Discuss how to incentivize members/patients to engage with PCPs around preventive measures that close gaps in care
• Discuss strategies to reach the goal of shifting 75% of the business to value-based arrangements by 2020
• Hear how to plan and enact changes in the absence of data

• Leverage the expertise of a health plan’s Innovation Department to create models that lead to quality, outcomes, and value for all stakeholders
• Discuss ways to manage market changes that impact the plan-provider relationship, market share, and the contracting process
• Determine how to make the most of a narrow network strategy and overcome challenges associated with standards, design, and consumer response

• Understand the role of cost and results data in value-based contracting negotiation
• Establish partner willingness to identify opportunities that lead to measureable improvements and savings
• Share clinical and financial data upstream and downstream
• Ensure reporting is frequent, standardized, and actionable
• Build consensus around consistent and pre-specified quality performance metrics facilitated by the contract
• Develop stable, longer-term contracts to minimize risk and uncertainty when committing capital and redeploying resources

• Discuss the convergence of health care companies including new partnerships, integration, and collaboration
• What are the implications of deals and partnerships for payers, providers, and for consumers five years out?
• Explore the M&A; climate, and the potential pros and cons of mega-mergers

• Learn about the role of data and analytics in transforming health care and revolutionizing personalized medicine
• Explore a new era of cognitive computing, which is augmenting human capacity to understand and improve complex health care systems
• Gain a better understanding of emerging technologies and their impact on the future of health care

• Explore a global, public- and private-sector collaboration to help prevent and respond to devastating epidemics
• Hear lessons from the Ebola outbreak including its impact on hospitals and health care resources
• Understand how health care organizations can successfully partner with governments and engage local communities to catalyze change

*Additional Market Insight opportunities are available on Monday, Tuesday, and Wednesday.

If you have a product or solution that you would like to showcase in the Market Insight discussions, please contact us.

A-K: Bernie Weiss
Vice President, Business Development
[email protected]
781-939-2502

L-Z: Suzanne Carroll
Manager, Business Development
[email protected]
781 -939-2648

• Understand the infrastructure, governance, development, and operations of a multi-system ACO created to manage population health over a large geographic area
• Leverage the system’s risk-contracting experience when partnering with payers
• Gain strategies for an individual system to remain competitive while participating in an ACO
• Maintain market-driven products and services
• Manage the challenges of an attribution methodology to enable an equitable distribution of shared savings

• Consider the advantages of a clinically-integrated network to better manage care across the entire health system and prepare for value-based contracting
• Discuss M&A; and partnership strategies and their impact on contracts
• Develop a customized approach to transition physicians to full risk
• Leverage the time-consuming process of mega-mergers by becoming a PSHP to gain market share

• Determine the potential for alignment and mutual growth
• Understand factors for inclusion in narrow networks
• Manage network leakage through effective benefit design
• Ensure that tools and information help consumers understand and make difficult tradeoffs
• Approach specific employers with a dual choice offering to maximize success

• Engagement strategies that enhance the health care user experience
• Models that combine convenience and the right level of care to meet people where they are both in their lives and in their health care journey

• Explore the impact of emerging PC models - retail, virtual, urgent care, clinic, and community-based – on patient outcomes and the industry
• Examine innovative models gaining scale nationally and globally
• Discuss what primary care and patient-provider relationship may look like in five to 10 years

• Cutting-edge research that addresses integration from behavioral and physical sides of the equation
• Industry investment and progress in integration
• Cross-sector collaborations to improve care coordination and outcomes
• Diverse models across settings (e.g., schools, churches) including digital, virtual, and grassroots campaigns that are moving into the mainstream

• Discuss how virtual medicine is reshaping the health care industry
• Elevate services with a new level of speed and personalization to better meet consumer and patient needs
• Use data analysis and preventative care to improve health care outcomes
• Identify and meet the needs of the provider of the future

*Additional Market Insight opportunities are available on Monday, Tuesday, and Wednesday.

If you have a product or solution that you would like to showcase in the Market Insight discussions, please contact us.

A-K: Bernie Weiss
Vice President, Business Development
[email protected]
781-939-2502

L-Z: Suzanne Carroll
Manager, Business Development
[email protected]
781 -939-2648