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This Summit provides a dynamic and informative forum for health care professionals involved with network and contract management. Through expert panel discussions, explore successful strategies for contracting and the changed contract relationship due to mergers. The big question on everyone's mind is, “Are we going to see changes in payment due to the payment reform?” More networks are looking for alternative compensation models and leading experts discuss some of the more prominent models, how the requirement for quality measurement comes into play, and how these requirements can be fulfilled.
Full Four Day Agenda
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Sunday, April 6, 2014
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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 7, 2014
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7:00 am - 6:45 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 - 8:40 am
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8:40 am - 9:40 am
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KEYNOTE: A Candid Discussion on the Business Impacts of Expansion, Public Marketplaces, and Emerging Private Exchanges |
- Microeconomic impacts of reform and the growth of private insurance exchanges on the business of delivering health care
- Stakeholder approaches, levels of engagement/commitment, and success measures
- Important shifts in business and product design to succeed in an exchange-based environment and adjust to the movement of larger employers to private exchanges
- Effects on provider, public and private plan, employer, and life sciences organizations
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Richard Sánchez, MD
Senior Vice President, Chief Medical Officer
Molina Healthcare, Inc.
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| Additional Thought Leaders TBA |
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9:50 am - 10:35 am
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10:35 am - 11:20 am
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11:20 am - 12:05 pm
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Payment Reform: Examine the Impact and Outcomes of Different Compensation Models |
- Understand what new compensation models have been defined, which models are for hospitals, and which are for physicians
- Get insight into different payment models
- Hear CMS’ opinion on payment reform regarding quality, access, and outcomes
- Learn what payment models CMS has implemented and which are anticipated
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Mary Enquist, MPH
Director
Public and Managed Care Payment Reform
NYU Langone Medical Center
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Sandra McAnallen
Vice President of Network Performance, Quality Improvement, and Clinical Administration
UPMC Health Plan
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| Additional Thought Leaders TBA |
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12:05 pm - 1:20 pm
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1:20 pm - 2:05 pm
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Bundled Payment versus Global Payment: Lessons Learned |
- Define which models are bundled and which are global
- Discuss the pros and cons of bundled payment versus global payment
- Case Study: Learn from first-hand experience which model should be used under which circumstances
- Learn what the risk arrangements are for population management
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Rebecca Kohl
Vice President
Provider Network Management
Health Partners
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| Additional Thought Leaders TBA |
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2:05 pm - 2:50 pm
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Value Based Contracting: Determine Measures of Quality Affecting Payments |
- Examine how hospitals are approaching quality measures: What are the different systems in place and how is quality measured?
- Discover patient engagement initiatives that have resulted in better outcomes
- Discuss the impact of quality improvement on the financial outcome
- How do you quantify the return on investment?
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Ann Burnett
Vice President
Provider Network Innovations and Partnerships
BlueCross BlueShield of South Carolina
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| Additional Thought Leaders TBA |
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3:00 pm - 3:45 pm
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3:45 pm - 4:45 pm
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KEYNOTE: Connect and Share Data Responsibly to Transform Care Delivery |
- The delicate interplay between government, vendor, provider, and patient goals in privacy and security
- Approaches to sharing clinical trial data to foster and drive scientific discovery
- Data analysis and connectivity at the patient, provider system, and reimbursement level to improve outcomes and support value-based care initiatives
- Requirements of privacy and security rules and their impact on industry, covered entities, and patients
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John J. Castellani
President and Chief Executive Officer
Pharmaceutical Research and Manufacturers of America (PhRMA)
Former President and Chief Executive Officer
The Business Roundtable
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Joy Pritts, JD
Chief Privacy Officer, Office of National Coordinator for HIT
HHS
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| Additional Thought Leaders TBA |
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4:45 pm - 5:45 pm
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KEYNOTE: Partnerships and Collaborations Evolving the Health Care Business Model |
- Examine the strategic thinking behind partnerships and collaborations: How are leaders from all sectors of health care positioning initiatives for optimal uptake and success?
- Understand current efforts between sectors to support the move toward value and quality
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Victor Dzau, MD
President and CEO 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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J. Knox Singleton
Chief Executive Officer
Inova Health System
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| Additional Thought Leaders TBA |
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5:45 pm - 6:45 pm
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Tuesday, April 8, 2014
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7:00 am - 5:10 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 - 8:10 am
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8:10 am - 8:40 am
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8:40 am - 9:40 am
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9:40 am - 10:25 am
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10:35 am - 11:20 am
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11:20 am - 12:05 pm
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12:05 pm - 12:50 pm
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Contract Negotiation Strategies: The Impact of Data |
- Understand how to use price data and quality data
- Find out how the availability of data effects negotiations
- Hear about the impact of quality data on negotiations between providers and payers: How do the conversations change?
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Joseph F. Felix
Director Payer Contracting
Lehigh Valley Health Network
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David A. Kadish
Vice President (retired)
Facilities Contracting
MVP Health Care
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| Additional Thought Leaders TBA |
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12:50 pm - 2:05 pm
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2:05 pm - 2:10 pm
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2:10 pm - 3:10 pm
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3:10 pm - 4:10 pm
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KEYNOTE: Consumer Engagement: Where does it Matter? |
- Motivate consumers to engage with your brand by determining what results in reduced costs or improved outcomes
- Gauge the role of employers in driving behavior change
- Discuss how to differentiate your brand meaningfully as products become more standardized
- Examine retail segmentation, patient engagement, and wellness initiatives
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Bert Marshall
President
Blue Cross and Blue Shield of Texas (BCBS TX)
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| Additional Thought Leaders TBA |
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4:10 pm - 5:10 pm
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5:10 pm - 6:10 pm
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Wednesday, April 9, 2014
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7:30 am - 1:30 pm
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7:30 am - 8:00 am
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8:00 am - 8:05 am
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8:05 am - 9:05 am
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9:05 am - 10:05 am
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10:05 am - 11:05 am
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KEYNOTE: Evidence-Based Outcomes for Value-Based Care |
- Parallels in innovation from life sciences and Silicon Valley
- Gauging the impact on the cost curve from investments in prevention versus treatment
- Leveraging personalized medicine to improve chronic disease treatment
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Joseph C. Kvedar, MD
Executive Director, Center for Connected Health
Partners HealthCare
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| Additional Thought Leaders TBA |
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11:15 am - 12:00 pm
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12:10 pm - 1:30 pm
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1:30 pm
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