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

Sunday, April 6, 2014
5:30 pm -
8:00 pm

Congress Registration Opens

6:00 pm -
7:30 pm

Insider’s Reception for Speakers, Premier Level Sponsors, and Premium Members

Monday, April 7, 2014
7:00 am -
6:45 pm
Registration Open
7:00 am -
8:00 am

Breakfast in the Executive Networking Lounge

8:00 am -
8:10 am

Congress Welcome

8:10 am -
8:40 am

KEYNOTE: The Next Phase of Implementation: ACA Status Update

  • Policy updates and preliminary data based on implementation rollout
  • Lessons from initial consumer enrollment
  • Government initiatives to refine and optimize processes in the next six months
Thought Leaders TBA
8:40 am -
9:40 am

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
Richard Sánchez Richard Sánchez, MD
Senior Vice President, Chief Medical Officer
Molina Healthcare, Inc.
Additional Thought Leaders TBA
9:50 am -
10:35 am

Concurrent Market Insights

Market Insight A: Managing Your Technology Portfolio: The Things You Should Know

Additional Market Insights TBA

If you have a product or solution you would like to showcase, please contact us.

10:35 am -
11:20 am

Health Insurance Marketplace: Explore the Impact of the Exchange on Relationships between Payers and Providers Six Months In

  • Learn about the changing relationships between payers and providers: What are the financial outcomes of the exchanges for each party?
  • Discuss the impact of the health exchange on the rates between payers and providers
  • Examine who are the customers at the exchange: Will there be a shift in customers?
Wendy Warring Wendy Warring
Senior Vice President
Network Development and Strategic Partnerships
Boston Children’s Hospital
Additional Thought Leaders TBA
11:20 am -
12:05 pm

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
Mary Enquist Mary Enquist, MPH
Director
Public and Managed Care Payment Reform
NYU Langone Medical Center
Sandra McAnallen Sandra McAnallen
Vice President of Network Performance, Quality Improvement, and Clinical Administration
UPMC Health Plan
Additional Thought Leaders TBA
12:05 pm -
1:20 pm

Luncheon in the Executive Networking Lounge

1:20 pm -
2:05 pm

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
Speaker Photo Unavailable Rebecca Kohl
Vice President
Provider Network Management
Health Partners
Additional Thought Leaders TBA
2:05 pm -
2:50 pm

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?
Speaker Photo Unavailable Ann Burnett
Vice President
Provider Network Innovations and Partnerships
BlueCross BlueShield of South Carolina
Additional Thought Leaders TBA
3:00 pm -
3:45 pm

Refreshment Break in the Executive Networking Lounge

3:45 pm -
4:45 pm

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
John J. Castellani John J. Castellani
President and Chief Executive Officer
Pharmaceutical Research and Manufacturers of America (PhRMA)
Former President and Chief Executive Officer
The Business Roundtable
Joy Pritts Joy Pritts, JD
Chief Privacy Officer, Office of National Coordinator for HIT
HHS
Additional Thought Leaders TBA
4:45 pm -
5:45 pm

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
Victor Dzau 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
J. Knox Singleton J. Knox Singleton
Chief Executive Officer
Inova Health System
Additional Thought Leaders TBA
5:45 pm -
6:45 pm

Opening Night Reception in the Executive Networking Lounge

Tuesday, April 8, 2014
7:00 am -
5:10 pm

Registration Open

7:00 am -
8:00 am

Breakfast in the Executive Networking Lounge

8:00 am -
8:05 am

Congress Welcome

8:05 am -
8:10 am

Opening Remarks

8:10 am -
8:40 am

KEYNOTE: Implement Disruptive, Sustainable Change in Health Care

  • Delivering on the promise of genomics and targeted treatments in clinical decision support
  • Implementing next gen HIT cloud-based platforms for coordinated care, population management, and real-time data integration
Patrick Soon-Shiong Patrick Soon-Shiong, MD
Chairman and Chief Executive Officer
NantHealth
Additional Thought Leaders TBA
8:40 am -
9:40 am

KEYNOTE: Furthering the Cost Conversation: How do we Save Money while Delivering High-Quality Care?

  • Approaches to reduce cost for employers, patients, providers, and payers
  • Implementing (and paying for) money-saving measures
  • Providing cost transparency in the system
Bob Kocher Bob Kocher, MD
Partner
Venrock; Former Special Assistant to the President for Healthcare and Economic Policy
National Economic Council
Shawn Leavitt Shawn Leavitt
Senior Vice President, Global Benefits
Comcast / NBCUniversal
William Winkenwerder William Winkenwerder, Jr., MD
President and Chief Executive Officer
Highmark, Inc.
Joseph M. Zubretsky Joseph M. Zubretsky
Senior Executive Vice President
Head of National Businesses, Former Chief Financial Officer
Aetna
Additional Thought Leaders TBA
9:40 am -
10:25 am

Refreshment Break in the Executive Networking Lounge

10:35 am -
11:20 am

Concurrent Market Insights

If you have a product or solution you would like to showcase, please contact us.

11:20 am -
12:05 pm

Mergers and Consolidation of Providers: Identify Challenges and Opportunities for the Network

  • Discuss the impact of mergers on the contracting process
  • Explore how consolidations influence the direction of the market price
  • Discover if and how mergers create economies of scale and high quality
12:05 pm -
12:50 pm

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?
Joseph F. Felix Joseph F. Felix
Director Payer Contracting
Lehigh Valley Health Network
David A. Kadish David A. Kadish
Vice President (retired)
Facilities Contracting
MVP Health Care
Additional Thought Leaders TBA
12:50 pm -
2:05 pm

Luncheon in the Executive Networking Lounge

2:05 pm -
2:10 pm

Afternoon Keynote Introductory Remarks

2:10 pm -
3:10 pm

KEYNOTE: The Changing Stakeholder Landscape: A Look at Provider Consolidation, Alternatives, and Risk Management

  • Financial and clinical alignment of physicians to change care practices
  • Disruptive forces that provide alternatives to the trend of consolidation
  • Thinning line between provider and payer groups
  • Employment models and practice redesign to improve care
Peter B. Angood Peter B. Angood, MD
Chief Executive Officer
American College of Physician Executives (ACPE)
Former Chief Safety Officer
The Joint Commission
Roy A. Beveridge Roy A. Beveridge, MD
Senior Vice President and Chief Medical Officer
Humana
Tom X. Lee Tom X. Lee, MD
Founder and Chief Executive Officer
One Medical Group
Additional Thought Leaders TBA
3:10 pm -
4:10 pm

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
Bert Marshall Bert Marshall
President
Blue Cross and Blue Shield of Texas (BCBS TX)
Additional Thought Leaders TBA
4:10 pm -
5:10 pm

KEYNOTE: Technology Innovations Enabling Scalable and Sustainable Care Redesign

  • Strengthening the link between innovation and strategy
  • Balancing innovation with need: Realizing the benefit of technology investments in increased outcomes or reduced costs
  • Technology that enables sustainable and scalable, consumer-focused models of care
  • Systems implementation and integration for truly connected care
Molly Joel Coye Molly Joel Coye, MD, MPH
Chief Innovation Officer
UCLA Health System
Charles W. Sorenson Charles W. Sorenson, MD
President and Chief Executive Officer
Intermountain Healthcare
Additional Thought Leaders TBA
5:10 pm -
6:10 pm

Reception in the Executive Networking Lounge

Wednesday, April 9, 2014
7:30 am -
1:30 pm

Registration Open

7:30 am -
8:00 am

Networking Breakfast

8:00 am -
8:05 am

Opening Remarks

8:05 am -
9:05 am

KEYNOTE: Assess the Value of Wellness Programs for both the Employer and Employee

  • What is the ROI of wellness programs versus the cost of doing nothing?
  • What parameters and culture support success?
  • What can we learn from failed attempts?
Thought Leaders TBA
9:05 am -
10:05 am

KEYNOTE: Manage the Risk of the Newly Eligible Population

  • Capture the opportunity to serve the newly eligible
  • Expand access and market share in the provider community
  • Define the value proposition for a new population
Thought Leaders TBA
10:05 am -
11:05 am

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
Joseph C. Kvedar Joseph C. Kvedar, MD
Executive Director, Center for Connected Health
Partners HealthCare
Additional Thought Leaders TBA
11:15 am -
12:00 pm

Concurrent Market Insights

If you have a product or solution you would like to showcase, please contact us.

12:10 pm -
1:30 pm

Luncheon Keynote Address: The Future of U.S. Health Care

John Kitzhaber John Kitzhaber, MD
Creator
Oregon Health Plan
1:30 pm

Close of Congress