The World Congress Leadership Summit on Clinical Integration and Care Coordination
Educational Underwriters
Strategic Partners
Partner
Affiliation Partners
Health Plan Market Trends Letter
WHCC Health Innovations

Day 1

Thursday, May 17, 2012
11:30 am -
12:30 pm
Main Summit Registration in the Executive Networking Lounge; Lunch on your Own
12:30 pm -
12:45 pm
Chairperson’s Welcome and Opening Remarks
Dennis R. Horrigan Dennis R. Horrigan
President and CEO
Catholic Health Partners
12:45 pm -
2:00 pm
OPENING KEYNOTE PANEL DISCUSSION: An Up-Close Examination of the Pioneer ACO and Other Innovative Models – Achieving Better Care and Outcomes at a Lower Cost
  • Hear how the Pioneer ACO initiative and other initiatives are working from those organizations implementing them
  • Evaluate similarities and differences in the aims, drivers, strengths and weaknesses of each organization and the impact on clinical success and innovation in the model
  • Determine what’s next for participants in terms of requirements and methods used to achieve the goals of the programs
Michael H. James, JD
President and Chief Executive Officer
GENESYS PHO, L.L.C.
Tricia Nguyen Tricia Nguyen, MD, MBA
Chief Medical Officer
Banner Health Network
Gregory Sheff , MD
President and Chief Medical Officer
Seton Health Alliance
Kenneth C. Wilson Kenneth C. Wilson, MD, MS, CPE
System Vice President for Clinical Effectiveness and Quality
Norton Healthcare
Moderator:
Speaker Photo Unavailable Deborah Rogal
Lead Program Officer, Pioneer ACO Program
CMMI
2:00 pm -
2:45 pm
PANEL DISCUSSION: Follow the Money -- If You Want to Know What Is Happening in Health Care, Follow The Money
  • Examine the various types of coordinated care programs – and know what to expect from Medicare, state Medicaid and private health plans
  • Understand the politics behind coordinated care programs and why a number of states have balanced their budgets on the promise of savings from coordinated care programs -- and debate what will happen when the savings don’t materialize
  • Strategies to address the legal and practical issues providers and others need to worry about when implementing a coordinated care program with any public or private payer
Eduardo Beruff
Founding Chief Executive Officer, President
eviti, Inc
Stephen H. Cooper
Government Affairs Counselor
K&L; Gates
Jeffrey S. Gold Jeffrey S. Gold
Vice President, Managed Care & Special Counsel
Healthcare Association of New York State
Speaker Photo Unavailable Peter J. Levin, MPH, ScD
Professor, Dean of the School of Public Health
University at Albany (SUNY)
Additional Panelists TBD
2:45 pm -
3:15 pm
Networking and Refreshment Break in the Executive Networking Lounge
3:15 pm -
4:30 pm
KEYNOTE PANEL DISCUSSION: Payer, Purchaser and Provider Perspectives – Evidence Supporting the Redesign of Primary Care
  • Mapping the Triple Aim objectives to a business model and the role of innovation
  • Key communication strategies, engagement and stakeholder alignment
  • What additional resources are necessary to ensure redesigned primary care works and can be sustained?
  • Payment and incentives to support change
L. Allen Dobson, MD
Chief Executive Officer
Community Care of North Carolina
Jean Malouin, MD, MPH
Co-Chair,
Michigan Multi-Payer Advanced Primary Care Practice Demonstration
Raymond J. Zastrow, MD
Chief Medical Officer
QuadMed
4:30 pm -
5:45 pm
KEYNOTE PANEL DISCUSSION: Case Study – A Working Collaborative Accountable Care Model in New Jersey
  • Examine Cigna’s approach to accountable care that makes the patientcentered medical home the foundation on which the triple aim objectives are achieved
  • Discuss ways to engage employers around new ACO and PCMH delivery models
  • Share strategies that are effective at rewarding physicians that meet targets for improving quality and lowering costs in an ACO
Daniel J. Nicoll, MD, FACP
Regional Medical Executive, NE Region
CIGNA
Kevin J. O'Brien
President and Chief Executive Officer
Partners In Care
Laurel Pickering, MPH
President and Chief Executive Officer
Northeast Business Group on Health
5:45 pm -
6:45 pm
Networking, Cocktail Reception in the Executive Networking Lounge