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Dr. Klar's perspectives on "Saving the Shared Savings Program (ACOs)" have been featured "In The News" by Health Affairs as a three-part blog series on their website in May and June, following his critical assessment for them of the proposed rule that was posted on April 7. Having participated in both the legislative and regulatory evaluations of ACOs for CMS, and the considerations of becoming one by a major academic medical faculty, his insights as to the opportunities and obstacles will be timely and helpful to all contemplating participation or pursuing alternatives.

OPENING KEYNOTE ADDRESS: Opportunities and Obstacles - Assessing Accountable Care and Shared Savings Programs
  • Identify the principles of "accountable care" that are likely to be applicable to future "value-based" contracting arrangements
  • Review the CMS ACO regulations and highlight issues of controversy and probable reconsideration
  • Discuss the features of "shared savings" that could be applicable to payer-provider contracting without becoming an ACO"
Ronald M. Klar, MD, MPH
President,
Health Services Analysis, Inc., Washington, DC 

The World Congress 2nd Annual Leadership Summit on Managed Care Contracting and Reimbursement Strategies convenes health plans and providers to discuss the future of managed care contracting in the new era of healthcare. Through a nuts and bolts analysis of contract negotiation and careful examination of emerging models of health care and reimbursement, this summit addresses the necessary preparations needed to maintain current business models, while building foundations for rising platforms.

Prepare for the New Era of Healthcare:

  • Build Partnerships, remain competitive, decrease costs and improve efficiencies
  • Increase the value of your contracts
  • Maximize your strategic position and leverage price and reimbursement methodologies
  • Evolve network management and efficiency, address changes in payment reform, coordinate for newer models of care delivery and enhance member enrollment 

By ATTENDING this Summit, you’ll be able to:

  • Build Partnerships, remain competitive, decrease costs and improve efficiencies
  • Maximize your strategic position and leverage price and reimbursement methodologies
  • Evolve network management and efficiency, address changes in payment reform, coordinate for newer models of care delivery and enhance member enrollment 
  • Manage and control risk – full analysis of risk management from both a payer and provider perspective
  • Understand and prepare for new care models and gain a full understanding of the new payment models and structures
2011 Confirmed Speakers
 
Mark E. Austin Mark E. Austin
Senior Vice President, Provider Network Management
Blue Cross BlueShield of Tennessee
 
Kathryn Burke Kathryn Burke
Vice President of Contracting and Business Development
Mount Auburn Hospital
 
Leslie S. Cavicchi Leslie S. Cavicchi, MPA, NHA
Vice President, Managed Care Services
Genesis HealthCare Corporation
 
Jeffrey S. Gold Jeffrey S. Gold
Vice President, Managed Care & Special Counsel
Healthcare Association of New York State
 
Jim Hickey
Regional Vice President, Network Management
Unicare
 
David A. Kadish David A. Kadish
Vice President Contracting
MVP Health Care
 
Ronald M. Klar, MD, MPH
President,
Health Services Analysis, Inc., Washington, DC
 
Ruth C. Levin
Managing Partner
Managed Care Revenue Consulting Group, LLC;
Former Corporate Senior Vice President, Managed Care
Continuum Health Partner, Inc.
 
Michael C. McMillan
Executive Director, Market and Network Services
Cleveland Clinic
 
John Prassas
Vice President, Network Management
CIGNA
 
Sam J.W. Romeo Sam J.W. Romeo, MD, MBA
Medical Director
Accreditation Association of Ambulatory Care (AAAHC)
 
Craig E. Samitt Craig E. Samitt, MD, MBA
President and Chief Executive Officer
Dean Health System
 
H. Scott Sarran H. Scott Sarran, MD, MM
Vice President and Chief Medical Officer
Blue Cross Blue Shield of Illinois
 
Debbie Welle-Powell
Vice President, Payer Strategies/Legislative Affairs
Exempla Health Care
 
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