Agenda at a Glance is now available!

Payers are focusing efforts on changing reimbursement methodology away from paying for volume to one that incentivizes for quality over quantity.   Physician engagement is essential for plans to succeed in achieving the goals of cost containment and better quality.  Plans need to align with physicians financially through new payment models; support them with patient specific data as well as population data to help meet HEDIS measures and standards for evidence based medicine; and must support them in disease management and care coordination initiatives in order to achieve better outcomes and increase efficiency. 

• Financial Alignment
  Evaluate new payment methodologies, P4P, alternative quality contracts, incentive structures and other contracting strategies plans are implementing in order to align cost and quality goals of the providers with those of the plans.
  
  
• Data Sharing / Data Integration
  By placing more accountability on the physician to focus on cost containment and quality of care, there is a heavy reliance on data integrity, which should be successfully/easily delivered to the physician by the health plan. 
  
  
• Health & Wellness, Supporting Physician with Consumer Engagement
  Physicians are the key to bending the cost curve – managing chronic conditions, guiding and influencing member behavior (adherence and healthy choices), making the most of the actual healthcare experience, etc. 

2011 Confirmed Speakers
William Bird, MD, DO Vice Chair for Clinical Care Department of Family and Community Medicine Penn State College of Medicine; Associate Chief Medical Officer for Primary Care, Penn State Hershey Medical Group	Andrew Bloschichak, MD, MBA Senior Medical Director, Central PA, Highmark
Elizabeth Curran Head of Network Strategy and Program Development Aetna	Caesar A. DeLeo, MD, MHSA Medical Director Gateway Health Plan
William J. DeMarco, MA, CMC President and Chief Executive Officer Pendulum HealthCare Development Corporation	Tony Dodek, MD Medical Director for Quality and Consultative Services Blue Cross Blue Shield Massachusetts
Judith A. Feld, MD, MPH, FAPA Associate Medical Director, Behavioral Health Independent Health	Randall S. Krakauer, MD, MBA, PhD National Medical Director of Consumer Segment Aetna
Vince Kuraitis, JD, MBA Principal Better Health Technologies, Inc.	Marc Loizeaux, PhD Manager, Provider Analytics and Quality Measurements BlueCross BlueShield of Tennessee
Sheila McCormick Vice President, Consumer Education; Director, College of Health & Wellness CIGNA Corporation	Patricia Merryweather Executive Director IFMC-IL, Medicare QIO for Illinois
Robert Nielsen, MD President and Managing Partner Annville Family Medicine	Thomas Raskauskas, MD Chief Medical Officer Health Plan of Michigan
Cynthia Naper Rosenberg, MD Senior Medical Director, Network Management and Provider Relations UPMC Health Plan	H. Scott Sarran, MD, MM Vice President and Chief Medical Officer Blue Cross Blue Shield of Illinois
Lisa Sasko Director of Clinical Transformation Capital District Physicians’Health Plan	Joel Shoolin, DO, MBA Vice President, Clinical Informatics Advocate Health Care
Christopher Stanley Senior Medical Director UnitedHealthcare CO, NM, WY and MT	Dirk Wales, MD Chief Medical Officer HealthSpring
Jessica Zabbo Provider Health IT Supervisor Blue Cross Blue Shield of Rhode Island