Live Chat Software The 15th Annual World Health Care Congress
Live Chat Software

9:00 am
9:01 am

There is a crop of new health care companies that deliver predictably better health outcomes and/or at lower cost than conventional approaches in high value niches of clinical, financial, and administrative risk.

This workshop brings together vendors, benefits advisers, and purchasers to discuss the dynamics, barriers, and potential within this sector.

Workshop Leaders:

Dave Chase
Dave Chase
Institute CEO and Group Cofounder, Health Rosetta; Author: The CEO’s Guide to Restoring the American Dream

David Contorno
David Contorno
President
Lake Norman Benefits

Fred Goldstein
President
Accountable Health, LLC

Scott Haas
Senior Vice President
USI Insurance Services

Brian Klepper
Brian Klepper, PhD
Principal
Worksite Health Advisors

Lee Lewis
Lee Lewis
Assistant Vice President and Managing Director, Innovation Lab Practice
Arthur J. Gallagher

Edward Smith
Executive Vice President
Hutchinson Traylor

Richard Sutton
Richard Sutton
Employee Benefits Consultant
RE Sutton & Associates

9:02 am

Attend this workshop and learn the ABC's of the drug contracting process, starting with the manufacturer. Learn how discounts, formularies, and rebates work and take control of your drug spend. Leverage strategies used by the pharma supply chain in your favor rather than the other way around.

Workshop Leaders:

Pramod John
Pramod John
Chief Executive Officer
Vivio Health

9:03 am

Targeted risk management modules inevitably give way to platforms that integrate solutions to high value clinical, financial, and administrative risks that define health care.

In this workshop, get a close look at the challenges and results of an early effort that incorporates advanced analytics, worksite primary care, musculoskeletal management, and other capabilities.

Workshop Leaders:

Chad Gray
Chad Gray, PT
Cert. MDT, Chief Executive Officer
Integrated Mechanical Care (IMC)

Igor Kozunov
Igor Kozunov, MBA, MHA
Chief Executive Officer
Wellness For Life Medical, LLC

11:30 am
12:30 pm
12:30 pm

This case-based MasterClass explores the drama and trauma of daily management, including resistance to change. Discuss critical success factors that transform professionals into more effective leaders, who in turn distinguish their organizations as industry frontrunners. Understand pre-conditions for higher productivity and performance – more speed and lower cost – based on theory and practical examples. A unique highlight of the workshop is a case discussion about healthier leadership and our responsibilities to ourselves, to others, and to our change initiatives.

  1. Engage in a provocative case discussion that challenges participants’ decision-making process
  2. Explore several enablers that transform individuals into leaders who create a unique and adaptable competitive advantage
  3. Understand the tie-in between these pre-conditions for change and the ability to successfully launch, lead, and realize value from change initiatives.

This live activity is eligible for 3.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity and 3.0 contact hours through the Florida Board of Nursing, Provider # 50-94.

Workshop Leaders:

David A. Shore
David A. Shore, PhD
Faculty, Harvard University; Former Associate Dean
Harvard University School of Public Health
Distinguished Professor of Innovation and Change
Tianjin University of Finance and Economics (China)

12:30 pm

This workshop explores new models of collaboration that address health system sustainability. Across the world, states and cities face huge health and social care challenges in an environment of increased patient expectations and economic challenges. Solutions require concerted action, imaginative policies, and innovative partnerships harnessing academic, industry, government, health, and social care resources to discover, develop, and deliver accelerated health care innovation. In this workshop, attendees explore, debate, and discuss optimal models of collaboration.

  1. Hear innovative health system and industry perspective
    1. Development of a health innovation district in Greater Manchester, the first fully devolved and integrated health and social care system in the UK
    2. Progress and lessons-learned in forging new strategies and partnerships to tackle local and global challenges of financial sustainability
  2. Industry case study
  3. Open discussion and debate of optimal models of collaboration

This workshop paves the way for a wider European and worldwide perspective on health system sustainability at the World Health Care Congress (Europe) in Manchester, UK on March 5-7, 2019.

Workshop Leaders:

Jackie Oldham
Jackie Oldham
Director Health Innovation
Manchester’s Oxford Road Corridor, UK

12:30 pm

This workshop convenes HR and benefits executives from self-insured employers, brokers, TPAs, and benefits consultants to discuss strategies to maximize employee health care value while reducing costs. Engage in an in-depth discussion on how to:

  • Modify benefit design to improve health outcomes
  • Explore partnerships with brokers and TPAs to develop cost-saving programs
  • Examine direct contracting models that significantly reduce the financial burden while optimizing care delivery

Workshop Leaders:

Brian Klepper
Brian Klepper, PhD
Principal
Worksite Health Advisors

James R. Napoli
James R. Napoli
Chief Executive Officer and General Counsel
Medliminal, LLC

Heath Potter
Heath Potter
Senior Vice President
6 Degrees Health

Scott Ray
Scott Ray
Founder and Chief Executive Officer
6 Degrees Health

Ryan Schmid
Ryan Schmid
Co-Founder, President and Chief Executive Officer
Vera Whole Health

12:30 pm

Status quo employee benefits agencies produce status quo results in benefits along with renewal and annual premium increases. It is time to bring innovation to the benefits marketplace. In this workshop,

  • Know what it takes to transform into a next generation benefits firm
  • Explore new business models and disrupt the benefits industry
  • Learn how to improve employee benefits and reduce health care costs for your clients

Workshop Leaders:

Nelson L. Griswold
Nelson L. Griswold
President, Bottom Line Solutions, Inc.; Author, DO or DIE: Reinventing Your Benefits Agency for Post-Reform Success

12:30 pm

This workshop explores a data-driven partnership approach to community health.

  • Case study of how a 10-hospital health system and community partners are improving outcomes
    • Discuss the groundwork for a successful partnership
    • Connect individuals with additional means to access both clinical and non-clinical services
  • Understand how the partnership uses a population health approach and leverages data pre- and post-service
    • Use data to understand ROI
    • Develop a long-term follow up program via data
  • Discuss critical data points to collect including common metrics and changes in self-efficacy
    • How do changes indicate the value of the program?

Workshop Leaders:

Dawnavan S. Davis
Dawnavan S. Davis
Assistant Vice President of Community Health
MedStar Health

Leigh Ann Eagle
Leigh Ann Eagle
Executive Director, Living Well Center of Excellence (LWCE)
Mac, Inc

Sue Lachenmayr
Sue Lachenmayr
State Program Coordinator, Living Well Center of Excellence
MAC, Inc.

Marisa Scala-Foley
Marisa Scala-Foley
Office of Integrated Care Innovations, Center for Integrated Programs, U.S. Administration for Community Living
US Health and Human Services

12:30 pm

Wonder whether your wellness program delivers savings and results? Want to make sure you are choosing programs with the highest impact and best savings? In this workshop, find answers to the above questions and walk away with:

  • Useful, practical tools to discern high-value from hype
  • Scientific methods to assess a vendor’s ROI promises
  • Confidence to make great choices for your wellness programs

Understand population health metrics, how measures work, and the role of measure stewards. Learn from case studies, engage in small group discussions, and gain strategies to maximize savings.

Workshop Leaders:

Al Lewis
Al Lewis, JD
Chief Executive Officer
Quizzify

Linda K. Riddell
Linda K. Riddell
Population Health Scientist and Independent Validator
Care Innovations™ Validation Institute

12:30 pm

With the global health care market expanding, and health care consuming a growing proportion of the GDP in most countries, discussions about health care are consuming a larger share of popular attention and media coverage. Those responsible for paying for health care, managing its delivery and determining policies to assure quality and outcomes have been caught up in these debates, discussions and public arguments.

Politics and rhetoric aside, there is much that countries, jurisdictions, providers and regions can learn from each other about how best to manage the transition from volume-based, fee-for-service care to value-based health care. Consumers traveling for medical services from one location to another – “medical travelers” – may be paving the way for an international exchange of ideas that will ultimately benefit insurance companies, intermediaries managing care, providers delivering care and governments overseeing health care. The markets have moved faster than the legacy systems which are responsible for funding, managing and delivering healthcare.

This Masterclass provides insights into these topics: Hosted by:

  • Medical travel and tourism market review
  • Employer funded medical travel
  • U.S.providers and medical travel
  • Legal issues: Liability and jurisdiction
  • Marketing medical travel
    

Workshop Leaders:

Pamela Frank
Pamela Frank
Director, International Services
Children’s Mercy Kansas City

Keith Pollard
Keith Pollard
Managing Editor
International Medical Travel Journal

Dutch Rojas
Dutch Rojas
President
Sano Surgery

Irving Stackpole
Irving Stackpole
President
Stackpole & Associates

Steve Weiner
Steve Weiner
Partner
Mintz, Levin, Cohn, Ferris, Glovsky and Popeo

12:30 pm -
3:30 pm

Connect with leading digital health startups that have promising innovations that is expected to have a big impact on the industry at large. Our pitch competition consists of 8 vetted startups with traction who deliver pitches to a panel of diverse investors.

Hosted by:

3:00 pm
3:30 pm
3:55 pm
Ian Morrison
Ian Morrison
Author, Consultant, and Futurist

4:00 pm
  • Data-driven discussion of how a large employer has radically improved employee health and reversed chronic illness
  • Exploration of a healthy eating program – How has it evolved? What is the next generation?
  • The importance of top-down leadership to create sustainable change
John Mackey
John Mackey
co-Founder and Chief Executive Officer, Whole Foods Market; Author, The Whole Foods Diet: The Lifesaving Plan for Health and Longevity; Founder, Whole Planet Foundation

4:40 pm
Devi Prasad Shetty
Devi Prasad Shetty, MD
Founder and Chairman
Narayana Hrudayalaya Hospitals (India)

5:00 pm
  • Rationale for posting prices and background
  • Categories of buyers: those who care and those who don’t care about cost
  • Industry shortcomings in fulfilling the promise of price transparency
  • Good news of price competition is spreading
G. Keith Smith
G. Keith Smith, MD
Co-founder
The Surgery Center of Oklahoma

5:20 pm

Master of Ceremonies

Ian Morrison
Ian Morrison
Author, Consultant, and Futurist

6:20 pm
7:20 pm
Monday, April 30, 2018
7:00 am
7:20 am
8:10 am
Ceci Connolly
Ceci Connolly
President and Chief Executive Officer
Alliance of Community Health Plans

8:15 am
  • Strategies that meet evolving consumer needs and hold the potential to drastically reduce systemic costs
  • Population health initiatives that emphasize consumer views and feedback to revamp care
  • Connected health – Technology enabling targeted care for costly patients when and where they need it
  • The power of behavior change – Apply feedback and let the consumer lead
Phil Jackson
Phil Jackson
Chief Executive Officer, Health Plan Products
Sutter Health

Paul Kusserow
Paul Kusserow
President and Chief Executive Officer
Amedisys

Karen Springer
Karen Springer
President, Healthcare Operations
Ascension Healthcare

Matt Wallaert
Matt Wallaert
Chief Behavioral Officer
Clover Health

Moderator:

Ceci Connolly
Ceci Connolly
President and Chief Executive Officer
Alliance of Community Health Plans

9:05 am
  • Cross-sector views of persistent and systemic challenges in U.S. health care and how those trickle down and impact individuals
  • Opportunities for business leaders from payer, employer, pharma, and other stakeholder groups to collaborate and realize better outcomes
  • Barriers to aligning incentives around determinants of health
  • Innovation from beyond our borders – replicable examples of excellence
Akram Boutros
Akram Boutros, MD
President and Chief Executive Officer
MetroHealth

Martin Otto
Martin Otto
Current Board of Director and Former Chairman National Association of Chain Drug Stores (NACDS);
Chief Operating Officer
H-E-B

Harold L. Paz
Harold L. Paz, MD
Executive Vice President and Chief Medical Officer
Aetna

William Shrank
William Shrank, MD
Chief Medical Officer
UPMC Health Plan

Moderator:

Ian Morrison
Ian Morrison
Author, Consultant, and Futurist

10:05 am
10:45 am
10:46 am
  • Understand the benefits of integrating Molecular Markers into a cost-effective and comprehensive evaluation of thyroid nodules
    • Overcome clinical challenges including “indeterminate” results for more streamlined testing and patient care
  • Understand evidence supporting the use of Next Generation Sequencing (NGS) markers applied to indeterminate thyroid cytology
  • Identify which patients are a match for this testing and understand the impact on clinical management and outcomes
  • Understand the cost-effectiveness of NGS applied to thyroid nodule evaluation

Moderator:

Heidi L. Gautier
Heidi L. Gautier
Director of Strategic Markets
CBLPath, a SONIC Healthcare Company

Panelists:

Bryan McIver
Bryan McIver, MD
Deputy Physician-in-Chief
Moffitt Cancer Center

Yuri E. Nikiforov
Yuri E. Nikiforov, MD
Vice Chair, Department of Pathology; Director, Division of Molecular & Genomic Pathology
University of Pittsburgh

10:47 am
  • Understand how lowering prescription costs for consumers creates a significant savings opportunity for health plans and employers
    • Explore case study implementation and savings results
  • Understand analytics that simplify pharmacy choices and make costly medication regimens affordable
    • How does the tool integrate with your existing programs?
  • Provide real-time, cost-saving choices to members and employees
  • Customize according to benefit plan; stay in plan, consider tier
  • Explore the impact on member and employee behavior
Michael Rea
Michael Rea
Chief Executive Officer
Rx Savings Solutions

Greg Sweat
Greg Sweat, MD
Chief Medical Officer
Blue Cross and Blue Shield of Kansas City

10:48 am
  • The growing Medicare Advantage opportunity for US health systems and health plans
  • Why US health systems are entering the market at an unprecedented rate
  • The challenges of winning in MA
  • Key capabilities necessary to succeed
  • Options for entering the MA market
Gene Cronin
Gene Cronin
Vice President
Priority Advantage

Donald Tuitel
Donald Tuitel
Director, Business Development
Priority Advantage

10:49 am
  • Discuss strategies to reduce and control specialty drug costs
  • Ensure safe use of specialty drugs
    • Align dispensing quantity with FDA-approved dosage guidelines
    • Implement prior authorization and step therapy to monitor drug use
  • Leverage cost-effective contracts to minimize unnecessary spend
  • Align medical policies with drug manufacturer requirements to maximize savings

Speaker TBA

10:59 am
11:35 am
11:37 am
  • Understand the value and impact of creating a holistic well-being culture in the workplace
  • Examine the VOI and ROI of addressing physical, social, mental, and community wellness
  • Gain strategies to engage employees and motivate them to take control of their health and wellness
Brooke Brownlow
Brooke Brownlow
Group Vice President, Total Rewards
H-E-B

Martin Otto
Martin Otto
Current Board of Director and Former Chairman National Association of Chain Drug Stores (NACDS);
Chief Operating Officer
H-E-B

11:37 am
  • Learn how a global employer with 5,000 + U.S. employees significantly reduces health care costs with on-site primary care
  • Understand how on-site health care centers can save current and future dollars by delivering the right care, at the right time, and in the right setting
    • Examine benefits including enhanced care delivery, reduced ER visits and hospitalizations, and decreased claims and pharmaceutical costs
  • Build a workplace culture that values and invests in on-site health care for employees and their families
    • Determine what metrics make sense for employers based on their culture, business model, and perceived workforce value
Gale Adcock
Gale Adcock, RN, FNP
Chief Health Officer
SAS Institute

11:37 am
  • Learn about a self-insured employer's solution to improve health care for its U.S. employees
  • Understand important steps to take when building a customized, high-performance accountable care network
  • Gain strategies to collaborate with local providers
    • Design an incentive structure based on quality of care and improved outcomes over a period of time
    • How are these contracting models evolving?
  • Explore the key drivers of success
    • Enhance care coordination for the chronic populations with dedicated teams
    • Implement a concierge approach to guide patients every step of the way and improve patient satisfaction
    • Ensure EHR interoperability across the entire network
    • Develop employer and providers relationships that are built on innovation, collaboration, and trust
    Angela Mitchell
    Angela Mitchell
    US Health Care Delivery Service Program Manager, Global Health and Wellness
    Intel

11:37 am
  • Discuss strategies to move toward value-based care delivery
  • Examine the growing role of TPAs and brokers to meet consumer needs and provide quality care at affordable prices
  • Shift the TPA role from a claims administrator into a full-service consumer engagement entity
    • Enhance TPA value with investments in technology
  • Understand the importance of employer, provider, and TPA partnerships to make data-centric decisions
Dave Chase
Dave Chase
Institute CEO and Group Cofounder, Health Rosetta; Author: The CEO’s Guide to Restoring the American Dream

Vincent Esposito
Vincent Esposito
Chief Operating Officer
Endeavor Plus, Inc.

Lee Lewis
Lee Lewis
Assistant Vice President and Managing Director, Innovation Lab Practice
Arthur J. Gallagher

Josh Luke
Dr. Josh Luke, PhD
Healthcare Futurist; Faculty, University of Southern California;
Contributor, Forbes; Author, Health-Wealth: Is Healthcare Bankrupting Your Business? 9 Steps to Financial Recovery

Moderator:

Adam Russo
Adam Russo, Esq.
Co-Founder and Chief Executive Officer
The Phia Group

11:37 am
  • Strategy to engage top-level financial decision makers
    • How do top advisers engage the CFO or CEO?
  • Learn how advisers engage and build relationships with C-suite executives
    • Birds-eye view into how these critical conversations unfold and value-propositions used
Gary Bender
Gary Bender
Chief Financial Officer
SISD Inc.

Craig Lack
Craig Lack
President
ENERGI

Andy Neary
Andy Neary
Healthcare Strategist
The Olson Group

Tim Olson
Tim Olson
President and Managing Partner
The Olson Group

Brian Tolbert
Brian Tolbert
Principal & Benefits Practice Leader
Bernard Health

11:38 am
  • Who’s in and who’s out?
    • What’s really going on in the medical travel market?
    • Why has it failed to deliver on the early expectations?
    • What does the future hold?
  • Will medical travel ever make it to the mainstream?
    • Is "medical travel" a business, industry and/or sector by any reasonable and agreed-upon definition
    • What are the reasonable limitations to the growth or eventual size of the medical travel markets
    • What are the parameters to be monitored regarding the size or growth of this market
Keith Pollard
Keith Pollard
Managing Editor
International Medical Travel Journal

Irving Stackpole
Irving Stackpole
President
Stackpole & Associates

11:39 am
12:20 pm
12:21 pm

* This session is available only to attendees of the Medical Travel Track

  • The changing global landscape in the cross border purchasing of health care services including international trends as well as transactional pillars that remain the same
  • The blurring of the lines between consumer driven “medical tourism” and the role of governments and private sector in purchasing and selling health care services
  • Effective strategies that work for governments and providers are revealed based on practical experience to deliver health care services essential to healthy populations
Graham Elderfield
Graham Elderfield
International Healthcare Consultant
Glenfield Consulting

Michele Forzley
Michele Forzley
Director
Forzley & Associates

Elizabeth Ziemba
Elizabeth Ziemba
President
Medical Tourism Training

1:40 pm
1:42 pm
  • Establish an enterprise-wide health and well-being infrastructure of support
  • Develop a grassroots, user-centric, habit-based workforce well-being program
  • Link engagement with well-being to reward healthy habits and sustain behavior change
  • Integrate traditional and non-traditional health and well-being resources to achieve optimal results
  • Create robust metrics to demonstrate an impact on employee’s quality of life
Nebeyou Abebe
Nebeyou Abebe, MA, PMP
Senior Director, Health and Well-Being
Sodexo North America

1:42 pm
  • Discuss population trends in mental health and substance abuse disorders
  • Gain strategies from GE Appliances to bolster workplace behavioral health and wellness programs
    • Examine the importance of plan design
  • Leverage public health collaboration to offer educational materials for employees and support early detection of mental health issues
  • Strengthen the EAPs role to personalize behavioral health programs
    • Utilize worksite clinics to offer coaching and counseling sessions
    • Work with employees to determine treatment plan
    • Explore telemedicine to connect employees with behavioral health specialists and provide on-demand care
Diana Han
Diana Han, MD
Chief Medical Officer
G.E. Appliances, a Haier Company

1:42 pm
  • Transform care delivery: Launch an employer-led COE for medical procedures including cardiovascular and hip and knee replacements
  • Offer employees access to high-quality providers and effectively negotiate bundled payments
    • Understand operational requirements
    • Evaluate financial savings
  • Learn from an employer about identifying the right providers, site-selection for medical travel, challenges, and lessons-learned
  • Gain strategies to engage employees and motivate them to use COE sites
    • Examine employee satisfaction rates and reductions in out-of-pocket costs
    Marcus Osborne
    Marcus Osborne
    Vice President, Health & Wellness Transformation
    Walmart

    Olivia Ross
    Olivia Ross
    Associate Director, Employers Centers of Excellence Network (ECEN)
    Pacific Business Group on Health (PBGH)

1:42 pm
  • Incentivize brokers based on performance to efficiently meet employee needs and enhance quality
  • Align broker/TPA compensation and rewards with employer goals and effectively manage cost
    • Increase revenue and drive innovation
  • Learn how employers, providers, and TPAs can collaborate to design performance-based contracts: How does collaboration benefit all parties?
David Contorno
David Contorno
President
Lake Norman Benefits

Valerie Maziarz
Vice President, Human Resources
SavATree

1:42 pm
  • Explore the imperative to align adviser incentives with employers
    • Impact on health care cost containment and the potential for innovation
  • Learn how advisers use performance-based compensation to move their chair to the client’s side of the table
Mick Rodgers
Mick Rodgers
Principal and Managing Partner
Axial Benefits Group

John Sbrocco
John Sbrocco
Founder
Questige Consulting

Scott Wood
Partner
Benefit Commerce Group

1:43 pm
  • Malaysia: A sustainable medical travel destination
    • The role of a public-private government agency (Malaysian Health Travel Council) in the development of a successful inbound medical travel business
    • Lessons learned in coordinating private provider interests with a broader government agenda
    • Maintaining and improving quality across a portfolio of private providers
  • Build an international brand
    • How do patients pick and choose a destination? A hospital? A doctor or a clinic?
    • Could it have something to do with reputation? And if so, who’s reputation?
    • How do you build the next Cleveland Clinic or Johns Hopkins brand?
Sherene Azli
Sherene Azli
Chief Executive Officer
Malaysia Healthcare Travel Council (MHTC)

Ilan Geva
Ilan Geva
Managing Director
Ilan Geva and Friends

1:44 pm
2:30 pm
2:32 pm
  • Learn how to effectively assess the energy and health of your organization
  • Identify key programs, best practices, and lessons-learned that can positively impact the overall health and energy of your population
    • Examine the factors when developing well-being programs
  • Integrate health and well-being into business processes
Jason Morgan
Jason Morgan
Senior Manager, Health and Well-Being
Mars, Inc.

2:32 pm
  • Learn how to align well-being initiatives using worksite clinics as whole health hubs to drive health outcomes, improve productivity and retention, and cut costs
  • Hear from diverse organizations on how they effectively apply a systems-based approach to achieve and sustain healthy behaviors
  • Discuss how integrating services (and data) across wellness initiatives – including on-site coaching, fitness programs, and health councils – motivates employees and drives engagement
Jennifer Sargent
Jennifer Sargent
Chief Revenue Officer
Vera Whole Health

Nicole B. Stec
Nicole B. Stec, MBA
Employee Health and Wellness Manager
City of Mesa

2:32 pm
  • Consider an outpatient surgery model to provide quality care and lower cost
  • Partner with certified physicians to enhance treatment and reduce return-to-work time
    • Set a bundled rate to ensure cost savings
    • Adopt a concierge approach and provide hassle-free care pre- and post-surgery
  • Leverage telemedicine to ensure patient-doctor connectivity and on-demand care delivery
Suzanne Webb
Suzanne Webb
Founder and Chief Executive Officer
Esurgeries.com