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Tuesday, August 4, 2009
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10:15 am - 10:20 am
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10:20 am - 11:05 am
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- An overview of the CA P4P model, including program structure, guiding principles, and governance
- P4P measurement evolution: integrating cost and quality of care
- P4P results and lessons learned
- Looking forward, plans for building on a foundation of meaningful performance measurement to remain relevant in a changed marketplace
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11:05 am - 11:50 am
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- Analyzing bundled-payments as a component of health care reform legislations
- Contrasting bundling to existing payment models as a means for improving system-wide effectiveness and efficiency
- Evaluating the potential impact of payment for episodes of care on provider relationships and current organizational structures
- Preparing the provider community to respond and succeed in a changing environment
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Nicholas Wolter, MD
Chief Executive Officer, Billings Clinic;
Former Commissioner, Medicare Payment Advisory Commission (MedPAC);
Member, Board of Trustees, American Hospital Association (AHA)

View Biography
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11:50 am - 1:00 pm
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1:00 pm - 1:45 pm
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- An Update on Aetna's High Performance Provider Initiative (HPPI)
- Fostering strategic partnerships with providers to ensure a bilateral exchange of information
- Current efforts to standardize data across organizations
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1:45 pm - 2:30 pm
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- Moving beyond pay-for-performance to provider contracts that pay for quality and reward efficiencies
- Tying new payment models to evidence-based medicine and comparative effectiveness models
- Development and launch of the Alternative Quality Contract to pay providers for quality and outcomes, not volume and complexity
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