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Tuesday January 24, 2006

TRACK TWO: MANAGING MEDICAL COSTS, MEDICAL SYSTEM IMPROVEMENT & QUALITY

Chair:
 
Laurel Pickering
Executive Director
New York Business Group on Health

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9:45 am
Care-Focused Purchasing and the Impact on Quality
Session attendees will hear about the Care-Focused Purchasing inititiave and its impact on:
  • Improving the quality and effectiveness of care and delivery of health-care services
  • Building an effective consumer-driven market with transparency
  • Standardized performance measures of quality and efficiency
Peter Hayes
Benefit Strategist
Hannaford Foods
11:15 am
The Benefit-Based Copay: Using Outcomes Research to Get Prescription Drugs to People Who Need Them
  • Examine the relationship between cost sharing and adherence with prescription drugs.
  • Discuss the potential disconnect between investment in disease management initiatives and individual cost sharing.
  • Explore the potential of a cost- sharing program for which copays are based on a drug’s clinical benefit — not cost — to prioritize patients’ out-of-pocket drug expenditures based on the value, not price, of their medications.
A.Mark Fendrick MD
Professor, Internal Medicine and Health Management & Policy
University of Michigan School of Medicine Co-Editor in Chief
American Journal of Managed Care

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David Hom
Executive Director, Human Resources
Innovations and Employee Communication
Pitney Bowes

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12:15 pm
Keynote Luncheon — See Plenary Keynote Presentations page for further information
1:45 pm
Incorporating Six Sigma Benefits and Health Productivity Initiatives
Delegates will hear about how to:
  • Apply six sigma to health & productivity management
  • Change corporate culture with efficiency and continual business process improvement
  • Ensure plan design are meeting member needs
  David B. Robinson
Six Sigma Master Black Belt
Dominion Resources Services
2:45 pm
Managing Employees with High-Risk Factors Associated Metabolic Syndrome and Disease
Metabolic disease, a collection of health risks that increases the chance of developing heart disease, stroke, and diabetes, has become increasingly common in the United States, with an estimated 47 million U.S. adults having it. It is imperative that benefit professionals and corporate medical directors understand the underlying causes, major prevention methodologies and treatment options for employees that that have and are at high risk of this prevalent and dangerous condition.
Samuel Cramer MD
Vice president of Clinical Programs
Health Management Corporation
John Miall
Former Risk Manager
City of Asheville
American Pharmacists Association(APhA)Foundation

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4:15 pm
Government and Policy Keynote Presentation — See Plenary Keynote Presentations page for further information

Wednesday January 25, 2006

Chair:
 
Laurel Pickering
Executive Director
New York Business Group on Health

 View Biography
 
8:15 am
Special Keynote Address — See Plenary Keynote Presentations page for further information
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9:30 am
An Integrated Approach to Support Health, Healthy Employees and a Healthy Bottom Line
  • Innovative and achievable strategies to improve quality health care while moderating costs
  • Encouraging consumers to make prudent healthcare choices with better about quality providers
  • Preventing excessive and redundant consumption of healthcare resources that result in undertreatment of risk factors and predictable conditions
  Annette King
Director of Benefits
Starbucks

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Ron Sims
King County Executive
King County, State of Washington & The Puget Sound Health Alliance
11:00 am
QI, Cost Control & Clinical Information: The Value of Pay for Performance and Provider Scorecard Initiatives
The current U.S. healthcare reimbursement system offers little incentive for providers to practice quality healthcare. Pay for Performance programs attempt to reign in healthcare costs by rewarding the best providers and ultimately improving healthcare quality. Attendees will be able to take away:
  • A thorough understanding of pay for performance and its potential to control rising costs of health care while improving healthcare quality
  • Techniques to ensure use pay for performance programs lead to predictable budget forecasting and consistent healthcare cost and delivery
  • Ways to implement performance measures that include standards on patient satisfaction, prevention, chronic care management and information technology
Tom Davies
Chairman, IHA Board of Directors
Integrated Healthcare Association

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Neil DeCrescenzo
Vice President, Global Healthcare
IBM
12:00 pm
Joint Private-Public Initiatives that Promote Health Prevention and Impact Quality
  Stephen J. Brown
President and Chief Executive Officer
Health Hero Network

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Darlene C. Collins
Managing Director
Psilos Group Managers

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  Joyal Mulheron
Senior Policy Analyst, Health Division
National Governors Association

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1:00 pm
Closing Keynote Presentation
2:00 pm
Close of Conference
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