8:15 am
Jeff Henderson
Jeff Henderson
Vice President, Head of Market Access and Government Affairs
Sobi

8:30 am

Calling all health care stakeholders. Join us to hear a firsthand account of CMMI’s current initiatives, future program directions, and the role NQF is playing to ensure that performance measurement lives up to its potential to help organizations achieve the Quadruple Aim in the ever-changing, value-based landscape. Examples of where innovation is happening and lessons learned will be shared from both perspectives. Learn practical considerations that will help you spur the changes you need in multi-payer, value-based arrangements.

Shantanu Agrawal
Shantanu Agrawal, MD, MPhil
President and Chief Executive Officer
National Quality Forum

Sanjay Doddamani
Sanjay Doddamani, MD, MBA
Senior Advisor and Medical Officer
Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services

Moderator:

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

10:00 am

Leading payer organizations lend insight into their goals for value-based contractual partnerships with providers and manufacturers.

  • Explore how payers perceive value and the quality and outcome metrics they want to incentivize for reimbursement
  • Hear examples of the successes and challenges faced as payers, providers, and manufacturers participate in more value-based contracts

Moderator:

John Doyle
John Doyle, PhD
Vice President, Global Healthcare Innovation Lead
PFIZER

Panelists:

Kathryn L. Lueken
Kathryn L. Lueken, MD, MMM, CPE
Associate Vice President, Market/Industry Insights, Chief Medical Organization
Humana

Alefiyah Mesiwala
Alefiyah Mesiwala, MD, MPH
Senior Medical Director, Value-based Care and Innovation
UPMC Health Plan

Anthony Nguyen
Anthony Nguyen, MD
Senior Vice President, Population Health Management
UnitedHealthcare

11:00 am

Population health leaders from leading organizations engage in a revealing discussion on the challenges and issues they confronted while designing and implementing successful APMs.

  • Discuss favorable market conditions, partnership development, and collaboration strategies
  • Learn why a health system or medical group chose these models, including:
    • Medicare ACO
    • Medicare Advantage
    • Commercial shared-risk arrangements
    • Bundled/Episode-based payments
    • Direct-to-Employer contracting
  • Hear about challenges faced and steps to mitigate issues during implementation
  • Discuss what’s next for the evolution of chosen models

Moderator:

Amy Mullins
Amy Mullins, MD, CPE, FAAFP
Medical Director, Quality and Payment
American Academy of Family Physicians

Panelists:

Derek Novak
Derek Novak, MBA
President, Population Health Services Organization
MercyOne (Formerly Mercy ACO)

Gerald Rupp
Gerald Rupp, PhD
Chief Innovation Officer
Fusion5

Devdutta Sangvai
Devdutta Sangvai, MD, MBA
Vice President, Population Health Management
Duke University Health System

Maraya Thorland
Maraya Thorland, MPH
Vice President, Business Development & Performance Management
UNC Health Alliance

12:00 pm
1:15 pm
Rebekah Couper-Noles
Rebekah Couper-Noles, MSN, MHA
Vice President, Chief Nursing Officer, Community-Based Care
Intermountain Healthcare

1:30 pm

Severely ill Medicare Advantage patients are unable to travel for regular checkups. Without regular primary care, health care organizations run the risk of poorer outcomes and admissions. By determining the beneficiaries who can benefit from primary care at home, patients can receive the care they need where they are comfortable and health care organizations can limit costs.

  • Examine how health systems can grow a primary care-at home capability organically
  • Discuss how to best incorporate and negotiate primary care-at-home into MA plan design
Clive Fields
Clive Fields, MD
President
Village MD Houston

Gary Jacobs
Gary Jacobs
President Village Medical Home, Government Affairs
VillageMD

Neil Wagle
Neil Wagle, MD, MBA
Chief Medical Officer
Devoted Health

2:15 pm

Starting in October, the Patient-Driven Payment Model (PDPM) and the Patient-Driven Groupings Model (PDGM) will drastically change how post-acute care will be reimbursed by CMS. In order to achieve the most reimbursement possible and maintain financial solvency, health care organizations must be prepared to work within the new guidelines.

  • Discuss how the PDPM and PDGM affects how post-acute care is currently run
  • Identify new opportunities for increased reimbursement under new payment models
Grace Pereira
Grace Pereira
Vice President, Non-Acute Clinical Services
Ballad Health

3:00 pm

Shared Session

The kidney care community is collectively effective at driving improvement and achieving savings for a complex, chronically-ill end-stage renal disease (ESRD) patient population.

  • Illustrate the exciting dynamics at play, in particular the President’s Executive Order, and the potential to transform kidney care through specialized high-risk patient, value-based models
  • Examine DaVita’s role in advancing integrated care programs and how ESCOs can serve as a foundation to improve performance in other value-based models
  • Dive into care management strategies and innovations that are effective at driving clinical improvement
  • Discuss the future of kidney care and implications for other value-based programs
Nathan Lohmeyer
Nathan Lohmeyer
Vice President, Integrated Kidney Care and Government Programs
DaVita

4:15 pm

In order to reduce costs and the overall quality of care, home health provides a great opportunity for patients to receive quality care but in a much more comfortable setting.

  • Work together to resolve physical and financial challenges on both sides of the hospital/post-acute partnership
  • Streamline operations to create efficient movement and access to home health
Kerry Gillihan
Kerry Gillihan, MHA, DSc, FACHE
President, Chief Executive Officer
Vanderbilt Home Care Services

5:00 pm

Keeping patients healthy and at home is best way to achieve the clinical and financial goals of value-based care. Programs that incorporate traditionally hospital-based services as part of home health lower costs and provide a better quality of life for chronically ill patients.

  • Identify clinical services that can be delivered at home in an easy and cost-effective manner
  • Determine the appropriate patient populations for hospital-at-home services to get the best bang for your buck
Rebekah Couper-Noles
Rebekah Couper-Noles, MSN, MHA
Vice President, Chief Nursing Officer, Community-Based Care
Intermountain Healthcare