8:15 am
8:30 am

Hear firsthand about CMMI’s value-based initiatives and the best practices that are working in the current system.

  • Assess provider accountability, current innovative payment and delivery initiatives, and a greater focus on at-risk primary care models
  • Discuss where innovation is happening and how an organization can participate and speed the adoption of best practices
  • Examine the future of data sharing and collaboration across the care continuum
Sanjay Doddamani
Sanjay Doddamani, MD, MBA
Senior Physician Advisor, Center for Medicare and Medicaid Innovation (CMMI)
Centers for Medicare and Medicaid Services (invited)

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:

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

William Shrank
William Shrank, MD, MSHS
Senior Vice President, Chief Medical Officer
Humana

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:

Mark Gwynne
Mark Gwynne, DO
President and Executive Medical Director
UNC Health Alliance and UNC Senior Alliance

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

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

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

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

2:15 pm

CMMI’s Adam Boehler recently hinted at possibilities for new bundled payment options in post-acute care in order to reduce costs. With a push toward higher acuity, complex patients to move more into the post-acute space, bundled payments provide opportunity to receive the necessary funds to offer quality care.

  • Examine existing bundled payment options for post-acute care and how best to implement them
  • Look into additional episodes of care that could benefit from bundled payment opportunities
  • Consider the balance of shorter length of stay versus quality of care
3:00 pm

Miscommunication in transitions of care from acute to post-acute is one of the costliest mistakes that a care team can make. In order to reduce errors and ensure smooth transitions, your data management systems and electronic health records must share information clearly and completely.

  • Design an infrastructure that makes health data seamlessly available throughout transitions
  • Establish protocols around data entry to limit errors and ensure clean information
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