The WHCC 3rd Annual Network and Contract Management Summit for Providers and Payers

Workshop A: Cutting Costs in Employer-Sponsored Health Care

Workshop B: Preparing People and Organizations for the Challenge of Change: Seven Critical Success Factors

Workshop C: The Future of Interoperable Health IT: Direct, eHealth Exchange, and Beyond

Workshop D: Employee Engagement Strategies for HR Professionals

• How does patient churn between plans and provider networks affect the marketplace and patient-provider relationships, and what are possible approaches to overcome problems posed by churn?
• Evolution to a more sustainable Medicare payment system - Will Medicare Advantage replace traditional Medicare?
• What possibilities do employers and plans see in defined contribution and private exchanges?

• Hear how data is impacting traditional care methods
• Explore money-saving innovations that add value
• Apply science and big data to the bedside with genomic medicine

Market Insight A: Patients Take the Wheel: The Road Ahead

Market Insight B: Innovations in ePayment: The Evolving Face of the Virtual Card

Market Insight C: Your Communication Channels Are Broken: Here’s How To Fix Them

• Learn about strategies and models that incorporate risk-sharing between payers and providers: How do these models meet the goals of “pay-for-value” contracting?
• Hear how innovative payment agreements have aligned incentives and financial returns for both parties
• how do providers’ risks align with their potential returns under the shared-savings models?
• Understand how these models calculate and efficiently distribute earned savings

• Understand the growth of bundled payment programs to reduce costs of expensive care
• evaluate the Episode of Care model for oncology: Learn about the benefits, opportunities, and challenges
• gain insight into the emergence of oncology medical homes to achieve payment reform
• Orthopedic bundle: Strategic partnerships essential for success
• Understand its impact on the future of physician and PAC alignment and risk/gain on engagement
• Hear about lessons learned and challenges with shifting paradigm and existing reimbursement models

• Apply engagement techniques to improve payer-provider communication and negotiation
• Leverage data analytics to measure performance
• examine strategic approaches to share real-time data with payers and providers
• Utilize incentives and rewards to enhance and improve provider engagement while focusing on quality outcomes
• use metrics to ensure high-quality care

• Strategic insights from health system, plan, and other leaders transitioning from FFS to value-based care
• Why have some ACOs failed and others succeeded?
• Where is industry experiencing measurable benefits?
• How has the ACO model started disruptive processes for providers, payers, and hospital financing

• Perspective on how the business community can influence delivery reforms
• Approaches to reduce cost by equipping employees to partner in health care decisions
• Uptake and outcomes of financial incentive programs and cost transparency tools

• Economic determinants impacting provider, payer, employer, and supplier business strategies
• How could the ACA Marketplaces be reformed and expanded?
• The potential of market forces to affect pricing, overall cost, and innovation in health care

• Discuss levers that payers, providers, and employers can pull to impact health care cost
• Hear about Rosencare, an employer-led alternative to the ACA that is dramatically reducing cost while providing richer health benefits, and how it can apply to the broader U.S. health system
• Gain insight into trends impacting the cost curve including provider consolidation, utilization, and specialty drug pricing

Market Insight A: Bringing the Amazon Service Experience to Healthcare

Market Insight B: Demand-Driven Customer Engagement Strategies for Payers

Market Insight C: How Telehealth puts the Patient at the Center—Delivering Quality Care, Improving Access, and Reducing the Cost of Care for Everyone

Market Insight D: The Public Health Exchange Experience: A Closer Look at Pharmacy Benefit Use in the First Year

• Evaluate the current status of narrow networks: Strategies payers adopt to select providers
• Observe challenges faced by narrow network providers: Impact of reduced reimbursement rates
• Balance the benefit of reducing premiums with the risk of limited choice for members
• are narrow networks compromising care?

• Identify and implement the most effective ACO model: See how North Carolina payers and providers leverage ACOs to share data and create a value-based contracting system
• Hear about the BCBSMA Alternative Quality Contract model: Lessons learned from contracting with ACOs to reduce cost and improve quality
• Understand the benefits of a collaborative payer-provider effort to implement NCQA/PCMH certifications and achieve quality measures

• A payer perspective on managing costs and adding value to ancillary contracting
• learn about reimbursing services including vision, radiology, managed care, and pharmacy
• Innovations and progress in reimbursing physicians for telehealth
• Payer-provider negotiation strategies and operations in specialty networks
• Utilize ancillary providers as partners to improve HEDIS and star scores

• The missing link in patient care – a focus on compassion
• The move toward a “System for Health” with patient-centered wellness and education

• Impacts of value-driven alliances and partnerships between payers, providers, employers, and suppliers
• Provider consolidation and the future of these affiliations
• The rise of the employed physician and how that changes health care delivery
• Vertical integration of plans and health systems: How is that working?

• Consumer engagement in an era of high-deductibles, narrow networks, and transparency
• Strategies to improve experience and influence choice throughout the consumer journey as purchaser, member, and patient
• Leveraging technology and data to effectively engage members, improve health outcomes, and enhance the member experience

• What does connected mean? Is it theory, tools, or the Consumer Electronics Market (CEM)?
• Explore results of implementing patient engagement tools and the effectiveness of wearables
• How does virtual medicine impact the provider-patient relationship? Where does responsibility begin and end?
• Can the current system adapt or is it poised for a revolution?

Market Insight A: Meet the Demands of Consumerism: The New Importance of Payments

Market Insight B: Creating Harley Davidson Loyalty in a Chronic Care World – What Retail Brands Can Teach Health Care about Consumer Engagement

Market Insight C: Digital and Multi-Channel Outreach: Acquiring, Retaining, and Engaging Consumers in Health Care