The World Congress Leadership Summit on Clinical Integration and Care Coordination
Educational Underwriters
Strategic Partners
Partner
Affiliation Partners
Health Plan Market Trends Letter
WHCC Health Innovations

Day 2

Friday, May 18, 2012
7:00 am -
8:00 am
Registration and Welcome Coffee in the Executive Networking Lounge
8:00 am -
8:15 am
Co-Chairperson’s Welcome and Day Two Opening Remarks
Jeffery Epstein Jeffery Epstein, MD
Medical Director
Continuum of Care Department
Morristown Medical Center
Dennis R. Horrigan Dennis R. Horrigan
President and CEO
Catholic Health Partners
8:15 am -
9:00 am
Building a Care Coordination Program in a Distributed Physician Network-Results, Cost and Key Learnings
  • Identify the key staff competencies for care coordination
  • Measure results using clinical, patient focused and utilization metrics
  • Learn what care coordinators training needs are and how physicians view embedding care coordinators in private practice
Dennis R. Horrigan Dennis R. Horrigan
President and CEO
Catholic Health Partners
9:00 am -
10:00 am
KEYNOTE PANEL DISCUSSION: Bundled and Risk-Based Payments – A Roadmap Toward Clinical Integration and an ACO
  • Steps on how to get started with bundled payments from a hospital system that implemented bundles 1 ½ years ago
  • Evaluate results from a 5-year, hospital-wide gain-sharing model successful at demonstrating $42 million in cost savings and quality outcomes
  • Discuss how existing gain-sharing programs can be scaled up to realize more savings across the health care system
Stuart Guterman Stuart Guterman
Vice President, Payment and System Reform;
Executive Director, Commission on a High Performance Health System
The Commonwealth Fund
Michael Leitman, MD, FACS
Chief of General Surgery and Program Director, Chief of Graduate Medical Education, Designated Institutional Official.
Beth Israel Medical Center;
Professor of Clinical Surgery,
Albert Einstein College of Medicine
10:00 am -
10:15 am
Networking and Refreshment Break in the Executive Networking Lounge
10:15 am -
11:00 am
ACO Collaboration to Bridge the Gulf between Fee-for-Service and Paying for Value
  • Develop an approach that supports all payers, all populations and all employer segments
  • Build the capabilities critical to enabling an ACO – information exchange, care management, business intelligence and third-party administration
  • Explore opportunities to avoid capital costs associated with technology implementation while managing downside or upside risk
Thomas R Cooke
Senior Vice President, Accountable Care Solutions
Aetna (Whole Health)
11:00 am -
11:45 am
An Emerging Service Industry Around ACOs – Standardizing Accountability Models
  • Describe the ACO accreditation requirements as a roadmap on which many organizations are modeling their practices
  • Outline the benefits accreditation communicates to patients and to potential payer and provider partners
  • Review where the NCQA program aligns with the Medicare Shared Savings program and the industry’s response to-date
Raena Grant Akin-Deko
Assistant Vice President
for Product Development
NCQA
11:45 am -
12:45 pm
LUNCHEON KEYNOTE ADDRESS: Creating Sustainable Health Communities: Survey Pinpoints Opportunities for Action
  • Hear what a recent survey (sponsored by Optum and administered by Harris Interactive) has said about the challenges and opportunities in developing a sustainable health community
  • Learn about physician, hospital, and payer readiness for working together to deliver high-quality healthcare that meets patients' needs in the most affordable way
  • Discover what key provider competencies are for developing a health system that is connected, intelligent, and aligned
Miles Snowden Miles Snowden, MD, MPH, CEBS
Chief Medical Officer
OptumHealth
1:00 pm -
1:45 pm
Atlantic Health System’s ACO – Building an Integrated Healthcare System to Take “Full Risk” with Medicare and Commercial Insurers
  • How a large organization implemented a Shared Savings ACO at lightening quick speed and the 3-year plan for operating in a FFS and Shared Saving environment
  • Analysis of the competitive landscape and how the Atlantic ACO is stacking up to other ACOs in North/Central New Jersey
  • Strategies to develop for integrating primary care in the ACO - Do you need Medical Homes to be successful?
Poonam Alaigh, MD, MSHCPM, FACP
Chief Executive Officer and President,
Alaigh Care Associates LLC;
Board of Directors,
The Common Sense Institute of New Jersey;
Former Commissioner of Health and Senior Services,
State of New Jersey
Jeffery Epstein Jeffery Epstein, MD
Medical Director
Continuum of Care Department
Morristown Medical Center
1:45 pm -
2:15 pm
Getting Key Stakeholder Buy-in and Engagement on Information Technology Adoption in Critical ACO Initiatives
Speaker Photo Unavailable Philip Lane, MD, JD, MPH
Principal
Vector Healthcare Solutions, Inc.
2:15 pm -
3:00 pm
Building the Infrastructure for a Medicaid ACO
  • Hear about Medicaid ACO development in the state of NJ
  • Discuss why we need a Medicaid ACO in Trenton, NJ
  • Outline the key infrastructure elements in preparation to become a Medicaid ACO
Ruth E. Perry, MD
Executive Director
Trenton Health Team
3:00 pm -
3:15 pm
Chairperson’s Closing Remarks; Sumit Concludes