|
| |
|
|
|
|
|
|
1:15 am -
2:10 pm
|
Operationalizing ACOs - Models to Improve Accountability, Performance Measurement and Shared Savings |
- Methodologies to allocate global, episodes of care and bonus payments among ACO players
- Achieving financial and clinical integration between physicians and hospitals
- Ensuring your ACO is not considered market dominant
- Devising performance and incentive payments including shared savings
- Results from the "Sustainable Health Community” -- An ACO model which employs risk sharing among hospitals, physicians, residents, and employers
|
|
Judy Rich
President and CEO
Tucson Medical Center
|
|
Richard Salmon, MD, PhD
National Medical Executive, Performance Measurement and Improvement
CIGNA HealthCare
|
|
|
|
|
2:15 pm -
3:05 pm
|
Developing Best in Class Care Models for High Variation, High Cost Common Conditions – Lessons Learned from the High Value Healthcare Collaborative
|
- The key position of physicians and health care leaders to implement meaningful change that makes care safer, more efficient, more effective, and more attuned to each patient's needs and preferences, while lowering costs
- The role of HVHC in improving health care through the sharing of care pathways, costs, and outcomes data with HVHC partners and the public to adopt best practices and new, expanded standards of measurement that can be moved out to the national provider community
- Overcoming challenges of knowledge transfer – Sharing outcomes data and clinical protocols for selected conditions and treatments to advance optimal care models that can be adopted by other health care providers
|
|
Ananias C. Diokno, MD
Executive Vice President & Chief Medical Officer
Beaumont Health System
|
|
William B. Weeks, MD, MBA
Medical Director, High Value Healthcare Collaborative Program Office
Medical Director, Office of Professional Education and Outreach
Dartmouth Institute for Health Policy and Clinical Practice
|
|
Robert Wyllie, MD
Chief Medical & Surgical Operations
Professor, Lerner College of Medicine
Cleveland Clinic
|
|
|
|
|
|
|
|
10:45 am -
11:35 am
|
Testing Bundled Payment Models Through Defined Models of Care
|
- Evaluating the financial opportunities and risks with global and bundled payment models
- Insights into the CMMI Bundled Payments for Care Improvement Models
|
|
Valinda Rutledge
Director, Patient Care Models Group, Centers of Medicare and Medicaid Innovation Center;
former Chief Executive Officer, CaroMont Health
|
|
Brad Wilson
President and Chief Executive Officer
Blue Cross and Blue Shield of North Carolina (BCBS NC)
|
|
|
|
|
11:35 am -
12:30 pm
|
Systems Engineering and Impactful Health IT to Advance Cost-Effective Care |
- How systems engineering can transform U.S. health care from independent entities into a high performance "system"
- Opportunities to adopt systems engineering, information technology and business methods to promote a well functioning health care system
- Challenges of systems engineering to improve system performance to meet specific quality goals and improve performance goals (e.g. as cost, access and productivity)
- Applying advanced analytical methods and tools to ensure safe, high-quality and value-driven health care
- Health care models that have adopted a systems engineering principles
|
|
Robert Jesse, MD, PhD
Principal Deputy Under Secretary for Health and National Program Director for Cardiology, U.S. Department of Veterans Affairs;
Board Member, Patient Centered Outcomes Research Institute
|
|
|
|
|
2:35 pm -
3:25 pm
|
Clinical Integration: Can IPAs and PHOs Succeed As ACOs?
|
- What types of IPAs and PHOs are trying to become ACOs?
- What are the advantages and disadvantages of these "virtual" ACOs?
- Clinical integration and anti-trust
- What will they IPA and PHO ACOs have to do to succeed?
|
|
Lawrence Casalino, MD, PhD
Chief of the Division of Outcomes and Effectiveness Research
The Livingston Farrand Associate Professor of Public Health, Department of Public Health
Weill Cornell Medical College
|
|
Mark D. Crockett, MD, FACEP
Chief Medical Officer
Accountable Care Solutions
Optum
|
|
|
|
|
|
