IN 2020 THE PAY FOR PERFORMANCE SUMMIT
WILL BE REPLACED BY THE FOLLOWING
COLLOCATED EVENTS:
Grand Hyatt, Washington, DC
ELEVENTH NATIONAL ACCOUNTABLE CARE ORGANIZATION (ACO) SUMMIT
The Leading Forum on the Accountable Care Organizations (ACOs) and Related Delivery System and Payment Reform
www.ACOSummit.com
TENTH NATIONAL
BUNDLED PAYMENT SUMMIT
The Leading Forum on Public and Private Sector Bundled and Episode of Care Payment Arrangement
www.BundledPaymentSummit.com
NINTH NATIONAL MEDICAL
HOME SUMMIT
The Leading Forum on Advanced Medical Home Strategies for Hospitals and Health Systems in a Value-Based World
www.MedicalHomeSummit.com
FIFTH NATIONAL MACRA
MIPS/APM SUMMIT
The Leading Forum on MACRA, MIPS, APMs and Other Emerging Value-based Payment Arrangements
www.MACRASummit.com
THIRD NATIONAL MEDICARE
ADVANTAGE SUMMIT
The Leading Forum on Medicare Advantage Plan/Provider Relationships
www.MedicareAdvantageSummit.com
FOURTEENTH NATIONAL VALUE-BASED PAYMENT
AND PAY FOR PERFORMANCE SUMMIT CONTENT IS NOW
AVAILABLE IN VARIOUS POST CONFERENCE FORMATS
The Fourteenth National Value-Based Payment and Pay for Performance Summit conference content is now available in a variety of formats.
You may purchase the Summit streaming content in the following formats: Flash Drive or online archive (6 months).
YOU CAN PURCHASE JUST THE 2019 FOURTEENTH NATIONAL VALUE-BASED
PAYMENT AND PAY FOR PERFORMANCE SUMMIT CONTENT AS FOLLOWS:
Online Archive of the Fourteenth National PfP Summit Presentations!
Complete conference: $195
NEWLY CONFIRMED KEYNOTE SPEAKER
Eric D. Hargan, JD
Deputy Secretary, US Department of Health and Human Services, Former HHS Principal Associate Deputy Secretary and Acting Deputy Secretary (Bush), Washington, DC
OTHER GOVERNMENTAL KEYNOTE SPEAKERS
Pauline Lapin, MHS
Director, Seamless Care Models Group, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, Baltimore, MD
Christina S. Ritter, PhD
Director, Patient Care Models Group, Former Deputy Director, Hospital and Ambulatory Policy Group, Centers for Medicare and Medicaid Services, Baltimore, MD
KEYNOTE SPEAKERS
Jeffrey W. Bailet, MD
EVP, Health Care Quality and Affordability, Blue Shield of California, Chair, Physician-Focused Payment Model Technical Advisory Committee (PTAC), Former EVP, Aurora Health Care, San Francisco, CA
Molly Coye, MPH, MD
Executive in Residence, AVIA, Former CIO, Institute for Innovation in Health, UCLA Health, Former Founder & CEO, HealthTech, San Francisco, CA
C. Duane Dauner, MA
Special Adviser and Former President/CEO, California Hospital Association, Sacramento, CA
John Gorman
Founder & Former Executive Chairman, Gorman Health Group, Former Assistant to the Director, Office of Managed Care, HCFA, Washington, DC
Michael Leavitt
Founder and Chairman, Leavitt Partners, Former Secretary, US Department of Health and Human Services, Former Governor of Utah, Salt Lake City, UT
Barbara L. McAneny, MD, FASCO, MACP
President, American Medical Association, Co-founder and Managing Partner, New Mexico Oncology Hematology Consultants, Albuquerque, NM
Mark McClellan, MD, PhD
Director, Margolis Center for Health Policy & Professor, Duke University, Former CMS Administrator and FDA Commissioner, Washington, DC
Kavita Patel, MD
Nonresident Senior Fellow Brookings Institution, Member, PTAC, Former Director of Policy, The White House (Obama), Washington, DC
Hoangmai H. (Mai) Pham, MD
Vice President, Provider Alignment Solutions, Anthem, Former CMMI Chief Innovation Officer, Washington, DC
Thomas M. Priselac
President and Chief Executive Officer and Warschaw Law Chair in Health Care Leadership, Cedars-Sinai Health System, Adjunct Professor, UCLA Fielding School of Public Health, Los Angeles, CA
Richard M. Scheffler, PhD
Professor of the Graduate School, Director, Nicholas C. Petris Center, Director, Global Center for Health Economics and Policy Research, University of California Berkeley, Berkeley, CA
Stephen M. Shortell, PhD, MBA, MPH
Blue Cross of California Distinguished Professor of Health Policy and Management, Dean Emeritus, School of Public Health, University of California Berkeley, Berkeley, CA
Grace Emerson Terrell, MD, MMM, FACP, FACPE
Chief Executive Officer, Envision Genomics, Member, PTAC, Former President and CEO, Cornerstone Health Care, Huntsville, AL
Krishna Yeshwant, MBA, MD
General Partner, Google Ventures, Attending Physician, Partners HealthCare, Boston, MA
FEATURING
PLENARY SESSIONS
- Keynote Address: HHS/CMS/CMMI Value-based Payment Initiatives Update
- Thinking Strategically about Value-based Payment Models
- Lessons Learned, Current Challenges and Moving to Mandatory Risk-bearing Models
- Making Downside Risk Work
- Debating the most Efficient Delivery and Payment Models
- Consolidation vs. Clinical Integration; Hospital vs. Physician Control; Capitation vs. Shared Risk
- MACRA/APMs/MIPS Roundtable
- Annual Medicare Advantage Update
- The Role of Analytics, Big Data, Artificial Intelligence and Machine Learning in Value-based Care
- Transforming the Organization in Anticipation of Value-Based Payment Reform
- The Role of Hospitals and Health Systems in a Value-based World
- The Physician Perspective on Value-based Care
- A Financial Incentive Model for Pop Health Management
- Value-based Care Case Studies: CareMore
- HIT for Care Delivery Innovation
- The Role of Pop Health in Value-based Care
AND MINI SUMMITS
- The Model Matters: Providers Assume Risk, Value of Care Increases
- Supporting the Clinical Community’s Participation in APMs
MINI SUMMITS, CONTINUED
- Consolidation Trends in California’s Health Care System
- CMS/CMMI Q&A on AC and Direct Provider Contracting
- Case Studies in Reference Pricing
- Value-Based Oncology Practice Reimbursement
- Manage Complex Patients in Medicare & Medicaid Managed Care
- Investing in Clinical Integration: Who Pays, Who Benefits?
- Synchronizing Payment Programs, inc ACO & Bundles
- The CA Competitive Model: How has it Fared, & What’s Next?
- CMS/CMMI Q&A on Bundled Payments
- Alternative Payment Models in Medicaid
- Value-Based Payment for Medicaid Behavioral Health Services
- Optimizing Value-Based Care Opportunities through Strategic Bundles
- Bundled Payments Dissemination at the Provider Level
- Narrow, Tiered and High Performance Networks
- Successful Pay-for-Success Program for Asthma
- Next Generation Pay for Success
- CA’s Past Efforts to Cover the Uninsured & Beyond the ACA
- CMS/CMMI Q&A on MACRA/MIPS/APMs
- Alignment: Physician Comp in Value Based Care
- Changing Market Forces Using Specialist Cost Tiering
- Addressing Waste to Improve Value in Healthcare
- Applying the Lessons of FFS to Streamline Value-based Payments
FEATURED FACULTY
Deirdre Baggot, PhD, MBA, RN
Healthcare Strategist and Payment Innovation Expert, Former Expert Reviewer, BPCI Program, Former Lead, CMS ACE Program, Washington, DC
Bill Barberg
President and Founder, InsightFormation, Inc., Golden Valley, MN
Bill Barcellona, MHA, JD
Senior Vice President, Government Affairs, America’s Physician Groups, Former Deputy Director, California Dept. Managed Health Care, Sacramento, CA
Nick Bott, PsyD
2016-17 Design Fellow, Associate Fellowship Director, Stanford Clinical Excellence Research Center, Palo Alto, CA
Francois de Brantes, MBA
Senior Vice President, Commercial Business Lines, Remedy Partners, Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT
Tom Curtis, MPA
Manager of Quality Improvement Medicaid, Michigan Department of Health and Human Services, Lansing, MI
Susanne Dade, MPA
Deputy Director, Washington Health Alliance, Former Project Director, Robert Wood Johnson Foundation, AF4Q Initiative, Seattle, WA
Anas Daghestani, MD
President and CEO, Austin Regional Clinic, Austin, TX
Donald P. Deep, MD
Medical Director, Central Ohio Primary Care Physicians, Westerville, OH
Sanjay Doddamani, MD
Senior Director in Population Health, Geisinger Health System, Chief Medical Officer, Keystone ACO, Danville, PA
Jean Drouin, MD, MBA
CEO, Clarify Health Solutions, Former Senior Partner, McKinsey & Company, and Founding Head, McKinsey Advanced Healthcare Analytics (MAHA), San Francisco, CA
Leonard Fromer, MD
President, Healthcare Initiatives, Turner Impact Capital LLC, Former EMD, Group Practice Forum, Santa Monica, CA
Bill Gil, MBA
Independent Consultant, Member, America’s Physician Groups Consulting, VP and CEO, Providence Southern California Medical Foundations, Former CEO, Facey Medical Foundation, Los Angeles, CA
Sandra Greyerbiehl, MSW
Quality Payment Specialist, Michigan Department of Health and Human Services, Lansing, MI
John Haughton, MD, MS
Chief Clinical Improvement Officer, Independent Health, Medical Innovation Officer, Chautauqua ACO (AMP), Chief Innovation Officer, Dx-ID, Buffalo, NY
Maria Hernandez, PhD
President & COO Impact4Health, Practice Leader, Global Consulting Services, InclusionINC, Member Board, Alameda Health System, Oakland, CA
Joshua Hollander, MBA, DC
Manager, Enterprise Practice Consulting, CareFirst Blue Cross Blue Shield, Baltimore, MD
Amy Nguyen Howell, MD, MBA, FAAFP
Chief Medical Officer, APG, Adjunct Faculty, University of Southern California, Los Angeles, CA
Erik Johnson, MBA
Vice President and National Practice Lead, Value Based Care, Optum, Washington, DC
Walter Kopp, MSHA
President, Medical Management Services, Former COO, California Pacific Medical Center Physicians Foundation & Sutter Pacific Medical Foundation, San Francisco, CA
Ronald J. Kuerbitz, JD
Chief Executive Officer, Agilon Health, Former CEO, Fresenius Medical Care North America, Boston, MA
Natalia Leva, MD
Design Fellow, Stanford Clinical Excellence Research Center, Palo Alto, CA
Stuart Levine, MD, MHA
Chief Medical and Innovation Officer, agilon health, Physician Strategist, Google Brain, Former Corporate and Regional MD, HealthCare Partners, Los Angeles, CA
Helen Macfie, Pharm.D., FABC
Chief Transformation Officer, MemorialCare Health System, Fountain Valley, CA
Rose Maljanian
Chairman and Chief Executive Officer, HealthCAWS, Inc., Board Chair, Population Health Alliance, Hartford, CT
Melanie Matthews, MA
CEO, NW Momentum Health Partners ACO, CEO, Physicians of Southwest Washington, Former VP Ops, Prestige Care, Olympia, WA
Matthew Mazdyasni, MSc
Strategic Advisor, COPE Health Solutions, Former EVP, CAO & CFO, HealthCare Partners Holding, Former Chair, CAPG, Los Angeles, CA
Vincent L. McVittie
ED, Signature Care Management, Former CAO, Highmark Health/Allegheny Clinic, Former Interim COO, Texas General Hospital, Pittsburgh, PA
Neeharika Mehta, MBA
Senior Director, Population Health, Emerson Physician-Hospital Organization, Inc., Former Project Manager, Integrated Care, Management Program, Partners HealthCare, Concord, MA
Glenn Melnick, PhD
Professor, Blue Cross of California Chair in Health Care Finance, Sol Price School of Public Health, University of Southern California, Los Angeles, CA
Jessica Moschella, MPH
ED, Emerson Physician-Hospital Organization, Former Program Director, Population Health Management, Partners HealthCare, Former Administrative Director, Massachusetts Health Care Quality and Cost Council, Concord, MA
David B. Muhlestein, PhD, JD
Chief Research Officer, Leavitt Partners, LLC, Visiting Policy Fellow, Margolis Center for Health Policy, Duke University, Visiting Fellow, Accountable Care Learning Collaborative, Washington, DC
Zachary Myers
General Manager, CareMore Health, Los Angeles, CA
David K. Nace, MD
Chief Medical Officer, Innovaccer, Former Board Member, Delaware Valley ACO, Former SVP, UnitedHealth Group, Former VP & CMO, Aetna, San Francisco, CA
Jay Patel, MD
Orthopedic Surgeon, Orthopedic Specialty Institute, Irvine, CA
Matt Patterson, MD
President, WelbeHealth, Menlo Park, CA
Caroline (Fisher) Pearson
Senior Fellow, NORC, University of Chicago, Former SVP, Avalere Health, Chicago, IL
Pamela M. Pelizzari, MPH
Principal, Milliman, Former Senior Technical Advisor & Program Lead, CMS, New York, NY
Terry Platchek, MD
Fellowship Director, Stanford Clinical Excellence Research Center, VP, Performance Improvement, Stanford Children’s, Palo Alto, CA
Dr. Clare Purvis, PsyD
Design Fellow, Stanford Clinical Excellence Research Center, Palo Alto, CA
Anoop Rao, MD
Design Fellow, Stanford Clinical Excellence Research Center, Palo Alto, CA
Jordan Reigel, MBA
Vice President of Payment Strategy & Innovation, United Healthcare, Former Network Management, Kaiser Permanente, Parker, CO
Ashley Reynolds, RN, PhD
Senior Clinical Program Advisor, BioIQ, Jacksonville, FL
Francesca Rinaldo, MD, PhD
Associate Director, Healthcare Design Fellowship, Stanford Clinical Excellence Research Center, Palo Alto, CA
Kelly Robison, MPA
Chief Executive Officer, Brown & Toland Physicians, Former Chief Development Officer, OptumCare, Oakland, CA
Valinda Rutledge, MBA
Vice President of Federal Affairs, APG, VP Public Payor Health Strategy, Care Coordination Institute, Prisma Health, Former CMS Group Director, Patient Care Model Group and BPCI Lead, Washington, DC
Martin Serota, MD
National Chief Medical Officer, Prospect Medical Systems, Former Chief Medical Officer and Sr. Vice President, AltaMed Health Services, Indian Wells, CA
Julie A. Simer, JD, MPH
Senior Counsel, Managed Care, Dignity Health, Glendale, CA
Adam R. Singleton, FSA, MAAA
Consulting Actuary, United Health Actuarial Services, Inc.; Former Director of Provider Network Development at Humana, Louisville, KY
Ken Steele, MHA
Principal, ECG Management Consultants, Former Vice President Managed Care, Catholic Healthcare West (now Dignity Health), Former President, St. Mary’s Medical Center, San Francisco, CA
Courtenay Stewart, MD
Design Fellow, Stanford Clinical Excellence Research Center, Palo Alto, CA
Jennifer (Ricards) Stockey, MS
Senior Project Manager, Cynosure Health, CEO, Ri Management, LLC, Saint Paul, MN
Jay Sultan
Vice President, Product Management, Cognizant, Watkinsville, GA
Dan Tasset
Vice Chairman, Co-Founder, ValueHealth, Chairman, Nueterra Capital, Leawood, KS
Mary F. Temm, DSc, MHSA, FACHE
President & CEO, Temm & Associates, Former VP & CEO, Lifemark Health Plans, Former VP Plan Operations, Health Management Associates, Phoenix, AZ
April Todd, MPH
SVP, CAQH CORE and Explorations, Former Minnesota’s State Health Economist, Former President of Strategic Analysis, UnitedHealth Group, Washington, DC
Robbert Vorhoff
Managing Director and Global Head of Healthcare Group, General Atlantic, LL, Member Board, Alignment Healthcare, Landmark Health, Oak Street Health, OneOncology & Alternate Solutions Health Network, New York, NY
Lisa Wagamon
System Vice President, Managed Care, SSM Healthcare, St. Louis, MO
Christopher Whaley, PhD
Associate Policy Researcher, RAND Corporation, Los Angeles, CA
Tom Williams, DrPH, MBA, MPH
Vice President & General Manager, SHC Health Plan Operations, Stanford Health Care, Oakland, CA
J. William Wulf, MD
Chief Executive Officer, Central Ohio Primary Care Physicians, Member, Physician Advisory Board, Aetna Inc., Columbus, OH
Lucien Wulsin Jr., JD
Founder, Insure the Uninsured Project, Former Chief Consultant, Special Committee on MediCal Oversight, California State Assembly, Los Angeles, CA
Jake Yount, MBA
Director, Network Pricing & Expense Analysis, Blue Cross of North Carolina, Durham, NC
Walter Zelman, PhD
Department of Public Health, California State University Los Angeles, Former Senior Healthcare Adviser, President Clinton, Former CEO, California Association of Health Plans, Los Angeles, CA