A HYBRID CONFERENCE AND INTERNET EVENT

Fourteenth National Value-Based Payment and Pay for Performance Summit

Preparing for the Launch of CMMI’s New Mandatory
Downside-Risk Payment Models

HYATT REGENCY LAX, LOS ANGELES, CA
February 25 - 27, 2019



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Overview

OVERVIEW

Perhaps the most dramatic recent development in value-based care is the announcement by HHS Secretary Alex Azar that the Center for Medicare and Medicaid Innovation will soon launch “new, bold” models for value-based care. Azar suggests the return of mandatory models and an emphasis on providers taking downside risk. This includes a recent HHS regulatory proposal to overhaul the Medicare Shared Savings Program and push ACOs into two-sided risk sooner. “Without real accountability, we’re just offering bonuses on top of payments that may be too high already. That’s why we have now proposed to simplify the ACO system into two tracks, requiring them to take on risk sooner,” Mr. Azar said. Azar has also said that the administration would “revisit” mandatory models that it had previously scrapped in cardiac care and said the time had come for “exploring new and improved episode-based models in other areas, including radiation oncology.”

HHS Secretary
Alex Azar

These initiatives are in sharp contrast with the actions of Tom Price, MD, the previous HHS secretary who canceled and scaled back major mandatory bundled payment programs. And more often than not the private sector follows Medicare and Medicaid’s directions in payment reform.
Accordingly the 14th National Value-based Payment & Pay for Performance Summit will begin by addressing the crucial strategic issues of “Thinking Strategically about Valuebased Payment Models: Lessons Learned, Current Challenges and Moving to Mandatory Risk-bearing Models” and “Making Downside Risk Work”. Other plenary sessions cover topics like an “Annual Medicare Advantage Update”, “The Role of Analytics, Big Data, Artificial Intelligence and Machine Learning in Value-based Care”, a “MACRA/APMs/MIPS Roundtable”, and the perspectives of physicians and hospitals on their respective roles in the move to value-based care.

IHA President
Jeff Rideout, MD
As plans and providers seek to position themselves for success in valuebased care, fundamental issues are being raised and debated regarding “the most Efficient Delivery and Payment Models: Consolidation vs. Clinical Integration; Hospital vs. Physician Control; Capitation vs. Shared Risk”, issues raised in the recent September 2018 issue of Health Affairs and the topic of one of our opening plenary session panels. Jeffrey A. Rideout, MD, President Integrated Healthcare Association, will further address these issues in his session on “The Model Matters: As Providers Assume Risk, the Value of Care Increases.”
But the heart of the Summit is found in the over 40 sessions with a faculty of over 100 which address detailed operational and clinical sessions addressing practical ways to improve quality and efficiency and provide a pathway to success in the nation’s newly aggressive move to value-based care. The Summit seeks to provide participants a tool kit for success in value-based care. Examples of sessions include “Supporting the Clinical Community’s Participation in APMs”, “Developing a Financial Incentive Model for Population Health Management”, “Applications of HIT for Care Delivery Innovation”, “Case Studies in Reference Pricing”, “Innovations in Value-Based Oncology Practice Reimbursement”, “How to Manage Complex Patients in Medicare and Medicaid Managed Care”, and “Synchronizing Medicare Payment Programs, including Accountable Care and Bundled Payment Programs, into a Unified Strategy to Deliver People-centered Care” and many, many more.
So join us in Los Angeles to learn and debate strategies for success in the nation’s newlyinvigorated move to value-based care and in conjunction therewith how we can improve the quality and efficiency of care that is rendered to our patients.
— Peter N. Grant, JD, PhD CEO, Global Health Care, LLC November 2018
WHO SHOULD ATTEND

  • Executives and Board Members of ACOs, Health Plans, Health Systems, Hospitals and Physician Organizations
  • Medical Directors
  • Physicians
  • Nurses, Nurse Practitioners and Other Allied Health Professionals
  • Pharmacists and Pharmacy Benefit Managers
  • Representatives of Purchasers, including Private Employers and Public Purchasers
  • Consumer Organization Representatives

  • Federal and State Government Officials
  • Health Care Regulators and Policy Makers
  • Health Benefits Consultants
  • Medical Analytic Specialists
  • Quality Improvement Executives
  • Managed Care Executives
  • Managed Care Contracting Experts
  • Health Policy Makers
  • Academics


A HYBRID CONFERENCE AND INTERNET EVENT