Preconference
Day One
Day Two
Day Three
Postconference
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Agenda: Day 2
Tuesday, February 7, 2006
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7:00 a.m. |
Registration and Continental Breakfast
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8:00 a.m. |
Welcome and Introduction to Day II
Steve McDermott
Chief Executive Officer, Hill Physicians Medical Group
Past Chair, Integrated Healthcare Association
San Ramon, CA
(Co Chair)
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8:15 a.m. |
Pay for Performance and Quality
Carolyn Clancy, MD
Director, Agency for Healthcare Research and Quality
Rockville, MD
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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9:00 a.m. |
Pay for Performance and Health Information Technology
David Brailer, MD, PhD
National Health Information Technology Coordinator
Department of Health and Human Services
Washington, DC
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9:45 a.m. |
Pay for Performance and Medicare (Presentation via Live, interactive Video Feed from Washington, DC)
Mark McClellan, MD, PhD
Administrator, Centers for Medicare and Medicaid Services
Former Commissioner, Food and Drug Administration
Washington, DC
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10:30 a.m. |
Break
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10:45 a.m. |
Concurrent Sessions I
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1.01 Are Employers Serious About Pay for Performance?
Andrew Webber
President and Chief Executive Officer
National Business Coalition on Health
Washington, DC
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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1.02 Government PFP Programs: Medicare and Medicaid Pay for Performance Update
Trent T. Haywood, MD, JD
Deputy Chief Medical Officer
Centers for Medicare and Medicaid Services
Baltimore, MD
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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1.03 PFP and Healthcare Quality: Pay-for-Performance - The Catalyzing Component of Clinical Integration
Lee Sacks, MD
President, Advocate Health Partners
Oak Brook, IL
Mark Shields, MD
Senior Medical Director, Advocate Health Partners
Oak Brook, IL
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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1.04 PFP and Health Information Technology: Overview of HIT Pay for Performance Initiatives
Janet Marchibroda
Chief Executive Officer, eHealth Initiative and Foundation
Executive Director, Connecting for Health
Washington, DC
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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1.05 PFP in the Individual Physician PPO World
Michael Belman, MD
Staff Vice President and Medical Director
Blue Cross of California
Woodland Hills, CA
Jeff Kamil, MD
Vice President, Chief Medical Officer
Blue Cross of California
Woodland Hills, CA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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1.06 PFP and Financial Incentives and Legal Issues: Basic Legal Issues in Implementing Healthcare Incentives and Pay for Performance Programs
Tom E. Jeffry, Jr., Esq.
Partner, Davis Wright Tremaine LLP
Los Angeles, CA
Paul T. Smith, Esq.
Partner and Co-chair, HIT/HIPAA Task Force
Davis Wright Tremaine LLP
San Francisco, CA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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1.07 Hospital and Health System PFP Overview
Suzanne Delbanco, PhD
Chief Executive Officer, The Leapfrog Group
Washington, DC
Richard A. Norling
Chairman and Chief Executive Officer
Premier, Inc.
San Diego, CA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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1.08 Advanced PFP Case Studies: A National Study of Pay for Performance Experiments
Geoffrey B. Baker
Chief Executive Officer and President
Med-Vantage, Inc.
San Francisco, CA
Kathleen Curtin, NP, MBA
Senior Vice President, Client Services
Med-Vantage, Inc
San Francisco, CA
Presentation Material (Acrobat)
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11:45 a.m. |
Networking Luncheon in Exhibit Hall
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12:45 p.m. |
The National Pay for Performance Debate
Michael F. Cannon
Director of Health Policy Studies, Cato Institute
Washington, DC
Suzanne Delbanco, PhD
Chief Executive Officer, The Leapfrog Group
Washington, DC
R. Adams Dudley, MD, MBA
Associate Professor of Medicine, Health Policy, Epidemiology & Biostatistics
Division of Pulmonary and Critical Care & Institute for Health Policy Studies
University of California, San Francisco
San Francisco, CA
Jack Lewin, MD
Executive Vice President and CEO
California Medical Association Board Chair
Patient Safety Institute
Sacramento, CA
Robert Margolis, MD
Managing Partner and CEO, HealthCare Partners
Los Angeles, CA
John Nelson, MD, MPH
President, American Medical Association
Chicago, IL
Samuel Nussbaum, MD
Executive Vice President and Chief Medical Officer
WellPoint, Inc.
Indianapolis, IN
John Rother
Director of Policy and Strategy
American Association of Retired Persons
Washington, DC
Peter V. Lee, Esq.
President and Chief Executive Officer
Pacific Business Group on Health
San Francisco, CA
(Moderator)
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2:00 p.m. |
Transition Break
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2:15 p.m. |
Concurrent Sessions II
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2.01 Employer and Health Plan PFP Programs: The Tools for Change: PBGH and Employer Strategies for Improving Quality and Affordability
Peter V. Lee, Esq.
President and Chief Executive Officer
Pacific Business Group on Health
San Francisco, CA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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2.02 Government PFP Programs: An Overview of CMS PFP Demonstration Projects
Jeff Flick
Regional Administrator, Region IX
Center for Medicaid and Medicare Services
San Francisco, CA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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2.03 PFP and Healthcare Quality: Collaboration on Quality:
A Foundation Built on Trust - Making Practice Information Available and Providing Support Mechanisms to Assist Providers in Quality Improvement
Joel Hasenwinkel
Director, Clinical Collaboration
Wellmark Blue Cross Blue Shield
Des Moines, IA
Michael W. Pekas, MD, FACS
Medical Director, South Dakota
Wellmark Blue Cross Blue Shield
Sioux Falls, SD
David Swieskowski, MD, MBA
Vice President, Quality Improvement
Mercy Clinics, Inc.
Des Moines, IA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
Handout Material (Acrobat)
Handout Material (Powerpoint)
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2.04 PFP and Health Information Technology: The Silicon Valley Health IT PFP Initiative
Jeff Rideout, MD, MA
Vice President, Internet Business Solutions Group
Healthcare and Corporate Medical Director, Cisco Systems
Former Chief Medical Officer and Senior Vice President
Blue Shield of California
San Jose, CA
Corrie Zenzola
US Benefits Health Initiative Strategist
Intel Corporation
Peter Mongroo
Senior Director
Global Healthcare Strategy
Oracle
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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2.05 PFP and Physicians Participation and Engagement: Predictive Modeling in Pay for Performance
Dogu Celebi MD, MPH
Senior Vice President and Chief Medical Officer, Ingenix
Waltham, MA
Patrick A. Tellez, MD, MPH, MSHA
Vice President, Medical Affairs
MedPlus, a Quest Diagnostics Company
Mason, OH
Presentation Material (Acrobat)
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2.06 PFP and Financial Incentives and Legal Issues: Using Participating Bonds to Reward Improvements in Quality and Patient Satisfaction
Robert H. Rosenfield, Esq.
Partner, McDermott, Will & Emery
Los Angeles, CA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
Handout Material (Acrobat)
Handout Material (Acrobat)
Handout Material (Acrobat)
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2.07 Hospital and Health System PFP: The Leapfrog Hospital Rewards Program: Selecting & Reporting Measures
Jeffrey Hanson
Vice President, Practice Leadership, Pay for Performance
Thomson Medstat
Ann Arbor, MI
Barbara Rudolph, PhD, MSSW
Director, Leaps and Measures
The Leapfrog Group
Washington, DC
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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2.08 Advanced PFP Case Studies: Results from Eight-Year Program at Hawaii Medical Service Association - Implementing and Measuring a PFP Program to Improve Quality of Care
Richard Chung, MD
Senior Vice President, Health Services Division
Hawaii Medical Service Association (HMSA)
Honolulu, HI
Antonio Legorreta, MD, MPH
President, Health Benchmarks
Woodland Hills, CA
Presentation Material (Acrobat)
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3:15 p.m. |
Break in Exhibit Hall
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3:45 p.m. |
Concurrent Sessions III
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3.01 Employer and Health Plan PFP Programs: Bridges to Excellence
Linda Davis
President
LCD Solutions Ltd.
Edina, MN
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
Hesham Sheikh
Project Leader, Healthcare Initiatives
General Electric Company
Schenectady, NY
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
Terrell Womack
Vice President, Human Resources Strategy
Bell South Corporation
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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3.02 Government PFP Programs: Consumer Access to Public Score Card PFP Results
Ed Mendoza
Acting Director
California Office of the Patient Advocate
Sacramento, CA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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3.03 PFP and Disease Management: Second-Generation Pay-for-Performance and Community-Wide Diabetes and Asthma Care
Thomas Foels, MD, MMM
Director of Practice Management
Independent Health
Williamsville, NY
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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3.04 PFP and Health Information Technology: PFP with your Electronic Health Record
Bill Gill
President and Chief Executive Officer
Facey Medical Foundation
Mission Hills, CA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
James O'Connor, MD
Director of Clinical Informatics
Emdeon Corporation
Alachua, FL
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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3.05 PFP and Physicians Participation and Engagement: Achieving Collaboration Amongst Independent Physicians on a Common Database Employing an EHR
Jon A. Hultman, DPM, MBA
Chief Executive Officer
Integrated Physician Systems
Los Angeles, CA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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3.06 PFP and Financial Incentives and Legal Issues: Gain Sharing - PFP Innovation or Disruption
Stephen Forney
Chief Financial Officer
Fountain Valley Regional Medical Center
Fountain Valley, CA
William Phillips
Vice President and Chief Revenue Officer
Revenue Strategies, Inc.
Fort Lauderdale, FL
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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3.07 Hospital and Health System PFP: Implementing the Leapfrog Hospital Rewards Program
Guy D'Andrea
President, Discern Consulting, LLC
Baltimore, MD
Catherine Eikel
Director, Leapfrog Hospital Rewards Program
The Leapfrog Group
Washington, DC
Mark Russo
Project Leader, Health Care Initiative
General Electric
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
Cristie Travis
Chief Executive Officer
Memphis Business Group on Health
Memphis, TN
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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3.08 Advanced PFP Case Studies
Howard Beckman, MD
Medical Director, Clinical Professor of Medicine
Rochester Individual Practice Association
Rochester, NY
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
Jeff Levin-Scherz, MD, MBA
Chief Medical Officer
Partners Community Healthcare, Inc.
Boston, MA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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4:45 p.m. |
Transition Break
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5:00 p.m. |
Concurrent Sessions IV
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4.01 Employer and Health Plan PFP Programs: Bridges to Excellence - Multi-stakeholder Views on Pay for Performance
Christine Bechtel
Director of Government Affairs
The American Health Quality Association
Washington, DC
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
Peter Basch, MD
Medical Director, MedStar e-Health
Washington, DC
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
Nat Kongtahworn
Consultant, Office of Clinical Affairs/Strategic Services
Blue Cross and Blue Shield Association
Chicago, IL
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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4.02 Physician Group Experience in a PFP Program: Maximizing Opportunity
Ann Woo, PharmD
Director, Clinical Support
Hill Physicians Medical Group
San Ramon, CA
Bart Asner, MD
Chief Executive Officer
Monarch HealthCare
Irvine, CA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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4.03 PFP and Data: Information Use as the Pay for Performance Criterion
Professor Elaine Blechman
University of Colorado, Boulder
Boulder, CO
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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4.04 PFP and Health Information Technology: Pay-for-Performance Pushes EHR Adoption
Stan Padilla, MD
Chief Medical Officer
Brown & Toland Medical Group
San Francisco, CA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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4.05 PFP and Physicians Participation and Engagement: Media's Role in PFP: Providing Information Platforms That Facilitate PFP Program Improvements
Jeffrey Bush
Group Publisher
Managed Health Care Executive & Formulary
Advanstar Communications, Inc. Publications
Fort Myers, FL
John Marlow, MD
Chief Medical Officer, Advanstar Medical Economics
Montvale, NJ
Andy Weissberg
General Manager, Product Development and Interactive Marketing
Advanstar Medical Economics
Montvale, NJ
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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4.06 PFP and Financial Incentives and Legal Issues: Understanding the New AMA Principles and Guidelines for Pay-for-Performance Programs - A Legal Interpretation
Michael R. Costa, JD, MPH
Senior Associate
Greenberg Traurig
Boston, MA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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4.07 Hospital and Health System PFP: Using Hospital Performance Data: Consumer Education and Benefit Design Consumer Education
John D. Freedman, MD, MBA
Consultant
Newton, MA
Jon Kingsdale
Senior Vice President, Policy Development
Tufts Health Plan
Waltham, MA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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4.08 Advanced PFP Case Studies: Pay for Performance -What Works and What Does Not: Case Studies of 4 Different Pay for Performance Plans
William J. DeMarco, MA, CMC
President, DeMarco and Associates
Rockford, IL
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
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6:00 p.m. |
Adjournment
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