pay for performance healthcare conference
pay for performance healthcare conference
pay for performance healthcare conference
pay for performance healthcare conference
pay for performance healthcare conference
pay for performance healthcare conference



Overview | Agenda | Promotional Opportunities | Continuing Education | Grantors & Exhibitors
Admin | Speaking Proposals | Webcast Log In | Contact Us | Past Summits | Home




Go to Agenda:
Preconference | Day 2

Agenda: Pay for Performance Summit: Day I
Thursday, February 18, 2016
7:00 a.m. Registration Opens; Continental Breakfast in Exhibit Hall

PAY FOR PERFORMANCE MORNING PLENARY SESSION
8:00 a.m.

Welcome and Introduction to Day I Morning Plenary Session

Harold D. Miller
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, US Department of Health and Human Services Advisory Committee on Physician Payment Models; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Co chair)

    Speaker Bio

    Harold D. Miller is the President and CEO of the Center for Healthcare Quality and Payment Reform. He also serves as Adjunct Professor of Public Policy and Management at Carnegie Mellon University. Miller is a nationally-recognized expert on healthcare payment and delivery reform, and has given invited testimony to Congress on how to reform healthcare payment and has authored a number of papers and reports on health care payment and delivery reform. In previous positions, Miller served as CEO of the Network for Regional Healthcare Improvement and the Director of the Pennsylvania Governor's Office of Policy Development.
    Presentation Material (Acrobat)
Elizabeth Mitchell
President and Chief Executive Officer, Network for Regional Healthcare Improvement; Member, US Department of Health and Human Services Advisory Committee on Physician Payment Models, Portland, ME (Co chair)

    Speaker Bio

    Elizabeth Mitchell is CEO of the Network for Regional Healthcare Improvement, a national network of 30+ Regional Health Improvement Collaboratives. Elizabeth was CEO of the Maine Health Management Coalition, leading public reporting, consumer engagement, and payment reform efforts and established the MHMC Data and Analytics program, becoming the nation's 4th Qualified Entity. MHMC was named ?Implementation Partner' in Maine's State Innovation Model grant. Elizabeth serves on the National Quality Forum Board and Coordinating Committee of NQF's Measure Application Partnership and served on the National Business Coalition on Health Board. Elizabeth worked for MaineHealth, Maine's largest integrated health system. She served two terms in the Maine State Legislature, and chaired the Health and Human Services Committee. Elizabeth held posts at the National Academy for State Health Policy, and London's Nuffield Trust. Elizabeth received an Atlantic Fellowship in Public Policy and completed the International Health Leadership Program at Cambridge University while pursuing graduate studies at the London School of Economics.
8:15 a.m.

Federal Initiatives in Value-Based Payments

Hoangmai H. Pham, MD, MPH
Acting Chief Innovation Officer, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Washington, DC

    Speaker Bio

    Hoangmai Pham is a general internist and Chief Innovation Officer at the Center for Medicare and Medicaid Innovation, CMS, responsible for implementation of the alternative payment model provisions of the Medicare and CHIP Reauthorization Act, and other cross-cutting initiatives. Dr. Pham was Director of CMMI's Seamless Care Models Group, overseeing models on Accountable Care Organizations and advanced primary care, including the Pioneer ACO Model, Comprehensive Primary Care Initiative, Advance Payment and ACO Investment Models, and Comprehensive ESRD Care Initiative. Previously, she was Senior Health Researcher and Co-Director of Research at the Center for Studying Health System Change and Mathematica Inc.
    Presentation Material (Acrobat)
8:45 a.m. Information for Value: Performance Measures and Data to Implement Alternative Payment Models
Niall Brennan, MPP
Chief Data Officer and Director, Office of Enterprise Data and Analytics; Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Washington, DC

    Speaker Bio

    Niall Brennan is CMS' Chief Data Officer and the Director of the Office of Enterprise Data and Analytics (OEDA). In this capacity, he oversees improvements in data collection and dissemination at CMS and efforts to help CMS better harness its vast data resources to drive higher quality, patient-centered care at a lower cost. Niall directs leading-edge research and analysis published by CMS, as well as efforts to make its considerable data sets available to external researchers seeking to promote better understanding of health care in the United States. He also manages CMS' extensive data and information product portfolio. Prior to joining CMS, Niall worked at the Brookings Institution, the Medicare Payment Advisory Commission, the Congressional Budget Office, The Urban Institute, and Price WaterhouseCoopers. He is a graduate of University College Dublin, and earned a master's degree in Public Policy from Georgetown University.
David C. Kendrick, MD, MPH
Chief Executive Officer and Founder of MyHealth Access Network; Senior Counsel for Interoperability for the National Coordinator for Health IT; Chairs the Department of Medical Informatics at the University of Oklahoma's School of Community Medicine, and serves the OU Health Sciences Center as the Assistant Provost for Strategic Planning, Tulsa, OK

    Speaker Bio

    David Kendrick, MD, MPH, chairs the Department of Medical Informatics at the University of Oklahoma's School of Community Medicine, and serves the OU Health Sciences Center as the Assistant Provost for Strategic Planning.

    Dr. Kendrick is the principal investigator and CEO of MyHealth Access Network, Oklahoma's non-profit health information network, which ensures that every Oklahoman's complete health record is securely available where and when they need it for care and health decision-making. MyHealth serves more than 3 million patients and is focused on improving health in Oklahoma and beyond by implementing a community-wide infrastructure for healthcare IT. MyHealth was one of the original Beacon Communities selected by the Office of the National Coordinator for Health IT.
David Lansky, PhD
President and Chief Executive Officer, Pacific Business Group on Health (PBGH); Former Senior Director of the Health Program, Markle Foundation; Former Founding President, Foundation for Accountability (FACCT), San Francisco, CA

    Speaker Bio

    David Lansky, PhD, is the President and Chief Executive Officer of the Pacific Business Group on Health (PBGH) and directs its efforts to improve the affordability and availability of high quality health care. Since 2008, David Lansky has led the coalition of 50 large employers and health care purchasers representing over five million Americans, including CalPERS, Wells Fargo, Intel, Safeway, Chevron, GE, Walmart and the University of California. A nationally-recognized expert in accountability, quality measurement and health IT, Lansky has served as a board member or advisor to numerous health care programs, including the Congressional Budget Office, National Quality Forum, National Priorities Partnership, the Joint Commission, the National Patient Safety Foundation, the Leapfrog Group, and the Medicare Beneficiary Education Advisory Panel. He is now the purchaser representative on the federal Health IT Policy Committee and formerly chaired its Quality Measures Workgroup. David Lansky holds a PhD degree from the University of California, Berkeley.
Elizabeth Mitchell
President and Chief Executive Officer, Network for Regional Healthcare Improvement; Member, US Department of Health and Human Services Advisory Committee on Physician Payment Models, Portland, ME (Moderator)

    Speaker Bio

    Elizabeth Mitchell is CEO of the Network for Regional Healthcare Improvement, a national network of 30+ Regional Health Improvement Collaboratives. Elizabeth was CEO of the Maine Health Management Coalition, leading public reporting, consumer engagement, and payment reform efforts and established the MHMC Data and Analytics program, becoming the nation's 4th Qualified Entity. MHMC was named ?Implementation Partner' in Maine's State Innovation Model grant. Elizabeth serves on the National Quality Forum Board and Coordinating Committee of NQF's Measure Application Partnership and served on the National Business Coalition on Health Board. Elizabeth worked for MaineHealth, Maine's largest integrated health system. She served two terms in the Maine State Legislature, and chaired the Health and Human Services Committee. Elizabeth held posts at the National Academy for State Health Policy, and London's Nuffield Trust. Elizabeth received an Atlantic Fellowship in Public Policy and completed the International Health Leadership Program at Cambridge University while pursuing graduate studies at the London School of Economics.
9:45 a.m. Encounter Data and the Future of the Delegated Model
Jeffrey Burnich, MD
Senior Vice President of Medical and Market Networks, Sutter Health Network; Former Chief Medical Officer and Senior Vice President of System Care Management, Mount Carmel Health System, Sacramento, CA

    Speaker Bio

    Jeffrey Burnich, M.D. is Senior Vice President of Medical and Market Networks for Sutter Health. The Medical and Market Networks enables Sutter Health to present, in an aligned and coordinated manner, its externally facing products, services and networks to key customers, including employers, insurance brokers and health plans.

    In his role, Dr. Burnich oversees the Sutter Medical Network's 5,200 primary care and specialty physicians. He also directs operations for Sutter Physician Services, which provides health care practice management and administrative services for Sutter Health Plus, Sutter Health's commercial HMO health plan; and for SutterSelect, Sutter Health's self-insured product.

    He serves on the boards of the Integrated Healthcare Association and the California Association of Physician Groups.
Stacey Hrountas
Chief Executive Officer, Sharp Rees-Stealy; Former Chief Executive Officer, Sharp HealthCare ACO; Former Vice President of Managed Care Contracts and Managed Care Finance, Sharp HealthCare, San Diego, CA

    Speaker Bio

    As SVP and Chief Executive Officer of Sharp Rees-Stealy Medical Centers, Stacey Hrountas leads a staff of over 2,000 employees dedicated to the business systems for more than 475 primary care and specialty physicians. Her team serves more than 400,000 patients in 22 medical office sites throughout San Diego County.

    Stacey has held several leadership positions in Sharp, including Vice President, Managed Care Contracting. Prior to Sharp, Stacey worked with Aetna Health Plans of San Diego, Mercy Physicians Medical Group, MetLife HealthCare Network, Travelers Health Network and Community Care Network.
Martha Smith
Vice President of Health Plan Network Management, Health Net of California, Inc., San Francisco, CA

    Speaker Bio

    Martha Smith is responsible for guiding the operations and evolution of Health Net's Dual Eligible Demonstration Program, including its successful implementation and ongoing compliant operations with the primary focus of achieving the goals outlined by DHCS and CMS.

    Ms. Smith joined Health Net in 1996 and has held progressive management positions across numerous regions and product lines.

    During her 30 years of managed care experience, Ms. Smith has held positions with oversight of Provider Network Management functions, including development and management of Medi-Cal, Medicare and Commercial networks with special focus on programs for Seniors and Persons with Disabilities.

    She has a B.A. in Economics from the University of California, Santa Barbara, a master's in Health Care Administration from the University of LaVerne, and the Executive Development program at the Haas School of Business, University of California, Berkeley.
Jeffrey A. Rideout, MD
President and Chief Executive Officer, Integrated Healthcare Association, Oakland, CA (Moderator)

    Speaker Bio

    Jeff Rideout is President and CEO of the Integrated Healthcare Association (IHA), a California leadership group representing health plans, hospital systems, physician groups and other healthcare stakeholders. Dr. Rideout is responsible for management of all IHA programs and activities, including its nationally recognized pay-for-performance program, performance measurement and payment innovation initiatives, and efforts to enhance the adoption of health information technology and improve healthcare affordability. Dr. Rideout also holds academic appointments with Stanford University and the University of California, Berkeley Haas School of Business, teaching on topics related to healthcare technology, services and innovation.
    Presentation Material (Acrobat)
10:30 a.m. Break
11:00 a.m. Innovative Approaches to Involving Specialists in Value-Based Payment
Steve Calvin, MD
Board Certified in OB/GYN and Maternal-Fetal Medicine; Medical Director, Minnesota Birth Center, Minneapolis, MN

    Speaker Bio

    Steve Calvin is board-certified in OB/GYN and Maternal-Fetal Medicine. He has 35 years of experience in caring for mothers and babies with the entire range of pregnancy concerns. As founder and medical director of the Minnesota Birth Center he strongly supports pregnancy care for low-risk mothers that is provided by nurse midwives in birth centers and hospitals. He believes that health care reform should start where we all did -- with pregnancy and birth and that all mothers deserve comprehensive team-based care for a single package price. To that end he developed the BirthBundle®. He blogs at www.pregnant-pauses.org.
    Presentation Material (Acrobat)
Barbara McAneny, MD
Board-Certified Medical Oncologist/Hematologist, Chief Executive Officer, New Mexico Cancer Center; Board Member, American Medical Association, Albuquerque, NM

    Speaker Bio

    Barbara L. McAneny, MD, is Immediate Past Chair of the American Medical Association Board of Trustees. She previously served as the delegate to the AMA from the ASCO; 2002-2010, and served on the AMA Council of Medical Service 2003-2010, serving as its chair in 2009--2010.

    Dr. McAneny was appointed by Health and Human Services Secretary Tommy Thompson to the Practicing Physicians Advisory Council from 2002 to 2006.

    She was a founding member of Oncology Circle.

    In 2012 Dr. McAneny received a $19.8 million award from the Centers for Medicare & Medicaid Innovation "COME HOME" to test how oncology private practices can provide cancer patients better care at a lower cost.
    Presentation Material (Acrobat)
Stephen J. Zabinski, MD
Board-Certified Orthopedic Surgeon, Director, Division of Orthopedic Surgery, Shore Medical Center; President and Director of Joint Replacement Services, Jersey Shore Ambulatory Surgical Center, Somers Point, NJ

    Speaker Bio

    Dr. Zabinski is Director of the Division of Orthopaedic Surgery at Shore Medical Center and President and Director of Joint Replacement Services at Jersey Shore Ambulatory Surgical Center. He is an orthopedic consultant for Richard Stockton College and has served as past medical director for the Atlantic League of Professional Baseball Organization as well as the Atlantic City Surf and the Atlantic City Seagulls professional teams. He has served appointments as Assistant Clinical Professor of Orthopaedic Surgery at Jefferson University Hospital and The Hospital for Special Surgery at Cornell University.
    Presentation Material (Acrobat)
Harold D. Miller
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, US Department of Health and Human Services Advisory Committee on Physician Payment Models; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Moderator)

    Speaker Bio

    Harold D. Miller is the President and CEO of the Center for Healthcare Quality and Payment Reform. He also serves as Adjunct Professor of Public Policy and Management at Carnegie Mellon University. Miller is a nationally-recognized expert on healthcare payment and delivery reform, and has given invited testimony to Congress on how to reform healthcare payment and has authored a number of papers and reports on health care payment and delivery reform. In previous positions, Miller served as CEO of the Network for Regional Healthcare Improvement and the Director of the Pennsylvania Governor's Office of Policy Development.
11:45 a.m. National Best Practices in Value-Based Payment Innovation and Implementation
Dirck Clark
President, MPact Health, Parkville, MO

    Speaker Bio

    • Dirck Clark is the President of MPact Health, a multi-state clinically integrated network covering Missouri, Kansas, Arkansas, and Oklahoma. The CIN went live in December and includes Mercy, the University of Missouri Health System, and Mosaic Life Care.
    • Prior to MPact, Dirck was the Chief Strategy Officer for Mosaic Life Care.
    • Before Mosaic, Dirck spent seven years working for the United States Senate on healthcare and rural development issues.
    • Dirck holds a Bachelors Degree in Business Administration and a Masters Degree in Healthcare Administration from the University of Missouri.
    Presentation Material (Acrobat)
Russ Mohawk
Chief Executive Officer, Inova Health Plans and Population Health Services, Inova Health Systems, Washington, DC

    Speaker Bio

    Mr. Mohawk is currently the CEO of Inova's Health Plan and Population Health Services Division. Mr. Mohawk has held key executive positions including CEO, CFO, and COO for numerous insurance managed care and service organizations over the past 30 years, in addition to experience in hospital finance positions. Mr. Mohawk has previously held senior executive positions with organizations including Leprechaun LLC, MMM Healthcare, Trigon Blue Cross and Blue Shield of Virginia, Principal Health Care, and Health Matrix Corporation (a subsidiary of Nationwide Insurance Company). He was the cofounder of the Genesis Group, JM Health Group, and Mohawk Health Group where he specialized in interim management, rehabilitations, liquidations, startups, and litigation support.
Gregory G. Wojtal, CPA, FACHE, CHC
Vice President, Chief Financial Officer, Banner Health Network, Banner Health, Phoenix, AZ

    Speaker Bio

    Greg joined Banner Health in 2006 as CFO at Banner Estrella Medical Center. With the acquisition of Sun Health, he was named CFO of Banner Boswell Medical Center in 2008. In 2009, he was promoted to Vice President and Chief Financial Officer of the Arizona West Region. In 2013, Greg began his current role as Vice President and Chief Financial Officer for Banner Health Network.

    He is a CPA, American College of Healthcare Executives Fellow (FACHE), a Muncie Gold Merit Award recipient from Healthcare Financial Management Association (HFMA) and is certified in Healthcare Compliance (CHC).
Joseph F. Damore, FACHE
Vice President, Population Health Management, Premier Inc., Washington, DC (Moderator)

    Speaker Bio

    Joseph F. Damore, FACHE is Vice President of Population Health Management (PHM) at Premier, Inc. He is responsible for assisting physician groups, hospitals and health systems, health plans, and integrated health systems in implementing population health management arrangements, including Accountable Care Organizations. His responsibilities include leading Premier's Population Health Management team that provides collaborative and consulting services. He and the PHM team provide consultative assistance and advice to numerous health care organizations in areas such as strategic business planning, clinical integration, new value based payor arrangements, quality and financial improvement, and in implementing population health management core capabilities.

    Throughout his career, he has received numerous awards for his successful leadership of integrated systems.

    Mr. Damore is a nationally recognized speaker on the topics of health reform, integrated care, and population health management and has published numerous articles on health care management, finance, and delivery.
    Presentation Material (Acrobat)
12:30 p.m. Networking Luncheon

MINI SUMMITS GROUP I
(Choose one Mini Summit only)
Mini-Summit I: CMS Update on Delivery and Payment System Reform: Advanced Issues and Q&A
1:30 p.m.
Introductions, Panel Discussion and Q&A
David Saÿen, MBA
Regional Administrator, Region IX, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, San Francisco, CA

    Speaker Bio

    David Saÿen (pronounced "SIGN") is the Regional Administrator at the Centers for Medicare & Medicaid Services' San Francisco office. David's team is focused on external and intergovernmental affairs for the San Francisco region that serves over 20 million Medicare, Medicaid, Marketplace, and Children's Health Insurance Program beneficiaries. He brings more than 30 years of Federal experience in health and human services programs to the position. His experience at HHS includes work in Medicare health plan operations, financial management, program integrity, information technology, and public affairs. He earned his MBA in Health Administration from Temple University in Philadelphia.
Ashby Wolfe, MD, MPP, MPH
Chief Medical Officer, Region IX, Centers for Medicare and Medicaid Services (CMS), US Department of Health and Human Services, San Francisco, CA

    Speaker Bio

    Dr. Ashby Wolfe is a board-certified family physician and currently serves as Chief Medical Officer for Region 9 of the Centers for Medicare and Medicaid Services (CMS) which includes California, Arizona, Nevada, Hawaii, and the Pacific Territories. In her current position, Dr. Wolfe focuses on implementation of the Affordable Care Act (ACA) and its role in providing access to high quality care and improved health at a lower cost. In addition, Dr. Wolfe provides clinical expertise to many regional CMS programs and divisions, and serves as the medical and scientific lead for quality improvement and outreach/education efforts in the region. She also continues see patients regularly as a family physician, at Clinica Alta Vista community health center in Oakland, CA.
    Presentation Material (Acrobat)
2:45 p.m.
Transition Break

Mini-Summit II: Premier, Inc. Presents Advanced Case Studies in Successful Hospital Value-Based Payment Initiatives

1:30 p.m.
Introductions, Panel Discussion and Q&A
Dirck Clark
President, MPact Health, Parkville, MO

    Speaker Bio

    • Dirck Clark is the President of MPact Health, a multi-state clinically integrated network covering Missouri, Kansas, Arkansas, and Oklahoma. The CIN went live in December and includes Mercy, the University of Missouri Health System, and Mosaic Life Care.
    • Prior to MPact, Dirck was the Chief Strategy Officer for Mosaic Life Care.
    • Before Mosaic, Dirck spent seven years working for the United States Senate on healthcare and rural development issues.
    • Dirck holds a Bachelors Degree in Business Administration and a Masters Degree in Healthcare Administration from the University of Missouri.
    Presentation Material (Acrobat)
Russ Mohawk
Chief Executive Officer, Inova Health Plans and Population Health Services, Inova Health Systems, Washington, DC

    Speaker Bio

    Mr. Mohawk is currently the CEO of Inova's Health Plan and Population Health Services Division. Mr. Mohawk has held key executive positions including CEO, CFO, and COO for numerous insurance managed care and service organizations over the past 30 years, in addition to experience in hospital finance positions. Mr. Mohawk has previously held senior executive positions with organizations including Leprechaun LLC, MMM Healthcare, Trigon Blue Cross and Blue Shield of Virginia, Principal Health Care, and Health Matrix Corporation (a subsidiary of Nationwide Insurance Company). He was the cofounder of the Genesis Group, JM Health Group, and Mohawk Health Group where he specialized in interim management, rehabilitations, liquidations, startups, and litigation support.
Gregory G. Wojtal, CPA, FACHE, CHC
Arizona West Region Chief Financial Officer, Arizona Region, Banner Health, Phoenix, AZ

    Speaker Bio

    Greg joined Banner Health in 2006 as CFO at Banner Estrella Medical Center. With the acquisition of Sun Health, he was named CFO of Banner Boswell Medical Center in 2008. In 2009, he was promoted to Vice President and Chief Financial Officer of the Arizona West Region. In 2013, Greg began his current role as Vice President and Chief Financial Officer for Banner Health Network.

    He is a CPA, American College of Healthcare Executives Fellow (FACHE), a Muncie Gold Merit Award recipient from Healthcare Financial Management Association (HFMA) and is certified in Healthcare Compliance (CHC).
Joseph F. Damore, FACHE
Vice President, Population Health Management, Premier Inc., Washington, DC (Moderator)

    Speaker Bio

    Joseph F. Damore, FACHE is Vice President of Population Health Management (PHM) at Premier, Inc. He is responsible for assisting physician groups, hospitals and health systems, health plans, and integrated health systems in implementing population health management arrangements, including Accountable Care Organizations. His responsibilities include leading Premier's Population Health Management team that provides collaborative and consulting services. He and the PHM team provide consultative assistance and advice to numerous health care organizations in areas such as strategic business planning, clinical integration, new value based payor arrangements, quality and financial improvement, and in implementing population health management core capabilities.

    Throughout his career, he has received numerous awards for his successful leadership of integrated systems.

    Mr. Damore is a nationally recognized speaker on the topics of health reform, integrated care, and population health management and has published numerous articles on health care management, finance, and delivery.
    Presentation Material (Acrobat)
2:45 p.m.
Transition Break

Mini-Summit III: The Role of Regional Collaboratives in Payment Reform
1:30 p.m.
Introductions, Panel Discussion and Q&A
Craig Brammer
Chief Executive Officer, The Health Collaborative; Former Director, Beacon Community Program, Office of the National Coordinator for Health Information Technology, Cincinnati, OH

    Speaker Bio

    Craig Brammer serves as CEO of The Health Collaborative, formerly three separate operations known as Greater Cincinnati Health Council, the Health Collaborative, and HealthBridge. He oversees the strategy and coordination of the organization's technology and health improvement initiatives throughout the region.

    Brammer previously served on the leadership team at the Office of the National Coordinator for Health IT in Washington, DC and led a $260 million federal technology innovation program. Previously, he led several Cincinnati-based initiatives, including the Humana-sponsored Physician Leadership Program and the Aligning Forces for Quality program -- the signature health care improvement initiative of the Robert Wood Johnson Foundation.

    Brammer earned his Master's degree in Organizational Behavior at the University of Cincinnati, and is a member of the faculty at the University of Cincinnati Medical Center.
    Presentation Material (Acrobat)
Mylia Christensen
Executive Director, Oregon Health Care Quality Corporation; Former Project Director, Medicaid Evidence-based Decisions Project, OHSU Center for Evidence-based Policy, Portland, OR

    Speaker Bio

    Mylia Christensen is the Executive Director of the Oregon Health Care Quality Corporation, an independent, nonprofit organization dedicated to improving the quality and affordability of health care in Oregon by leading community collaborations and producing unbiased information. In 2007, Quality Corp became one of 16 organizations nationwide selected to participate in Aligning Forces for Quality, a program of the Robert Wood Johnson Foundation. Quality Corp is also a Chartered Value Exchange and member of the Network for Regional Healthcare Improvement (NRHI). In addition to her role at Quality Corp, Mylia currently serves as the Chair of the Board of Directors for NRHI and is a board member of the Oregon Coalition of Health Care Purchasers.

    Mylia has worked in almost all facets of healthcare, from clinical settings to hospital and healthcare system management, strategic planning and administration. Prior to her position at Quality Corp, Mylia was the National Project Director for the Medicaid Evidence-based Decisions Project at the OHSU Center for Evidence-based Policy, Administrator of the State of Oregon's Public Employees' Benefit Board and Vice President of Operations and Regional Director for the Oregon Health Plan enrollment broker project with Benova, Inc. Her experience also includes Director of Program Development and Physician Services for Legacy Portland Hospital System and the Administrator of Women's Health Services at Good Samaritan Hospital. She began her early career as a licensed practical nurse and registered nurse in Emergency and Critical Care Services.
    Presentation Material (Acrobat)
Lindsay Erickson, MSPH
Manager, Value Based P4P Program, Integrated Healthcare Association, Oakland, CA

    Speaker Bio

    Lindsay Erickson leads the Value Based Pay for Performance Program at IHA. In this role, she directs the day-to-day operations involved in measuring, reporting, and rewarding physician organizations for performance on quality, cost, and resource use. Prior to joining IHA, Lindsay worked at the Governor's Office of Planning and Budget for the State of Georgia. As the policy analyst for Medicaid, the Children's Health Insurance Program, and physician workforce issues, she worked to develop and evaluate policy recommendations. Lindsay earned a Master of Science in Public Health with a concentration on health policy and services research from Emory University and a Bachelor of Science from the University of California, San Diego.
Louise Y. Probst
Executive Director, St. Louis Area Business Health Coalition; Executive Director, Midwest Health Initiative, St. Louis, MO

    Speaker Bio

    Louise Probst is Executive Director of the St. Louis Area Business Health Coalition and the Midwest Health Initiative (MHI). A belief in the power of information and collaboration to achieve better health, higher quality and more affordable care is central to MHI. It brings together those that provide, use and pay for health care services toward these aims.

    Ms. Probst began her career as a critical care nurse and has a Master in Business Administration from the University of Denver. She has experience as a clinician, an educator, a hospital administrator, and a purchaser advocate.
    Presentation Material (Acrobat)
Elizabeth Mitchell
President and Chief Executive Officer, Network for Regional Healthcare Improvement; Member, HHS Advisory Committee on Physician Payment Models, Portland, ME (Moderator)

    Speaker Bio

    Elizabeth Mitchell is CEO of the Network for Regional Healthcare Improvement, a national network of 30+ Regional Health Improvement Collaboratives. Elizabeth was CEO of the Maine Health Management Coalition, leading public reporting, consumer engagement, and payment reform efforts and established the MHMC Data and Analytics program, becoming the nation's 4th Qualified Entity. MHMC was named ?Implementation Partner' in Maine's State Innovation Model grant. Elizabeth serves on the National Quality Forum Board and Coordinating Committee of NQF's Measure Application Partnership and served on the National Business Coalition on Health Board. Elizabeth worked for MaineHealth, Maine's largest integrated health system. She served two terms in the Maine State Legislature, and chaired the Health and Human Services Committee. Elizabeth held posts at the National Academy for State Health Policy, and London's Nuffield Trust. Elizabeth received an Atlantic Fellowship in Public Policy and completed the International Health Leadership Program at Cambridge University while pursuing graduate studies at the London School of Economics.
2:45 p.m.
Transition Break

Mini-Summit IV: Mapping Our Way to Improving Care Across Products: Comparing Quality Metrics in California for HMO & PPO
1:30 p.m.
Introductions, Panel Discussion and Q&A
Ann Boynton
Director, Payer Strategies and Value Based Contract Management, UC Davis Medical Center, Davis, CA

    Speaker Bio

    Ms. Boynton leads the development and implementation of strategies to support alternative payment models. She served as Deputy Executive Officer of Benefit Programs, Policy and Planning for the California Public Employees' Retirement System, providing executive leadership for the health benefit program, including health plan benefit design and development, and health plan negotiations. She served as Undersecretary at the California Health and Human Services Agency and was Governor Arnold Schwarzenegger's Chief Deputy Cabinet Secretary. Her experience includes almost twenty years as a management consultant in the private sector, including employment with IBM and PricewaterhouseCoopers, and owning her own management consulting business.
Richard Fish, MBA
Chief Executive Officer, Brown & Toland Physicians, San Francisco, CA

    Speaker Bio

    A healthcare leader with 25 years of industry experience, Richard joined Brown & Toland in 2007 as Senior Vice President and became CEO 2011. Richard has also served in senior management roles for Talbert Medical Group, Pacific Cardiovascular Associates/Pacific Hospitalist Associates. Heritage Development Organization, and FHP International. He holds a Bachelor of Science degree from the University of California at Davis and an MBA from the University of Washington.
Jill Yegian, PhD
Senior Vice President, Programs and Policy, Integrated Healthcare Association; Former Director, Research and Evaluation, California HealthCare Foundation, Oakland, CA (Moderator)

    Speaker Bio

    Jill Yegian, Ph.D. serves as Senior Vice President for Programs and Policy at the Integrated Healthcare Association, a multi-stakeholder leadership group focused on improving the quality, affordability, and transparency of health care in California through performance measurement and payment innovation. Prior to joining IHA, she co-directed the American Institutes for Research's Health Policy and Research Group, a team of over 70 health services research professionals. At AIR, she led work related to cost and quality information, health insurance exchanges, and implementation of payment reform. Prior to joining AIR, Dr. Yegian spent 13 years with the California HealthCare Foundation, where she developed programs aimed at improving the State's financing and delivery systems for health care. At CHCF, she led the foundation's efforts to increase coverage among California's uninsured, and served as its first director of research and evaluation.
    Presentation Material (Acrobat)
2:45 p.m.
Transition Break

Mini-Summit V: Are ACOs Ready to Manage Medications to Achieve Clinical and Financial Success? Results of a Recent National Study
1:30 p.m.
Introductions, Panel Discussion and Q&A
Hae Mi Choe, PharmD
Director of Pharmacy Innovations and Partnerships, Clinical Associate Professor of Pharmacy, University of Michigan Health System, Ann Arbor, MI

    Speaker Bio

    Dr. Hae Mi Choe received her Doctor of Pharmacy from University of California, San Francisco. She completed Pharmacy Practice Residency at the Kaiser Permanente. Dr. Choe joined UMHS in 1999 to develop ambulatory clinical services. She was the first pharmacist evaluated and endorsed by the Credentialing Committee at UMHS and was granted special privileges in patient care. Dr. Choe created a group practice model at UMHS as part of the Patient Centered Medical Home. In recognition for her practice in diabetes, she received the 2004 Innovative Pharmacy Practice Award from the Michigan Pharmacists Association. In 2011, Dr. Choe and her colleagues received state and national recogntion (MPA Innovative Pharmacy Practice Award and ASHP Best Practice Award) for their group practice model in the Patient-Centered Medical Home. In 2014, she has received the APhA Pinnacle Award for Individual Career Achievement Award.
David B. Muhlestein, PhD, JD
Senior Director of Research and Development, Leavitt Partners, LLC, Salt Lake City, UT

    Speaker Bio

    David Muhlestein, PhD, JD, is Senior Director of Research and Development at Leavitt Partners. He directs the study of accountable care organizations through the Leavitt Partners Center for Accountable Care Intelligence and leads the firm's quantitative evaluation of health care markets. He is an expert in using policy analysis, economic modeling and applied analytics to understand the evolving health care landscape. His insights have been quoted by publications such as The Wall Street Journal, The Seattle Times and Modern Healthcare. Dr. Muhlestein earned his doctorate in health services research, JD, MHA and MS from The Ohio State University and a BA from Brigham Young University.
    Presentation Material (Acrobat)
Robert W. Dubois, MD, PhD
Chief Science Officer, National Pharmaceutical Council, Washington, DC (Moderator)

    Speaker Bio

    Robert W. Dubois, MD, PhD, is the chief science officer and executive vice president of the National Pharmaceutical Council (NPC). In this role, he oversees NPC's research on policy issues related to comparative effectiveness research, as well as on how health outcomes are valued.

    Dr. Dubois, who is board certified in internal medicine, brings more than 25 years of experience in health services research and comparative clinical effectiveness. He has co- founded and led various health care research organizations in developing quality research with practical application. Most recently, he was the Chief Medical Officer at Cerner LifeSciences, where he focused on comparative effectiveness and the use of an electronic health records infrastructure to implement clinical change.

    Dr. Dubois received his AB from Harvard College, his MD from the Johns Hopkins School of Medicine and his PhD in Health Policy from the RAND Graduate School. He is a member of the Medicare Evidence Development and Coverage Advisory Committee, Steering Committee for the Electronic Data Methods Forum, and the Advisory Board of the Institute for Clinical and Economic Review. Additionally, he is the associate editor of the Journal of Comparative Effectiveness Research and is on the editorial board for Health Affairs.
    Presentation Material (Acrobat)
2:45 p.m.
Transition Break

Mini-Summit VI: Case Studies in Innovative Specialist Value-Based Payment Initiatives: Specialty Payment Reforms that Avoid Expensive Procedures
1:30 p.m.
Introductions, Panel Discussion and Q&A
Steve Calvin, MD
Board Certified in OB/GYN and Maternal-Fetal Medicine; Medical Director, Minnesota Birth Center, Minneapolis, MN

    Speaker Bio

    Steve Calvin is board-certified in OB/GYN and Maternal-Fetal Medicine. He has 35 years of experience in caring for mothers and babies with the entire range of pregnancy concerns. As founder and medical director of the Minnesota Birth Center he strongly supports pregnancy care for low-risk mothers that is provided by nurse midwives in birth centers and hospitals. He believes that health care reform should start where we all did -- with pregnancy and birth and that all mothers deserve comprehensive team-based care for a single package price. To that end he developed the BirthBundle®. He blogs at www.pregnant-pauses.org.
    Presentation Material (Acrobat)
Anthony DeFranco, MD
Medical Director, Cardiovascular Quality and Coronary Intensive Care, Aurora Medical Group and Aurora Health Care; Chairman, State Implementation Committee, SMARTCare Demonstration Project, Milwaukee, WI

    Speaker Bio

    Anthony DeFranco, MD, is a board-certified interventional and clinical cardiologist with special interest in quality-of-care issues. He has been recognized internationally for his work and serves on several national committees for the American Heart Association and the American College of Cardiology, as well as several corporate advisory boards. He has authored/co-authored more than 50 scientific articles, book chapters in leading textbooks, and review articles, and serves as assistant professor of medicine at Michigan State University.

    Dr. DeFranco is widely known as an enthusiastic teacher and is invited to speak at numerous medical conferences and visiting professorships around the world. He has received Teacher of the Year at every training program at which he has taught.

    Medical Education: Tufts University School of Medicine (Degree earned: MD)

    Residency: University of Chicago Hospitals & Clinics - Internal Medicine

    Board Certifications:
    Cardiovascular Disease - American Board of Internal Medicine
    Internal Medicine - American Board of Internal Medicine
    Interventional Cardiology - American Board of Internal Medicine
    Presentation Material (Acrobat)
Andrew John Haig, MD
Professor, Physical Medicine and Rehabilitation, University of Michigan Health System; President, The International Rehabilitation Forum, Ann Arbor, MI

    Speaker Bio

    A leading designer of spine and rehabilitation programs, Dr. Haig's projects have resulted in a 30% drop in surgery, 80% drop in emergency department return visits, and single-visit solution to chronic back disability management. Funded by the NIH, NIDILRR, Robert Wood Johnson Foundation and others, he has published over 150 bench-to-bedside scientific papers resulting in best research awards from two national societies and the upcoming global 2016 ISSLS award, along with national top teacher and clinician awards. Haig recently transitioned to emeritus professor at Michigan in order to focus on national solutions to spine care through Haig et al., Consulting.
    Presentation Material (Acrobat)
Harold D. Miller
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, US Department of Health and Human Services Advisory Committee on Physician Payment Models; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Moderator)

    Speaker Bio

    Harold D. Miller is the President and CEO of the Center for Healthcare Quality and Payment Reform. He also serves as Adjunct Professor of Public Policy and Management at Carnegie Mellon University. Miller is a nationally-recognized expert on healthcare payment and delivery reform, and has given invited testimony to Congress on how to reform healthcare payment and has authored a number of papers and reports on health care payment and delivery reform. In previous positions, Miller served as CEO of the Network for Regional Healthcare Improvement and the Director of the Pennsylvania Governor's Office of Policy Development.
2:45 p.m.
Transition Break

MINI SUMMITS GROUP II
(Choose one Mini Summit only)
Mini Summit VII: Clinical Data Sharing
3:00 p.m.
Introductions, Panel Discussion and Q&A
Scott Afzal
Program Director, Chesapeake Regional Information System for our Patients; Partner, Audacious Inquiry, LLC, Baltimore, MD

    Speaker Bio

    For over seven years, Mr. Afzal has served as a Principal and Director of Health Information Systems at Ai. He also serves as the Program Director for Maryland's Health Information Exchange (CRISP). He has established relationships with state and federal government stakeholders and partners, and led strategic initiatives underpinning the company's growth. As a result of his work, Ai has captured an expanding operational footprint in the fields of healthcare policy and technology focused on innovative IT product offerings.
    Presentation Material (Acrobat)
David C. Kendrick, MD, MPH
Chief Executive Officer and Founder of MyHealth Access Network; Senior Counsel for Interoperability for the National Coordinator for Health IT; Chairs the Department of Medical Informatics at the University of Oklahoma's School of Community Medicine, and serves the OU Health Sciences Center as the Assistant Provost for Strategic Planning, Tulsa, Oklahoma

    Speaker Bio

    David Kendrick, MD, MPH, chairs the Department of Medical Informatics at the University of Oklahoma's School of Community Medicine, and serves the OU Health Sciences Center as the Assistant Provost for Strategic Planning.

    Dr. Kendrick is the principal investigator and CEO of MyHealth Access Network, Oklahoma's non-profit health information network, which ensures that every Oklahoman's complete health record is securely available where and when they need it for care and health decision-making. MyHealth serves more than 3 million patients and is focused on improving health in Oklahoma and beyond by implementing a community-wide infrastructure for healthcare IT. MyHealth was one of the original Beacon Communities selected by the Office of the National Coordinator for Health IT.
    Presentation Material (Acrobat)
Cindy Munn, MHA
Chief Executive Officer, Louisiana Health Care Quality Forum, Baton Rouge, LA

    Speaker Bio

    Cindy Munn has 25+ years of experience in health care leadership and operations management. As CEO of the Louisiana Health Care Quality Forum, Munn oversees development of the organization's strategic roadmap supporting an integrated approach to transforming health care. She has oversight responsibility for initiatives including health information technology, practice transformation assistance and analytics support for community/ state-based QI projects. She serves on boards of the Network for Regional Healthcare Improvement and TexLa Telehealth Resource Center. Munn holds a BS degree in Medical Technology from LSU and an MS degree in Health Administration from the University of St. Francis in Illinois.
    Presentation Material (Acrobat)
Elizabeth Mitchell
President and Chief Executive Officer, Network for Regional Healthcare Improvement; Member, US Department of Health and Human Services Advisory Committee on Physician Payment Models, Portland, ME (Moderator)

    Speaker Bio

    Elizabeth Mitchell is CEO of the Network for Regional Healthcare Improvement, a national network of 30+ Regional Health Improvement Collaboratives. Elizabeth was CEO of the Maine Health Management Coalition, leading public reporting, consumer engagement, and payment reform efforts and established the MHMC Data and Analytics program, becoming the nation's 4th Qualified Entity. MHMC was named ?Implementation Partner' in Maine's State Innovation Model grant. Elizabeth serves on the National Quality Forum Board and Coordinating Committee of NQF's Measure Application Partnership and served on the National Business Coalition on Health Board. Elizabeth worked for MaineHealth, Maine's largest integrated health system. She served two terms in the Maine State Legislature, and chaired the Health and Human Services Committee. Elizabeth held posts at the National Academy for State Health Policy, and London's Nuffield Trust. Elizabeth received an Atlantic Fellowship in Public Policy and completed the International Health Leadership Program at Cambridge University while pursuing graduate studies at the London School of Economics.
4:15 p.m.
Transition Break

Mini Summit VIII: Managing Pharmaceutical Costs in a Value-Based Payment Environment
3:00 p.m.
Introductions, Panel Discussion and Q&A
Nancy Djordjevic
Senior Consultant, Gorman Health Group; Former Director, Health Care Economics, United Healthcare, Severna Park, MD

    Speaker Bio

    Nancy Djordjevic is a Senior Consultant at Gorman Health Group (GHG). In this role, she develops feasibility studies for the viability of Medicare Advantage (MA) health plans as well as medical spend analyses to improve financial performance. Nancy brings GHG clients more than 30 years of multi-faceted expertise in Medicare, Medicaid, Federal Employees Health Benefit Plans, and Commercial insurance. Her specialties involve cost control and cost-saving strategies through financial analytics. Nancy has a broad insurance business knowledge relating to financial measures of operational performance across a wide range of markets and operations.
Sharon K. Jhawar, PharmD, MBA, CGP
Corporate Vice President Pharmacy, SCAN Health Plan, Long Beach, CA

    Speaker Bio

    Sharon K. Jhawar joined SCAN Health Plan in 2003. Now Corporate Vice President of Pharmacy, Sharon is responsible for optimizing a $200 million drug benefit for the plan, contracting and oversight of delegated Pharmacy Benefit Manager (PBM) operations, managing clinical programs to ensure safe and appropriate medication use and ensuring a compliant Medicare Part D pharmacy program.

    Prior to joining SCAN, Sharon completed a geriatric residency program at the VA Greater Los Angeles Healthcare System, Sepulveda Division. She received her doctorate in pharmacy from the University of Southern California, holds a Masters in Business Administration from the Paul Merage School of Business at the University of California, Irvine and is a Certified Geriatric Pharmacist.
Wayne Miller, MBA
Senior Director, Pharmacy Solutions, Gorman Health Group; Former Medicare Pharmacy Operations Manager, Geisinger Health Plan, Williamsport, PA

    Speaker Bio

    Wayne Miller is Senior Director of Pharmacy Solutions at Gorman Health Group (GHG). In this role, he is supports the Senior Vice President of Pharmacy Solutions in the oversight and development of projects and services in Medicare Part D, Medicaid, and industry relations. In addition, he manages a variety of client projects in compliance, Centers for Medicare & Medicaid Services (CMS) audit support and remediation, Pharmacy Benefit Manager (PBM) audits and Requests for Information (RFIs). Wayne has 33 years of experience in the health care industry, with broad Medicare and Medicaid pharmacy operations leadership experience in multiple practice settings.
Eric Yarnell, RPh, MPM
Director, Pharmacy Business Administration and Client Experience, Gateway HealthSM, Pittsburgh PA

    Speaker Bio

    Eric Yarnell currently serves as the Director of Business Administration and Client Relations for Gateway Health. Eric leads the team responsible for managing the pharmacy spend across all benefits, delivering unmatched customer and provider service, implementation of new business and ongoing operations of the pharmacy program. Eric is also accountable for the management of the PBM, retail pharmacy network performance and maximizing the highest value from pharmaceutical manufacturers and the specialty pharmacy network.

    Prior to joining Gateway Health, Eric was employed as Director of Pharmacy in both acute academic medical center and community hospital pharmacy.
Deb Devereaux, MBA
Senior Vice President, Pharmacy and Clinical Solutions, Gorman Health Group; Past President, American Society of Health-System Pharmacists, Washington, DC (Moderator)

    Speaker Bio

    Deb Devereaux brings to Gorman Health Group clients eleven years of Medicare Part D operations and clinical expertise. Deb leads a team of pharmacists, nurses, consultants and business analysts with broad health plan, CMS and PBM experience. Since the inception of Medicare Part D she has led a number of engagements for GHG, including interim Director of Pharmacy, development of applications for new MA-PDs and SNPs, CMS corrective action plan responses, mock audits and audit preparedness, PBM contracting and implementation, Part D compliance, Medication Therapy Management auditing and strategy, and Delegation Oversight and Monitoring.
    Presentation Material (Acrobat)
4:15 p.m.
Transition Break

Mini Summit IX: Finding the 'Sweet Spot' in New Value-Based Contracts for Managing Population
3:00 p.m.
Introductions, Panel Discussion and Q&A
David G. Anderson, PhD
Director of Planning and Development, BDC Advisors, Miami, FL

    Speaker Bio

    David G. ("Dave") Anderson, Ph.D, Director of Planning & Development of BDC Advisors, LLC has over 30 years healthcare consulting experience with BDC Advisors, APM, and Computer Sciences Corporation, where he led management consulting for CSC's Healthcare Group. His experience includes strategic planning and organization design for Children's Hospital of Philadelphia, Stanford University, UCSF, UCLA, Weill Cornell Medical College, Group Health Permanente, Advocate Health Care, Providence Health & Services of Oregon, UNC Health Care, and many other academic and community health systems. Prior to healthcare, Dave consulted with McKinsey & Company, where he managed the research for Peters & Waterman's best-seller, In Search of Excellence. He was also formerly on the faculty of MIT's Sloan School of Management.
    Presentation Material (Acrobat)
4:15 p.m.
Transition Break

Mini Summit X: The Role of Post-Acute Care in Value-Based Payment Arrangements
3:00 p.m.
Introductions, Panel Discussion and Q&A
Kelsey Mellard, MPA
Executive Director, Honor, Inc., San Francisco, CA

    Speaker Bio

    Kelsey leads health system integration at Honor. Prior to Honor, she launched the BPCI initiative at naviHealth and founded and directed the Post-Acute Care Center for Research in Washington, D.C. Kelsey was part of the initial team at the Center for Medicare and Medicaid Innovation and has held positions at UnitedHealth Group, Advisory Board Company, Children's Mercy Hospitals and Clinics, and Kaiser Family Foundation. She has an MPA from the University of Kansas and a BS in Community Health from Winona State University- where also serves as Adjunct Faculty.
David B. Muhlestein, PhD, JD
Senior Director of Research and Development, Leavitt Partners, LLC, Salt Lake City, UT

    Speaker Bio

    David Muhlestein, PhD, JD, is Senior Director of Research and Development at Leavitt Partners. He directs the study of accountable care organizations through the Leavitt Partners Center for Accountable Care Intelligence and leads the firm's quantitative evaluation of health care markets. He is an expert in using policy analysis, economic modeling and applied analytics to understand the evolving health care landscape. His insights have been quoted by publications such as The Wall Street Journal, The Seattle Times and Modern Healthcare. Dr. Muhlestein earned his doctorate in health services research, JD, MHA and MS from The Ohio State University and a BA from Brigham Young University.
Julianne Williams, MPH
President, Golden Livingcenters, Golden Living, LLC, Plano, TX

    Speaker Bio

    Julianne Williams draws much of her 24-year experience from Beverly Enterprises & Golden LivingCenters, where she held a variety of roles beginning as an Administrator in Training and culminating in her current role as President of GLC. In 2011 she accepted a position at Country Villa Health Services as COO responsible for operational oversight over the entire 44 facilities under ownership/ management. She returned to Golden Living in 2014 as the SVP of Business Development and Strategic Planning. She was appointed to the President of GLC in September of 2014 charged with overseeing their 320 LivingCenters and Communities as well as the support functions for the nursing home operations.
Michelle L. Templin, MBA
Vice President, Strategic Business Development, MHA ACO Network, Managed Health Care Associates, Inc., Florham Park, NJ, (Moderator)

    Speaker Bio

    Michelle L. Templin is Vice President of Strategic Business Development for Managed Health Care Associates, Inc. (MHA), a leading health care services and technology company focused on the alternate site marketplace. Since 2013, Ms. Templin has led the strategy and management of the MHA ACO Network, which represents the nation?s largest network of post-acute care (PAC) providers, including: long term care (LTC), home infusion and specialty pharmacies, DME and respiratory providers, and skilled nursing, assisted living and rehabilitation facilities. Working with ACOs, Medicare Advantage Plans and other payers, the MHA ACO Network assists in defining local Payer/PAC engagement strategies, provides critical resources for acute and post-acute provider connectivity, and analyzes the value of appropriate PAC utilization across the care continuum.
    Presentation Material (Acrobat)
4:15 p.m.
Transition Break

Mini Summit XI: Case Studies in Innovative Specialist Value-Based Payment Initiatives: Specialty Payment Reforms that Reduce ER Visits and Avoidable Hospitalizations
3:00 p.m.
Introductions, Panel Discussion and Q&A
Lawrence Kosinski, MD, MBA, AGAF, FACG
Managing Partner, Illinois Gastroenterology Group; President, SonarMD, LLC; Community Private Practice Councillor, AGA Governing Board, Elgin, IL

    Speaker Bio

    Lawrence R. Kosinski, M.D., M.B.A., AGAF, FACG, has been in the practice of Gastroenterology since 1984. He is currently one of the managing partners of the Illinois Gastroenterology Group (IGG), the largest Gastroenterology practice in Illinois.

    In addition to his medical practice, Dr. Kosinski is the Clinical Private Practice Councilor for the American Gastroenterological Association and serves on its Governing Board. Locally, he is a Member of the Advocate Sherman Hospital Board of Directors.

    In January 2014, Dr. Kosinski started SonarMD, LLC; a technology company formed to bring the success of Project Sonar to a national presence. He serves as its president and Chief Medical Officer.

    Dr. Kosinski received his MD from Loyola University Stritch School of Medicine in 1978 and earned his Masters of Management Degree (M.B.A.) from Northwestern University Kellogg School of Management in 1998.
    Presentation Material (Acrobat)
Barbara McAneny, MD
Board-Certified Medical Oncologist/Hematologist, Chief Executive Officer, New Mexico Cancer Center; Board Member, American Medical Association, Albuquerque, NM

    Speaker Bio

    Barbara L. McAneny, MD, is Immediate Past Chair of the American Medical Association Board of Trustees. She previously served as the delegate to the AMA from the ASCO; 2002-2010, and served on the AMA Council of Medical Service 2003-2010, serving as its chair in 2009--2010.

    Dr. McAneny was appointed by Health and Human Services Secretary Tommy Thompson to the Practicing Physicians Advisory Council from 2002 to 2006.

    She was a founding member of Oncology Circle.

    In 2012 Dr. McAneny received a $19.8 million award from the Centers for Medicare & Medicaid Innovation "COME HOME" to test how oncology private practices can provide cancer patients better care at a lower cost.
    Presentation Material (Acrobat)
Jennifer Wiler, MD, MBA, FACEP
Associate Professor and Vice-Chair, Emergency Medicine, School of Medicine, University of Colorado, Aurora, CO

    Speaker Bio

    Dr. Jennifer L. Wiler MD, MBA is Vice Chair of the Department of Emergency Medicine at the University of Colorado School of Medicine, Founder and Director of the University of Colorado CARE Innovation Center™, and Adjunct Associate Professor at the University of Colorado School of Business. She is a member of the American Medical Association RBRVS Updates Committee (RUC), Past Chair of the American College of Emergency Physicians (ACEP) EM Practice Committee, a member of the ACEP Quality and Performance and Reimbursement Committees, and past Board member of the Colorado Medical Society. She has authored a number of publications on healthcare policy, access, reimbursement and quality.
    Presentation Material (Acrobat)
Harold D. Miller
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, HHS Advisory Committee on Physician Payment Models; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Moderator)

    Speaker Bio

    Harold D. Miller is the President and CEO of the Center for Healthcare Quality and Payment Reform. He also serves as Adjunct Professor of Public Policy and Management at Carnegie Mellon University. Miller is a nationally-recognized expert on healthcare payment and delivery reform, and has given invited testimony to Congress on how to reform healthcare payment and has authored a number of papers and reports on health care payment and delivery reform. In previous positions, Miller served as CEO of the Network for Regional Healthcare Improvement and the Director of the Pennsylvania Governor's Office of Policy Development.
4:15 p.m.
Transition Break

Mini Summit XII: Management of Payment Bundles under CJR
3:00 p.m.
Introductions, Panel Discussion and Q&A
Jay Sultan
Strategy Consultant, Edifecs, Bellevue, WA

    Speaker Bio

    Jay Sultan, Principal Strategy Advisor at Edifecs, is a nationally recognized expert in payment reform. Sultan began work on implementing episodes for payment over 15 years ago and has authored two patents in payment bundling. He has participated in both commercial and the Centers for Medicare and Medicaid Services (CMS) payment bundling programs – for both retrospective and prospective episodes, and is currently working on one of the largest episode of care programs in the industry. Jay has served and/or still serves as subject matter expert in payment bundles to the CMS, several states, various non-profits (such as IHA), and over 100 payer and provider organizations.
    Presentation Material (Acrobat)
4:15 p.m.
Adjournment and Networking Reception

MINI SUMMITS GROUP III
(Choose one Mini Summit only)
Mini Summit XIII: Accountable Care: Where are my Shared Savings?
4:30 p.m.
Introductions, Panel Discussion and Q&A
David C. Kendrick, MD, MPH
Chief Executive Officer and Founder of MyHealth Access Network; Senior Counsel for Interoperability for the National Coordinator for Health IT; Chairs the Department of Medical Informatics at the University of Oklahoma's School of Community Medicine, and serves the OU Health Sciences Center as the Assistant Provost for Strategic Planning, Tulsa, Oklahoma

    Speaker Bio

    David Kendrick, MD, MPH, chairs the Department of Medical Informatics at the University of Oklahoma's School of Community Medicine, and serves the OU Health Sciences Center as the Assistant Provost for Strategic Planning.

    Dr. Kendrick is the principal investigator and CEO of MyHealth Access Network, Oklahoma's non-profit health information network, which ensures that every Oklahoman's complete health record is securely available where and when they need it for care and health decision-making. MyHealth serves more than 3 million patients and is focused on improving health in Oklahoma and beyond by implementing a community-wide infrastructure for healthcare IT. MyHealth was one of the original Beacon Communities selected by the Office of the National Coordinator for Health IT.
    Presentation Material (Acrobat)
William E. Kramer, MBA
Executive Director for National Health Policy, Pacific Business Group on Health, San Francisco, CA

    Speaker Bio

    Bill Kramer is Executive Director for National Health Policy at the Pacific Business Group on Health. Bill also serves as Project Director for the Consumer-Purchaser Alliance, and he is on the Board of the National Quality Forum and the NQF's Measure Applications Partnership Coordinating Committee. Immediately prior to taking his position at PBGH, Bill led an independent consulting practice focusing on health reform, finance and business strategy. Prior to that, he was a senior executive with Kaiser Permanente for over 20 years. Bill has an MBA from the Stanford Graduate School of Business and a BA from Harvard.
    Presentation Material (Acrobat)
David B. Muhlestein, PhD, JD
Senior Director of Research and Development, Leavitt Partners, LLC, Salt Lake City, UT

    Speaker Bio

    David Muhlestein, PhD, JD, is Senior Director of Research and Development at Leavitt Partners. He directs the study of accountable care organizations through the Leavitt Partners Center for Accountable Care Intelligence and leads the firm's quantitative evaluation of health care markets. He is an expert in using policy analysis, economic modeling and applied analytics to understand the evolving health care landscape. His insights have been quoted by publications such as The Wall Street Journal, The Seattle Times and Modern Healthcare. Dr. Muhlestein earned his doctorate in health services research, JD, MHA and MS from The Ohio State University and a BA from Brigham Young University.
    Presentation Material (Acrobat)
Elizabeth Mitchell
President and Chief Executive Officer, Network for Regional Healthcare Improvement; Member, HHS Advisory Committee on Physician Payment Models, Portland, ME (Moderator)

    Speaker Bio

    Elizabeth Mitchell is CEO of the Network for Regional Healthcare Improvement, a national network of 30+ Regional Health Improvement Collaboratives. Elizabeth was CEO of the Maine Health Management Coalition, leading public reporting, consumer engagement, and payment reform efforts and established the MHMC Data and Analytics program, becoming the nation's 4th Qualified Entity. MHMC was named ?Implementation Partner' in Maine's State Innovation Model grant. Elizabeth serves on the National Quality Forum Board and Coordinating Committee of NQF's Measure Application Partnership and served on the National Business Coalition on Health Board. Elizabeth worked for MaineHealth, Maine's largest integrated health system. She served two terms in the Maine State Legislature, and chaired the Health and Human Services Committee. Elizabeth held posts at the National Academy for State Health Policy, and London's Nuffield Trust. Elizabeth received an Atlantic Fellowship in Public Policy and completed the International Health Leadership Program at Cambridge University while pursuing graduate studies at the London School of Economics.
5:45 p.m.
Adjournment and Networking Reception

Mini Summit XIV: Risky Business: How Providers Can Transition -- Successfully -- to Risk
4:30 p.m.
Introductions, Panel Discussion and Q&A
Megan Greenfield, PhD
Associate Partner, McKinsey & Company, Rochester, NY

    Speaker Bio

    Dr. Greenfield have served health systems and pharmaceutical and medical device companies on strategic planning, business development, and implementation planning. Dr. Greenfield expertise is in developing growth and managed care strategies for healthcare providers.

    Specialties: Health system strategy, pricing and managed care contracting, academic medical centers, biomaterials design
Deepali Narula
Engagement Manager, McKinsey & Company, Dallas, TX

Presentation Material (Acrobat)
5:45 p.m.
Adjournment and Networking Reception

Mini Summit XV: Rewarding Care Management at the Point of Care
4:30 p.m.
Introductions, Panel Discussion and Q&A
Mary Cooley, RN, BSN, MS
Associate Vice President of Care Management and Operations, Priority Health, Grand Rapids, MI

    Speaker Bio

    Mary is the Associate Vice President of Care Management and Operations at Priority Health. She participates in clinical strategic planning and development of key innovative medical management strategies that have an impact on transforming the model of care and promoting the Triple Aim. Mary also actively develops and implements processes to ensure excellence in all care management operations across all of Priority Health, including prior authorizations, inpatient utilization, outpatient services, behavioral health and medical operations and technology solutions. Mary is passionate about improving health outcomes and her innovative programs have been recognized at the local, state, and national levels.

    Area of Expertise
    • Care management
    • Developing innovative models of care
    • Business of health care

    Work experience
    Cooley is a registered nurse with 30 years of experience as a health professional. Her background progressive leadership roles in population health management with an emphasis on care management and innovative solutions to transform the model of care.

    Education
    Master of Science, Management of Public Services
    DePaul University
    Chicago, Illinois

    Bachelor of Science, Nursing
    University of Wisconsin-Milwaukee
    Milwaukee, Wisconsin

    Licensure & certifications
    Registered nurse
Todd Osbeck
Director, Provider Improvement Intelligence, Priority Health, Grand Rapids, MI

    Speaker Bio

    Todd Osbeck is the Director of Provider Improvement Intelligence at Priority Health. His responsibilities include the analysis and reporting of cost, utilization and quality as it relates to provider performance. His team participates in the development of innovative methods to pay for health care value. He plays an integral role in development and execution of provider incentive programs. Prior to joining Priority Health, Mr. Osbeck was a financial analyst for Spectrum Health's Butterworth Hospital in Grand Rapids.

    Michigan State University, BA Socioeconomic Policy
    Aquinas College, MS, Management
    Presentation Material (Acrobat)
5:45 p.m.
Adjournment and Networking Reception

Mini Summit XVI: Actuarial Issues in Value-Based Contracting
4:30 p.m.
Introductions, Panel Discussion and Q&A
John Bertko, FSA, MAAA
Chief Actuary, Covered California, Former Director, Office of Special Initiatives and Pricing, Center for Consumer Information and Insurance Oversight, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Sacramento, CA

    Speaker Bio

    John Bertko is currently an independent actuarial consultant working as the Chief Actuary with Covered California (California's Insurance Marketplace) and was the Director of Special Initiatives and Pricing in the Center for Consumer Information and Insurance Oversight at the Centers for Medicare and Medicaid Services (CMS), retiring from this position as of January 31, 2014. He served as a senior actuarial advisor on various private insurance initiatives, including risk adjustment, insurance programs and insurance oversight activities. He served on the Massachusetts Connector Board from October 2014 to March 2015. He formerly was a Senior Fellow at the LMI Center for Health Reform, Adjunct Staff at RAND, a Visiting Scholar at the Brookings Institution, a Visiting Scholar at the Center for Health Policy at Stanford and the retired Chief Actuary of Humana Inc., where he managed the corporate actuarial group and directed work by actuarial staff for Humana's major business units, including developing Part D, Medicare Advantage and consumer-driven health care products. He has extensive experience with risk adjustment and has served in several public policy advisory roles. He serves on the panel of health advisors for the Congressional Budget Office and completed a 6-year term on the Medicare Payment Advisory Commission (MedPAC). He served the American Academy of Actuaries as a board member from 1994 to 1996 and as vice president for the health practice council from 1995 to 1996. He is a Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries. He has a B.S. in mathematics from Case Western Reserve University.
James Whisler
Principal, Life Sciences & Health Care and National Leader, Health Actuarial Practice, Deloitte Consulting LLP, Minneapolis, MN

    Speaker Bio

    Jim is a Principal and national leader of the Deloitte Consulting health actuarial practice, which includes more than 100 health actuaries. Jim has led projects in provider reimbursement development, design of operations and financial arrangements for integrated health systems, development of benchmark utilization and cost data, health information analytics related to efficiency and quality. Jim has done work specific to all three major market sectors of commercial, Medicare and Medicaid. He has led projects for payers, providers, governmental entities and large employers. Jim is a Fellow of the Society of Actuaries and Member of the American Academy of Actuaries.
    Presentation Material (Acrobat)
5:45 p.m.
Adjournment and Networking Reception

Mini Summit XVII: Case Studies in Innovative Specialist Value-Based Payment Initiatives: Specialty Payment Reforms that Reduce the Costs of Procedures
4:30 p.m.
Introductions, Panel Discussion and Q&A
Charles A. Accurso, MD
Medical Director, Digestive Healthcare Center and Central Jersey Ambulatory Surgery Center, Hillsborough, NJ

    Speaker Bio

    Dr Charles Accurso founded Digestive HealthCare Center in 1989. DHC has grown to 7 physicians and support staff. The organization is able to provide all the services for gastrointestinal diseases on site, including a G.I. specific Ambulatory Surgery Center and Virtual Colonoscopy.

    3 years ago, Dr Accurso developed together with N.J. BC/BS, the largest payor in N.J. an Episode of Care (EOC) Contract for colonoscopy, which has garnered national attention and has been recognized as the first Specialty Centered initiative by the NJ Academy of Family Practice.
    Presentation Material (Acrobat)
Constantine A. Mantz, MD
Board-Certified Radiation Oncologist, Chief Medical Officer, 21st Century Oncology, Lehigh Acres, FL

    Speaker Bio

    Dr. Mantz is a practicing radiation oncologist with administrative responsibilities over the clinical practices of over 900 cancer specialists as Chief Medical Office of 21st Century Oncology. He completed medical school and residency at the University of Chicago. Dr. Mantz led his company's effort in designing and executing the first comprehensive bundled payment agreement between a provider and payer in radiation oncology in 2011. He has authored multiple reports on his company's alternative payments experience and serves his professional society payment reform and health policy groups.
    Presentation Material (Acrobat)
Stephen J. Zabinski, MD
Board-Certified Orthopedic Surgeon, Director, Division of Orthopedic Surgery, Shore Medical Center; President and Director of Joint Replacement Services, Jersey Shore Ambulatory Surgical Center, Somers Point, NJ

    Speaker Bio

    Dr. Zabinski is Director of the Division of Orthopaedic Surgery at Shore Medical Center and President and Director of Joint Replacement Services at Jersey Shore Ambulatory Surgical Center. He is an orthopedic consultant for Richard Stockton College and has served as past medical director for the Atlantic League of Professional Baseball Organization as well as the Atlantic City Surf and the Atlantic City Seagulls professional teams. He has served appointments as Assistant Clinical Professor of Orthopaedic Surgery at Jefferson University Hospital and The Hospital for Special Surgery at Cornell University.
    Presentation Material (Acrobat)
Harold D. Miller
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, HHS Advisory Committee on Physician Payment Models; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Moderator)

    Speaker Bio

    Harold D. Miller is the President and CEO of the Center for Healthcare Quality and Payment Reform. He also serves as Adjunct Professor of Public Policy and Management at Carnegie Mellon University. Miller is a nationally-recognized expert on healthcare payment and delivery reform, and has given invited testimony to Congress on how to reform healthcare payment and has authored a number of papers and reports on health care payment and delivery reform. In previous positions, Miller served as CEO of the Network for Regional Healthcare Improvement and the Director of the Pennsylvania Governor's Office of Policy Development.
5:45 p.m.
Adjournment and Networking Reception

Mini Summit XVIII: The Journey from FFS to Value-Based Care: the Health Plan Perspective - A Case Study with Hawaii Medical Service Association (HMSA)
4:30 p.m.
Introductions, Panel Discussion and Q&A
Mark M. Mugiishi, MD
Senior Vice President and Chief Medical Officer, HMSA, Honolulu, HI

    Speaker Bio

    Mark Mugiishi, MD, FACS, is Chief Medical Officer for the Hawaii Medical Services Association (HMSA), Blue Cross Blue Shield Hawaii. A graduate of Northwestern University, he is a practicing general surgeon as well as Associate Chair of the Department of Surgery, Director of Surgical Education, and Associate Program Director of the Transitional Residency Program for the University of Hawaii School of Medicine. He co-founded the Endoscopy Institute of Hawaii, the Eye Surgery Center of Hawaii, and the technology accelerators Cellular Bioengineering, Inc. and Skai Ventures, LLC. Outside of medicine, he is the Producer of the Broadway musical "Allegiance."
Wayne Pan, MD, MBA
Chief Medical Officer, Cozeva, Palo Alto, CA

    Speaker Bio

    Physician executive -- with experience in clinical practice, managed care, leading physician groups, quality improvement, healthcare information technology, big data, start-ups, enterprise sales and design -- seeking to "make a dent" in the healthcare delivery system by applying business and design thinking principles to transform the way in which healthcare services are delivered and paid for. Focused on doing, failing fast, learning and doing it again -- real innovation, not just thinking about it. Engage, empathize, enlighten, energize, execute, evaluate. Are you ready to move to the next level? Let's move healthcare forward together!
    Presentation Material (Acrobat)
5:45 p.m.
Adjournment and Networking Reception


Go to Agenda:
Preconference | Day 2




Overview | Agenda | Promotional Opportunities | Continuing Education | Grantors & Exhibitors
Admin | Speaking Proposals | Webcast Log In | Contact Us | Past Summits | Home




© Health Care Conference Administrators
Contact Webmaster