Agenda: Pay for Performance Summit: Day II
Friday, February 19, 2016
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7:30 a.m. |
Registration
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CLOSING PLENARY SESSION
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8:00 a.m. |
Welcome and Introductions
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Francois de Brantes, MS, MBA
Executive Director, Health Care Incentives Improvement Institute, Newtown, CT (Co chair)
Speaker Bio
Francois de Brantes is the Executive Director of the Health Care Incentives Improvement Institute, a not-for-profit that develops and implements new models that create better incentives for patients, physicians and hospitals in order to achieve greater affordability and quality of health care. Francois has also authored many papers and articles on the role of incentives in health care and how to improve them. His latest book, The Incentive Cure, describes how reformed incentives could change the dialogue between patients and providers on the costs of health care.
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Jeffrey A. Rideout, MD
President and Chief Executive Officer, Integrated Healthcare Association, Oakland, CA (Co chair)
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.
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8:15 a.m. |
The Politics of Value-Based Payment
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Susan Dentzer
Senior Policy Adviser, Robert Wood Johnson Foundation; Health Policy Analyst, The PBS News Hour, Washington, DC
Speaker Bio
Susan Dentzer is the Senior Policy Adviser to the Robert Wood Johnson Foundation, the nation's largest philanthropy focused on U.S. health and health care. One of the nation's most respected health and health policy thought leaders and journalists, was formerly editor-in-chief of the journal Health Affairs. Dentzer, a frequent speaker and television and radio commentator, is an elected member of the National Academy of Medicine and the Council on Foreign Relations, and a member of the boards of directors of the American Board of Medical Specialties; Research!America; and the Public Health Institute. She is also a fellow of the Hasting Center.
Presentation Material (Acrobat)
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8:45 a.m. |
Bundled Payments Update
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Francois de Brantes, MS, MBA
Executive Director, Health Care Incentives Improvement Institute, Newtown, CT
Speaker Bio
Francois de Brantes is the Executive Director of the Health Care Incentives Improvement Institute, a not-for-profit that develops and implements new models that create better incentives for patients, physicians and hospitals in order to achieve greater affordability and quality of health care. Francois has also authored many papers and articles on the role of incentives in health care and how to improve them. His latest book, The Incentive Cure, describes how reformed incentives could change the dialogue between patients and providers on the costs of health care.
Presentation Material (Acrobat)
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9:15 a.m. |
Forward on Quality: How Do We Get to Breakthrough?
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Peggy O'Kane
President, National Committee for Quality Assurance, Washington, DC
Speaker Bio
Margaret E. O'Kane is the founding and current president of the National Committee for Quality Assurance (NCQA).
She was elected a member of the Institute of Medicine in 1999 and received the 2009 Picker Institute Individual Award for Excellence in the Advancement of Patient-Centered Care. Modern Healthcare magazine has named O'Kane one of the "100 Most Influential People in Healthcare" ten times, most recently in 2015, and one of the "Top 25 Women in Healthcare" three times. She received the 2012 Gail L. Warden Leadership Excellence Award from the National Center for Healthcare Leadership.
O'Kane holds a master's degree in health administration and planning from Johns Hopkins University, where she received the Distinguished Alumnus Award and serves on the Advisory Board of the Bloomberg School of Public Health.
Presentation Material (Acrobat)
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9:45 a.m. |
Value-Based Payment, Star Ratings and The Lessons of Medicare Advantage
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John Gorman
Founder and Executive Chairman, Gorman Health Group; Former Assistant to the Director, Office of Managed Care, HCFA; Former Press Secretary and Staff Director, US Representative John Conyers, Jr. (D-MI), Washington, DC
Speaker Bio
John Gorman is Founder and Executive Chairman at Gorman Health Group (GHG). In this role, he has led the development and launch of several entrepreneurial ventures in both software and business process outsourcing in government health programs. John's work focuses on government health programs strategy, cultural transformation within health care companies, governance,and turnaround of distressed health plans. John brings GHG clients more than 25 years of experience in government-sponsored health program strategy, compliance and operations.
Prior to founding his own company in 1996, John served as Assistant to the Director of Health Care Financing Administration's (HCFA) Office of Managed Care, where he provided day-to-day management, and served as the external liaison for the Medicare and Medicaid managed care programs.
Presentation Material (Acrobat)
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10:15 a.m. |
Break
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10:30 a.m. |
Employer Initiatives in Value-Based Payment Arrangements
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Theresa Helle
Manager Health Care Quality and Efficiency Initiatives, The Boeing Company, Seattle, WA
Speaker Bio
Theresa Helle is Manager of Health Care Quality and Efficiency Initiatives for The Boeing Company. In her role Theresa leads Boeing's efforts related to evaluating and improving health care quality and efficiency. She is a lead for Boeing's Accountable Care Organization initiative underway in multiple states and manages Boeing's medical home delivery model for high risk, medically complex members. Theresa also supports Boeing's involvement in regional and national health care initiatives with the Washington Health Alliance, Washington State Bree Collaborative, the Leapfrog Group, and Pacific Business Group on Health.
Presentation Material (Acrobat)
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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)
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Daniel Lessler, MD, MHA
Chief Medical Officer, Washington State Health Care Authority, Olympia, WA
Speaker Bio
Dr. Lessler is Chief Medical Officer for the Washington State Health Care Authority (HCA), which administers the state's Medicaid program and Public Employees Benefits.
Prior to joining the Washington State HCA in May 2013, Dr. Lessler was Professor of Medicine at the University of Washington School of Medicine, and Senior Associate Medical Director at Harborview Medical Center in Seattle, WA.
He earned his medical degree at the Stanford University School of Medicine, and a Master's in Health Administration from the University of Washington. Dr. Lessler completed his residency training in internal medicine at the University of California/San Francisco.
Presentation Material (Acrobat)
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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.
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11:15 a.m. |
Health Plan Initiatives in Value-Based Payment Arrangements
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Sam Ho, MD
Executive Vice President, Chief Medical Officer, UnitedHealthcare; Chief Medical Officer, UnitedHealthcare Medicare and Retirement, Cypress, CA
Speaker Bio
Dr. Sam Ho is currently Chief Medical Officer for UnitedHealthcare, UnitedHealth Group's health benefits division, Chief Medical Officer for UHC's Medicare and Retirement business, and, as President of Clinical Services, is responsible for the clinical advancement of 45 million members throughout the U.S., including enrollees in commercial, Medicare, Medicaid, and military health plans. He is the clinical executive specifically responsible for the execution of the population health, quality improvement, payment reform, care delivery transformation, consumer engagement, data and analytics, and health care affordability programs throughout UnitedHealthcare.
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Charles Kennedy, MD, MBA
Chief Population Health Officer, Healthagen; Former Chief Executive Officer, Accountable Care Solutions, Aetna; Former Vice President, Health Information Technology, WellPoint, Simi Valley, CA
Speaker Bio
Charles D. Kennedy, M.D. is chief population health officer for Healthagen. In this role, Dr. Kennedy is responsible for leading Healthagen's population health and care management strategies and working with health systems and provider organizations to design and implement population health management programs. Previously, Dr. Kennedy was chief executive officer of Accountable Care Solutions from Aetna, a business he helped to establish at Aetna that collaborates with high quality health systems to implement accountable care models.
Dr. Kennedy is a recognized expert in health care and health information technology. He was a founding commissioner of the Certification Commission for Health Information Technology (CCHIT), the first organization recognized by the federal government to certify EMRs. He is currently the health insurance industry representative on the HIT Policy Committee, a Federal Advisory Committee that is guiding Centers for Medicare and Medicaid Services (CMS) policies to allocate $40 billion in federal funding for HIT deployment. Dr. Kennedy serves on the AHIP Foundation Board of Directors and on the advisory board for the Center for Healthcare Innovation, Healthcare and Life Science Innovation Lab.
Dr. Kennedy holds an M.D. in Internal Medicine from the University of California at Los Angeles, an MBA in Corporate Strategy and Health Care Economics from Stanford University, and a bachelor's degree in Genetics from the University of California at Berkeley. He has been featured and quoted on the topics of health care technology and operations in new publications and outlets.
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Samuel R. Nussbaum, MD
Executive Vice President, Clinical Health Policy and Chief Medical Officer, Anthem, Inc., Indianapolis, IN
Speaker Bio
Dr. Samuel Nussbaum is Executive Vice President, Clinical Health Policy, and Chief Medical Officer for Anthem, Inc. He is the key spokesperson and policy advocate for Anthem and is responsible for the company's public health policy programs. He oversees clinical strategy, corporate medical and pharmacy policy and clinical quality programs, and also has responsibility for HealthCore, Anthem's clinical outcomes research subsidiary. Dr. Nussbaum collaborates with industry leaders, physicians, hospitals and national policy and health care organizations to shape an agenda for quality, safety and clinical outcomes and to improve patient care for Anthem's 38.5 million medical members nationwide.
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Donald H. Crane, JD
President and Chief Executive Officer, CAPG, Los Angeles, CA (Moderator)
Speaker Bio
Don Crane is President and CEO of CAPG, the nation's only professional association exclusively representing capitated, coordinated care organizations, and is a leading voice promoting the interests of physicians practicing accountable care across the nation. CAPG consists of approximately 200 multispecialty medical groups and IPAs that provide medical care to over 16 million patients across 40 states, the District of Columbia and Puerto Rico.
Mr. Crane is in the forefront of national public policy advocacy on behalf of accountable care organizations across the country as they make the journey from volume to value and move into risk-based alternative payment models. He is the lead producer and moderator of CAPG's nationally acclaimed healthcare conferences.
Mr. Crane serves on the Board of Directors of the National Coalition on Health Care and Northridge Hospital Medical Center, and is a member of the UCLA Health Services Professional Advisory Council. He is also the Editor-in-Chief of CAPG Health, a magazine that reports on business trends, legislation, and industry initiatives impacting coordinated care.
Mr. Crane received his B.A. from the University of California at Berkeley and his J.D. from Loyola University of Los Angeles.
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12:00 p.m.
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Closing Comments and Observations
Stephen M. Shortell, PhD, MBA, MPH
Blue Cross of California Distinguished Professor of Health Policy and Management, Dean Emeritus, School of Public Health, Professor of Organization Behavior, Haas School of Business, University of California Berkeley, Berkeley, CA
Speaker Bio
Stephen M. Shortell, Ph.D., M.P.H, MBA is the Blue Cross of California Distinguished Professor of Health Policy and Management and Professor of Organization Behavior at the School of Public Health and Haas School of Business at University of California-Berkeley where he also directs the Center for Healthcare Organizational and Innovation Research (CHOIR).
A leading health care scholar, Dr. Shortell and his colleagues have received numerous awards for their research examining the performance of integrated delivery systems; the organizational factors associated with quality and outcomes of care; and the factors associated with the adoption of evidence-based processes for treating patients with chronic illness. He is a recent recipient of the AHA/HRET TRUST Visionary Leadership Award.
Presentation Material (Acrobat)
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12:30 p.m.
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Adjournment
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