Agenda

May 20, 2021

9:00AM – 9:10AM EST

Chairperson Welcome & Opening Remarks

Chairperson to be announced

9:10AM – 10:00AM EST

Keynote Panel: The Pandemic Impact on Value-Based Contracting & Delivery

  • Examine how the pandemic has affected the shift to value, as well as any near and long-term implications to consider
  • Gain insight if capitation or prospective payments is a wise approach to recover from reduced revenues/fee for service payments
  • Discuss opportunities to leverage value-based success across the healthcare ecosystem (employers, traditional payors, consumers)
  • Explore the potential impact of the new administration on health care delivery and health care payment models

Moderator:

Stephen J. Linesch, Principle
Paradigm Group

Panelists:

Lee J. Handke, PharmD, MBA, Chief Executive Officer
Nebraska Health Network

Arshad K Rahim, MD, MBA, FACP, Vice President & Senior Medical Director, Population Health, Assistant Professor, Hospital Medicine
Mount Sinai Health System

Billy Wynne, Chairman and Founder
Wynne Health Group

10:00AM – 10:15AM EST
Break

10:15AM – 11:00AM EST

Analyze Alternative Contracting Models Options to Determine Your Approach

  • Execute an attractive and sustainable value-based contract using a primary care physician network
  • Discover the lucrative benefits of the Medicare direct contracting model and important considerations for this trend
  • Drive down costs and improve patient outcomes with employer direct contracting
  • Learn unique approaches to provider incentives through performance-based contracts

Kelly Fernandez, MBA, Director, Managed Care & Value Based Contracting
RWJBarnabas Health

Michael Carnathan, MD, Family Physician
Arrow Primary Care

 

11:00AM – 11:15AM EST
Break

11:15AM – 12:00PM EST

Partnerships & Collaboration for Quadruple Aim Success

• Learn effective partnership strategies for employers, payers and providers to flatten the cost curve and deliver quality value and care
• Develop a collaborative member centric approach to improve quality outcomes post pandemic
• Incorporate prevention and post-acute strategies into your partnership strategy for patient engagement success

Stuart Levine, MD MHA, Operating Partner
Chicago Pacific Founders

Jatin Dave, MD, MPH. Chief Medical Officer
MassHealth

Masuma Maqsodi, Director, Employer Products
Trinity Health

12:00PM – 1:00PM EST

Lunch & Virtual Networking Lobby

Turn on your camera and join us in the Virtual Lobby for that face-to-face networking experience we’ve all been missing. Connecting with your peers and vendors has never been easier - click on an open seat, say hello to familiar faces, and take part in discussions on industry hot topics.  We’ll see you in the lobby!

1:00PM – 1:45PM EST

Tools for Effective Patient Engagement & Satisfaction

  • Increase patient engagement and effectively manage the challenges of social isolation and depression with AI and other technology solutions
  • Implement innovative cost-effective approaches to increase patient and caregiver engagement post pandemic
  • Integrate partnerships into your patient engagement strategy to reduce costs and improve quality of care
  • Discuss the value opportunities of incorporating pharmacists into primary care teams

Jennifer A Houlihan, Vice President, Value-Based Care and Population Health
Wake Forest Baptist Medical Center

1:45PM – 2:00PM EST
Break

2:00PM – 2:45PM EST

Concurrent Sessions

Track A: Provider Breakout

Challenges & Opportunities for ACO’s

  • Assess how the ACO model has thrived from the pandemic and exposed the need for better communication between primary care and the patient
  • Learn strategies for ACO’s to maintain their independence despite the acquisition of primary care and specialists by private equity, corporate medicine and large health systems
  • Learn the pros and cons of the direct primary care model and what organizations can do to prepare

Mark Angelo, MD, MHA, FACP, Interim President / CEO, Chief Medical Officer
Delaware Valley ACO

Lance Donkerbrook, Chief Executive Officer
Commonwealth Primary Care ACO LLC

Track B: Payer Breakout

Engaging Providers Post Pandemic

  • Engage and effectively incentivize providers post pandemic
  • Learn best practices for a successful incentive strategy for hospitals and understand where specialists fit in
  • Understand the critical role of clinical integrated networks
  • Gain insight into which physician models and partnership strategies are most effective

Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance
Brown & Toland Physicians

Karen Wilding, Senior Director, Quality and Value Based Care
University of Maryland Medical Center

2:45PM – 3:00PM EST
Break

3:00PM – 3:45PM EST

Concurrent Sessions

Track A: Provider Breakout

Capitalize on The Direct Primary Model

  • Define DPC and explore the benefits of shifting to this under-utilized model
  • Discuss how this trend can offer solutions to healthcare challenges and what organizations can do to prepare
  • Strengthen the provider-patient relationship with DPC 

Michael Carnathan, MD, Family Physician
Arrow Primary Care

Track B: Payer Breakout

The Evolution of Value-Based Health Care

  • Capitalize on the payer shift to new models of value-based contracting
  • Discuss the impact of COVID on the evolution of payer care and future predictions
  • Understand the financial impact on hospitals and how to collaborate most effectively
  • Align the metrics/operations of value-based contracts across payers  

Troy Smith, Vice President, Healthcare Strategy & Payment Transformation
Blue Cross Blue Shield of North Carolina (BCBSNC)

Kelly Fernandez, MBA, Director, Managed Care & Value Based Contracting
RWJBarnabas Health

Melissa Gerdes, MD FAAFP CHCQM, System Vice President Value Based Clinical Strategy, Population Health
CommonSpirit Health®

3:45PM – 4:00PM EST
Break

4:00PM – 4:45PM EST

Concurrent Sessions

Track A: Provider Breakout

Strategies for Prevention Care & Vaccine Management

  • Tailor an effective prevention strategy to improve cancer screening, including colorectal and breast/mammography
  • Examine innovative strategies to improve vaccination rates and metrics for distribution
  • Discuss the role of the provider in prioritization distribution methods and potential COVID vaccination mandates

Karen Wilding, Senior Director, Quality and Value Based Care
University of Maryland Medical Center

Track B: Payer Breakout

Case Studies: Incorporate Social Determinants of Health into a Successful Benefit Design

  • Learn how to operationalize benefits successfully
  • Discover key considerations for a successful social determinants of health strategy
  • Navigate funding challenges

Ana Handshuh, Principal
CAT5 Strategies
Chair
RISE Revenue & Quality Community

If you would be interested in a speaking opportunity please contact Reagen Brown at rbrown@risehealth.org

 

4:45PM – 4:55PM EST

Chairperson Closing Remarks

Chairperson to be announced

4:55PM – 5:55PM EST

Virtual Networking Lobby

Turn on your camera and join us in the Virtual Lobby for that face-to-face networking experience we’ve all been missing. Connecting with your peers and vendors has never been easier - click on an open seat, say hello to familiar faces, and take part in discussions on industry hot topics.  We’ll see you in the lobby! 

May 21, 2021

9:00AM – 9:10AM EST

Chairperson Welcome & Day One Takeaways

9:10AM – 10:00AM EST

Balance Telehealth Effectively for Patient Care

  • Reflect on lessons learned from virtual care during the pandemic and how it will fit into the delivery of care post pandemic
  • Learn what reimbursement models will exist in the future for telehealth
  • Optimize and foster telehealth with populations that benefit most

Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance
Brown & Toland Physicians 

Sarah Hampton, Program Specialist, Clinical Innovations
Association of American Medical Colleges
 

10:00AM – 10:15AM EST
Break

10:15AM – 11:00AM EST

A Triple or Quadruple Aim Approach to Build Trust to Bridge the Gap in the Care Continuum

  • Learn strategies to consistently build and maintain relationships before contract negotiations
  • Improve quality and lower costs to build the right medical management infrastructure and culture to differentiate financial risk and clinical risk
  • Shift the focus from quality measurement to quality improvement to increase patient advocacy and trust
  • Partner with patients and families to build an advanced care plan for enhanced end of life care and improve financial incentives
  • Understand the patient provider trust and resilience and examine variables that impact burnout

Vishal Bhalla, CPXP, MS, MBA, Vice President and Chief Experience Officer
Parkland Health and Hospital System

11:00AM – 11:15AM EST
Break

11:15AM – 12:00PM EST

Innovative Approaches to Delivery of Care

  • Hear case studies on how to effectively work with communities to close care gaps and deliver quality of care
  • Discuss benefit design considerations for contracting with virtual programs and services
  • Discover reimbursement considerations and strategies to respond to and measure the impact of social determinants of health programs
  • Examine the role social determinants of health data will play after the pandemic and learn payer/provider collaboration strategies for patient positive outcomes

Deborah Donovan, Vice President, Social Determinants of Health Strategy & Operations
Highmark Health

Caroline Khan, Chief Operations Officer
WellBe Senior Medical

Mae Pfeil, MSW, Director, Clinical Integration
Columbia Pacific, CCO, Care Oregon

12:00PM – 12:30PM EST

Lunch & Virtual Networking Lobby

Turn on your camera and join us in the Virtual Lobby for that face-to-face networking experience we’ve all been missing. Connecting with your peers and vendors has never been easier - click on an open seat, say hello to familiar faces, and take part in discussions on industry hot topics.  We’ll see you in the lobby!

12:30PM – 1:15PM EST

Shift to Address Rising Behavior Health Needs

  • Incorporate effective behavioral health programs into your benefit design to meet the increasing demand, including substance abuse intervention and support
  • Discuss strategies and advantages to integrate behavioral health into a primary care plan network
  • Build resiliency in your staff and tackle physician burnout with a tailored behavioral health treatment plan

Hans Wiik, FACHE, MPH, RPh, President
Hans Wiik Health Group, LLC

1:15PM – 1:30PM EST
Break

1:30PM – 2:15PM EST

Data Sharing & Predictive Analytics: Improve Member Health & Payer/Provider Relationships

  • Use predictive analytics including AI to improve member health, identify high-cost patients, determine effective interventions and lower readmission costs
  • Strengthen payer/provider relationships through program design and shared goals for data
  • Combat concerns of data evolution including security, data overload and technical debt
  • Effectively and efficiently get access to claims data for the total cost of care contracts to ensure future success

Jennifer A Houlihan, Vice President, Value-Based Care and Population Health
Wake Forest Baptist Medical Center

2:15PM – 2:30PM EST
Break

2:30PM – 3:15PM EST

Effectively Manage Post-Acute Care

  • Develop a successful cost-effective post-acute network strategy critical in design and overall leadership
  • Learn partnership strategies and other techniques to manage post-acute care remotely
  • Serve patients and manage members with chronic conditions with creative alternatives to preventative care and avoid unnecessary ER visits and readmissions

Esther Moas, RN, Senior Director Post-Acute/Care Continuum
Mount Sinai Health System

Theresa Dreyer, MPH, Lead, Value Based Care, Health Care Affairs
Association of American Medical Colleges

3:15PM – 3:25PM EST

Chairperson Closing Remarks