View the Agenda | The RISE Value-Based Care Summit | A RISE Conference

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Value-Based Care Summit
June 3-4, 2024
Atlanta

Agenda

Monday - June 3, 2024

8:00 AM 9:00 AM

7:00 AM 8:00 AM

6:00 AM 7:00 AM

5:00 AM 6:00 AM

Registration Desk Opens and Networking Breakfast

8:00 AM 6:15 PM

7:00 AM 5:15 PM

6:00 AM 4:15 PM

5:00 AM 3:15 PM

Exhibit Hall Open

9:00 AM 9:10 AM

8:00 AM 8:10 AM

7:00 AM 7:10 AM

6:00 AM 6:10 AM

Welcome Remarks

Dr. Shannon Decker, PhD, MBA, MBA, M.Ed., M.Ed, Principal  
VBC One 

Laura Sheriff, RN, MSN, CPC, CRC, Risk Adjustment Consultant, Vice President, Risk Adjustment  
Southwestern Health Resources 

9:10 AM 9:50 AM

8:10 AM 8:50 AM

7:10 AM 7:50 AM

6:10 AM 6:50 AM

Keynote Address: The New Healthcare: You Can’t Always Get What You Want But….

While technology, diagnosis and treatments for individual patients has advanced to amazing degrees, the delivery of those technologies has been stuck while consumers increasingly have a negative perception of the healthcare experience. Stephen K. Klasko, M.D., M.B.A. will give a glimpse of a very different and optimistic future where robots, humans and the people we serve have had the “courage to change” to make healthcare healthier. 

Stephen K. Klasko, M.D., M.B.A.,  
Executive in Residence, General Catalyst 
North American Ambassador, Sheba Medical Center in Israel 
Author, Feeling Alright: How the Message in the Music Can Make Healthcare Healthier 

9:50 AM 10:30 AM

8:50 AM 9:30 AM

7:50 AM 8:30 AM

6:50 AM 7:30 AM

Fireside Chat: Measure What Matters: Patient-Centered Health Outcomes Measurement

Dr. Shannon Decker, PhD, MBA, MBA, M.Ed., M.Ed, Principal   
VBC One 

Jennifer Bright, President International
Consortium for Health Outcomes Measurement (ICHOM) 

 

10:30 AM 10:50 AM

9:30 AM 9:50 AM

8:30 AM 8:50 AM

7:30 AM 7:50 AM

Networking Break

10:50 AM 11:35 AM

9:50 AM 10:35 AM

8:50 AM 9:35 AM

7:50 AM 8:35 AM

Regulatory Updates Important to Value-Based Care

  • Examining New Regulations that encourage movement to VBC  
  • Exploring effects of V28 to VBC 
  • Review CMS’s innovation models and how they are thinking about VBC  
  • Assessing the Inoperability Act  
  • How regulations have changed the legal standards for VBC  

 

Ana Handshuh, Principal  
Cat5 Strategies 

Juliette Price, Chief Solutions Officer  
Helgerson Solutions Group 

11:35 AM 12:20 PM

10:35 AM 11:20 AM

9:35 AM 10:20 AM

8:35 AM 9:20 AM

Accountable Care Organization Updates

  • Review the impact of models to providers  
  • Preparation for ACO Reach and what it might evolve to  
  • Explore nuances of the model program including increased predictability for model participants 

Moderator 
Laura Sheriff, RN, MSN, CPC, CRC, Risk Adjustment Consultant, Vice President, Risk Adjustment  
Southwestern Health Resources  

Lance Donkenbrook, Chief Executive Officer 
Commonwealth Primary Care ACO LLC 

Jessica Moschella, MPH, SVP High Value Care 
University of Vermont Health Network 

12:20 PM 1:20 PM

11:20 AM 12:20 PM

10:20 AM 11:20 AM

9:20 AM 10:20 AM

Networking Lunch

Concurrent Sessions 1:20 PM - 2:05 PM 12:20 PM - 1:05 PM 11:20 AM - 12:05 PM 10:20 AM - 11:05 AM
Track Chairs:

1:20 PM 2:05 PM

12:20 PM 1:05 PM

11:20 AM 12:05 PM

10:20 AM 11:05 AM

Track A - Technology Solutions

Integrating and validating AI for provider and payer success

  • Consider advantages of AI integrations or if it’s a distraction  
  • Review Clinical vs. Administration functionality and efficiency   
  • Leverage improved data analytics to inform decision-making 

Kenneth Persaud MD, CEO  
White-Wilson Medical Center 

1:20 PM 2:05 PM

12:20 PM 1:05 PM

11:20 AM 12:05 PM

10:20 AM 11:05 AM

Track B - VBC Coding Excellence

Health Equity, Social Determinants of Health and Value-Based Care

  • Investigate the “Value” of social care in the context of multiple stakeholder perspectives 
  • Expand beyond regulatory requirements for identifying/assessing, and addressing social needs   
  • Bridge the data gap to address health equity  
  • Explore current trends in social care, social needs and strategy 

Halima Ahmadi-Montecalvo, PhD, MPH, Adjunct Professor, SDOH Researcher 
Milken Institute School of Public Health at George Washington University 

Dr. Michael Poku, Chief Clinical Officer, 
Equality Health 

Athena Santos, MPH, CRC, Executive Director, Quality Performance and Value 
AdventHealth Primary Care Network 

2:05 PM 2:10 PM

1:05 PM 1:10 PM

12:05 PM 12:10 PM

11:05 AM 11:10 AM

Session Transition

Concurrent Sessions 2:10 PM - 2:25 PM 1:10 PM - 1:25 PM 12:10 PM - 12:25 PM 11:10 AM - 11:25 AM
Track Chairs:

2:10 PM 2:25 PM

1:10 PM 1:25 PM

12:10 PM 12:25 PM

11:10 AM 11:25 AM

Track A - Technology Solutions

Tools & Technology Spotlights Presented by SpectraMedix

Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.

2:10 PM 2:25 PM

1:10 PM 1:25 PM

12:10 PM 12:25 PM

11:10 AM 11:25 AM

Track B - VBC Coding Excellence

Tools & Technology Spotlight

Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.

Concurrent Sessions 2:25 PM - 3:10 PM 1:25 PM - 2:10 PM 12:25 PM - 1:10 PM 11:25 AM - 12:10 PM
Track Chairs:

2:25 PM 3:10 PM

1:25 PM 2:10 PM

12:25 PM 1:10 PM

11:25 AM 12:10 PM

Track A - Technology Solutions

Exploring Specialty Care Models

  • Assess how do you manage episodes of care and which models to focus on for greatest opportunity  
  • Promoting action, transition and coordination between PCP and Specialists  
  • Assess specialist engagement strategies for federal VBC programs 
  • Examine shadow bundles and opportunities they provide for ACO Reach and MMSP 

Erin Hahn, MPH, Lead Health Policy Analyst 
Value Based Care & Quality 
Association of American Medical Colleges   

Theresa Dreyer, Senior Director 
Health Care Transformation Task Force 

2:25 PM 3:10 PM

1:25 PM 2:10 PM

12:25 PM 1:10 PM

11:25 AM 12:10 PM

Track B - VBC Coding Excellence

Create Strong Contractual Frameworks for Value-Based Care

  • Develop Scalable Contracts depending on where organizations fall on the HCPLAN framework 
  • Ensure your contracts are targeted toward the services rendered and member population 
  • Collaborating with persons who are doing monthly data sharing to ensure that are agreeing to the terms of the contract   

Sameer Kalarn, Associate Consultant,  
Helgerson Solutions Group 

3:10 PM 3:30 PM

2:10 PM 2:30 PM

1:10 PM 1:30 PM

12:10 PM 12:30 PM

Networking Break

Concurrent Sessions 3:30 PM - 4:10 PM 2:30 PM - 3:10 PM 1:30 PM - 2:10 PM 12:30 PM - 1:10 PM
Track Chairs:

3:30 PM 4:10 PM

2:30 PM 3:10 PM

1:30 PM 2:10 PM

12:30 PM 1:10 PM

Track A - Technology Solutions

Unlocking True Care Optimization: Explore Strategies & Tactics for Driving Value in Chronic Conditions

  • Learn strategies tailored to key chronic conditions, including Diabetes, Musculoskeletal Health and Chronic Pain, to enhance care delivery and improve patient well-being  
  • Explore ways to create seamless health experiences for both Commercial and Medicare Advantage members 
  • Review medical costs, trends, and how current benefit designs impede value-based care delivery 

RaeAnn Grossman, Chief Growth Officer 
Luna 

Ann Pogrebitskiy, Consulting Actuary   
Wakely 

Amy Nygaard, MD, Medical Director 
Rula 

Jonas Foit, Managing Partner  
CareOne Consulting 

3:30 PM 4:10 PM

2:30 PM 3:10 PM

1:30 PM 2:10 PM

12:30 PM 1:10 PM

Track B - VBC Coding Excellence

HCC Coding: Capture and Submission of Data

  • Evaluate the importance of accurate coding and submission for compliance 
  • Assess impact of V28 with the deletion of over 2k codes and increased categories 
  • Improve your health care data analytics to maintain data integrity 
  • Standardizing and Normalizing Data 

 

Amy Crenshaw-Pritchett, CCS, CPC-I, CPMA, CDEO, CASCC, CANPC, CRC, CDEC, CMPM, C-AHI, Sr. Manager, HCC Coding/Audit & Education Services,  
Pinnacle Healthcare Consulting

Francis LaRossa, MSHS, Director, Government Quality Programs   
Piedmont Healthcare 

4:10 PM 4:15 PM

3:10 PM 3:15 PM

2:10 PM 2:15 PM

1:10 PM 1:15 PM

Session Transition

4:15 PM 4:55 PM

3:15 PM 3:55 PM

2:15 PM 2:55 PM

1:15 PM 1:55 PM

How Did We Get Here? The Evolution of Value-Based Care: Past, Present, and Future

  • Examine the different definitions of VBC  
  • Explore how incentives have changed over time 
  • Determine how do you set up your program successfully 
  • Anticipating Changes leading up to 2030  
  • Review Commercial, Medicare and Medicaid plans and what’s next?  

Moderator  
Dr. Shannon Decker, PhD, MBA, MBA, M.Ed., M.Ed, Principal   
VBC One  

Steven Boos, MBA, MHA, Manager, Implementations and Program Development 
Piedmont Healthcare 

John Carter, MBA, MS, FACHE, FACHDM, Brand Ambassador 
Pinnacle Healthcare Consulting

Christine Meyer, MD, Physician Founder 
Christine Meyer, MD and Associates 

4:55 PM 5:00 PM

3:55 PM 4:00 PM

2:55 PM 3:00 PM

1:55 PM 2:00 PM

Chairperson Closing Remarks

5:00 PM 6:00 PM

4:00 PM 5:00 PM

3:00 PM 4:00 PM

2:00 PM 3:00 PM

Networking Cocktail Reception

Tuesday - June 4, 2024

8:00 AM 9:00 AM

7:00 AM 8:00 AM

6:00 AM 7:00 AM

5:00 AM 6:00 AM

Registration Desk Opens and Networking Breakfast

8:00 AM 1:35 PM

7:00 AM 12:35 PM

6:00 AM 11:35 AM

5:00 AM 10:35 AM

Exhibit Hall Open

9:00 AM 9:10 AM

8:00 AM 8:10 AM

7:00 AM 7:10 AM

6:00 AM 6:10 AM

Welcome Remarks and Day One Takeaways

9:10 AM 9:50 AM

8:10 AM 8:50 AM

7:10 AM 7:50 AM

6:10 AM 6:50 AM

Keynote Address: The New Ecosystem of Care

Dr. Soujanya (Chinni) Pulluru will walk through the new ecosystem of care, how new participants engage patients, the path to risk sharing, and why we need Value-Based Care. Dr. Pulluru will provide updates on the challenges and opportunities in the healthcare industry and share insights from her decades of experience in healthcare both as a practicing physician and an influential, innovative industry leader. 

Soujanya (Chinni) Pulluru MD, Committee Member, PTAC (Physician-Focused Payment Model Technical Advisory Committee) 
U.S. Department of Health and Human Services (HHS) 

9:50 AM 10:35 AM

8:50 AM 9:35 AM

7:50 AM 8:35 AM

6:50 AM 7:35 AM

Driving Provider Engagement in Value-Based Care

  • Uncover how to best align incentives  
  • Discover the importance of treating providers as owners  
  • Evaluate which types of education are most effective 
  • Best practices for provider and member level reporting  

Moderator 
Rafi Cices, Head of Risk Adjustment, Coding and Billing 
Cityblock Health 

Jim Carr, Partner 
InHealth Advisors 

Kimberly Kauffman, Senior Director, Quality Reporting 
Aledade, Inc. 

Christine Meyer, MD, Physician Founder 
Christine Meyer, MD and Associates 

10:35 AM 10:50 AM

9:35 AM 9:50 AM

8:35 AM 8:50 AM

7:35 AM 7:50 AM

Networking Break

10:50 AM 11:30 AM

9:50 AM 10:30 AM

8:50 AM 9:30 AM

7:50 AM 8:30 AM

Utilizing a Value-Based Enterprise Approach in your Business Plan

  • Review stark and anti-kickback regulations for your benefit in value-based contracting 
  • Establish a robust collaboration for value-driven contracting among primary care and specialist physicians 
  • Assess risk mitigation in contracting  

Moderator  
Gabe Imperato, Partner  
Nelson Mullins Riley & Scarborough LLP  

Mike Segal, Partner  
Nelson Mullins Riley & Scarborough LLP  

Ed White, Partner  
Nelson Mullins Riley & Scarborough LLP  

Robert Ball, Chief Legal Officer 
Enlace Health 

Concurrent Sessions 11:30 AM - 12:15 PM 10:30 AM - 11:15 AM 9:30 AM - 10:15 AM 8:30 AM - 9:15 AM
Track Chairs:

11:30 AM 12:15 PM

10:30 AM 11:15 AM

9:30 AM 10:15 AM

8:30 AM 9:15 AM

Track A - High Quality and Equitable Care

Medicare Advantage Focus: Determining what Value in Medicare Advantage Looks Like

  • Examine the higher expenditures and if this growth is sustainable   
  • Explore what steps plans need to take in order to drive additional value 
  • Understanding contract nuances and the impact on expected results Example: Risk Adjustment Sweeps/Part D Pass through amount  
  • Dealing w. Revenue Pressure Risk Adjust model, IRA  

Alexander Ding, MD, MS, MBA, Associate Vice President for Physician Strategy and Medical Affairs 
Humana 

Brian Machut, FSA, Vice President and Consulting Actuary, Value-Based Healthcare Solutions 
Alliant Insurance Services 

Zach Davis, Senior Consulting Actuary 
Wakely Consulting Group 

11:30 AM 12:15 PM

10:30 AM 11:15 AM

9:30 AM 10:15 AM

8:30 AM 9:15 AM

Track B - Behavioral and Population Health

Behavioral Health Access and Integration

  • Design VBC targeting populations like Cancer Patients among others 
  • Incorporating Substance Abuse Support into a VCB Model  
  • Integration of Behavioral Health into VBC Models  

 

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

Concurrent Sessions 12:15 PM - 12:30 PM 11:15 AM - 11:30 AM 10:15 AM - 10:30 AM 9:15 AM - 9:30 AM
Track Chairs:

12:15 PM 12:30 PM

11:15 AM 11:30 AM

10:15 AM 10:30 AM

9:15 AM 9:30 AM

Track A - High Quality and Equitable Care

Tools & Technology Spotlight

Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.

12:15 PM 12:30 PM

11:15 AM 11:30 AM

10:15 AM 10:30 AM

9:15 AM 9:30 AM

Track B - Behavioral and Population Health

Tools & Technology Spotlights

Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.

12:30 PM 1:30 PM

11:30 AM 12:30 PM

10:30 AM 11:30 AM

9:30 AM 10:30 AM

Networking Lunch

Concurrent Sessions 1:30 PM - 2:10 PM 12:30 PM - 1:10 PM 11:30 AM - 12:10 PM 10:30 AM - 11:10 AM
Track Chairs:

1:30 PM 2:10 PM

12:30 PM 1:10 PM

11:30 AM 12:10 PM

10:30 AM 11:10 AM

Track A - High Quality and Equitable Care

Exploring Cost Savings Metrics in Value-Based Care

  • Measuring the Per Beneficiary per Month (PBPM) Payment structure  
  • Integrating Initiatives to target PBPMs 
  • Explore Securing Shared Savings Agreements 
  • Assess what is impacting the total cost of care  

Vindali Vartak, BDS, MBA, MHA, FACHE,  
President 
Arvian Consulting 

Stephen J. Linesch, Principal  
Paradigm Group 

 

1:30 PM 2:10 PM

12:30 PM 1:10 PM

11:30 AM 12:10 PM

10:30 AM 11:10 AM

Track B - Behavioral and Population Health

Accessing Actionable Data for Population Health

  • Measuring Quality Improvement and how it is grounded in Population Health 
  • Determine if all members are receiving a standard level of care  
  • Examine best practices to get access to all critical data  

Dr Nirmala Kishun, Vice President, Population Health 
MCR Health 

Jessica Moschella, MPH, SVP High Value Care 
University of Vermont Health Network 

2:10 PM 2:15 PM

1:10 PM 1:15 PM

12:10 PM 12:15 PM

11:10 AM 11:15 AM

Session Transition

2:15 PM 2:55 PM

1:15 PM 1:55 PM

12:15 PM 12:55 PM

11:15 AM 11:55 AM

Industry Leader Conclusion Panel: Lessons Learned Emerging Trends and Future Directions in Value-Based Care

  • Assess what was learned in 2023 and 2024 that has influenced how we perceive value-based care 
  • Comprehend the potential implications for VBC regarding this year’s Presidential Election 
  • Explore new opportunities and solutions to close gaps in care to improve health outcomes 
  • Evaluate challenges and opportunities comparing VBC in Urban vs. Rural Settings  

Alexander Ding, MD, MS, MBA, Associate Vice President for Physician Strategy and Medical Affairs 
Humana 

2:55 PM 3:00 PM

1:55 PM 2:00 PM

12:55 PM 1:00 PM

11:55 AM 12:00 PM

Closing Remarks

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