Past Agenda

Tuesday - June 28, 2022

11:00 AM 12:00 PM

10:00 AM 11:00 AM

9:00 AM 10:00 AM

8:00 AM 9:00 AM

Conference Registration and Networking Breakfast

12:00 PM 12:10 PM

11:00 AM 11:10 AM

10:00 AM 10:10 AM

9:00 AM 9:10 AM

Welcome Remarks

Shannon Decker, VP of Clinical Performance
Brown & Toland

 

Laura Sheriff, RN, MSN, CPC, CRC,
Health Care Industry Specialist

12:10 PM 1:00 PM

11:10 AM 12:00 PM

10:10 AM 11:00 AM

9:10 AM 10:00 AM

Strategies to Achieve Success in a Value-Based Contracting World

  • Understand the fundamentals and objectives of VBC to achieve the Triple/Quadruple Aim
  • Discuss strategies and benefits of transitioning from a Fee-For-Service to VBC and the process to achieve the goal
  • Identify critical components of health care such as behavioral and mental health, remote patient monitoring, telehealth and SDoH that impact VBC and how to incorporate them into your contracts
  • Collaborate with key health care teams to provide quality care to achieve organizational goals

 

Jason Helgerson, Founder & CEO,
Helgerson Solutions Group
Former New York & Wisconsin Medicaid Director

1:00 PM 1:45 PM

12:00 PM 12:45 PM

11:00 AM 11:45 AM

10:00 AM 10:45 AM

Analyze CMS and CMMI Changes Impacting Value-Based Contracting

  • Assess the transition from Global and Professional Direct Contracting Model to the Realizing Equity, Access, and Community Health (REACH) Model and how it will impact how you operate
  • Understand the differences and implications of the new model, including the timeline associated with the change
  • Analyze the No Surprise Act and its implication for both payers and providers on network accuracy, out of network coverage, and maximum out of pocket costs

  

Juliette Price, Chief Solutions Officer,
Helgerson Solutions Group

1:45 PM 1:55 PM

12:45 PM 12:55 PM

11:45 AM 11:55 AM

10:45 AM 10:55 AM

Tools and Technology Spotlight

Hear from tools and technology experts on how their solutions can improve efficiency in your organization.

 

Sion Hughes, Senior Consultant,  
Wakely Consulting Group, an HMA company 

 

1:55 PM 2:05 PM

12:55 PM 1:05 PM

11:55 AM 12:05 PM

10:55 AM 11:05 AM

Networking Break

2:05 PM 2:50 PM

1:05 PM 1:50 PM

12:05 PM 12:50 PM

11:05 AM 11:50 AM

Explore the Different Types of Value-Based Contracts

  • Discuss the different VBC contracts including capitation, shared risk, bundled payments, and global risk to obtain a complete understanding of each type of contract
  • Identify the advantages and disadvantages of each contract related to the location of your plan, membership, and organizational goals
  • Assess opportunities for success with each contracting model, and discuss the process of preparing to enter into a VBC agreement

 

Sara Teppema, Chief Actuary, 
Wildflower Health 

 

Jason Helgerson, Founder & CEO,
Helgerson Solutions Group
Former New York & Wisconsin Medicaid Director

2:50 PM 3:35 PM

1:50 PM 2:35 PM

12:50 PM 1:35 PM

11:50 AM 12:35 PM

Analyze the Different Parameters when Building a Value-Based Contract

  • Conduct a financial model of the population you serve to calculate the risk
  • Evaluate the resources needed for success, including network adequacy, in-home services, mental and behavioral health support, and specialty treatment facilities
  • Discuss the Division of Financial Responsibility (DOFR) between the two parties to ensure clarity and understanding

 

Lance Donkenbrook, Chief Executive Officer,
Commonwealth Primary Care ACO LLC

3:35 PM 3:45 PM

2:35 PM 2:45 PM

1:35 PM 1:45 PM

12:35 PM 12:45 PM

Tools & Technology Spotlight

Hear from tools and technology experts on how their solutions can improve efficiency in your organization.  

 

Dr. Steven Buslovich, CEO, 
Patient Pattern  

3:45 PM 4:45 PM

2:45 PM 3:45 PM

1:45 PM 2:45 PM

12:45 PM 1:45 PM

Networking Lunch

4:45 PM 5:30 PM

3:45 PM 4:30 PM

2:45 PM 3:30 PM

1:45 PM 2:30 PM

Contract Navigation- Creating a Contract with Achievable Outcomes

  • Analyze the positive attributes each party brings to the agreement to assess the probability of success
  • Understand the importance of attainable goals to avoid conflict or complications between the two parties
  • Calculate the risk that is shared in the contract, and the process of creating the contract avoiding errors

 

Juliette Price, Chief Solutions Officer,|
Helgerson Solutions Group 

5:30 PM 6:15 PM

4:30 PM 5:15 PM

3:30 PM 4:15 PM

2:30 PM 3:15 PM

Analyze for Success: Evaluate Current Value-Based Contracts for Future Improvement

  • Purposefully evaluate contracts on a regular basis to calculate the success
  • Identify specific areas of the contract that have been less successful and identify ways to improve or remove from future contracts
  • Evaluate which changes would improve new contracts with providers to ensure goals are obtained

 

Laura Sheriff, RN, MSN, CPC, CRC,
Health Care Industry Specialist

 

Ana Handshuh, Principal,  
Cat5 Strategies 

6:15 PM 6:25 PM

5:15 PM 5:25 PM

4:15 PM 4:25 PM

3:15 PM 3:25 PM

Networking Break

6:25 PM 7:10 PM

5:25 PM 6:10 PM

4:25 PM 5:10 PM

3:25 PM 4:10 PM

Physician Compensation Models in Value-Based Care: Successful Downstream Payment Methodologies

  • Gain insights from innovative groups that have well-developed models, including downstream capitation, case rates, efficiency incentives to drive organization performance
  • Learn how rates and risk pools are developed, and how methods are created to share capitation pools, including the provision of stop loss or risk corridors to protect physicians from adverse selection
  • Align incentives of your physicians with those of your organization, bringing your physicians on the road to the value movement

 

Stephen Linesch, Principal,
Paradigm Group

7:10 PM 7:55 PM

6:10 PM 6:55 PM

5:10 PM 5:55 PM

4:10 PM 4:55 PM

Understanding ACO REACH, the Key Elements for Payers and Providers, and Strategies to Succeed Under the REACH model

 

  • Hear from industry experts about the key components of the new ACO model – Realizing Equity, Access, and Community Health – and its impacts to your organization
  • Understand challenges of delivering care to REACH beneficiaries in a COVID environment and methods to optimize care
  • Discuss the differences between Medicare Advantage and ACO REACH and strategies for your organization to succeed in your market

Kevin Healy, CEO,  
Allymar Health Solutions  

 

Dave Meyer, Revenue Policy Lead,  
Allymar Health Solutions  

 

Lance Donkenbrook, Chief Executive Officer,   
Commonwealth Primary Care ACO LLC  

7:55 PM 8:10 PM

6:55 PM 7:10 PM

5:55 PM 6:10 PM

4:55 PM 5:10 PM

Chairperson Closing Remarks

Shannon Decker, VP of Clinical Performance
Brown & Toland

 

Laura Sheriff, RN, MSN, CPC, CRC,
Health Care Industry Specialist

8:10 PM 9:10 PM

7:10 PM 8:10 PM

6:10 PM 7:10 PM

5:10 PM 6:10 PM

Networking Cocktail Reception

Wednesday - June 29, 2022

10:30 AM 11:30 AM

9:30 AM 10:30 AM

8:30 AM 9:30 AM

7:30 AM 8:30 AM

Networking Breakfast

11:30 AM 11:40 AM

10:30 AM 10:40 AM

9:30 AM 9:40 AM

8:30 AM 8:40 AM

Opening Remarks

Shannon Decker, VP of Clinical Performance
Brown & Toland

 

Laura Sheriff, RN, MSN, CPC, CRC,
Health Care Industry Specialist

11:40 AM 12:25 PM

10:40 AM 11:25 AM

9:40 AM 10:25 AM

8:40 AM 9:25 AM

Highlight the Value of Accurate Encounter Data on Member Health Care

  • Assess the importance of complete and accurate data on each member to ensure success in positively impacting health while reducing costs
  • Explore how prospective, concurrent, and retrospective review can influence quality of care offered to members
  • Analyze how health disparities can be located in data and implement preventative health care to improve outcomes

 

Ryan C. Dodson, CRC, Risk Adjustment Specialist, 
Choice Physicians Network

 

Shannon Decker, VP of Clinical Performance
Brown & Toland

12:25 PM 1:10 PM

11:25 AM 12:10 PM

10:25 AM 11:10 AM

9:25 AM 10:10 AM

Provider Education to Capitalize on Data

  • Assess the importance of “buy-in” from the provider when reviewing and capturing member data
  • Educate providers on additional coding responsibilities that are necessary under a VBC agreement to ensure all data is captured
  • Create and implement educational tools to ensure that the quality of data remains high to achieve success
  • Introduce regular reviews and audits to capture errors and educate providers for continued growth

 

Laura Sheriff, RN, MSN, CPC, CRC,
Health Care Industry Specialist

 

Rafi Cices, Head of Coding and Billing
CityBlock Health

1:10 PM 1:55 PM

12:10 PM 12:55 PM

11:10 AM 11:55 AM

10:10 AM 10:55 AM

Finding the “Right Fit” When Searching for a Solution to Improve Outcomes

  • Explore which critical components of VBC can be outsourced to improve quality and accuracy
  • Examine which solutions may improve your current operation, and how they would complement your organizational processes
  • Discuss the partnership process and how it can positively impact your organization and the health care needs of your members

 

Shannon Decker, VP of Clinical Performance
Brown & Toland

 

Ana Handshuh, Principal,  
Cat5 Strategies 

1:55 PM 2:15 PM

12:55 PM 1:15 PM

11:55 AM 12:15 PM

10:55 AM 11:15 AM

Networking Break

2:15 PM 3:00 PM

1:15 PM 2:00 PM

12:15 PM 1:00 PM

11:15 AM 12:00 PM

Assess the Value of Provider and Vendor Oversight

  • Understand the value of regular review of both provider and vendor organizations that are operating as part of the Value-Based Contract
  • Implement regular audits to ensure quality and compliance is being met
  • Intervene with education when errors are located to improve quality and success for the future

 

Ana Handshuh, Principal,  
Cat5 Strategies 

 

3:00 PM 3:45 PM

2:00 PM 2:45 PM

1:00 PM 1:45 PM

12:00 PM 12:45 PM

Effective Collaboration Strategies Between Payer and Provider

  • Analyze techniques to ensure a strong working relationship between both parties to achieve success
  • Think ahead to potential obstacles that you may face, and create a plan to overcome them
  • Assess areas of improvement and support in communication, reporting, and education that can alleviate pressure between the parties

Moderator

Logan Ferrie, Senior Vice President, Business Development,
EasyHealth 

 

Panelists

Lance Donkenbrook, Chief Executive Officer,
Commonwealth Primary Care ACO LLC

 

Amy Brittan, Program Director Quality Incentive Program, Government Programs,  
Cambia 

 

3:45 PM 4:30 PM

2:45 PM 3:30 PM

1:45 PM 2:30 PM

12:45 PM 1:30 PM

Networking Lunch

4:30 PM 5:15 PM

3:30 PM 4:15 PM

2:30 PM 3:15 PM

1:30 PM 2:15 PM

Create Strong Working Relationships Through Communication and Incentives

  • Utilize strategies to create strong working relationships with all stakeholders in the contract, from the CFO to the receptionist
  • Identify different types of incentives, including subtle incentives, that will continue to strengthen the relationship
  • Introduce incentives when success is achieved to reinforce quality outcomes

 

Ryan C. Dodson, CRC, Risk Adjustment Specialist, 
Choice Physicians Network

5:15 PM 6:00 PM

4:15 PM 5:00 PM

3:15 PM 4:00 PM

2:15 PM 3:00 PM

Maximizing Partnerships to Increase Network

  • Examine health care needs of your membership and identify gaps in your network which need to be resolved, especially in rural areas
  • Explore shifts in health care such as hospital at home, remote monitoring, and virtual care to ensure you can meet the needs of members cost effectively
  • Create relationships and partnerships with organizations that can benefit your organization and increase your health care offerings

 

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

 

6:00 PM 6:10 PM

5:00 PM 5:10 PM

4:00 PM 4:10 PM

3:00 PM 3:10 PM

Chairperson Closing Remarks

Shannon Decker, VP of Clinical Performance
Brown & Toland

 

Laura Sheriff, RN, MSN, CPC, CRC,
Health Care Industry Specialist