2019 Healthcare Bundled Payments Congress
October 28-29, 2019 * Hilton Bonnet Creek * Orlando, Florida

2019 Healthcare Bundled Payments Congress

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About the Conference

The nation’s healthcare is continuing its efforts to promote high quality, patient centric care, to boost patient outcomes while reducing unnecessary spending. Value based healthcare is at the forefront of these initiatives, and bundled payments are a major driving force in directing, mandating and enabling hospitals, health systems and payors to achieve these goals and objectives. Healthcare reimbursement is continuing its shift away from traditional fee for service models to episode-based payments. Bundled payment models have been shown to enhance quality care and delivery, improve patient outcomes reduce episodes of care costs. As a result, CMS has been further expanding upon bundled payment through both mandatory and voluntary directed efforts, affecting both the providers and payors.

We have created a high-level forum featuring health systems, hospitals and payers who will share their expertise and insights on how to ramp up, collaborate and achieve success with the new and evolving bundled payment models. This impressive program will include distinguished members from highly regarded hospitals, health systems, and health plans featuring best innovative strategies to utilize in today's rapidly expanding world of healthcare.

This is the only conference on bundled payments that will equip you and your organization with innovative practices, case studies and tools to succeed with enhancing patient centric care, improving patient outcomes, streamlining costs and increasing revenues. By attending the Healthcare Bundled Payments Congress, you will learn what highly regarded hospitals, health systems and health plans are doing to be prepared for the upcoming challenges in healthcare reform today.

Who Should Attend?

From Hospitals/Health Systems/Health Plans/Physician Practices:

  • CEO’s
  • CFO’s
  • Medical Directors
  • Vice President
  • Managed Care
  • Healthcare Financing
  • Quality
  • Revenue Cycle
  • Operations
  • Contracting
  • Auditing
  • Claims Management
  • Reimbursement
  • Business Office Director
  • Medical Affairs
  • Population Health
  • Accountable Care
  • Care Management
  • Utilization Review
  • Care Connect
  • Analysts
  • Care Coordination
  • Payer Relations
  • Innovation
  • Process Improvement

Also of Interest to Vendors and Solution Providers.

Conference Agenda

Day One – Monday, October 28, 2019

7:15am – 8:00am

Conference Registration & Networking Breakfast

8:00am – 8:15am

Chairperson’s Opening Remarks

8:15am – 9:00am

Keynote: Overview of CMS Bundled and Value Based Payments and Models, a CMS Perspective

Dr. Wild will present some of the latest information on current and proposed CMS Value Based Payments and Models

Richard E. Wild, MD, JD, MBA, FACEP (tentative)
Chief Medical Officer, Atlanta Regional Office
Centers for Medicare and Medicaid Services (CMS)

9:00am – 9:45am

Methods for Managing a Preferred Post Acute Care Network

Our goal is to provide high quality care at all levels, even after discharge from our hospital. The benefits of a Preferred Post Acute Care (PPAC) Network are substantial for both providers and patients. They range from better management and decreased costs across the continuum of care, to reduced readmissions and improved experiences for patients and their families. Small improvements in the timeliness of discharge to post acute care sites or substituting post acute care services for inpatients stays, when appropriate, can free up inpatient capacity for more acute patients. Forming preferred post acute care networks in collaboration with the health system, can improve quality, outcomes, costs, communication, ease of access, responsiveness, and other measures.

Dawn Rakiey, MPT, MHA
Director, Clinical Integration Network/ACO/CJR/PAC
UMC Health System

9:45am – 10:15am

Networking & Refreshments Break

10:15am – 11:00am

Implementing a Lay Navigator Program to Improve Post-Discharge Outcomes in Older Adults with COPD and Asthma: The UAB Health System Experience

This talk will present an overview of the multiphase design, development, implementation, and piloting of an innovative lay-navigator-guided program for older adults with chronic obstructive pulmonary disease (COPD) and asthma following hospital discharge. The presentation will feature insight on barriers and facilitators to implementation and dissemination and will highlight the program's preliminary successes in improving patient centered outcomes at the UAB Health System.

Anand S. Iyer MD, MSPH
Division of Pulmonary, Allergy and Critical Care Medicine
University of Alabama at Birmingham Health System

11:00am – 11:45am

Episodes of Care: The Evolutionary Process from Pilots to Programs and the Journey Forward

This session will discuss the value of patient-centered care and why the episode evolutionary journey requires time and flexibility. The talk will explore how to move from pilots to programs and prepare for future models, and the importance of engagement with physicians to build trust and program success.

Morey J. Menacker, DO
Vice President, Specialty Care and Care Transitions
Hackensack Meridian Health

11:45am – 12:30pm

A Successful Episode of Care Bundled Payment Program

This talk will discuss the critical elements in achieving a successful bundled payment program. Topics include the Plan’s value transformation and how the bundled program fits. It addresses the phased approach used to build the program including a roadmap strategy with technology partners. We will explore opportunity analysis, marketing the program to groups and members, and measuring the savings and outcomes on a regular basis.

Jake Yount
Director, Network Pricing and Expense Analysis
BlueCross BlueShield of North Carolina

12:30pm – 1:30pm

Luncheon

1:30pm – 2:15pm

Managing Complex and Chronic Disease Patients Under Bundled Payments

This session will explore successful strategies on how to manage complex and chronic disease patients and achieve success with bundled payment arrangements. The talk will discuss how to identify this patient population and their needs, and best approaches to care management within bundled payment programs and arrangements.

Zenobia Brown, MD, MPH
Medical Director
Vice President Population Health Care Management
Northwell Health Solutions

2:15pm – 3:00pm

Episodes of Care State-Wide: Achieving Scale and Shared Successes

Presentation Description: This session will discuss the evolution of Tennessee Medicaid’s episodes of care program. How did they design the program with providers, how did they partner with commercial payers, and what are the results after six years?

Jessica Hill, MHA
Director of Strategic Planning & Innovation
State of Tennessee, Division of TennCare

3:00pm – 3:30pm

Networking & Refreshments Break

3:30pm – 4:30pm

Panel: Developing Innovative Bundled Payment Arrangements to Enhance Value Based Strategies to Boost Outcomes, Reduce Costs and Increase Revenue

The panel will share perspectives, strategies, and successful case studies on how to develop innovative bundled payment arrangements. The panelists will discuss how to enhance value based strategies and patient centered care to boost outcomes, reduce costs and increase revenue.

Panelists:
Zenobia Brown, MD, MPH
Medical Director
Vice President Population Health Care Management
Northwell Health Solutions

Mary Beth Pace, RN, BSN, MBA, ACM, CMAC
Vice President, Care Management
Trinity Health

Kristina Stoeppler-Biege, MS, RN, OCN
Director, Clinical Operations Oncology and Hematology
Bon Secours St. Francis Cancer Center

4:30pm – 5:15pm

Understanding Bundle Care: A Perinatal Example

Although American healthcare has recently consumed as much as 18% of the gross national product, healthcare providers argue that American healthcare is superior. The book “Crossing the Quality Chasm in 2001: A New Health System for the 21st Century” has called into question this sentiment, having recommended redesigning America’s healthcare system through its six aims for improvement: “safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity.” This new outlook has prompted self-insured companies to demand payment reorganization that reduces payments to providers and hospitals, leaving the healthcare system to assume increasing financial risk. In response, the “Arkansas Health Care Payment Improvement Initiative” that includes Medicaid and Blue Cross Blue Shield seeks to mobilize and incentivize value-based care, rather than the current volume-based care model. This session will discuss this initiative’s failures and triumphs. Notably, the ANGELS high-risk obstetrical telemedicine model will be explored as an example of statewide effort that has reduced cost and improved quality through provider guidelines and continuing education, a 24/7 nurse triage call center, and telemedicine obstetrical patient consultation. ANGELS is an example of how value-based care can work through shared savings.
Learning objectives:

- Understand the pressures of transitioning from a volume- to value-based healthcare delivery model.
- Understand how multidisciplinary providers can form a new system of care through technology.
- Learn specific examples of such care delivery deployed in Arkansas.

Curtis L. Lowery Jr., MD
Chairman and Professor; Director, Maternal-Fetal Medicine
Department – Obstetrics and Gynecology
University of Arkansas for Medical Sciences

Day Two – Tuesday, October 29, 2019

7:15am – 8:00am

Networking Breakfast

8:00am – 8:15am

Chairperson’s Remarks

8:15am – 9:00am

Episodic Bundles in a Large Health System

This presentation will discuss UCLA Health’s value based care journey around episodes of care redesign. The session will highlight UCLA Health’s implementation of value based care redesign through their “ValU initiative”. The discussion will also include key project examples and successes as well as the continuous challenges the health system faces in implementing episodic bundles in the context of a large, academic medical system.

Christine Ahn, MBA
Director, Value Care Redesign
UCLA Health

9:00am – 9:45am

Defining ROI in Building Population Health Focused Systems

Often, when considering progression into value based contracting or increasing levels of risk, health systems and leaders solely consider the basics – will we see a financial gainshare from the contract or arrangement and how do we need to account for reductions in volume? Can we be successful juggling the two in what is still predominantly a fee for service universe and how will our health system be impacted? This presentation walks through additional considerations in calculating the ROI of participation in value based contracts such as the reduction of clinical expenses and changes in case mix, as well as examples of calculating ROI for specific interventions, such as non-traditional care teams, to enable population health management infrastructure development in support of value based performance.

Kristen Mucitelli-Heath
Administrator, Regional Health Initiatives
St. Joseph’s Health

9:45am – 10:15am

Networking & Refreshments Break

10:15am – 11:00am

From Mandate to Directive: An Institution's Journey to Excellence through Bundled Care

This presentation will discuss UPMC's journey from shared savings pilot, through mandated bundle (CJR), to launch of its Centers of Excellence platform for total joint replacements. The discussion will review steps taken to engage stakeholders and expand the network's approach of value-driven care. The session will highlight the enhanced patient experience and outcomes, successful cost management strategies, and quality-improvement journey of UPMC's large academic-hybrid integrated network.

Tom Aubel
Senior Director of Medical Payment Strategy and Policy
UPMC Health Plan

MaCalus V. Hogan, MD, MBA
Vice Chair of Education and Program Director
Chief, UPMC Mercy Orthopaedics
Chief, Division of Foot and Ankle Surgery
Associate Professor Department of Orthopaedic Surgery and Bioengineering
Medical Director, Outcomes and Registries UPMC Wolff Center for Quality, Safety and Innovation
University of Pittsburgh Medical Center

11:00am – 11:45am

Post-Acute Care Strategies and Bundled Payments

This presentation will discuss various acute care strategies and reveal how the key element to achieving success with bundled payments lies within post-acute care initiatives. The talk will explore how to create relationships with providers in PAC, both financially and non-financially, as well as managing expectations with a post-acute provider when you don't own PAC facilities. The talk will also explore readmissions and quality measures; monitoring and holding them accountable.

Brittany Cunningham, MSN, RN, CSSBB
Director, Episodes of Care, Population Health
Vanderbilt University Medical Center

11:45am – 12:30pm

Managed Care Bundled Payments Trials and Tribulations

Bundled payment arrangements through the government have been trialed for over a decade. However, with a few exceptions, insurance companies and corporations are just entering this arena. One recent survey revealed that only 3% of hospitals have managed care or direct to employer bundled payment plans in place. This session will focus on what managed care insurance companies and employers are seeking when approaching or being approached by a health care provider to consider bundled payment arrangements. The “Value Equation”, contract elements, calculating true costs, price negotiations, steerage, and navigation will be discussed, as well as billing and collection challenges within traditional hospital settings. We will also discuss how small specialty hospitals can be successful with this endeavor.

William Munley
Administrator
Shriners Hospitals for Children® - Greenville

Workshop – Tuesday, October 29, 2019

12:45pm – 2:45pm

Applying Lessons Learned from BPCI 1.0 and CJR to BPCI Advanced and Commercial Bundles

As bundled payments become more prevalent, both providers and payors are seeking innovative approaches that add value by improving outcomes and reducing costs. Bundled payments will continue to evolve in the market, requiring both innovation and risk taking. Key strategies to be discussed during this workshop will include:

- Facilitating physician engagement to advance results
- Using analytics to measure ongoing improvement opportunities
- Applying industry benchmarks to set targets and prioritize work efforts
- Optimizing post-acute network partners for mutual accountability and success
- Understanding clinical considerations between surgical, medical and chronic disease bundles
- Leveraging key success factors from CMS bundles to commercial bundles
- Developing a commercial bundle pricing strategy

Donna J. Cameron
Managing Director, Healthcare
Navigant

Featured Speakers

Richard E. Wild, MD, JD, MBA, FACEP (tentative)

Richard E. Wild, MD, JD, MBA, FACEP (tentative)

Chief Medical Officer, Atlanta Regional Office

Centers for Medicare and Medicaid Services (CMS)

Dawn Rakiey, MPT, MHA

Dawn Rakiey, MPT, MHA

Director, Clinical Integration Network/ACO/CJR/PAC

UMC Health System

Morey J. Menacker, DO

Morey J. Menacker, DO

Vice President, Specialty Care and Care Transitions

Hackensack Meridian Health

Zenobia Brown, MD, MPH

Zenobia Brown, MD, MPH

Medical Director, Vice President Population Health Care Management

Northwell Health Solutions

Jessica Hill, MHA

Jessica Hill, MHA

Director of Strategic Planning & Innovation

State of Tennessee, Division of TennCare

Mary Beth Pace, RN, BSN, MBA, ACM, CMAC

Mary Beth Pace, RN, BSN, MBA, ACM, CMAC

Vice President, Care Management

Trinity Health

Kristina Stoeppler-Biege, MS, RN, OCN

Kristina Stoeppler-Biege, MS, RN, OCN

Director, Clinical Operations Oncology and Hematology

Bon Secours St. Francis Cancer Center

Zac Watne

Zac Watne

Senior Manager, Payment Strategy and Innovation

University of Utah Health

Christine Ahn, MBA

Christine Ahn, MBA

Director, Value Care Redesign

UCLA Health

Kristen Mucitelli-Heath

Kristen Mucitelli-Heath

Administrator, Regional Health Initiatives

St. Joseph’s Health

Tom Aubel

Tom Aubel

Senior Director of Medical Payment Strategy and Policy

UPMC Health Plan

MaCalus V. Hogan, MD, MBA

MaCalus V. Hogan, MD, MBA

Vice Chair of Education and Program Director, Chief, UPMC Mercy Orthopaedics, Medical Director, Outcomes and Registries UPMC Wolff Center for Quality, Safety and Innovation

University of Pittsburgh Medical Center

Brittany Cunningham, MSN, RN, CSSBB

Brittany Cunningham, MSN, RN, CSSBB

Director, Episodes of Care, Population Health

Vanderbilt University Medical Center

Donna Cameron

Donna Cameron

Managing Director

Healthcare Practice, Navigant

Nikki Fetter, MD

Nikki Fetter, MD

Director

Healthcare Practice, Navigant

Venue

Hilton Orlando Bonnet Creek
14100 Bonnet Creek Resort Lane
Orlando, FL 32821
407-597-3600

“Mention BRI Network to get a discounted rate of $165/night”

Sponsors and Exhibitors

Exhibitor

 

Credit Care

 

FAQ

Are there group discounts available?

  • Yes – Register a group of 3 or more at the same time and receive an additional 10% off the registration fee

Are there discounts for Non-Profit/Government Organizations?

  • Yes – please call us at 800-743-8490 for special pricing

What is the cancellation policy?

  • Cancellations received 4 weeks prior to the event will receive a refund minus the administration fee of $225. Cancellation received less than 4 weeks prior to the event will receive a credit to a future event valid for one year.

Can the registration be transferred to a colleague?

  • Yes – please email us in writing at info@brinetwork.com with the colleague’s name and title

Where can I find information on the venue/accommodations?

  • Along with your registration receipt you will receive information on how to make your hotel reservations. You can also visit individual event page for specific hotel information. The conference fee does not include the cost of accommodations.

What is the suggested dress code?

  • Business casual. Meeting rooms can sometimes be cold so we recommend a sweater or light jacket

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