2019 Healthcare Bundled Payments Summit
Strategies in Creating Partnerships to Strengthen Care Pathways, Re-Design Care Across the Continuum, Boost Patient Outcomes, Reduce Episode of Costs, Maximize IT and Technology to Mitigate Risk, Optimize Collaboration, Enhance Revenue and more!
January 17-18, 2019 * The Encore at Wynn * Las Vegas, NV

2018 Healthcare Bundled Payments Summit

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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 2018 Healthcare Bundled Payments Summit, 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?
Chief Executive Officers, Chief Medial Officers, Chief Financial Officers, Chief Operations Officers, Chief Compliance Officers, Chief Information Officers

Also, Vice Presidents, Directors and Managers of:

  • Network Management
  • Reimbursement
  • Nursing
  • Utilization Management
  • Reimbursement
  • Compliance
  • Medical Affairs
  • Provider Relations
  • Care Transformation
  • Billing & Coding
  • Case Management
  • Managed Care
  • Payor Strategy & Contracting
  • Quality Management
  • Clinical Operations
  • Population Health Management
  • Operations
  • Health Strategy

Conference Agenda

Day One – Thursday, January 17, 2019
7:15am – 8:15am
Conference Registration & Networking Breakfast

8:15am – 8:30am
Chairperson’s Opening Remarks

8:30am – 9:15am
Managing High Risk Patients as a Multi-Disciplinary Team

Bundled services often take an assembly line approach to well-defined procedures – e.g., knee replacements – to minimize variation, extract efficiencies, and bring down cost. But what about managing high-risk patients – those with chronic conditions and myriad comorbidities? These patients can account for >50% of clinical expense for an at-risk provider. We will discuss strategies for bringing together a multi-disciplinary team to tackle the factors that lead to avoidable hospitalizations and can reduce clinical expense by 20% or more.

Syed Sumair Akhtar, MD, MHCDS
Regional Medical Officer, Clark County, Nevada
CareMore Health Plan

Peter Emigh
Associate General Manager
CareMore Health Plan

9:15pm – 10:00am
Navigating Today’s CJR Bundled Payment Program

Where do you start on CJR patient identification? Drawing on inspiration from others’ needs, and inspiration from myself and my own trials and tribulations with CJR, we will walk through examples that will illustrate how to come up with innovative and strategic solutions with CJR patient identification, tracking, building a post-acute care network, and working with a multi-disciplinary system. CMS has demonstrated that CJR has already saved Medicare millions of dollars by initiating this bundled payment program, and by its 5-year run, should save Medicare approximately $210 million. This bundled program has the anchor hospital responsible for the cost of patient care the moment the patient enters the hospital, until 90 days post DC from the hospital, making it ever so important to build strategic plans to network with post-acute care providers and physicians in order to be successful.

Dawn Rakiey, PTA, MPT
CJR and Post Acute Care Coordinator
University Medical Center

10:00am – 10:30am
Networking & Refreshments Break

10:30am – 11:15am
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

11:15am – 12:00pm
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.

Christine Ahn, MBA
Director, Value Care Redesign
UCLA Health

12:00pm – 1:00pm
Luncheon

1:00pm – 1:45pm
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.

Barbara Brownell, MSW, LCSW, ACM
Director, Post-Acute Care Operations
Dignity Health

Jennifer Bustamante, RN, BSN
Care Coordination Program Manager, Post-Acute Care
St. Rose Dominican, Dignity Health, Nevada Market Service Area

1:45pm – 2:30pm
Episodic Bundles in a Large Health System: Achieving Scale and Shared Successes

With the announcement from CMS of the mandatory CJR model in 2015, Providence St. Joseph Health (PSJH) was faced with the need to respond to this mandate across multiple communities in 4 states. Using collaborative learning and leveraging system resources, a team of clinical and financial leaders succeeded in developing plans of action to implement and perform under this model. Additionally, the infrastructure and competencies have prepared PSJH for continued growth under BPCI-Advanced and additional commercial bundle arrangements. This session will highlight key initiatives, vital stakeholders, and innovative strategies used by PSJH to meet the challenges of new payment models.

Kevin Fleming
Chief Operating Officer, Clinical Program Services
Providence St. Joseph Health

2:30pm – 3:00pm
Networking & Refreshments Break

3:00pm – 4:00pm
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

Kim Abram
VP, Provider Strategy
BridgeHealth

Kim Eason
Manager, Episodes of Care Program
Horizon Blue Cross Blue Shield of New Jersey

Dawn Rakiey, PTA, MPT
CJR and Post Acute Care Coordinator
University Medical Center

4:00pm – 4:45pm
A Successful 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

4:45pm
End of Day 1

Day Two – Friday, January 18, 2019
7:15am – 8:00am
Networking Breakfast

8:00am – 8:15am
Chairperson’s Recap of Day One

8:15am – 9:00am
Managing Bundled Payment Programs: Keys Steps for Success

The presentation will discuss complex steps involving patient selection and patient optimization needed to achieve a successful bundled payment program. The discussion will review the critical steps in achieving our value transformation journey in developing innovation programs that add value through a pre-operative assessment program that has led to improving patient outcomes and patient and caregiver participation and satisfaction. Topics to be discussed:
– Patient selection
– Using patient reported outcome data to choose the right time for surgery
– Developing an orthopedic pre-operative program for patient optimization and developing strategy to meet needs of high risk patients
– Using patient reported outcome data to manage patient outcomes, quality and cost
– Steps to improve upon patient and caregiver engagement and knowledge throughout the episode of care to improve satisfaction

Paul A. Lofrumento
Senior Director, MSK Center for Excellence
UMassMemorial Medical Center

David C. Ayers, MD
The Arthur Pappas Professor of Orthopaedics and Physical Rehabilitation
University of Massachusetts Medical School
Director of Orthopaedic Center of Excellence
UMassMemorial Medical Center

9:00am – 9:45am
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

9:45am – 10:15am
Networking & Refreshments Break

10:15am – 11:00am
Utilizing IT and Technology to Improve Outcomes, Reduce Costs and Succeed with Bundles

This presentation will discuss unique methodologies for pay for performance and explore medical groups sharing some risk. The talk will explore true partnerships with the groups to help them view their performance in comparison to their peers, as well as to themselves. Additionally, the talk will review how the health plan assists the teams in partnering to achieve the common goal of the triple aim, consisting of improving the patient experience of care (including quality and satisfaction), improving the health of populations and reducing the per capita cost of health care. The presenter will also share some successful case studies.

Lauren Faison
Administrator, Regional Development, Population Health and Telemedicine
Tallahassee Memorial Healthcare

11:00am – 11:45am
Bundled Payment for Chronic Pain: A Scalable Stepwise Process

Chronic pain is the most costly benign medical problem. The impact on society goes beyond healthcare dollars to include work disability and opioid deaths. Fee-for-service models heavily enforce overuse of surgery, injections, and medications. Organizations are inhibited from championing more effective and cost-effective multidisciplinary programs by this payment model, but also their leadership structure and lack of expertise. A bundled approach would free up systems to do the right thing. However, the wide spectrum of presentation-from persons with non-disabling well-controlled pain to suicidal, deconditioned, medically complex persons means that a simple bundle process will not work. With Vermont insurers we have evolved a 3-tier process for bundling, beginning with Physiatrist evaluation, then for some a bundled single visit multidisciplinary pain team assessment, and for a few a 3-month bundle that allows creative treatment but requires closure and handoff to primary care. The financial specifics are being analyzed, however each component has been shown effective and has been designed for easy reproducibility in hub centers in the state.

Andrew J. Haig, MD
Active Emeritus Professor
Physical Medicine and Rehabilitation and Ross School of Business
The University of Michigan

11:45am – 12:30pm
How to Maximize Clinical Value in A Bundled Environment

This talk will explore various strategies on how to maximize clinical value and achieving success within a bundled environment. The presentation will discuss and outline the major strategies from a clinical standpoint. The talk will also include the use of technology to achieve this and facilitate successful outcomes.

Debbie Reber
CompleteCare VP Clinical Services
Brooks Rehabilitation

12:30pm
Conference Concludes

Workshop, Thursday, January 17, 2019
5:30pm – 7:30pm
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

Nicole Fetter, MD
Director, Healthcare
Navigant

Featured Speakers

Syed Sumair Akhtar, MD, MHCDS

Syed Sumair Akhtar, MD, MHCDS

Regional Medical Officer, Nevada

CareMore Health Plan
Peter Emigh

Peter Emigh

Market Lead, Nevada

CareMore Health Plan
Dawn Rakiey, PTA, MPT

Dawn Rakiey, PTA, MPT

CJR and Post-Acute Care Coordinator

University Medical Center
Brittany Cunningham, MSN, RN, CSSBB

Brittany Cunningham, MSN, RN, CSSBB

Director, Episodes of Care, Population Health

Vanderbilt University Medical Center
Christine Ahn, MBA

Christine Ahn, MBA

Director, Value Care Redesign

UCLA Health
Barbara Brownell, MSW, LCSW, ACM

Barbara Brownell, MSW, LCSW, ACM

Director, Post-Acute Care Operations

Dignity Health
Jennifer Bustamante, RN, BSN

Jennifer Bustamante, RN, BSN

Care Coordination Program Manager, Post-Acute Care

St. Rose Dominican, Dignity Health, Nevada Market Service Area
Kevin Fleming

Kevin Fleming

Chief Operating Officer, Clinical Program Services

Providence St. Joseph Health
Kim Abram

Kim Abram

VP, Provider Strategy

BridgeHealth
Kim Eason

Kim Eason

Manager, Episodes of Care Program

Horizon Blue Cross Blue Shield of New Jersey
Jake Yount

Jake Yount

Director, Network Pricing and Expense Analysis

BlueCross BlueShield of North Carolina
Paul A. Lofrumento

Paul A. Lofrumento

Senior Director, MSK Center for Excellence

UMassMemorial Medical Center
David Ayers, MD

David Ayers, MD

Director of Orthopaedic Center of Excellence

UMassMemorial Medical Center
Curtis L. Lowery Jr., MD

Curtis L. Lowery Jr., MD

Chairman and Professor; Director, Maternal-Fetal Medicine, Department – Obstetrics and Gynecology

University of Arkansas for Medical Sciences
Lauren Faison

Lauren Faison

Administrator, Regional Development, Population Health and Telemedicine

Tallahassee Memorial Healthcare
Andrew J. Haig, MD

Andrew J. Haig, MD

Active Emeritus Professor, Physical Medicine and Rehabilitation and Ross School of Business

The University of Michigan
Debbie Reber

Debbie Reber

CompleteCare VP Clinical Services

Brooks Rehabilitation
Donna J. Cameron

Donna J. Cameron

Managing Director, Healthcare

Navigant
Nicole Fetter, MD

Nicole Fetter, MD

Director, Healthcare

Navigant
Venue
Wynn

Encore at Wynn
3131 Las Vegas Blvd. South
Las Vegas, NV 89109
702-770-7171

“Mention BRI Network to get the discounted rate of $199/night”

Sponsors and Exhibitors

Exhibitor

Cognizant (Nasdaq-100: CTSH) is one of the world’s leading professional services companies, transforming clients’ business, operating and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run more innovative and efficient businesses. Cognizant’s line of TriZetto Healthcare Products is a portfolio of software solutions that help healthcare organizations enhance revenue growth, drive administrative efficiency, improve cost and quality of care and improve the member and patient experience. Headquartered in the U.S., Cognizant is ranked 195 on the Fortune 500 and is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital at www.cognizant.com or follow us @Cognizant.

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 3 weeks prior to the event will receive a refund minus the administration fee of $185. Cancellation received less than 3 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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