2019 Population Health Management Congress
for Health Plans & Hospitals
September 16-17, 2019
Westin Kierland Resort * Scottsdale, Arizona

2019 Population Health Management Congress

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About the Conference

Population Health Management is at the forefront of the value-based healthcare landscape, driving the effort to achieve the Triple Aim and improve the health of the nation’s patient population. Both Providers and Payors are deeply involved in developing and deploying effective programs and processes targeted to deliver high quality, patient centric healthcare to significantly improve patient outcomes, while dramatically reducing healthcare spending. Innovative processes and systems involving enhanced care coordination, preventative measures, leveraging technology to manage high risk patients, Innovative processes have been implemented and are continuing to rapidly evolve and improve health outcomes. Collaborative efforts between Payors and Providers, as well as partnerships are improving the patient experience while reducing spending.

This high level forum features knowledgeable leaders and executives from the nation’s leading Hospitals, Health Systems and Health Plans who will share their valuable insights and expertise on how to achieve success in the rapidly evolving landscape of Population Health Management. Attendees will benefit from learning about best practices and strategies that have been implemented to address the challenges in transforming the nation’s healthcare to improve and maintain a healthy population while reducing healthcare spending.

Who Should Attend?

From Hospitals/Health Plans/Health Systems:

  • CEO ’s
  • CFO’s
  • Chief Medical Officers
  • Chief Quality Officers
  • Chief Marketing Officers
  • Population Health Management
  • Medical Management
  • Community Health
  • Medicare
  • Senior Products
  • Medical Directors
  • Government Programs
  • Health Reform
  • Patient Quality & Safety
  • Readmissions
  • Innovation
  • Compliance
  • Managed Care
  • Care Management
  • Operations
  • Finance
  • Strategy
  • Business Development
  • Regulatory Affairs
  • Risk Management
  • Utilization Management
  • Network Management
  • Business Development

Also of interest to:

Vendors; Solution Providers; Population Health Management Organizations; Home Health Care; Physician Groups; Healthcare Consultants

Conference Agenda

Day One – Monday, September 16, 2019

7:15am – 8:00am

Conference Registration & Morning Breakfast

8:00am – 8:15am

Chairperson’s Opening Remarks

8:15am – 9:00am

Creating Value Through Care Re-Design to Improve Outcomes and Reduce Costs

This session will give a broad overview of innovative strategies being deployed by health systems, health plans, and the private sector to move care beyond the traditional 4-walls as payment models evolve away from traditional fee-for-service towards value-based payments. The talk will review evidence-based solutions that are currently working in the space, challenges that can inhibit innovation and scale of successful ideas, and a roadmap for future directions.

Harry S. Saag MD, FACP
Assistant Professor of Medicine
NYU School of Medicine
CEO & Co-Founder
Roster Health

9:00am – 9:45am

Thinking Upstream to Address High Healthcare Spending: Evidence on Cross Sector Partnerships to Improve Healthcare Outcomes

The US health system is known as one of the best in the world for research and medical advances, but it is also known for its high spending per capita and poor outcomes as compared to other developed countries. This talk will discuss how payers across the US are seeking strategies to reduce costs and improve quality and sustainability; however, a growing body of evidence suggests that in order to reduce costs and improve health outcomes, payers will have to partner with other sectors to address the multiple social risk factors that lead to poor health outcomes. This presentation, will review evidence on the individual and community level drivers of health outcomes and costs, explore the evidence supporting the need for and promise of cross sector partnerships for improved health outcomes, examine keys to success in establishing cross sector partnerships, and review examples from across the US of partnerships between payers and other sectors with a shared goal of improving health outcomes.

Melissa Sherry, PhD, MPH
Director, Population Health Innovation and Transformation
Johns Hopkins HealthCare

9:45am – 10:15am

Networking Break and Refreshments

10:15am – 11:00am

Key Population Health Cost-of-Care Initiatives to Drive Success in Value-Based Contracts

This session will discuss how some large national payers plan to have >75% of all members covered through value-based arrangements. Value based goals encourages providers to curb unnecessary utilization, shift care to lower cost settings, collaborate as multi-specialty/multi-disciplinary/multi-setting teams, and improve patient’s health and overall quality of life, especially in the ambulatory and non-hospital setting. The talk will provide an overview of strategies for provider clinical leadership to impact cost of care for value-based contract lives (short of Payer UM delegation), as well as outline a deep dive of select cost of care initiatives. The talk will also detail how to leverage a Clinically Integrated Network (CIN) to drive efficient utilization of acute care services, diagnostics, specialty care, and pharmacy costs.

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

11:00am – 11:45am

How the Consumer and Technology Are Reshaping Healthcare

This presentation will discuss how the consumer and technology are working to change and reshape healthcare. The session will explore how new entrants into healthcare may reconfigure the competitive landscape and how the vertical integration of large payers has the potential to redefine medical supply demand relationships. The talk will also reveal the need for incumbent healthcare organizations to integrate digital-physical experiences and work to create next generation care delivery models.

Steven J. Lester MD, FACC, FRCP(C), FASE
Consultant, Cardiovascular Diseases
Associate Medical Director, Department of Business Development
Associate Medical Director, Contracting and Payer Relations
Mayo Clinic, Arizona
Professor of Medicine
Mayo Clinic College of Medicine and Science
Director
Hypertrophic Cardiomyopathy Clinic

11:45am – 12:30pm

Leveraging Data Analytics to Drive Population Health Management Strategies

This session will discuss how an academic health system like UW Medicine began its population health management journey. The approach has included shifting from “sickness” to also focus on “wellness” care, caring for “individuals” to “populations” and intentionally moving along the transformative trajectory of “fee-for-service” to “fee-for -value” across all lines of business. The talk will discuss how a critical success factor in managing the health of populations has been using data and analytics to define the life-cycle of care and tell the story around which “lives” we serve ,identify the characteristics of our population and the opportunities to improve health outcomes while reducing cost. The talk will also share a common core competency has been leveraging data analytics to define, measure, improve and monitor return on investment in population health as we aspire to serve all our patients.

Van Chaudhari, FACHE, MHA
Administrator Population Health Management
UW Medicine

12:30pm – 1:30pm

Luncheon for Speakers and Delegates

1:30pm – 2:15pm

Clinical Integration to Maximize Health Outcomes

This presentation will discuss how an interdisciplinary approach to care positively impacts patient engagement and experience and improves health outcomes. The talk will review how CareMore integrates health services to include primary care, chronic disease management, behavioral health and assistance in accessing resources. The talk will show how this integration is effective in addressing physical and psychosocial health needs.

Sepideh Chegini, MD
Senior Medical Officer
CareMore Health

2:15pm – 3:15pm

Panel Discussion: Developing and Deploying Collaborative Strategies and Partnerships Between Payers and Providers

William Jonakin, MD, CPC, CRC
Medical Director
St. Luke’s Health Partners

Gavin Malcolm, LCSW
Director, Population Health
Broward Health ACO Services

Harry S. Saag MD, FACP
Assistant Professor of Medicine
NYU School of Medicine
CEO & Co-Founder
Roster Health

3:15pm – 3:45pm

Networking Break and Refreshments

3:45pm – 4:30pm

Experience and Success of A Team Based Transitional Care Clinics at Dignity Health

This session will discuss how Dignity Health Medical Group’s Center for Transitional Care, cares for the high-risk complex patient upon discharged from the acute care setting. The talk will reveal how patients are cared for by a team of APP, Physicians and Social workers. The team educates the patients on their medical condition, medications and identifies barriers to care. The session will discuss how patients have received triple aim care with improved quality, satisfaction and decrease cost of care as demonstrated by decrease readmission and improved patient satisfaction scores.

Bruce Bethancourt, MD, FACP
Chief Medical Officer
Dignity Health Medical Group

4:30pm – 5:15pm

Strategies to Implement Care Coordination Teams to Successfully Improve Population Health

The purpose of today’s hospital case managers is patient centric care coordination. Case managers working with the interdisciplinary team which includes the patient as a central member, develop a care coordination plan for the next level of care. The case manager drives the hospital transition plan to meet the patient’s needs in the right setting, at the right time, with the highest quality and the lowest cost. This presentation will outline the strategy for patient centric care coordination in the acute care setting. The talk will discuss how case managers work with the interdisciplinary team to provide intensive, well planned care coordination services to the hospital patients requiring this.

Mary McLaughlin Davis, DNP, ACNS-BC, NEA-BC, CCM
Senior Director, Care Management Nursing
Cleveland Clinic

5:15

End of Day One

Day Two – Tuesday, September 17, 2019

7:15am – 8:00am

Morning Breakfast

8:00am – 8:15am

Recap of Day One

8:15am – 9:00am

Strategies to Reduce Opioid Use and Addiction

Opioid utilization and subsequent addiction is a tremendous crisis in the United States today, and continues to grow. This talk will reveal strategies and perspectives on how to tackle this epidemic that continues to take the lives of thousands of Americans on a daily basis. The presentation will also discuss working within the community to establish effective partnerships to aid in this effort.

Mikelle Moore
Senior Vice President, Chief Community Health Officer
Intermountain Healthcare

9:00am – 9:45am

Using Artificial Intelligence to Identify and Manage High rRsk Patients in Population Health Management

This session will discuss how Artificial Intelligence (AI) offers the potential to contribute to success of
population health efforts through automation of tasks and augmentation of human capability. The talk
will reveal how AI offers great promise in supporting the shift to value-based care and alternative
payment models. Implementation of these models requires organizational support and transformation.
The presentation will explore how development and implementation of these models should be
cautious in ensuring value to patients. They should operate within an ethical framework and not
introduce or perpetuate bias.

Naveen Raja, DO
Medical Director of Population Health
UCLA Health
Associate Professor
UCLA David Geffen School of Medicine

9:45am – 10:15am

Networking Break and Refreshments

10:15am – 11:00am

Optimizing the Patient Experience and Member Engagement

This session will describe ways that Horizon BCBS collaborates with clinicians and health delivery administrators to improve the patient experience. The talk will explore a case study of “Secret Shopper”, a directly observed care Initiative. The presentation will also delineate Horizon’s specific tools and applications of vendor programs and technologies to enhance and improve member engagement and reduce consumer effort.

Steven R. Peskin, MD, MBA, FACP
Executive Medical Director Population Health
Horizon BCBSNJ

11:00am – 11:45am

The Patient Centered Medical Home: Coordinating Care For High Risk Patients

The Patient Centered Medical Home as defined by the Agency for Healthcare Research and Quality (AHRQ) includes 5 attributes of functionality: Comprehensive, Patient centered, Coordinated, Accessible, and focus on Quality and Safety. Often patients who are high risk for poor health outcomes require additional assistance with coordination and navigation of health care which is frequently fragmented in delivery. As reimbursement for medical care continues to shift towards value-based models and health systems and payers address increasing risk, multiple stakeholders are developing approaches to care management and care coordination. Often these strategies are not coordinated, connected, or collaborative. This presentation will discuss how Penn Family Care, a large urban PCMH serving approximately 20,000 patients, has used multiple strategies to address care coordination needs for high risk patients. This talk will explore a framework for a core practice-based, multi-disciplinary, intensive care management program to connect, coordinate, and collaborate with multiple stakeholders to deliver a care coordination “umbrella” to high risk patients while tying back to the 5 primary domains of function for a Patient centered medical home.

Anna Doubeni, MD,MPH
Director of Population Health Management; Department of Family Medicine and Community Health
Associate Professor of Clinical Family Medicine and Community Health
Penn Medicine

11:45am – 12:30pm

Managing Chronic Conditions

Chronic conditions are among the most persistent and pervasive challenges facing the healthcare industry. While most common among older adults, their impacts have begun to reach younger generations. This talk will reveal how competing demands by payers to deliver value in the treatment of patients with chronic conditions and providers who either want to do less or be compensated more, leaders are in the unenviable position: between a rock and a hard place. This session will discuss how Working together with providers and payers, leaders can develop patient strategies to improve outcomes, drive down costs, and enhance experiences for patients with chronic conditions.

Melissa Pierce, MPT, MHA
Administrative Director, Continuing Care Services
WellSpan Health

12:30pm – 1:15pm

Addressing Social Determinants to Improve Population Health

While most healthcare institutions and providers recognize the importance of social determinants in the context of population health, few have been able to create effective and efficient systems to handle these kinds of issues. This session will review how operationalizing a community-based, social determinants approach has helped to drive down cost and utilization.

Nancy F. Becker, MA, CMC
Resource Coordinator
Hartford HealthCare Center for Healthy Aging

1:15pm

Conference Concludes

Workshop – Tuesday, September 17, 2019

01:30 p.m. – 03:30 p.m

The Future of Population Health Management in the New Era of Health Reform

How will the future of health transform population health?

The Future of Health will be fueled by data, interoperability, and consumers at the helm with a focus on maintaining health and well-being across multiple dimensions. Key elements of this vision include:

  • Evolution of cell and gene therapies, diagnostics, therapeutics, and scientific discovery methods
  • Deep, personalized data that will empower consumers with insights to stay well, with care provided virtually, via community hubs or in highly specialized facilities

The workshop will start with an interactive discussion the future of health, grounded in what is happening today and content presented throughout the conference. We will consider how these changes might affect populations that are today hard to reach and engage and discuss scenarios for how government roles might change to enable delivery and health reform.

Participants will then work to lay out implications for population health– what data might be available, where care might be provided, and even how we will need to redefine population health in a future where incipient health problems are avoided.

We will conclude by working through implications of the more distant future for the nearer term – and how to think strategically about evolving capabilities and partnerships.

About the Workshop Leader:

Sarah Thomas is the managing director of the Deloitte Center for Health Solutions, part of Deloitte LLP’s Life Sciences and Health Care practice. As the leader of the Center, she drives the research agenda to inform stakeholders across the health care landscape about key trends and issues facing the industry. Market and policy forces include the shift from a volume-based system to one more focused on cost and quality outcomes, the rise in consumerism, and changes coming from new political leadership. Sarah aims for the Center to be a source of clarity for consumers, businesses, governments, and other stakeholders. She has deep experience in public policy – ranging from reimbursement to quality issues in Medicare, Medicaid, and the private health insurance market, including health insurance exchanges and marketplaces.

Sarah was previously vice president for public policy and communications at the National Committee for Quality Assurance (NCQA), where she was responsible for the development of NCQA’s public policy strategy, its work with the federal and state government, as well as its media and communications operations. She also served as the director of the Public Policy Institute (PPI) Health Team at AARP. She oversaw AARP’s advocacy in areas of cost, access, and quality related to health care reform, Medicare, Medicaid, prescription drugs, private insurance, and public health.

In addition to her nonprofit work, Sarah has 14 years of experience in the federal government. She was deputy director at the Medicare Payment Advisory Commission (MedPAC) and served at the Congressional Budget Office and the Centers for Medicare and Medicaid Services (CMS). Sarah has worked for national associations, in state government, and for the Advisory Board Company. She holds a M.S. in Health Policy and Management from the Harvard School of Public Health

Featured Speakers

Harry S. Saag MD, FACP

Harry S. Saag MD, FACP

Assistant Professor of Medicine

NYU School of Medicine
CEO & Co-Founder
Roster Health
Melissa Sherry, PhD, MPH

Melissa Sherry, PhD, MPH

Director, Population Health Innovation and Transformation

Johns Hopkins HealthCare
Arshad K Rahim, MD, MBA, FACP

Arshad K Rahim, MD, MBA, FACP

Vice President/Senior Medical Director, Population Health, Assistant Professor, Medicine

Mount Sinai Health System
Steven J. Lester MD, FACC, FRCP(C), FASE

Steven J. Lester MD, FACC, FRCP(C), FASE

Consultant, Cardiovascular Diseases, Associate Medical Director, Department of Business Development, Associate Medical Director, Contracting and Payer Relations

Mayo Clinic, Arizona
Professor of Medicine
Mayo Clinic College of Medicine and Science
Director
Hypertrophic Cardiomyopathy Clinic
Van Chaudhari, FACHE, MHA

Van Chaudhari, FACHE, MHA

Administrator Population Health Management

UW Medicine
Sepideh Chegini, MD

Sepideh Chegini, MD

Senior Medical Officer

CareMore Health
William Jonakin, MD, CPC, CRC

William Jonakin, MD, CPC, CRC

Medical Director

St. Luke’s Health Partners
Gavin Malcolm, LCSW

Gavin Malcolm, LCSW

Director, Population Health

Broward Health ACO Services
Bruce Bethancourt, MD, FACP

Bruce Bethancourt, MD, FACP

Chief Medical Officer

Dignity Health Medical Group
Mary McLaughlin Davis, DNP, ACNS-BC, NEA-BC, CCM

Mary McLaughlin Davis, DNP, ACNS-BC, NEA-BC, CCM

Senior Director, Care Management Nursing

Cleveland Clinic
Mikelle Moore

Mikelle Moore

Senior Vice President, Chief Community Health Officer

Intermountain Healthcare
Naveen Raja, DO

Naveen Raja, DO

Medical Director of Population Health

UCLA Health
Associate Professor
UCLA David Geffen School of Medicine
Steven R. Peskin, MD, MBA, FACP

Steven R. Peskin, MD, MBA, FACP

Executive Medical Director Population Health

Horizon BCBSNJ
Anna Doubeni, MD,MPH

Anna Doubeni, MD,MPH

Director of Population Health Management; Department of Family Medicine and Community Health, Associate Professor of Clinical Family Medicine and Community Health

Penn Medicine
Melissa Pierce, MPT, MHA

Melissa Pierce, MPT, MHA

Administrative Director, Continuing Care Services

WellSpan Health
Nancy F. Becker, MA, CMC

Nancy F. Becker, MA, CMC

Resource Coordinator

Hartford HealthCare Center for Healthy Aging
Sarah Thomas

Sarah Thomas

Managing Director

Deloitte Center for Health Solutions
Venue

Westin 1

 
The Westin Kierland Resort & Spa
6902 East Greenway Parkway
Scottsdale, AZ 85254
480-624-1000
 
“Mention BRI Network to get discounted rate of $189/night”

Sponsors and Exhibitors

Exhibitor

 

IDx IDx is a leading AI diagnostics company on a mission to transform the quality, accessibility, and affordability of healthcare. The company’s first product, IDx-DR, is an FDA-cleared AI-based diagnostic system designed for use at the front lines of care to detect diabetic retinopathy. IDx-DR is intended for use by health care providers to automatically detect more than mild diabetic retinopathy in adults (22 years of age or older) diagnosed with diabetes who have not been previously diagnosed with diabetic retinopathy.

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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