2022 Healthcare Bundle Payments Summit

7:15am - 8:00am

Conference Registration

8:00am - 8:15am

Opening Remarks

8:15am - 9:00am

Bundled Payments: Promises and Pitfalls

As Bundled Payment options become more commonplace, we are becoming increasingly aware of the many advantages of this model. While there are many positives, during this session, we will investigate the uncertainty that you may come across in this model including, what should be encompassed in the Bundled Payment options, and how to manage the pivot towards this model.

Bhawna Jha, MD, MRCP

Medical Director of BPCI

University Hospital of AR Intervention- al Pain Physician

9:00am - 9:45am

Triumphs in Bundled Payment Models

As more healthcare facilities make the transition to Bundled Payment Models, during this session we will explore the success that healthcare facilities can experience within this model including improved patient care, successful patient outcomes, and increased revenue.

MaCalus V. Hogan

Professor in the Departments of Orthopedic Surgery and Bioengineering

University of Pittsburgh School of Medicine

9:45am - 10:15am

Networking Break

10:15am - 11:00am

Creating Bundled Payment Teams and Governance

Creating a career team to oversee and manage qualified patients is imperative to the success of Bundled Payment Plans. This session explores the need for multidisciplinary stakeholders in a Bundled Care Model, and how each role is essential for the overall success of this initiative. We will learn the importance of coordinators, technicians, physicians, and others in the Bundled Payment Model.

11:00am - 11:45am

Obtaining Physician Buy-In in a Bundled Payment Model

When shifting to a Bundled Payment Model, there is a variety of considerations including physician alignment with the model. This presentation will explore how to ensure you financially align physicians and your healthcare facility’s goals. We will review potential risks, gainsharing agreements, physical collaboration, and navigating whether or not this alignment is right for your facility.

11:45am - 12:30pm

Bundled Payment Models: Pilot to Implementation

How can pilot programs evolve into permanent solutions and lead to implementation? In this presentation, we will investigate how some experimental strategies with Bundled Payment initiatives evolved into full-time solutions. We will investigate what made these pilots successful and how they have been implemented as permanent strategies and solutions.

Kristen Heath

Vice President, Population Health

St. Joseph’s Health

12:30pm - 1:30pm

Lunch

1:30pm - 2:15pm

Patient Participation in a Bundled Payment Model

Ensuring patient participation in a Bundled Payment Model is imperative to ensuring overall health outcomes are positive. This discussion will investigate how positive Bundled Payment options and communication is indicative of patient involvement and ways in which providers can encourage participation with patients.

Shemeka Hamlin-Palmer, Ph.D., MPH

University of Memphis

2:15pm - 3:00pm

Pathway to Align Episode-based payment models within Population Health

When designing a roadmap for Bundled Payment Models, what are key elements that should be accounted for? During this session, we will discuss how payment methodology, care definition, risk sharing, and adjustment and quality outcomes all must be considered when proposing and instituting this model.

DaNita Weddle, DHA, PMP

Director, APM Operations

Trinity Health

3:00pm - 3:30pm

Networking

3:30pm - 4:30pm

PANEL DISCUSSION: Bundled Payments: The Importance of Data for Episodic Care

Bundled Payment Models rely on timely and relevant data to make informed and precise

decisions when it comes to care practices. This data is integral to Bundled Payment models in order to evaluate procedures and processes that are adequate and appropriate for the patient. This panel will discuss the importance of facilities having accurate and informed data to make empirical evidence-based decisions and to ensure standard procedures are an overall benefit to the facility.

Christine Ahn

Director of Value Based Care

UCLA Health

Grecia Marrufo

Managing Director

Avalere Health

Jorge Santibanez

Senior Vice President

Alteon Health

4:30pm - 5:15pm

Considerations for Implementing a Bundle Payment Model

Bundle Payment Models have proven to be a successful model for many facilities, by

implementing initial strategies for pivoting to this model can cause difficulties. This presentation will explore important considerations when shifting to this model including existing and potential provider and facility partnerships, billing re-structures, and risk protections models.

John Thomas

Director, Population Health Telemedicine and Care Innovation

Children’s Hospital of Colorado

7:15am

Morning Breakfast

8:00am - 8:10am

Recap of Day One

8:10am - 8:50am

Building a Bundled Payment Model

Basic Bundled Payment Models include retrospective and prospective modeled payments. When choosing a Bundled Payment Model, providers and payers should account for which method would be most beneficial to them when contracting and building this model. How can factors such as budget reconciliation, regulatory hurdles, and predictive treatments influence decisions on Bundled Payment Models?

Scott Sanders, MSHCA

Director of Contracting and Provider Relations

Friday Health

8:50am - 9:30am

Conveners and Bundled-Payment Alliance

This presentation will review the benefit of having conveners to encourage participation in voluntary bundled payment models. This workshop will analyze how providers can share associated risk when shifting to this model, how expertise can be leveraged, and how services can be assessed and managed within this partnership.

Kristen Barlow, VP

Provider Partnerships & Contracting

Carrum Health

9:30am - 9:55am

Networking Break

9:55am - 10:35am

Managed Care Bundled Payments: Trials and Tribulations

Government bundled payments have been in place for over a decade. With a few exceptions, insurance companies and corporations are only recently entering this arena. A very small percent of hospitals have managed care or direct-to-employer bundled plans in place. This presentation 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. Bill will discuss the value equation, contract elements, true cost calculations, price negotiations, steerage, and navigation, as well as billing and collection challenges within traditional hospital settings. You will learn:

• What makes you attractive to insurance and private employers for bundled payments
• How to negotiate these contract elements
• How to calculate true cost and true contribution margins
• The pitfalls of fitting this square peg into the round hole for billing and collection purposes

William Munley

Administrator

Shriners Hospitals for Children® – Greenville

10:35am - 11:15am

TennCare’s Approach to Episodes of Care

States have a unique opportunity to leverage managed care organizations (MCO) to accelerate wide-scale adoption of value-based payment at the provider level. This session will examine the partnership between TennCare and its managed care organizations (MCOs) to advance Tennessee’s Delivery System Transformation goals, with a case study on how the state implemented its value-based Episodes of Care program, which utilizes a retrospective bundled payment model. The session will cover practical approaches for promoting collaborative value-based payment goals, along with lessons learned and best practices for working together with MCO partners.

Beth DeWeese

Provider Engagement Lead

TennCare

11:15am - 11:55am

How Bundle Payments Aid Vulnerable Populations

This session explores how Bundle Payment options can aid vulnerable populations, who otherwise, would be at risk of paying high fees for ongoing care. How can comprehensive payments for a sole episode of care benefit populations such as those with chronic illness, hospice patients, and those with ongoing disabilities.

11:55am - 12:40pm

Strategies for Evolving Bundled Payments

Bundled Payment Models have become more common and we have seen many advancements within these models. What predictive trends are we seeing in these models for the future, and what developments can we expect? During this session we will discuss what we can expect to see as these models take precedence and how providers and payers alike can benefit.
12:40pm
Conference Concludes

12:40pm - 2:40pm

Workshop Session: Importance of Post-Acute Care Spending in a Bundled Payment Model

Bundled Payment Models focus on a more holistic approach to health care services, encompassing various comprehensive services as one treatment. Oftentimes, when pivoting to this model, post-acute care is often overlooked. This workshop will explicate how, we will discuss the importance of ensuring post actor care spending is allocated into your Bundled Payment Model, and how this approach can improve costs, quality, and outcomes.

Dr. Anthony Sorkin

President

 Curve2Consulting, LLC