2024 Value-Based Healthcare Congress

7:15am – 8:00am
Conference Registration & Networking Breakfast 

8:00am – 8:15am
Chairperson’s Opening Remarks 

8:15am – 9:00am
Opportunities in Value-Based Care
For more than a decade, value-based care (VBC) has been positioned as healthcare’s next big thing. And while progress has been uneven until now, multiple forces are converging to inflect growth across an expanding set of risk-bearing models. Rising costs of care are putting pressure on stakeholders while key VBC enablers have matured—including data availability, analytics and care management models. Increased participation from other payers will be needed to unlock the full market potential. Physician interest in VBC is high, but risk appetite is still a work in progress. This session will explore all this and more opportunities in VBC.

9:00am – 9:45am
What Value-Based Care Means for Providers
Value-based care is a form of reimbursement that ties payments for care delivery to the quality of care provided and rewards providers for both efficiency and effectiveness. This form of reimbursement has emerged as an alternative and potential replacement for fee-for-service reimbursement, which pays providers retrospectively for services delivered based on bill charges or annual fee schedules. To transform how healthcare providers are reimbursed for services rendered, CMS introduced an array of value-based care models. Private payers have, in turn, adopted similar models of accountable, value-based care. As the healthcare industry transitions to this new way of delivering care, many healthcare providers are left wondering how value-based care differs from the traditional model, what programs are available, and how successful it has been? This session will explore the basics of value-based care and help providers understand how the model works.

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

10:15am – 11:00am
The Future of Value-Based Payment
A decade after the passage of the Affordable Care Act, the vision of moving the U.S. health care system “from volume to value” has been partially realized, with few value-based payment initiatives systematically reducing spending or improving quality. While participation in value-based payments continues to grow, the adoption of advanced forms of value-based payment through alternative payment models lags. Furthermore, the complexity of the current suite of alternative payment models and allure of traditional fee-for-service prevent the widespread adoption of full risk-bearing contracts. The high costs of care with the impending insolvency of the Medicare trust fund, persistence of poor quality of care and health disparities along racial and socioeconomic lines, and mixed success of alternative payment models indicate the need for a revamped vision. There is a need for a new strategy that moves from a short-term focus on testing new payment models to a long-term focus on expanding models that are most likely to generate substantial savings and improve quality. This session will explore the transition to a healthcare system that pays for value and reduced health disparities, rather than high volumes of services.

11:00am – 11:45am
Value-Based Care Best Practices for the Best Patient Experience
More and more healthcare organizations are shifting to value-based care (VBC), an approach that prioritizes patient health outcomes and rewards physicians accordingly. VBC focuses on the whole person, not just a person’s specific condition. With value-based care, better patient outcomes go hand in hand with better patient experiences and satisfaction. This session will explore numerous factors that contribute to the patient experience and strategies that a primary care physician and their staff can use to improve care and increase patient satisfaction.

11:45am – 12:30pm
Making Value-Based Care Easier with Remote Patient Monitoring
Is it easier to make value-based care with remote patient monitoring? The answer is yes. Telehealth and RPM provide several avenues for providers to attain value-based care in their organization. This session will provide an overview of value-based healthcare and remote patient monitoring. In addition, we will outline easy ways that telehealth and remote patient monitoring can help providers prioritize care delivery, improve patient outcomes, and receive reimbursement for their efforts. 

12:30pm – 1:30pm
Lunch 

1:30pm – 2:15pm
How Technology Makes Value-Based Care Possible
With the evolution of healthcare technology, the elements are now in place to realize the full promise and potential of value-based care. For example, data is available and accessible; analytics extract meaningful insights; payers and providers can collaborate. Workflow and care management tools provide actionable insights and align payers’ business goals with; multiple processes in a care delivery system can be automated. As technology continues to evolve to meet the needs of a value-based care future, healthcare organizations and stakeholders adopting these new technologies will inevitably encounter challenges. This session will explore all this and more, including how technology makes VBC possible.

2:15pm – 3:15pm
Panel: Transparency and Value-Based Care Collaborations Between Providers and Payers
Succeeding at value-based care isn’t just about the numbers. Success depends as much, if not more, on the trust between providers and payers. Both sides share the same goal: providing more value—better clinical outcomes for less cost—to patients and members. Yet, unless both sides trust each other, collaborating to achieve that common goal can be difficult. As healthcare consumerism grows and patients pay more of their medical bills out of pocket, trust will become a big competitive differentiator in the market as patients select their providers, exerting even more margin pressure on hospitals, health systems and medical practices across the country. This session will explore transparency and VBC collaborations between providers and payers.

3:15pm – 3:45pm
Networking & Refreshments Break 

3:45pm – 4:30pm
How Value-Based Insurance Design Drives Cost Savings and Better Care
Value in healthcare is top of mind for industry leaders, patients, caregivers and providers, especially amid rising costs and inflation, ongoing health disparities among underserved populations, evolving regulatory expectations and other challenges. While most understand the social and economic need to reduce financial barriers and access gaps to high-quality health care, few recognize the enormous opportunity in leveraging value-based insurance design (VBID) to address these long-standing issues. From better management of chronic conditions, to improved profitability, shared accountability and more, VBID initiatives have the power to transform care delivery and outcomes. This session will explore how value-based insurance design drives cost savings and better care.

4:30pm – 5:15pm
Key Metrics to Gauge the Quality of Value Based Care
Metrics are vital to understanding how successful a business is in meeting key performance goals. In fee-for-service healthcare practices, those metrics tend to focus on quantity over quality: How many patients are being seen? How many billing codes have been processed? How much money has been made over a specific period? In value-based care, metrics prioritize quality over quantity. Quality is a much more important approach to use in determining how well your services are meeting patients’ needs, but it’s also more difficult to measure. This session will explore quality measures that matter for value-based care.

5:15pm
End of Day One

7:15am – 8:00am
Conference Registration & Networking Breakfast 

8:00am – 8:15am
Chairperson’s Recap 

8:15am – 9:00am
Engaging Providers in Value-Based Care
Implementing value-based care initiatives that result in improved health outcomes requires all factors needed to drive those changes are aligned. This ensures the informed decisions will result in higher margins and increased patient and provider satisfaction. Confirming that all data is meaningful and accurate is essential to optimizing overall improvement and engagement initiatives successfully. This session will explore how by putting performance management practices in place and elevating clinical and financial performance to deliver high-value care, managed care executives can equip their organizations to make informed decisions about what type of reimbursement risk to take on and how to manage it successfully. Topics to be discussed will include:

• Exploring the population health transition framework
• The importance of physician and provider engagement in the transition to value
• Successful tools for gaining physician buy-in for VBC and alternative payment models

9:00am – 9:45am
Integrating Social Determinants of Health into Value-Based Care
The movement toward value-based care provides a significant opportunity to address social determinants of health (SDoH) while improving value and quality of care. Value-based care can allow greater flexibility in terms of what services are delivered while providing accountability for long-term sustainability and population health improvements. Although federal, state, and commercial payers are launching innovative new payment models addressing SDoH, questions remain regarding best practices for implementation, impact on cost and outcomes, and ability to scale and spread across different contexts under current policies. This session will explore the current landscape of payment reform initiatives addressing SDoH, challenges and opportunities related to implementation, policy implications and next steps so that states and payers can use value-based payment to encourage and promote addressing social needs. 

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

10:15am – 11:00am
Trends to Watch as Alternative Payment Models Evolve
Over the past decade, the industry has experimented with ways to move dollars from fee-for-service care towards value-based care (VBC) structures that improve outcomes, reduce unnecessary spending, and foster better experiences for patients and providers. Through trial and error, the industry has refined its approaches to value-based reimbursements and tailored its efforts to meet the unique needs of different specialties, care settings, and patient populations. In a time of rapid evolution and growing pressures, several trends will guide the next phase of VBC. These include a shift towards commercial payers’ alternative payment models (APMs) that leverage disease-specific data and population health analytics, practice transformation tools, and new reimbursement strategies. This session will explore these trends to watch for 

11:00am – 11:45am
How Primary Care Acquisitions Can Advance Value-Based Care
As value-based care becomes the end goal for many healthcare organizations, health systems across the country are acquiring primary care practices to achieve this mission. Critical aspects of these acquisitions include ensuring that clinician-patient relationships are uninterrupted and establishing operations that generate value for consumers. Primary care is an essential part of value-based care. Healthcare organizations are buying primary care to get ready for a world where value-based care is the game of the day. If the objective of value-based care is to keep people healthy—and out of the hospital—then more primary care is needed to ensure that the focus is on health rather than just the sick care that comes from unmanaged patients. This session will explore how primary care acquisitions can advance VBC.

11:45am – 12:30pm
How to Successfully Deploy Digital Health in Value-Based Care
This session will explore how digital health tools can support financial and clinical success under value-based care arrangements. Learn how to successfully demonstrate value within the value-based care framework and hear how value-based care models have successfully leveraged digital health tools. 

12:30pm
Conference Concludes

Workshop: Strategies to Implement and Improve Value-Based Care

Value-based care (VBC) is a provider payment model based on incentivizing high-quality healthcare, rather than quantity of services. Overall, the goal is to improve the lives of patients while reducing cost of care. This session will explore key strategies to implement and improve value-based care, including:

• How to identify patients with the highest risk
• Addressing patients who need care
• Encouraging annual wellness visits
• Keeping open communication with provider-relation reps
• Being open-minded to succeed at VBC