Value-Based Healthcare Congress
Transitioning from Volume to Value: Generating Results in the Value-Based Care Environment
September 9-10, 2019 * Fairmont Scottsdale Princess * Scottsdale, AZ

Valued-Based Healthcare Congress

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About the Conference

Value-based care is the future of healthcare and the shift away from fee-for-service is continuing at a steady pace. If your organization wants to give its patients a more worthwhile health care experience, a value-based care model is the solution.

Hospitals and health systems are under increased scrutiny to minimize expenses, increase patient satisfaction and improve patient outcomes. Payers, providers and other healthcare stakeholders are looking for ways to engage with value-based purchasing and alternative payment models that link claims reimbursement to value, rather than volume.

Business Research Intelligence Network’s Value-Based Healthcare Congress features leading hospitals, health systems and payor organizations who will share best practices and practical information on how to position your organization to succeed in the transition from fee-for-service to value-based care. Participate in in discussions surrounding the broader landscape of value-based care, learn how to overcome the challenges associated with transitioning to outcomes-based care, and understand how to succeed under alternative payment models and improve financial and patient outcomes.

Who Should Attend?

From Health Plans/Hospitals/Health Systems

  • Medical Directors
  • CFO’s/CEO’s
  • Care Coordination
  • Nursing Officers
  • Case Managers
  • Population Health
  • Medical Informatics
  • Analytics
  • Member Services
  • Public Relations
  • Marketing Officers
  • Wellness
  • Compliance
  • Quality
  • Innovation
  • Managed Care
  • Operations
  • Finance
  • Regulatory Affairs

Also of Interest to Vendors/Service Providers/Physician Groups/Home Health/Consultants

Conference Agenda

Day One – Monday, September 9, 2019

7:15am – 8:00am

Conference Registration & Networking Breakfast

8:00am – 8:15am

Chairperson’s Opening Remarks

8:15am – 9:00am

Value-Based Care: The Future of Healthcare

Value-based care creates a new paradigm—treating the “whole” patient rather than just treating the disease. This session will introduce value-based care and examine how integrating care coordination with robust analytics into a single platform provides the big picture of patient care, enabling collaborative, efficient care.

Jennifer Atkins
Vice President, Network Solutions
Blue Cross Blue Shield Association

9:00am – 9:45am

Payer and Provider Partnerships, The Key to Unlocking Value Based Healthcare

Times are changing, as healthcare costs rise, and payments shift from fee for service to managed care, payers and providers must be aligned to thrive and to assure the best care for its customers. This session uses a real-life case study that provides key steps to forming and achieving common value-based healthcare goals. Topics will include:

- Common Problems = Opportunity: Establishing a baseline understanding of the common problems and/or strategy between the payer and provider and gain stakeholder buy-in
- Building the Multi-year Plan: How to identify the items that have greatest ROI and establish the plan
- Implementing the Plan: How to partner to implement the plan effectively
- Refining the Plan: How to determine if your plan is working and refine as you go

Brandee Dunn
Director, Clinical Provider Projects
Henry Ford Health System

Elaine Taverna
Vice President, Risk Adjustment
Health Alliance Plan of Michigan

9:45am – 10:15am

Networking & Refreshments Break

10:15am – 11:00am

The Role of Connected Health in Value-Based Care

Healthcare organizations are successfully deploying connected health. Now is the time for value-based care models to fully integrate these tools, too. Hospitals and health systems across the country are using connected health to help tackle challenges associated with value-based care. Topics in this session to be discussed will include:

- Using connected health to advance patient engagement
- Creating connections through digital tools and telehealth to keep patients more involved in their own care
- How to design and implement connected care programs that produce results for patients and providers
- Minimizing clinical burdens

Gina Altieri, CPA
Senior Vice President and Chief of Strategy Integration
Nemours Children’s Health System

11:00am – 11:45am

Population Health: Teamwork Makes the Dream Work

Fee-for-service medicine fosters a system of discreet healthcare transactions, each one independent from the other. It is akin to a game of Plinko on the Price Is Right – each transaction “bounces” the patient along, but there is no coordinated approach to slotting the patient into the “best” outcome. But what if we could bring together a multi-disciplinary team to coordinate a more optimal outcome? We’ll discuss strategies we use at CareMore Health to do just that, with a focus on the top 10% costliest patients, because these patients are responsible for >70% of total clinical expenditure.

Peter Emigh
Associate General Manager
CareMore Health Plan

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

11:45am – 12:30pm

Provider and Patient Alignment for Adoption of Technologies to Advance Value Based Care

Value based care inherently places the patient at the center of the healthcare experience. Importantly the provider and patient goals for healthcare need to be aligned in any health system for successful implementation of population health strategies and telemedicine and digital health technologies. In this session we will actively address how to mold the infrastructure so that all parties become advocates for progressive iterations of health system change.

Ami B. Bhatt, MD, FACC
Director, Outpatient Cardiology
Corrigan Minehan Heart Center
Massachusetts General Hospital

12:30pm – 1:30pm

Lunch

1:30pm – 2:15pm

The Role of Telehealth and Digital Health in Value-Based Care Success

With the roll-out of value-based care programs that focus on patient outcomes, health systems and health plans can also use telehealth in a proactive way, reaching out to patients facing transitions in care, closing patient gaps in care and tracking adherence for patients with chronic care management plans. This session will examine how use telehealth to create care management and coordination plans that help both the patient and the provider. Topics to be discussed will include:

- How telemedicine fits in with value-based care
- The value of telehealth in connecting providers, patients & payers
- Using telehealth to create a direct-to-patient care management platform
- Using connected care technology to collaborate with patients at home, improving recovery times and clinical outcomes
- What outcomes to measure and expect.

Heather M. Meyers, MBA
Director, Virtual Care
Innovation and Digital Health Accelerator

Boston Children’s Hospital

2:15pm – 3:15pm

Panel: How Social Determinants of Health Support Value-Based Care

Integrating the Social Determinants of Health into Patient Management
As our health system continues to move towards value-based care, healthcare stakeholders are progressively regarding the social determinants of health as critical components of value. This session will examine opportunities for improving care by targeting patients’ unmet social needs and the importance of engaging patients and communities to inform quality measurement. Topics to be discussed will include:

- Improving value-based outcomes with social determinants
- Addressing social determinants of health, including access to care, food and housing security, and health literacy
- Strategies for assessing patients, stratifying risk populations, and connecting patients to socioeconomic services
- Impactful community strategies for patient engagement
- Developing community relationships and coalitions

Panelists:
Anthony L. Martin, BS, NRP
EMS Outreach Coordinator
Tower Health

Elaine Taverna
Vice President, Risk Adjustment
Health Alliance Plan of Michigan

Humaira S. Theba, MPH
Senior Cultural and Linguistic Specialist
Cultural and Linguistic Services Department
Health Net, Inc.

3:15pm – 3:45pm

Networking & Refreshments Break

3:45pm – 4:30pm

Engaging Frontline Providers in Value-Based Care Redesign

The ability to improve value often hinges on the ability for healthcare organizations to partner with their physicians and staff. This session will examine different tips to partnering with front line clinicians to improve value and transform care.

Christine Ahn, MBA
Director, Value Care Redesign
UCLA Health

4:30pm – 5:15pm

A Model for Value-Based Care Across the Care Continuum

While most payers have been slow to embrace models that would incentivize value-based care delivery, providers have a unique opportunity to take the lead in this endeavor. This session will examine best practices to develop a value-based care model to guide delivery systems as they design and pilot programs across the continuum of patient care and to facilitate their coordination with individual clinicians. Topics to be discussed will include:

- Aligning hospitals, physicians and other clinical providers across the continuum of care
- Scaling value-based Care efforts across the care continuum
- Reducing inefficiencies across the continuum of care
- Effective care coordination

Julie A. Hobson, RN, BSN
Population Health Performance Specialist
Population Health and Strategic Integration
Highmark

Dawn Lobick
Manager, Population Health Performance
Highmark

5:30pm

End of Day One

Day Two – Tuesday, September 10, 2019

7:15am – 8:00am

Networking Breakfast

8:00am – 8:15am

Chairperson’s Recap

8:15am – 9:00am

Succeeding Under Alternative Payment Models

Payers, providers, and other healthcare stakeholders are well on their way to developing and participating in alternative payment models that link claims reimbursement to value, rather than volume. Healthcare bundled payments are a popular avenue for providers looking to engage with value-based purchasing and alternative payment models. This session will examine how to succeed under alternative payment models and improve financial and patient outcomes through value-based care.

- Aligning hospitals, physicians and post-acute care providers to improve financial and patient outcomes
- Utilizing evidence-based tools to support post-acute plans of care
- Developing Preferred Provider Networks to ensure successful outcomes

Kari R. Evans, BSN, RN
Care Coordination Program Manager, Post-Acute Care
Dignity Health

9:00am – 9:45am

Value-Based Performance Metrics

Metrics are exceedingly important for measuring the success of Value-Based Contracts. Hospitals and health systems need metrics to determine their progress in moving toward a value-based care model. Topics to be discussed in this session will include:

- Aligning Value-Based Care Metrics to Improve Clinical and Financial Performance
- Success strategies for choosing meaningful lead and lag measures
- The relationship between value-based care and quality measurement
- How producing actionable insights from quality measurement initiatives support value-based care

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

9:45am – 10:15am

Networking & Refreshments Break

10:15am – 11:00am

Streamlining Operations to Improve Care Quality

In this session hear about efforts to streamline operations to achieve the goals of value-based care. Topics to be discussed will include:

- Strengthening and streamlining operations across multiple care sites
- Efforts to ease value-based payment operational inefficiencies
- Areas of opportunity to streamline the exchange of value-based payment information, including data quality and uniformity, interoperability, patient risk stratification, provider attribution, and quality measurements

Cassi L. Birnbaum, MS, RHIA, CPHQ, FAHIMA
System-wide Director of Health Information Management and Revenue Integrity
UC San Diego Health

11:00am – 11:45am

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

11:45am – 12:30pm

Transitioning to Population Health Management and Value-Based Care

Population health management is becoming a more prominent topic of interest among healthcare payers as they strive to transition to value-based care reimbursement and improve patient outcomes. As more healthcare payers adopt value-based care payment models, providers need to advance their population health management strategies. Topics to be discussed in this session will include:

- Leveraging technology in population health management
- The role of analytics in managing population health
- How to be better prepared for the transition to population health and value-based care

Frederick J. Bloom, Jr., MD, MMM
President
Guthrie Medical Group

12:30pm

Conference Concludes

Workshop – Tuesday, September 10, 2019

12:45pm – 2:45pm

Insights from Clinical, Financial and Socioeconomic Data and Advanced Analytics

As the healthcare industry moves toward value-based care, reimbursement will be tied to quality outcomes achieved. Continued advancements in analytics will help healthcare organizations understand what is currently happening, what is likely to happen and what actions they should take with the limited resources in place. This workshop will examine ways that healthcare organizations could accelerate their success with their value-based initiatives by leveraging advanced analytics. Topics to be discussed will include:

- Enabling high-quality care delivery with actionable health data
- Enabling effective care coordination informed by analytical insights
- Implementing the tools, strategies and skills required to extract value from big data

Christa Moss, PhD
Senior Expert
McKinsey & Company

Seema Parmar
Senior Expert
McKinsey & Company

Featured Speakers

Jennifer Atkins

Jennifer Atkins

Vice President, Network Solutions

Blue Cross Blue Shield Association

Megan West King, MSN, CPXP

Megan West King, MSN, CPXP

Director, Patient Experience

Geisinger

Gina Altieri, CPA

Gina Altieri, CPA

Senior Vice President and Chief of Strategy Integration

Nemours Children’s Health System

Ami B. Bhatt, MD, FACC

Ami B. Bhatt, MD, FACC

Director, Outpatient Cardiology, Corrigan Minehan Heart Center

Massachusetts General Hospital

Heather M. Meyers, MBA

Heather M. Meyers, MBA

Director, Virtual Care, Innovation and Digital Health Accelerator

Boston Children’s Hospital

Anthony L. Martin, BS, NRP

Anthony L. Martin, BS, NRP

EMS Outreach Coordinator

Tower Health

Christine Ahn, MBA

Christine Ahn, MBA

Director, Value Care Redesign

UCLA Health

Julie A. Hobson, RN, BSN

Julie A. Hobson, RN, BSN

Population Health Performance Specialist, Population Health and Strategic Integration

Highmark

Dawn Lobick

Dawn Lobick

Manager, Population Health Performance

Highmark

Kari R. Evans, BSN, RN

Kari R. Evans, BSN, RN

Care Coordination Program Manager, Post-Acute Care

Dignity Health

Brittany Cunningham, MSN, RN, CSSBB

Brittany Cunningham, MSN, RN, CSSBB

Director, Episodes of Care, Population Health

Vanderbilt University Medical Center

Cassi L. Birnbaum, MS, RHIA, CPHQ, FAHIMA

Cassi L. Birnbaum, MS, RHIA, CPHQ, FAHIMA

System-wide Director of Health Information Management and Revenue Integrity

UC San Diego Health

William Munley

William Munley

Administrator

Shriners Hospitals for Children® - Greenville

Frederick J. Bloom, Jr., MD, MMM

Frederick J. Bloom, Jr., MD, MMM

President

Guthrie Medical Group

Brandee Dunn

Brandee Dunn

Director, Clinical Provider Projects

Henry Ford Health System

Elaine Taverna

Elaine Taverna

Vice President, Risk Adjustment

Health Alliance Plan of Michigan

Peter Emigh

Peter Emigh

Associate General Manager

CareMore Health Plan

Syed Sumair Akhtar, MD, MHCDS

Syed Sumair Akhtar, MD, MHCDS

Regional Medical Officer, Nevada

CareMore Health Plan

Humaira S. Theba, MPH

Humaira S. Theba, MPH

Senior Cultural and Linguistic Specialist, Cultural and Linguistic Services Department

Health Net, Inc.

Christa Moss, PhD

Christa Moss, PhD

Senior Expert, Healthcare Analytics & Payment Innovation

McKinsey & Company

Seema Parmar

Seema Parmar

Associate Partner

McKinsey & Company

Venue

Fairmont

Fairmont Scottsdale Princess

7575 East Princess Drive

Scottsdale, AZ 85255

480-585-4848

“Mention BRI Network for a Special Discounted Rate of $229/night – Reserve Early!”

Sponsors and Exhibitors

Exhibitor

 

Fusion5 Fusion5—ranked nationally as the #1 orthopedic Convener of orthopedic PGPs based on episode volume under management builds partnerships in the commercial and Medicare fee-for-service markets to maximize value-based care opportunities, implement simplified and sustainable solutions, and improve outcomes in an evolving healthcare landscape. Led by a group of value-based care thought leaders and experts, Fusion5 fuses our 5 core solutions:

• Care Redesign Support
• Administrative & Financial
• Provider Network Alignment & Management
• Education & Research through our online Value Based Care University
• State-of-the-Art Technology

Our team supports physician group practices, acute care hospitals and other healthcare providers with an innovative technology-based care management system that improves quality, reduces costs, and increases profitability. As CMS finalizes clinical episodes for Model Year 3—including an outpatient Total Knee Arthroplasty (TKA)—now is the time to learn about opportunities to deliver exceptional care while enhancing your bottom-line through bundled payments and value-based strategies.

 

Media Partner

 

 

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

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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