Modern Healthcare Virtual Conference & Expo 2013

Providers and Payers as Partners

Healthcare providers across America are boldly experimenting with delivery system changes aimed at achieving two of the goals of the Affordable Care Act: delivering higher quality care at lower cost. At the same time, payers both public and private are struggling with how to finance universal, affordable insurance coverage. Have the goals of the two sides finally aligned? This forward-looking one-day virtual conference – "Building Tomorrow's Delivery Model: Providers and Payers as Partners" – will explore the most promising solutions being offered today by hospitals, health plans and physician group leaders to achieve these goals. Attendees will learn valuable lessons from front line providers and payers as they seek to move from fragmentation to coordination and from antagonistic bargaining to more collaborative models. Topics to be addressed by our speakers and panel discussions include:

Strategies for identifying high-risk patients to prevent hospitalization
Early lessons from accountable care pioneers
Insurance Exchanges: Will they be affordable, and will people buy in?
Moving toward capitation
Building a care coordination team

Registration is now open!

Conference Agenda

Exhibit Hall Opens - 9:30 AM CTD

CONFERENCE OPENS FOR ATTENDEE NETWORKING, VISITING EXHIBIT HALL, PRIZE CENTER AND OTHER FEATURES

Opening Keynote - 10:00 - 10:45 AM CDT

Introduction: Fawn Lopez, Vice President and Publisher of Modern Healthcare
Moderator: Merrill Goozner, Editor of Modern Healthcare
Joseph Swedish, Chief Executive Officer of WellPoint Inc.

The potential and pitfalls of major insurers partnering with integrated provider networks to mutually benefit from delivering more affordable care.

Exhibit Hall Break - 10:45 - 11:00 AM CDT

Explore the exhibit hall and network with other participants.

Concurrent Sessions - 11:00 - 11:45 AM CDT

Session 1

PROVIDER TRACK
Identifying High-risk Patients to Prevent Hospitalization

Hospitals and medical groups have new opportunities and incentives to prevent hospitalizations thanks to investments in information technology and new payment models that seek to reward efficiency. Hear from experts on initiatives that aim to identify which patients are most likely to return to the hospital.

Moderator: Maureen McKinney,

Reporter, Modern Healthcare

Dr. Maria Raven, Assistant Professor at

UCSF School of Medicine

Dr. Lee Sacks, Executive Vice President

and Chief Medical Officer of Advocate Health Care

Dr. Dick Salmon, National Medical

Director for Performance Measurement

and Improvement at Cigna

Session 2

PAYER TRACK
Value-based Insurance Design

Health insurance benefit designs increasingly use copays and deductibles to encourage greater use of high-value care and wellness activities-and discourage less-effective treatment. Insurance leaders and the director of the Center for Value-Based Insurance Design at the University of Michigan discuss the role benefit design plays in better outcomes and lower costs.

Moderator: Melanie Evans,

Reporter, Modern Healthcare

Dr. A. Mark Fendrick, Director of

the University of Michigan Center for

Value-Based Insurance Design and

Professor of Internal Medicine and Health

Management and Policy

Sendhil Mullainathan, Professor of Economics

at Harvard University and Founder of ideas42

(INVITED)

Dr. Lonny Reisman, Chief Medical Officer of Aetna

Session 3

Details will be released soon.

Presented by Teletracking

Exhibit Hall Break - 11:45 AM - 12:00 PM CDT

Explore the exhibit hall and network with other participants

Concurrent Sessions - 12:00 - 12:45 PM CDT

Session 1

PROVIDER TRACK
Early lessons from Accountable Care Pioneers

Medicare's first accountable care organizations finished their first year with mixed results. The ACOs, known as Pioneers, are in the second year of Medicare contracts with financial incentives for performance on quality and cost control. Three Pioneer ACO executives relay their experience with the promising payment model.

Moderator: Melanie Evans,

Reporter, Modern Healthcare

Elizabeth Aderholdt, President and CEO of

Ascension Health's Genesys Health

System

Emily Brower, Executive Director of

Accountable Care Programs for Atrius Health

Chuck Lehn, Chief Executive Officer of

Banner Health Network

Session 2

PAYER TRACK
The Affordable Care Act Exchanges: Open for Business

Health insurance markets opened on Oct. 1 and plan to enroll 7 million in health plans in the coming year and 23 million by 2023. Hear about the launch and next steps for California and Vermont exchanges and one major insurers' exchange plans.

Moderator: Jessica Zigmond,

Reporter, Modern Healthcare

Howard Gold, Executive Vice President and

Chief Managed Care Business Development

Officer at North Shore-LIJ Health System

Mark Larson, Commissioner of Vermont

Health Connect

Peter Lee, Executive Director of Covered

California

Session 3

Re-examining Best Practices for Acute Therapy Services

Providing therapy services during acute, inpatient hospital stays has long been a standard practice. Currently health care professionals are re-examining acute therapy services: what are the most appropriate roles, intensity, timing, duration, and outcomes? Ron Scharff, MSPT, the assistant vice president of research at RehabCare will share insight on Medicare utilization nationally and several individual hospital's pilot projects.

Ron Scharff, Assistant Vice President of

Research at RehabCare

Sponsored by RehabCare

Lunch/Exhibit Hall Break - 12:45 - 1:15 PM CDT

Explore the exhibit hall and network with other participants.

Concurrent Sessions - 1:15 - 2:00 PM CDT

Session 1

PLENARY
Moving Toward Capitation

Policymakers and private insurers are testing new ways to pay for care that will reward value instead of volume. New payment models seek to boost providers' financial incentives to improve efficiency and range from yearly bonuses tied to control to bundled payments to capitation. A plenary panel of insurance, policy and health system executives discuss healthcare's evolving financing.

Moderator: Beth Kutcher,

Reporter, Modern Healthcare

Terri Kline, Chief Healthcare Management

Officer at SVP at Health Care Services Corp.

Dr. Mark McClellan, Director of Brookings

Institution Engleberg Center for Health Care

Reform and former CMS administrator

Michael Rowan, Executive Vice President and

COO at Catholic Health Initiatives

James Skogsbergh, President and CEO

at Advocate Health Care

Session 2

Details will be released soon.

Presented by Medhost

Session 3

New Payor Arrangements for Population Health

Accountable care, bundled payments and population health management are continuing to gain momentum with early results bending the cost curve and enhancing quality. This session combines key insights from Premier's Population Health collaborative with practical lessons from Summa Health System's launch of their own NewHealth Collaborative. Attendees will learn techniques to overcome long-term financial challenges within new payment systems.

Joe Damore, Vice President Engagement & Delivery for

Premier healthcare alliance

Charles Vignos, COO of NewHealth Collaborative and

President of Summa Health Network

Presented by Premier

Exhibit Hall Break - 2:00 - 2:15 PM CDT

Explore the exhibit hall and network with other participants.

Concurrent Sessions - 2:15 - 3:00 PM CDT

Session 1

PROVIDER TRACK

Building a Care Coordination Team

Health systems and insurers seeking to better control costs and improve health are developing teams to reduce the confusion, duplication and fragmentation that patients experience. Hear from providers and payers about development of teams that seek to coordinate care for better results.

Moderator: Steven Ross Johnson,

Reporter, Modern Healthcare

Dr. Namita Mothaa, Medical Director for

Population Health Management at

Partners HealthCare System ACO

Dr. Don Liss, Vice President of Clinical Programs

and Policy at Independence Blue Cross

Dr. James Dom Dera, Medical Director of

Patient Centered Medical Homes at Summa

Health System New Health Collaborative

Session 2

PAYER TRACK
What Employers Want and How They Plan to Get It

Demand for high-quality, efficient healthcare has sparked direct deals between health systems and major U.S. employers such as Intel and Wal-Mart. Business and health system leaders discuss what employers seek to gain by working more closely with hospitals and doctors.

Moderator: Joseph Carlson,

Reporter, Modern Healthcare

Tami Graham, Global Benefits Design

Manager at Intel

Karen Linscott, Interim President and

CEO at the National Business Coalition on Health

Michael McMillan, Executive Director of

Market and Network Services for the Cleveland

Clinic

Exhibit Hall Break - 3:00 - 3:15 PM CDT

Explore the exhibit hall and network with other participants.

Closing Keynote - 3:15 - 4:00 PM CDT

Jonathan Blum
Principal Deputy Administrator and Director of the Center for Medicare

Exhibit Hall Break - 4:00 - 4:30 PM CDT

EXHIBIT HALL REMAINS OPEN AFTER THE LAST SESSION FOR AN ADDITIONAL 30 MINUTES

Agenda subject to change

*Indicates speaker is invited and has not yet confirmed.

Get the best seat in the house, without leaving your desk

Healthcare providers across America are boldly experimenting with delivery system changes aimed at achieving two of the goals of the Affordable Care Act: delivering higher quality care at lower cost. At the same time, payers both public and private are struggling with how to finance universal, affordable insurance coverage. Have the goals of the two sides finally aligned? This forward-looking one-day virtual conference – “Building Tomorrow's Delivery Model: Providers and Payers as Partners” – will explore the most promising solutions being offered today by hospitals, health plans and physician group leaders to achieve these goals. Attendees will learn valuable lessons from front line providers and payers as they seek to move from fragmentation to coordination and from antagonistic bargaining to more collaborative models. Topics to be addressed by our speakers and panel discussions include:

Strategies for identifying high-risk patients to prevent hospitalization
Early lessons from accountable care pioneers
Insurance Exchanges: Will they be affordable, and will people buy in?
Moving toward capitation
Building a care coordination team

Plus, opening and closing keynote addresses by high-profile industry leaders (to be announced soon!), an Exhibition Hall filled with exciting new products and services and information, a networking lounge, downloads of materials and much more!
Registration is now open!

How to become a sponsor or exhibitor

For information on how to join us on October 21 as a sponsor or exhibitor please download our prospectus

Or contact Ilana Klein at iklein@modernhealthcare.com or 312.649.5311.

Patient Safety and Quality Virtual Conference

Thank you to all of our presenters, sponsors and the many healthcare professionals who registered for and attended our first virtual conference of the year, Patient Safety and Quality on June 11. It was an inspiring day and we hope all who attended enjoyed the virtual experience!

If you were registered in advance, you will continue to be able to return to the virtual conference environment and listen again to any of the presentations, or download materials, at no additional charge. Just use the link and original log-in provided with your registration. Should you have any questions, please email Sarah Wilson, and she will be glad to assist you.

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