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