Wednesday, November 16, 2016
8:00 a.m. – 10:00 a.m.
Building a Value-Based Healthcare System
Robert Pearl, M.D., Executive Director and CEO of The Permanente Medical Group and President and CEO of the Mid-Atlantic Permanente Medical Group
Kaiser Permanente is nationally known for delivering coordinated, cost-effective care, and is recognized as a leader in risk-based payment. ACOs and other alternative payment models that involve risk are the preferred choice for medical groups that wish to maximize their revenue under MACRA. Becoming an organization accountable for the cost and quality of care requires strategic thinking, detailed operational planning, and the engagement of physicians and the entire workforce. This is your chance to learn from the nation’s largest medical group and their decades of experience managing patient populations under risk-based payment model.
Coverage, Competition, and Consumer-Driven Health Care: Lessons Learned from Covered California
Lance Lang, M.D., FAAFP, Chief Medical Officer, Covered California
The Health Exchanges have provided a mechanism for millions of Americans to obtain health insurance, yet many challenges remain in sustaining these systems and assuring market stability. Dr. Lang, Chief Medical Officer of the largest Health Exchange in the U.S., will discuss the future of these entities in light of the Presidential election and provide insights into potential changes in the insurance marketplace. He will also address concerns of providers of care for patients in the exchanges and how quality, cost, and access to care are balanced.
Thursday, November 17, 2016
8:00 a.m. – 9:30 a.m.
What Do Successful Health Plan- Provider Group Partnerships Look Like?
Craig Samitt, M.D., M.B.A, Executive Vice President and Chief Clinical Officer, Anthem, Inc.
Health Insurance companies are restructuring to provide risk-based payment options to provider groups. In this session, Dr. Samitt will discuss the barriers and success factors in making the transition to risk, focusing on the key principles medical groups and health insurers need to adopt in order to create successful, sustainable models. His background on both the provider and insurer side makes him uniquely positioned to challenge both partners to adopt the necessary changes to make risk-based arrangements work.
10:00 a.m. – 11:30 a.m.
Understanding New Payment Models in a World of Value-Based Care
Moderated by: Robert E. Nesse, M.D., Senior Medical Advisor to the Mayo Clinic Board of Governors for Payment Reform
Panelists: Philip Oravetz, M.D., M.P.H., M.B.A., Medical Director, Accountable Care, Ochsner Health System;
Charles A. Dennis, M.D., Vice President Central Region, OSF Medical Group; and
Steven A. Green, M.D., Chief Medical Officer, Sharp Rees-Stealy Medical Group, Inc.
How medical groups navigate and ultimately engage in new value-based payment models may be the most important challenge we collectively face. In this session, a panel of experts will discuss the mechanics and the pros and cons of several value-based payment models, including Medicare Advantage, Federal and commercial ACOs, partial and full capitation, bundled payments, and the yet-to-be-developed Merit Based Payment System (MIPS) included in MACRA. This session will give you a better understanding of new payment models and which are best suited for your medical group.