These sessions are designed to provide you hands-on knowledge and tools to succeed in value-based payment models.
(*) Denotes a CME Session.
Learn how to optimize your organizational operations to maximize risk adjustment and performance in Medicare Advantage. In light of our ever-changing healthcare landscape, how do new regulations on risk adjustment affect your organization and health plan partners?
▸ Frederick Huie, MD, MBA, Senior Medical Director, Risk, Quality & Network Solutions, OptumInsight
In this session, you will learn how Kaiser Permanente's Health Leads Program focuses on the social determinants of health for their population to help improve health outcomes.
▸ Nirav R. Shah, MD, MPH, Senior Vice President and Chief Operating Officer, Kaiser Permanente
This session will review the Medicare Access and CHIP Reauthorization Act and discuss MACRA’s financial impact to physician practices with a focus on the proactive steps physician organizations can take to prepare for the law’s implementation. This session will include information on preparing for the law’s ripple effects on commercial, Medicaid and Medicare Advantage payers.
▸ Anne Phelps, Principal, Deloitte & Touche LLP
MACRA’s success rests on the shoulders of the Medicare Accountable Care Organization (ACO) program. Hear from physician groups who’ll discuss their experiences as Medicare ACOs and the policy changes needed to strengthen the program for the task ahead.
▸ Jeffrey Farber, MD, CEO, Mount Sinai Care, LLC and Senior VP/Chief Medical Officer for Population Health, Mount Sinai Health System
▸ Steve O’Dell, President, Coordinated Regional Care, Prospect Medical Holdings, Inc.
▸ Sam Skootsky, MD, Chief Medical Officer, UCLA Faculty Practice Group and Medical Group, UCLA
▸ Moderator: Mara McDermott, VP of Federal Affairs, CAPG
Hear from physician organization panelists who’ll discuss the key components needed to succeed at various levels of risk. You’ll learn what’s critical at each step before moving forward.
▸ Brent Boyd, Strategy Officer, Foundation for Medical Care of Tulare and Kings Counties, Inc.
▸ Amar Desai, MD, President , California Coastal Region, DaVita Healthcare Partners – California Market
▸ Stacey Hrountas, CEO, Sharp Rees-Stealy Medical Centers
▸ Jim Osborne, MD, Primary Care Medical Director, Triad Healthcare Network
▸ Moderator: Cassidy Tsay, MD, VP of Business Development, CAPG
Learn how a published study demonstrated that elderly, chronically ill patients lived longer under value-based contracting in Medicare Advantage (MA), compared with fee-for-service MA. Through optimizing risk stratification and reducing both emergency department visits and inpatient hospital admissions, capitated MA not only improved clinical outcomes but also reduced costs.
▸ Aloke K. Mandal, MD, PhD, Medical Director, Risk, Quality, and Network Solutions, Optum
▸ Ken Cohen, MD, Chief Medical Officer, New West Physicians
▸ Sunny Ramchandani, MD, Deputy Chief Medical Officer, Aetna, Inc.
▸ Scott C. Howell, MD, MPH, TM, Executive Medical Director, Heritage Provider Network
▸ Steve O'Dell, President, Coordinated Regional Care, Prospect Medical Holdings
▸ John Edelston, President, HealthPro Associates, Inc.
Come and learn how experienced physician organizations have modified their strategies to manage patients under the FFS ACO model. Hear about their successes and failures as they navigate without a narrow network, a prepayment funding source, or a HIE platform.
▸ David Joyner, CEO, Hill Physicians Medical Group
▸ James Porter, MD, Senior Executive VP, Physician Enterprise, Deaconess Health System
▸ Laura McGeorge, MD, Medical Director, St Luke's ACO
▸ Don Halliwill, Executive VP & CFO, Carilion Clinic
▸ Moderator: Frank Williams, CEO, Evolent Health
Learn from Pediatric Associates, the premier pediatric group in Florida, on how they have successfully achieved the Quadruple Aim- quality of care, patient experience, cost of care, and physician satisfaction. Hear about their successes and failures in managing the pediatric population within their capitated model. RISK is not a 4-letter word to them.
▸ Peter Shulman, MD, CEO, Pediatrics Associates
▸ Scott Farr, COO, Pediatrics Associates