Collocated ACO Summit X, Bundled Payment Summit IX and MACRA Summit IV Feature CMS Extends Options to States to Test Innovative Dual-Eligible Value-based Care Models

PRESS RELEASE
Phone: 800-503-3597
Email: registration@hcconferences.com
Website: www.ACOSummit.com, www.BundledPaymentSummit.com and www.MACRA Summit.com

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MACRA SUMMIT IV EARLY BIRD REGISTRATION - SAVE UP TO $400
Register by Friday, May 24, 2019 and save up to $400.
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ONE REGISTRATION FOR THREE COLLOCATED EVENTS:
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CMS EXTENDS OPTIONS TO STATES TO TEST INNOVATIVE DUAL-ELIGIBLE VALUE-BASED CARE MODELS

Although independent evaluations of ongoing demonstrations to integrate care for dual-eligible Medicare-Medicaid beneficiaries are still underway, an April 24 letter from CMS Administrator Seema Verma signaled the agency's commitment to proving the value of the models as well as testing alternatives.

In the letter to state Medicaid directors, CMS extended three new opportunities to "test state-driven approaches" for integrating duals' care:

  1. For interested states with capitated Financial Alignment Initiative (FAI) model demos, CMS said it is "open to partnering on revisions."
  2. For interested states without capitated demos, CMS said it welcomes interest in testing the model through new demos in additional states.
  3. CMS said it is open to partnering with states on testing new state-developed models to better serve dual eligibles and invited states to respond with ideas, concept papers and/or proposals.

FEATURING

Adam Boehler
Senior Advisor to the Secretary, US Department of Health and Human Services, Deputy Administrator and Director, Center for Medicare and Medicaid Innovation (CMMI), Centers for Medicare and Medicaid Services, Washington, DC

Sanjay Doddamani, MD
Senior Advisor and Medical Officer, Center for Medicare and Medicaid Innovation; Former Senior Director in Population Health, Geisinger Health System, Chief Medical Officer, Keystone ACO, Washington, DC

Pauline Lapin, MHS
Director, Seamless Care Models Group, Centers for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, Baltimore, MD

Christina S. Ritter, PhD
Director, Patient Care Models Group (PCMG); Former Deputy Director, Hospital and Ambulatory Policy Group Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MA

WASHINGTON DC USA -- EMPLOYEE BENEFIT UPDATE NEWS SERVICE™ -- MAY 9, 2019: The Tenth National Accountable Care Organization (ACO) Summit, www.ACOSummit.com, the Ninth National Bundled Payment Summit, www.BundledPaymentSummit.com, and the Fourth National MACRA MIPS/APM Summit, www.MACRA Summit.com, will be held on June 17 - 19, 2019 collocated at the Grand Hyatt in Washington, DC. The three events will share a joint plenary session. Registrants may attend all three event in person or online (live webcast and archived for 6 months).

ACO/BUNDLED/MACRA JOINT SESSION CO CHAIRS

Donald H. Crane, JD
President and Chief Executive Officer, America's Physician Groups, Los Angeles, CA

Susan Dentzer
Visiting Fellow, Duke-Margolis Center for Health Policy, Analyst on Health Policy, The NewsHour, Former Editor, Health Affairs, Washington, DC

ACO SUMMIT CO CHAIRS

Emily DuHamel Brower, MBA
Senior Vice President Clinical Integration, Trinity Health, Former Vice President, Population Health, Atrius Health, Former Senior Director, Clinical Improvement Ventures, Harvard Vanguard Medical Associates, Livonia, MI

S. Lawrence Kocot, JD, LLM, MPA
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG, Former Senior Advisor to the Administrator, CMS, Washington, DC

David B. Muhlestein, PhD, JD
Chief Research Officer, Leavitt Partners, LLC, Visiting Policy Fellow, Margolis Center for Health Policy, Duke University, Visiting Fellow, Accountable Care Learning Collaborative, Washington, DC

Hoangmai H. (Mai) Pham, MD
Vice President, Provider Alignment Solutions, Anthem, Former Chief Innovation Officer, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Washington, DC

BUNDLED PAYMENT SUMMIT CO CHAIRS

Lili Brillstein, MPH
Director, Episodes of Care, Horizon Healthcare Innovations, Horizon Blue Cross Blue Shield New Jersey, Member, CMS Advisory Panel on Oncology Bundles, Former Senior Director, Medicare & Retirement, UnitedHealthcare, Newark, NJ

Diwen Chen, MPH
Executive Director, Payment Innovation and Accountable Care, Dignity Health, Los Angeles, CA

Pamela M. Pelizzari, MPH
Principal and Senior Healthcare Consultant, Milliman, Former Senior Technical Advisor and Program Lead, CMS, New York, NY

Valinda Rutledge, MBA
Vice President of Federal Affairs, APG, Vice President, Public Payor Health Strategy, Care Coordination Institute, Prisma Health, Former Group Director of Patient Care Model Group and BPCI Lead, CMS, Washington, DC

MACRA SUMMIT CO CHAIRS

Harold D. Miller
President and Chief Executive Officer, Center for Healthcare Quality and Payment RefNorm, Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC), Pittsburgh, PA

Kavita Patel, MD
Vice President Payer Provider Integration, Johns Hopkins Health System; Nonresident Senior Fellow Brookings Institution; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC); Former Director of Policy, The White House (Obama); Former Senior Advisor, Senator Edward Kennedy, Washington, DC

Grace Emerson Terrell, MD, MMM, FACP, FACPE
Chief Executive Officer, Envision Genomics, Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC), Former President and CEO, Cornerstone Health Care, Huntsville, AL

ACO/BUNDLED/MACRA JOINT PLENARY
SESSION KEYNOTE SPEAKERS

Deirdre Baggot, PhD, MBA, RN
Healthcare Strategist and Payment Innovation Expert, Former Expert Reviewer, BPCI Program, Former Lead, CMS ACE Program, Washington, DC

Marc Berg, MD, PhD
Partner, McKinsey, Former Principal and National Lead Government Healthcare Transformation, KPMG LLP USA, Washington, DC

Arnaud Bernaert, MBA
Head of Partner Development, Europe & North America, Head of Healthcare Industry, and Member, Executive Committee, World Economic Forum, Former Senior VP Strategy, Business Development and M&A, Philips Healthcare, Former European Regional Controller, Baxter Healthcare, Geneva, Switzerland

Francois de Brantes, MBA
Senior Vice President, Commercial Business Lines, Remedy Partners; Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT

Sean Cavanaugh
Chief Administrative Officer, Aledade, Former Deputy Administrator and Director, Center for Medicare, Centers for Medicare & Medicaid Services, Washington, DC

Sanjay Doddamani, MD
Senior Advisor and Medical Officer, Center for Medicare and Medicaid Innovation; Former Senior Director in Population Health, Geisinger Health System, Chief Medical Officer, Keystone ACO, Washington, DC

Joseph Egan
Director of Operations, Value-Based Programs, Tenet Healthcare, Former Administrative Director, Michigan Pioneer ACO, Royal Oak, MI

Ezekiel J. Emanuel, MD
Vice Provost for Global Initiatives, University Professor and Chair, Department of Medical Ethics and Health Policy, University of Pennsylvania; Senior Former Special Advisor, Office of Management and Budget, National Economic Council, Philadelphia, PA

John Gorman
Founder and Former Executive Chairman, Gorman Health Group, Former Assistant to the Director, Office of Managed Care, HCFA, Washington, DC

Pauline Lapin, MHS
Director, Seamless Care Models Group, Centers for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, Baltimore, MD

Peter Long, PhD
President and CEO, Blue Shield of California Foundation, Former Senior Vice President, Henry J. Kaiser Family Foundation, Former Director of Research and Planning, The California Endowment, San Francisco, CA

Barbara L. McAneny, MD, FASCO, MACP
President, American Medical Association, Co-founder and Managing Partner, New Mexico Oncology Hematology Consultants Ltd., Albuquerque, NM

Elizabeth Mitchell
President and CEO, Pacific Business Group on Health, Former SVP, Blue Shield of California; Former President and CEO, Network for Regional Healthcare Improvement, San Francisco, CA

Lori Morgan, MBA
President and Chief Executive Officer, Huntington Hospital, President, Legacy Emanuel Medical Center, Pasadena, CA

Kavita Patel, MD
Vice President Payer Provider Integration, Johns Hopkins Health System; Nonresident Senior Fellow Brookings Institution; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC); Former Director of Policy, The White House (Obama); Former Senior Advisor, Senator Edward Kennedy, Washington, DC

Christina S. Ritter, PhD
Director, Patient Care Models Group (PCMG); Former Deputy Director, Hospital and Ambulatory Policy Group Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MA

James D. Sharp, MPH, JD
Director, Health Care Strategy and Transformation, BlueCross BlueShield of North Carolina, Former Policy and Strategy Advisor, Office of the Director, Center for Medicare and Medicaid Innovation, Washington, DC

Mark D. Smith, MD, MBA
Co-chair, Guiding Committee, Health Care Payment Learning and Action Network, Clinical Faculty, UCSF, Attending Physician, Positive Health Program for AIDS Care, San Francisco General Hospital, Founding President and CEO, California Health Care Foundation, San Francisco, CA

Michael Thompson
President and Chief Executive Officer, National Alliance of Healthcare Purchaser Coalitions, Former Principal, Health Care, PricewaterhouseCoopers, Washington, DC

AGENDA AT-A-GLANCE
DAY I: MONDAY, JUNE 17
JOINT PRECONFERENCE
1:00 pm Preconference I: Seven Characteristics of Successful APMs & Seven Considerations in the Financial Modeling of Value-based Payment Arrangements
DAY II: TUESDAY, JUNE 18
JOINT ACO/BUNDLED/MACRA OPENING PLENARY SESSION
7:00 am Breakfast Roundtable I: Operating Under Tomorrow's Value-Based Care Payment Models & Breakfast Roundtable II: Clinical Success Metrics in Commercial Episode of Care Programs
8:00 am HHS/CMS/CMMI Keynote Address
8:30 am The Policy and Politics of Value-based Care by Susan Dentzer
9:30 am Understanding the Quality Standards upon which Value-based Care Initiatives are Measured by Elizabeth Mitchell
10:00 am Integrating the Social Determinants of Health into Value-based Care by Peter Long, MD
10:30 am Break
11:00 am ACO SUMMIT PLENARY SESSION
CMS/CMMI Accountable Care, Primary Care, CPC-Plus and Other Primary Care Models Keynote Address Keynote Update on Private Sector ACO Initiatives Co-chair Keynote Roundtable: A Lightning Round on the Hot Accountable Care Issues of Today

11:00 am BUNDLED PAYMENT MINI SUMMITS
Special LAN Mini Summit I: The Health Care Payment and Learning Action Network's (LAN) Roadmap for Driving High Performance in Alternative Payment Models
II: Oncology Care & Radiation Therapy Bundles
III: Effective Use of Waivers & Gainsharing in Bundled Payment Projects

11:00 am MACRA MINI SUMMITS
Special LAN Mini Summit I: The Health Care Payment and Learning Action Network's (LAN) Roadmap for Driving High Performance in Alternative Payment Models
IV: MIPS Basics and Myths & Medicare Advantage and Advance APM Status
V: Rural and Safety Net APMs
VI: Risk Adjustment in MIPS and APMs & MIPS and APMs Quality Measures
12:30 pm Joint Networking Luncheon
1:00 pm JOINT ACO/BUNDLED/MACRA LUNCHEON KEYNOTE ROUNDTABLE ON THE FUTURE OF VALUE-BASED CARE
2:00 pm BUNDLED PAYMENT SUMMIT PLENARY SESSION
CMS/CMMI Keynote Address on Bundled Payment Policy
Keynote Update on Private Sector Bundled Payment Initiatives
Co-chair Keynote Roundtable: A Lightning Round on the Hot Bundled Payment Issues of Today

2:00 pm ACO MINI SUMMITS
VII: Accountable Care Case Studies: Aledade & NY ACOs
VIII: Social Determinants of Health & Substance Abuse (Opioids Plus) Programs
IX: Valuebased Contracting & Patient Experience in Accountable Care

2:00 pm MACRA MINI SUMMITS
X: An Assessment of the Anticipated CMS/CMMI New APM Models
XI: Specialty APMs & Engaging Specialists through Specialty Payment Chassis Design
XII: Using Quality as a Service & Methods for Managing Post Acute Care

4:00 pm MACRA SUMMIT PLENARY SESSION
CMS/CMMI Keynote Address on MACRA Policies
MACRA Keynote Address: Are Alternative Payment Models Better than Fee for Service?
Co-chair Keynote Roundtable: A Lightning Round on the Hot Accountable Care Issues of Today
Adjournment and Joint Networking Reception

4:00 pm ACO MINI SUMMITS
XIII: Accountable Care Organizational Resources : NAACOS, ACLC and APG
XIV: Integrating Behavioral Health and Primary Care & Shared Decision Making and Personalized Care into Value-based Arrangements
XV: What's Next for Next Gen ACOs?

4:00 pm BUNDLED PAYMENT MINI SUMMITS
XVI: Designing Bundled Payment Arrangements with Actuarial Risk Management Principles
XVII: AI, Analytics, Big Data and Blockchain Technologies to Drive Bundled Payment Success
XVIII: Risk/Bundle Selection & Getting "Bundle Ready"
5:30 pm Adjournment and Joint Networking Reception
DAY III: WEDNESDAY, JUNE 19
JOINT ACO/BUNDLED/MACRA CLOSING PLENARY SESSION
8:00 am Welcome and Introductions
8:15 am Getting to Affordability by Ezekiel J. Emanuel, MD
8:45 am Value-based Payment, Technology, and the Future of Customer Service by Mark D. Smith, MD, MBA
9:15 am Value-based Care: The Paradox of Primary Care Leadership by Sean Cavanaugh
9:45 am The Challenges and Opportunities for Hospitals and Health Systems in Moving to Value-based Care by Lori Morgan, MBA
10:15 am Transition Break
10:30 am Case Study of BlueCross BlueShield of North Carolina's Value-based Payment Initiatives by James D. Sharp, MPH, JD
11:00 am How Medicare Advantage Related to Value-based Care by John Gorman
11:45 am Strategies to Integrate BPCIA, ACOs and APMs into a Unified Strategy to Deliver People-centered Care
12:30 pm Summit Adjournment


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