ACO SUMMIT KEYNOTE SPEAKERS
Pauline Lapin, MHS
Director, Seamless Care Models Group, Centers for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, Baltimore, MD
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
FEATURED SESSION: WHAT’S
NEXT FOR NEXT GEN ACOS?
Jonathan Chines, MPP
Vice President, Payer and Network Strategy, Reliant Medical Group
Peter J. Kelly, MBA
Director of Value Based Programs, CareMount Medical, Executive Director, CareMount’s Medicare Shared Savings Program (MSSP) ACO Partnership
Elissa Langley, MHA
Director of ACO Operations, Triad HealthCare Network
Mara McDermott, JD
Vice President, McDermott+Consulting (Moderator)
Michael Reiche, MA, MBA
Executive Director, Medicare Accountable Care, Steward Health, Boston, MA
James D. Sharp, MPH, JD
Director, Health Care Strategy and Transformation, BlueCross BlueShield of North Carolina
ACO/BUNDLED/MACRA JOINT PLENARY
SESSION KEYNOTE SPEAKERS
Marc Berg, MD, PhD
Partner, McKinsey, Former Principal and National Lead Government Healthcare Transformation, KPMG LLP USA, Washington, DC
Francois de Brantes, MBA
Senior Vice President, Commercial Business Lines, Remedy Partners; Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT
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
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
Senior Vice President of Healthcare and Community Health Transformation, 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
Farzad Mostashari, MD, ScM
Chief Executive Officer and Co-founder, Aledade, Inc.; Former National Coordinator for HIT; Former Assistant Commissioner, New York City Department of Health and Mental Hygiene, Washington, DC
Kavita Patel, MD
Nonresident Senior Fellow Brookings Institution; Member, Physician-Focused Payment, Model Technical Advisory Committee (PTAC); Former Director of Policy, The White House (Obama), 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
DAY II: TUESDAY, JUNE 18
JOINT ACO/BUNDLED/MACRA OPENING 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
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
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
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
VII: Accountable Care Case Studies: Humana and Aledade & NY ACOs
VIII: Social Determinants of Health & Substance Abuse (Opioids Plus) Programs
IX: Valuebased Contracting & Patient Experience in Accountable Care
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
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
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?
XVI: Actuarial Strategies and Risk in Value-based Payment Arrangements & Health Insurer and a Provider Overcome Bundled Payment Barriers
XVII: AI, Analytics, Big Data and Blockchain Technologies to Drive Bundled Payment Success
XVIII: Risk/Bundle Selection & Getting “Bundle Ready
DAY III: WEDNESDAY, JUNE 19
JOINT ACO/BUNDLED/MACRA CLOSING PLENARY SESSION
ACO SUMMIT FEATURED FACULTY
Angelo Aiello, MS
Senior Director, Clinical Integration, MHN ACO, Former Director, Care Coordination, Access Community Health Network, Chicago, IL
Anna Yevseevna Bavykina, MD
Hospitalist, Kaiser Permanente Walnut Creek Medical Center, Walnut Creek, CA
Lili Brillstein, MPH
Director, Episodes of Care, Horizon Healthcare Innovations, Horizon Blue Cross Blue Shield New Jersey, Member, CMS Advisory Panel on Oncology Bundles, Newark, NJ
Charles Brown, MBA
Associate Principal, ECG Management Consultants, Denver, CO
Thomas Buckingham, BSN, MBA
Executive Vice President, Select Medical, President, Allevant Solutions, Member, Guiding Committee, Health Care Payment Learning and Action Network, Mechanicsburg, PA
Gregory C. Burke, MPA
Director, Innovation Strategies, United Hospital Fund, Former Vice President for Planning, Montefiore Medical Center, New York, NY
Mark J. Carley, MA, MBA/MSHA
President, Colorado Health Neighborhoods Value Based Care Delivery; Vice-President, Managed Care and Payor Relations, Centura Health, Former VP, Network Management, Rocky Mountain Health Plans, Arlington, VA
Jonathan Chines, MPP
Vice President, Payer and Network Strategy, Reliant Medical Group, Former Vice President of Network Contracting, Senior Products, Tufts Health Plan, Boston, MA
Kate de Lisle
ACO Research Manager, Accountable Care Learning Collaborative, Senior Analyst, Leavitt Partners, Former Senior Associate, Accountable Care Work Group, Health Care Transformation Task Force, Salt Lake City, UT
David DiGirolamo, MA
Vice President, ACO Operations and Executive Director, Partners In Care ACO, Former Vice President, Healthcare Consulting and Solutions, Capgemini, New York, NY
Daniel Durand, MS
Chief Innovation Officer, LifeBridge Health, Adjunct Clinical Faculty, Stanford University School of Medicine, Baltimore, MD
Brian A. Hammer, MS, MBA, FACHE
Vice President, Membership & Business Services, National Association of ACOs (NAACOS), Former Manager, Physician & Business Development, Meridian Health (Ocean Medical Center), West Long Branch, NJ
Aparna Higgins
President and CEO, Ananya Health Innovations Inc., Policy Fellow, The Duke-Margolis Center for Health Policy; Visiting Scholar at The Heller School of Social Policy and Management, Brandeis University, Dunn Loring, VA
Joel James, MA
Director of Public and Government Affairs, Signature Medical Group, Former Assistant Vice President, Federal Reserve Bank of St. Louis, Saint Louis, MO
Peter J. Kelly, MBA
Director of Value Based Programs, CareMount Medical, Executive Director, CareMount’s Medicare Shared Savings Program (MSSP) ACO Partnership with Universal, New York, NY
Katherine Hobbs Knutson, MPH, MD
Chief of Behavioral Health, Blue Cross North Carolina, Physician, Duke University Health System, Adjunct Assistant Professor, Duke University School of Medicine, Durham, NC
Elissa Langley, MHA
Director of ACO Operations, Triad HealthCare Network, Former Chief Operations Officer, BuyMD, Former Network Manager, Aetna, Greensboro, NC
Katie Martin, MPA
Vice President for Health Policy and Programs, National Partnership for Women & Families, Former Acting Assistant Secretary for Planning and Evaluation, US DHHS, Washington, DC
Melanie Matthews, MA
CEO, NW Momentum Health Partners ACO, CEO, Physicians of Southwest Washington, Former VP Ops, Prestige Care, Olympia, WA
Mara McDermott, JD
Vice President, McDermott+Consulting, Former Vice President of Federal Affairs, America’s Physician Groups, Washington, DC
Simon Moody, FIA, FSA
Principal & Consulting Actuary, Milliman, Brookfield, WI
Kristen Mucitelli-Heath
Administrator, St. Joseph’s Hospital & Health Center Inc., Interim Executive Director, Central New York Care Collaborative, Syracuse, NY
Seema Parmar, MHA, PhD
Associate Partner and Senior Expert, McKinsey, Calgary, Alberta, Canada
Geoff Price, MBA
Chief Operating Officer, Oak Street Health, Chicago, IL
Michael Reiche, MA, MBA
Executive Director, Medicare Accountable Care, Steward Health, Boston, MA
Oraida Roman, MHA
Vice President of Value Based Strategies, Humana, Former Market President, Colorado, DaVita Medical Group, Louisville, KY
Jim Ryan, MBA
Senior Manager, ECG Management Consultants, Dallas, TX
William Shrank, MSHS, MD
Chief Medical Officer, Humana (April 1, 2019), Former CMO, UPMC Health Plan, Former SVP, Chief Scientific Officer & CMO, Provider Innovation, CVS Health, Former Director of Evaluation, CMMI, Chevy Chase, MD
Terri Welter, MSHA
Principal, ECG Management Consultants, Washington DC
David Wennberg, MD, MPH
Chief Executive Officer, Quartet Health, Former CEO, Northern New England, Accountable Care Collaborative, Former CEO, High Value Health Collaborative, The Dartmouth Institute, New York, NY
Greg Williams, MA
Co-Founder, Facing Addiction, Filmmaker, The Anonymous People and Generation Found, Campaign Director and Executive Producer, Unite to Face Addiction Rally on the National Mall, New York, NY
