Agenda Links: Day 2
PRECONFERENCE FOCUS SESSION: MACRA: PERSPECTIVES ON THE TRANSITION TO QUALITY PAYMENT PROGRAM (QPP)
(Optional; Separate Registration Required)
9:00 am
Welcome and Introduction
S. Lawrence Kocot, JD, LLM, MPA
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Former Senior Advisor to the Administrator, Centers for Medicare and Medicaid Services, Washington, DC (Co Chair)
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Former Senior Advisor to the Administrator, Centers for Medicare and Medicaid Services, Washington, DC (Co Chair)
Larry Kocot is a Principal at KPMG, LLP and National Leader of KPMG’s Center for Healthcare Regulatory Insight.
Previously, he was Senior Advisor to the Administrator of the Centers for and Medicaid Services (CMS) at the U.S. Department of Health and Human Services. In this capacity, he was involved in a wide range of health care policy issues and operations related to Medicare and Medicaid. Mr. Kocot practiced law at Epstein Becker Green, PC, and Dentons, US LLP, was a visiting fellow in the Economic Studies Program at the Brookings Institution and served as Deputy Director of the Engelberg Center for Health Care Reform at Brookings from 2007-2013.
Mr. Kocot was also a fellow in International Security Studies at the Center for Strategic And International Studies (CSIS), an adjunct fellow at CSIS and Senior Vice President and General Counsel at the National Association of Chain Drug Stores.
Previously, he was Senior Advisor to the Administrator of the Centers for and Medicaid Services (CMS) at the U.S. Department of Health and Human Services. In this capacity, he was involved in a wide range of health care policy issues and operations related to Medicare and Medicaid. Mr. Kocot practiced law at Epstein Becker Green, PC, and Dentons, US LLP, was a visiting fellow in the Economic Studies Program at the Brookings Institution and served as Deputy Director of the Engelberg Center for Health Care Reform at Brookings from 2007-2013.
Mr. Kocot was also a fellow in International Security Studies at the Center for Strategic And International Studies (CSIS), an adjunct fellow at CSIS and Senior Vice President and General Counsel at the National Association of Chain Drug Stores.
9:10 am
Quality Payment Program Implementation Priorities for 2017 and Beyond: The CMS Perspective
Greg Woods
Director, Division of Alternative Payment Model Infrastructure, Center for Medicare and Medicaid Innovation, Washington DC
Director, Division of Alternative Payment Model Infrastructure, Center for Medicare and Medicaid Innovation, Washington DC
Gregory Woods is the Director of the Division of Alternative Payment Model Infrastructure at Center for Medicare and Medicaid Innovation. Prior to joining the Innovation Center, he worked for the Assistant Secretary for Financial Resources at HHS, where he focused on Medicare policy and budget issues. He has also previously worked for a health policy consulting firm and for a nonprofit focused on behavioral health policy.
Gregory has a master’s degree in public affairs from Princeton University’s Woodrow Wilson School and received his undergraduate degree from Columbia University.
Gregory has a master’s degree in public affairs from Princeton University’s Woodrow Wilson School and received his undergraduate degree from Columbia University.
9:45 am
Physician Readiness for MACRA: Survey Results 2017
S. Lawrence Kocot, JD, LLM, MPA
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Former Senior Advisor to the Administrator, Centers for Medicare and Medicaid Services, Washington, DC
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Former Senior Advisor to the Administrator, Centers for Medicare and Medicaid Services, Washington, DC
Larry Kocot is a Principal at KPMG, LLP and National Leader of KPMG’s Center for Healthcare Regulatory Insight.
Previously, he was Senior Advisor to the Administrator of the Centers for and Medicaid Services (CMS) at the U.S. Department of Health and Human Services. In this capacity, he was involved in a wide range of health care policy issues and operations related to Medicare and Medicaid. Mr. Kocot practiced law at Epstein Becker Green, PC, and Dentons, US LLP, was a visiting fellow in the Economic Studies Program at the Brookings Institution and served as Deputy Director of the Engelberg Center for Health Care Reform at Brookings from 2007-2013.
Mr. Kocot was also a fellow in International Security Studies at the Center for Strategic And International Studies (CSIS), an adjunct fellow at CSIS and Senior Vice President and General Counsel at the National Association of Chain Drug Stores.
Previously, he was Senior Advisor to the Administrator of the Centers for and Medicaid Services (CMS) at the U.S. Department of Health and Human Services. In this capacity, he was involved in a wide range of health care policy issues and operations related to Medicare and Medicaid. Mr. Kocot practiced law at Epstein Becker Green, PC, and Dentons, US LLP, was a visiting fellow in the Economic Studies Program at the Brookings Institution and served as Deputy Director of the Engelberg Center for Health Care Reform at Brookings from 2007-2013.
Mr. Kocot was also a fellow in International Security Studies at the Center for Strategic And International Studies (CSIS), an adjunct fellow at CSIS and Senior Vice President and General Counsel at the National Association of Chain Drug Stores.
Carol Vargo, MHS
Director, Physician Practice Sustainability, Strategy Group, American Medical Association, Washington, DC
Director, Physician Practice Sustainability, Strategy Group, American Medical Association, Washington, DC
Carol Vargo is Director of Physician Practice Sustainability in the AMA Physician Satisfaction and Practice Sustainability Strategic Initiative Group. In this role, Carol directs AMA development of resources to support sustainable physician payment and delivery reforms. She also develops external partnerships with hospitals, health systems, commercial payers, technology vendors and other key stakeholders to advance the AMA strategic agenda on implementation and adoption of new federal, state and commercial payment and delivery models, including the new Medicare Quality Payment Program.
Prior to this position, Carol worked at the AMA as an Assistant Director of Federal Affairs and Outreach, Advocacy Group. In this role, she developed and implemented internal and external policies and strategies to advance AMA’s priorities with the Federal Executive Branch. She began her career in federal policymaking as a Legislative Assistant to U.S. Representative Jim McDermott (D-WA).
Prior to this position, Carol worked at the AMA as an Assistant Director of Federal Affairs and Outreach, Advocacy Group. In this role, she developed and implemented internal and external policies and strategies to advance AMA’s priorities with the Federal Executive Branch. She began her career in federal policymaking as a Legislative Assistant to U.S. Representative Jim McDermott (D-WA).
Ross White, MA
Manager, Center for Healthcare Regulatory Insight, KPMG, LLP, Washington, DC
Manager, Center for Healthcare Regulatory Insight, KPMG, LLP, Washington, DC
Ross White is a Manager in the Center for Healthcare Regulatory Insight at KPMG. Mr. White’s work at KPMG focuses on strategic analysis and research for both internal and external audiences on policy and regulatory trends impacting providers, payers, and life sciences companies, particularly related to value-based payment reforms. Mr. White has previously served as a Senior Project Manager at The Brookings Institution; Public Policy Associate at The Hastings Center; and researcher at the President’s Council on Bioethics and the Medical University of South Carolina. Mr. White has an MA in public policy from The George Washington University.
10:15 am
Assessing the Transition to Value-Based Payments
Michael Hunt, DO
Chief Executive Officer and President, St. Vincent’s Health Partners, Bridgeport, CT
Chief Executive Officer and President, St. Vincent’s Health Partners, Bridgeport, CT
Danielle A. Lloyd, MPH
Vice President, Policy and Advocacy, Premier, Inc., Washington, DC
Vice President, Policy and Advocacy, Premier, Inc., Washington, DC
Danielle Lloyd is the vice president for policy and advocacy as well as deputy director of the Washington, DC office of the Premier healthcare alliance. Danielle leads Premier’s policy analysis and development. She is a national expert on federal healthcare quality and payment polices impacting hospitals, outpatient facilities and physicians, such as value-based purchasing and alternative payment models. Lloyd works with lawmakers, the White House, and other major stakeholders involved in healthcare policy and regulation. Prior to coming to Premier, Lloyd worked on an array of healthcare issues including Medicare and Medicaid payment, quality policies, and health information technology for the American Hospital Association, California Hospital Association, the U.S. House of Representatives Committee on Ways and Means and the Centers for Medicare & Medicaid Services.
Danielle is an active volunteer for Sibley Memorial Hospital’s Patient & Family Advisory Council and Quality & Safety team.
Danielle is an active volunteer for Sibley Memorial Hospital’s Patient & Family Advisory Council and Quality & Safety team.
Mara McDermott, JD, MPH
Vice President, Federal Affairs, CAPG, Washington, DC
Vice President, Federal Affairs, CAPG, Washington, DC
Mara McDermott serves as the Vice President of Federal Affairs for CAPG, heading up the association’s federal legislative and regulatory activities in Washington, DC. Mara works on behalf of CAPG member organizations to advance policies that promote coordinated care. This role includes advocacy and education efforts with members of Congress and their staffs, the Administration, and other health policy stakeholders. Prior to joining CAPG, Mara was Counsel in the health industry practice at Akin Gump Strauss Hauer & Feld. In this role, she focused on a variety of issues affecting health industry clients, with a particular emphasis on health policy and regulatory issues facing physician organizations, hospitals, pharmaceutical companies, and academic medical institutions.
11:15 am
New APMs in Development for QPP
Khue Nguyen, PharmD
Chief Operating Officer, C-TAC Innovations, Washington, DC
Chief Operating Officer, C-TAC Innovations, Washington, DC
Khue Nguyen is the Chief Operating Officer of C-TAC Innovations. In this role, Dr. Nguyen develops strategic directions for C-TAC Innovation and directs care model development and implementation. She is the co-author of C-TAC’s Advanced Care Report and most recently, led the development of the Advanced Care Model Service Delivery and Advanced Alternative Payment Model proposal to the Physician-Focused Payment Model Technical Advisory Committee. Dr. Nguyen is a health care leader with extensive experience in the design and development of population health management programs. She served as project director and led implementation of the system-wide rollout of the AIM initiative at Sutter Health that was funded in part by the CMS Innovation Center, spreading the program to 11 counties covering more than 10 hospitals and five community physician networks in the first year. More recently, Dr. Nguyen helped develop clinical programs through alternative payment models, including Bundled Payments, Independence at Home and Medicare Shared Savings programs.
Frank G. Opelka, MD, FACS
Colon and Rectal Surgeon, Medical Director, Quality and Health Policy, Division of Advocacy and Health Policy, American College of Surgeons, Washington, DC
Colon and Rectal Surgeon, Medical Director, Quality and Health Policy, Division of Advocacy and Health Policy, American College of Surgeons, Washington, DC
Frank Opelka is a physician executive, a surgeon and the Medical Director for Quality and Health Policy at the American College of Surgeons. He has focused his efforts on Alternative Payment Models, Interoperability Solutions, Graduate Medical Education, Work Force, and Surgeon Burnout (Emotional Well Being). Dr. Opelka serves on several national initiatives within the National Quality Forum, the Health Care Learning and Action Network, and the Surgical Quality Alliance. Dr. Opelka is the founder and chair of the Surgical Quality Alliance. Dr. Opelka leads a team building a new performance measure framework for surgical patients. In addition, his work promotes surgical patient reported outcomes mapped to the goals patients have in their care. Dr. Opelka serves as an academic surgeon with clinical appointments as a Professor of Surgery at Louisiana State University, Professor of Surgery at George Washington University and visiting associate professor of Surgery at Harvard University.
12:00 pm
Adjournment and Lunch on your Own
AGENDA: DAY 1
WEDNESDAY, JUNE 28, 2017
DAY 1 OPENING PLENARY SESSION
1:00 pm
Welcome and Introduction
S. Lawrence Kocot, JD, LLM, MPA
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Former Senior Advisor to the Administrator, Centers for Medicare and Medicaid Services, Washington, DC (Co Chair)
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Former Senior Advisor to the Administrator, Centers for Medicare and Medicaid Services, Washington, DC (Co Chair)
Larry Kocot is a Principal at KPMG, LLP and National Leader of KPMG’s Center for Healthcare Regulatory Insight.
Previously, he was Senior Advisor to the Administrator of the Centers for and Medicaid Services (CMS) at the U.S. Department of Health and Human Services. In this capacity, he was involved in a wide range of health care policy issues and operations related to Medicare and Medicaid. Mr. Kocot practiced law at Epstein Becker Green, PC, and Dentons, US LLP, was a visiting fellow in the Economic Studies Program at the Brookings Institution and served as Deputy Director of the Engelberg Center for Health Care Reform at Brookings from 2007-2013.
Mr. Kocot was also a fellow in International Security Studies at the Center for Strategic And International Studies (CSIS), an adjunct fellow at CSIS and Senior Vice President and General Counsel at the National Association of Chain Drug Stores.
Previously, he was Senior Advisor to the Administrator of the Centers for and Medicaid Services (CMS) at the U.S. Department of Health and Human Services. In this capacity, he was involved in a wide range of health care policy issues and operations related to Medicare and Medicaid. Mr. Kocot practiced law at Epstein Becker Green, PC, and Dentons, US LLP, was a visiting fellow in the Economic Studies Program at the Brookings Institution and served as Deputy Director of the Engelberg Center for Health Care Reform at Brookings from 2007-2013.
Mr. Kocot was also a fellow in International Security Studies at the Center for Strategic And International Studies (CSIS), an adjunct fellow at CSIS and Senior Vice President and General Counsel at the National Association of Chain Drug Stores.
1:15 pm
Welcome: Update on the State of Accountable Care
Mark McClellan, MD, PhD
Director, Robert J Margolis Center for Health Policy and Margolis, Professor of Business, Medicine and Health Policy, Duke University; Former Administrator, Centers for Medicare and Medicaid Services; Former Commissioner, US Food and Drug Administration, Washington, DC
Director, Robert J Margolis Center for Health Policy and Margolis, Professor of Business, Medicine and Health Policy, Duke University; Former Administrator, Centers for Medicare and Medicaid Services; Former Commissioner, US Food and Drug Administration, Washington, DC
Mark McClellan, is the Robert J. Margolis Professor of Business, Medicine, and Health Policy, and Director of the Margolis Center for Health Policy at Duke University. He is a physician-economist who focuses on quality and value in health care including payment reform, real-world evidence and more effective drug and device innovation. He is former administrator of the Centers for Medicare & Medicaid Services and former commissioner of the U.S. Food and Drug Administration, where he developed and implemented major reforms in health policy. He was previously Senior Fellow at the Brookings Institution and a faculty member at Stanford University.
1:45 pm
Keynote
Michael Leavitt
Founder and Chairman, Leavitt Partners; Former Secretary, US Department of Health and Human Services; Former Governor of Utah, Salt Lake City, UT
Founder and Chairman, Leavitt Partners; Former Secretary, US Department of Health and Human Services; Former Governor of Utah, Salt Lake City, UT
Mike Leavitt is the founder of Leavitt Partners where he helps clients navigate the future as they transition to new and better models of care. In previous roles, Mike served in the Cabinet of President George W. Bush (as Administrator of the Environmental Protection Agency and Secretary of Health and Human Services) and as a three-time elected governor of Utah. At HHS, he administered a $750 billion budget — nearly 25 percent of the entire federal budget — and 67,000 employees. He led the implementation of the Medicare Part D Prescription Drug Program. The task required the design, systematization, and implementation of a plan to provide 43 million seniors with a new prescription drug benefit. Mike is a seasoned diplomat and has conducted negotiations on matters related to health, the environment, and trade. At the conclusion of his service, the Chinese government awarded him the China Public Health Award — the first time this award has ever been given to a foreign government official.
2:30 pm
CMS Keynote
Kate Goodrich, MD
Chief Medical Officer and Director, Center for Clinical Standards and Quality, Centers for Medicare and Medicaid Services, Washington, DC
Chief Medical Officer and Director, Center for Clinical Standards and Quality, Centers for Medicare and Medicaid Services, Washington, DC
Dr. Kate Goodrich joined the Centers for Medicare and Medicaid Services in September 2011 where she serves as Director of Center for Clinical Standards and Quality (CCSQ) and CMS Chief Medical Officer. The Center is responsible for over 20 quality measurement and value-based purchasing programs, implementation of the new Merit-based Incentive Payment System and the Improving Medicare Post-Acute Care Transformation Act, quality improvement programs in all 50 states, clinical standards and survey and coverage decisions for treatments and services for CMS. Dr. Goodrich is a graduate of the Robert Wood Johnson Scholars Program at Yale University where she received training in health services research and health policy from 2008-2010. She went to medical school at Louisiana State University in Shreveport, LA, and completed her internal medicine residency and chief medical resident year at George Washington University Medical Center (GWUMC). She continues to practices internal medicine as a hospitalist and Associate Professor of Medicine at GWUMC.
3:30 pm
Break
4:00 pm
The Keys to APMs and ACOs: The Move to a More Patient-Centric Health Ecosystem
John B. Bulger, DO, MBA
Chief Medical Officer, Geisinger Health Plan; Former Chief Quality Officer, Geisinger Health System,Danville, PA
Chief Medical Officer, Geisinger Health Plan; Former Chief Quality Officer, Geisinger Health System,Danville, PA
John Bulger is the Chief Medical Officer of Geisinger Health Plan (GHP) and the Chief Medical Officer for Population Health for the Geisinger Health System. He is tasked with improving the quality of care and adding value for the people and populations that Geisinger serves. Dr. Bulger served as the Chief Quality Officer for the Geisinger Health System from 2011 to 2015. Prior to that, Dr. Bulger founded Geisinger Medical Center’s hospitalist program with six physicians and lead the program’s development to include six hospitals and over 100 physicians and advanced practitioners. Dr. Bulger serves on regional and national groups aimed at improving the quality of medical care. He is a member of the Pennsylvania Patient Safety Authority and is co-chair of the National Quality Forum’s All-Cause Admissions and Readmissions Steering Committee and has worked with the Agency for Healthcare Research and Quality’s standing workgroup on evaluation of its Quality Indicators™.
Harold Paz, MD
Executive Vice President and Chief Medical Officer, Aetna; Former Chief Executive Officer, Senior Vice President for Health Affairs and Dean, Penn State Hershey Medical Center and Health System, Hartford, CT
Executive Vice President and Chief Medical Officer, Aetna; Former Chief Executive Officer, Senior Vice President for Health Affairs and Dean, Penn State Hershey Medical Center and Health System, Hartford, CT
Harold Paz is executive vice president and chief medical officer for Aetna. He leads clinical strategy and policy, driving innovation to improve member experience, quality and cost.
Before joining Aetna in 2014, Dr. Paz served as CEO of Penn State Hershey Medical Center and Health System, and dean of Penn State College of Medicine. Prior to that, he served as dean of the Robert Wood Johnson Medical School and CEO of its medical group.
Dr. Paz is focused on clinical outcomes, health system organization, and healthcare effectiveness. He is professor adjunct of internal medicine at Yale University School of Medicine.
Before joining Aetna in 2014, Dr. Paz served as CEO of Penn State Hershey Medical Center and Health System, and dean of Penn State College of Medicine. Prior to that, he served as dean of the Robert Wood Johnson Medical School and CEO of its medical group.
Dr. Paz is focused on clinical outcomes, health system organization, and healthcare effectiveness. He is professor adjunct of internal medicine at Yale University School of Medicine.
4:45 pm
Progress and Challenges in Moving from Volume to Value: Provider and Plan Perspectives
Michael Dewerff, MBA
President and Chief Executive Officer, UnityPoint Health – Fort Dodge Region, Former Chief Financial Officer, Buena Vista Regional Medical Center, Fort Dodge, IA
President and Chief Executive Officer, UnityPoint Health – Fort Dodge Region, Former Chief Financial Officer, Buena Vista Regional Medical Center, Fort Dodge, IA
Mike Dewerff has been in healthcare administration since 1991, and is currently the President and Chief Executive Officer for UnityPoint Health in Fort Dodge, Iowa. UnityPoint Health is an Integrated Delivery System, consisting of Trinity Regional Medical Center, UnityPoint Clinic, Berryhill Center for Mental Health, and UnityPoint at Home. UnityPoint Health — Fort Dodge also has affiliation agreements with five Critical Access Hospitals in the region. Prior to UnityPoint Health, Mike was the CFO at Buena Vista Regional Medical Center, in Storm Lake, Iowa for 10 years.
Mike is originally from Fargo, N.D., earned a Bachelor of Science in Accounting from Minnesota State University — Moorhead, and an MBA from Wayne State College. Mike is a former National Director with the Healthcare Financial Management Association (HFMA).
Mike is originally from Fargo, N.D., earned a Bachelor of Science in Accounting from Minnesota State University — Moorhead, and an MBA from Wayne State College. Mike is a former National Director with the Healthcare Financial Management Association (HFMA).
Chip Howard
Vice President and Payment Innovations Leader, Humana Inc.; Former Director, Accountable Care Organizations, WellPoint; Former Director, Financial Models, Alternative Reimbursement Programs, Florida Blue; Former Director, Provider Contracting Performance and Cost Analytics, Kaiser Permanente, Louisville, KY
Vice President and Payment Innovations Leader, Humana Inc.; Former Director, Accountable Care Organizations, WellPoint; Former Director, Financial Models, Alternative Reimbursement Programs, Florida Blue; Former Director, Provider Contracting Performance and Cost Analytics, Kaiser Permanente, Louisville, KY
Chip Howard joined Humana Inc. as Vice President, Payment Innovation in the Provider Development Center of Excellence in September 2014. He is responsible for advancing Humana’s Accountable Care Continuum, expanding its Provider Reward Programs and innovative payment models and programs that enable providers to become successful population health managers.
Chip has close to 20 years of healthcare and actuarial experience. Prior to joining Humana, he served as Director of Accountable Care Organizations for Wellpoint, Inc. and was the Director of Value-based Program Reimbursement with Florida Blue where he worked on all facets of development and implementation of commercial Accountable Care and Patient-Centered Medical Home programs. Chip has also served in a variety of contracting and analytics management roles with WellPoint and Kaiser Permanente. In addition, Chip’s experience at the Blues, Coventry Health Care, Cigna and William M. Mercer, Inc. includes various pricing, reserving and contracting analytics roles.
Chip has close to 20 years of healthcare and actuarial experience. Prior to joining Humana, he served as Director of Accountable Care Organizations for Wellpoint, Inc. and was the Director of Value-based Program Reimbursement with Florida Blue where he worked on all facets of development and implementation of commercial Accountable Care and Patient-Centered Medical Home programs. Chip has also served in a variety of contracting and analytics management roles with WellPoint and Kaiser Permanente. In addition, Chip’s experience at the Blues, Coventry Health Care, Cigna and William M. Mercer, Inc. includes various pricing, reserving and contracting analytics roles.
David B. Muhlestein, PhD, JD
Vice President, Research, Leavitt Partners, LLC, Salt Lake City, UT (Moderator)
Vice President, Research, Leavitt Partners, LLC, Salt Lake City, UT (Moderator)
David Muhlestein is Chief Research Officer of Leavitt Partners and is based in Washington DC. He directs the study of accountable care organizations through the LP Center for Accountable Care Intelligence and leads the firm’s quantitative evaluation of health care markets. He is an expert in using policy analysis, predictive modeling, and applied analytics to understand the evolving health care landscape. David also serves as Adjunct Assistant Professor of The Dartmouth Institute (TDI) at the Geisel School of Medicine at Dartmouth College and is a visiting fellow at the Accountable Care Learning Collaborative. In both of these roles he conducts research to translate learnings of high performing organizations for the benefit of the broader health care system. David earned his doctorate in health services management and policy, JD, MHA, and MS from The Ohio State University, and a BA from Brigham Young University.
5:30 pm
Adjournment and Networking Reception
Agenda Links: Preconference | Day 2
[/content_protector]