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Accountable Care Organizations Summit
ACOs Summit: A Transitional Model to Full Risk Care Management
A 2011 Roadmap for Hospitals, Physicians, and Health Plans
 
January 23-24, 2012
Hyatt Regency Austin, Austin, TX
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VIEW CONFERENCE DETAILS
(Agenda as of 1-18-12)
  Current Attendees:
 

Abbott Labs
Engagement Manager, Aetna
Accountable Care Executive, Alere
Accountable Care Executive, Alere
President, Alere North America
EVP Business Development, Alliance Care IPA
Risk Manager, Alnoor Specialist Hospital (Ministry of Health)
Director, Medical Management, AltaMed Health Services
VP & Chief Medical Officer, AltaMed Health Services
Altegra Health
Altegra Health
Client Relations/Regional Sales, Altegra Health
President, Altegra Health
Regional SVP, Altus HMS
VP - Physician Services Organization, Altus HMS
Health Policy Analyst, American Society of Anesthesiologists
AVP Telesales & Retention, Amerigroup Corporation
VP, Corporate Provider Network Management , AmeriHealth Mercy Family of Companies
Director, Commit2Wellness, AmeriHealth New Jersey
Supervisor, Commit2Wellness, AmeriHealth New Jersey
V.P., Product Management & Innovation, Anthem Blue Cross
Managing Consultant, APHA
Executive Director, Arch Health Partners
Medical Director, Arkansas Medicaid Enterprise
Contract Management Specialist, Aspirus Network
Director Contract Management, Aspirus Network
CEO / President, At Home Healthcare
CEO, Austin Gastroenterology, P.A.
Chief Operations Officer, Austin Gastroenterology, P.A.
VP Quality and Patient Safety, Atrius Health | Harvard Vanguard Medical Associates
CNO Banner Surgery Center, Banner Health
HIMS/PFS Sr. Manager, Banner Health
Vice President - MSO Operations, Baptist Health System
VP/COO, Baton Rouge General Physicians
Baylor College of Medicine
Project Manager, Baylor College of Medicine
Regional Market Development Director – Western Region, Baylor Health Care System
Manager - Transplant Patient Access Services, Baylor University Medical Center
Chief System Services and Human Resources Officer, Benefis Health System
Performance Improvement Coordinator, Blount Memorial Hospital
CMO, Blue Cross Blue Shield Illinois
Vice President of Health Care Management, and Chief Medical Officer, Blue Cross Blue Shield
of Oklahoma
President & CEO, Blue Cross Blue Shield of North Carolina
VP Performance Measurement & Improvement, BlueCross BlueShield of Tennessee
Regional Account Manager, Boehringer Ingelheim Pharmaceuticals
Associate, Booz Allen Hamilton
Nursing Home Operator, Brownsville Nursing & Rehabilitation Center
VPMA, Buckeye Community Health Plan
VP, Government Affairs, California Assoc. of Physician Groups
General Manger, Health Quality, California Schools VEBA
Medical Advisor, California Schools VEBA
Clinical Director, Capital Cardiology Associates
Director of Business and Finance, Capital Cardiology Associates
Director, National Sales, Cardiocom
Regional Director of Sales, Cardiocom
Physician, CareMore
Administrator, Cardiovascular Specialists of Texas PA
Administrator, Cardiovascular Specialists of Texas PA
VP Business Development, Casenet
VP Business Development, Casenet
Chief Medical Officer, Catalyst RX
Senior Program Officer, Center for Health Care Strategies
Chief Executive Officer, Center for Neurosciences
Chief Financial Officer, Chapters Health System, Inc
Chief Medical Director, Chapters Health System, Inc
Chief Legal Officer, Chapters Health System, Inc
Chief Operating Officer, Chapters Health System, Inc
President/CEO, Chapters Health System, Inc
Director, Children's Medical Center
Pathways Task Force Co-chair, Children's Medical Center
Senior Director, Children's Medical Center
Administrative Resident, Children's Medical Center Dallas
Director, Population Health Management, Children's Medical Center Dallas
Manager, Clinical Resource Management, Children's Medical Center Dallas
Project Manager Children's Medical Center Dallas
Senior Director of Accreditation & Regulatory Readiness, Clinical Resource Management; Interim
Director of Quality Review, Children's Medical Center Dallas
Director of Budget & Financial Analysis, Christus Santa Rosa Health System
Executive Director, Christus Health
Executive Director, ALTPHO, Christus Health
Louisiana System Director of Managed Care, Christus Health
System Director, Managed Care, Christus Health
System Director, Managed Care & Physician Services, Christus Health
System Senior Director of Managed Care, Christus Health
VP Sales & Marketing, Clear Vision Information Systems
COO, Clinic of North Texas
Physician, Clinic of North Texas
Chief Business Development Officer, Clinical Pathology Associates
CFO, Clinical Pathology Associates
Chief Operations Officer, Clinical Pathology Associates
President, Clinical Pathology Associates
Physicians Hospitalist, CMC/DH Manchester
EVP, Risk Management, Collaborative Health Solutions, Inc.
Senior Vice President, Collaborative Health Solutions, Inc.
CEO, Colorado Choice Health Plans
Chief Medical Officer, Colorado Foundation for Medical Care
Medical Director, Columbia River Mental Health Services
Command Health
Command Health
Director, Accounting and Budget, Community Care Behavioral Health
Vice President, Health Services, Community Health Choice
Vice President, Network Management, Community Health Choice
Regional Director, Community Health Systems
V.P. Managed Care, Community Health Systems
Executive Director, Continua Health Alliance
EVP of Hospital Operations, Covenant Health
VP System Dev. & Corporate Affairs, Covenant Health
President, Cypress Physicians Associates
Administrator, Delaware Medical Group
DO, Delaware Medical Group
Physician Advisor, Healthcare Consulting Group, Dell
Chief Executive Officer, Desert Radiologists
Chief Financial Officer, Diagnostic Clinic Medical Group
Director of Sales, Digisonics
VP, Sales & Marketing, Digisonics
Chief Financial Officer, Doctors Inn
Managing Director, Dubraski & Associates Insurance Services
Senior Associate, Dubraski & Associates Insurance Services
President and CEO, Dubuis Health system
System Director Innovation and Development, Dubuis Health system
Associate Director Emergency Dept, Emergency Medical Associates
Director, Benefit Contracts, Employees Retirement System of Texas
Senior Auditor, Ernst & Young
Executive Vice President, Eye Associates of NM
MD/Medical Administrator, Eye Associates of NM
CEO, EyeDox Administrators
Compliance Officer, Feinstein, MD, PC
Chief Executive Officer, FirstCare Health Plan
Chief Financial Officer, FirstCare Health Plan
Chief Medical Officer, FirstCare Health Plan
Chief Information Officer, FirstCare Health Plan
Compliance Director, FirstCare Health Plan
Corporate Compliance Officer, FirstCare Health Plan
Director, Care Management, FirstCare Health Plan
Director, Operations, FirstCare Health Plan
Executive Director Gov Programs, FirstCare Health Plan
Executive Vice President, FirstCare Health Plan
Sr. Director, Quality Improvement, FirstCare Health Plan
CFO, Flamboyán Santos
Regional Chief Executive Officer, Franciscan Alliance
President/CEO, Franciscan Alliance
President, Franciscan Physicians Hospital
President, Franciscan St Anthony Health-Crown Point
President, Franciscan St Anthony Health - Michigan City
President and CEO, Franciscan St Elizabeth Health
President & CEO, Franciscan St. James Health
President & CEO, Franciscan St. Francis Health
President, Franciscan St. Margaret Health
Divisional Vice President of Operations, Fundamental Clinical and Operational Services
VP & General Manager, GEMCO
Genesee Lung Associates
Director, Girling Health Care
Hospital Federal ACO Lead, GlaxoSmithKline
Principal, Global Health Care Systems
Vice President, Gorman Health Group
Sr. VP, Finance, Gorman Health Group
Associate Professor, Grand Valley State University
Board Member, Grove Hill Medical Center
VP, Grove Hill Medical Center
Physician, Gwinnett Pulmonary Group
CEO, Harden HealthCare
COO, Harden HealthCare
M.D., Harden HealthCare
Chief Marketing Officer, Healthrageous
Project Director, HCA
AVP Strategic Planning & Analytics, HCA Gulf Coast Division
Division CMO, HCA Gulf Coast Division
Director, Rehabilitation Outreach and Development, HCA St. David's HealthCare
Vice President, HealthTexas Medical Group
Deputy Director, Health & Human Services Commission
CEO/ED, Health Care Access San Antonio
Provider Outreach Manager, Health Care Access San Antonio
Medical Director, Health Care Service Corp
VP and Medical Director, Health Care Service Corp
VP, Network Management, Health Care Service Corp
Chief Medical Officer, Hill Country Memorial
Partner, Hogan Lovells LLP
Executive Vice President/Chief Administrative Officer, Hospice of Michigan
V.P. New Business Development, Hospice of Michigan
Vice President of Operations, Housecall Management Solutions
Director of Risk Management, Houston Northwest Medical Center
Account Executive, Humana
Field Vice President, Network Management, Humana
President, SW Region, Humana
Regional Medical Director, Humana
Regional Vice President, National Contracting, Humana
VP - Division Leader, Humana
VP, Operations, Humana
VP, Business Development, Sales & Marketing, Payer Solutions, IMS Health
Chief Medical Officer, Individual Practice Assoc. of Santa Clara County
CEO, IntegraNet Physician Resource
General Counsel, IntegraNet Physician Resource
Chief Business Development Officer, Intercede Health
VP Sales, InterComponentWare
CEO, Jacinto Medical Group, PA
Practice Manager, Katy Internal Medicine Associates
AVP, Keystone Mercy Health Plan
VP, Clinical Services, Keystone Mercy Health Plan
VP of Business Development, Kidney & Hypertension Associates
Director of IT, Kindred Healthcare
Direct, Regional Information Systems, Kindred Healthcare
Health IT Strategist, Kindred Healthcare
Senior Director IT Services. Kindred Healthcare
Senior Director Information Systems, Kindred Healthcare
Senior Director of Regional IS. Kindred Healthcare
Sr. Director Regional I.S., Kindred Healthcare
VP IS Planning and Field Services, Kindred Healthcare
Assistant Risk Management, LAC USC Medical Center
Regional VP, Business Development, Leprechaun
VP, Business Development, Leprechaun
Chief Administrative Officer, Lexington Clinic
Chief Information Officer, Lexington Clinic
VP, Development of Government Programs, Liberty Dental Plan
Contracting Director, Liberty Dialysis
Director of Accounting, Liberty Dialysis
Executive Vice President, Liberty Dialysis
Executive Vice President, Liberty Dialysis
Vice President, Liberty Dialysis
Principal, LifeCare Group
Chief Executive Officer, LifeCare Hospitals of South Texas
Chief Operating Officer, LifeCare Hospitals of South Texas
CMO, Lifeprint Health
General Manager, Lifeprint Health
Account Manager-Oncology Payer Services, Lilly USA, LLC
CEO, Lone Star Circle of Care
CMO, Lone Star Circle of Care
COO, Lone Star Circle of Care
Controller, Lone Star Circle of Care
Director of Grants, Lone Star Circle of Care
Director of Patient Navigation Services, Lone Star Circle of Care
Director of Program Analytics, Lone Star Circle of Care
General Counsel, Lone Star Circle of Care
MD, Lone Star Circle of Care
Senior Operating Officer, Lone Star Circle of Care
Lone Star Circle of Care
Chief Information Officer, Madonna Rehabilitation Hospital
Vice President Ethics and Compliance, Magnacare Health Plan
President/COO, Mason Health
Executive Vice President, Matrix Medical Network

 

Senior Vice President, Client Services, Matrix Medical Network
VP, Sales, Matrix Medical Network
VP, Sales, Matrix Medical Network
Director, ePrescribing, Medco
Senior VP, Payer Solutions, MedeAnalytics
MedSolutions
Chairman and CEO, MedeAnalytics
Director of Payer Solutions, MedeAnalytics
Vice President, Payer Solutions, MedeAnalytics
MedeAnalytics
Director of Market Strategy and Expansion, MedAssurant
President and CEO, Medical Advantage Group
VP, Operations, Medical Advantage Group
Administrator, McGovern Allergy & Asthma Clinic, PA
Medical Advisor, McGregor & Assoc.
Director,GBD, MD Anderson Cancer Center
Sr. Business Systems Analyst, MD Anderson Cancer Center
Business Systems Analyst, MD Anderson Cancer Center
MD-IT
Marketing Communications Specialist, MD-IT
VP, MD-IT
CV Service Line Director, Memorial Hermann NW
ACO Board Member, Internal Medicine, Michigan Poineer ACO
President & CEO, Michigan Poineer ACO
Sr. Admin Fellow, Michigan Poineer ACO
Physician, Midtown Medical Center
Vice President, Business Integration, Molina Health Care
Health Network
COO/CFO, Nevada Sleep Diagnostics
Corporate Counsel, Nevada Sleep Diagnostics
Vice President Claims, New Era Life Insurance Company
Practice Administrator, New Braunfels Cardiology
Chief Operating Officer, Newton Medical Center
President and CEO, Newton Medical Center
Director of ACO Operations, North Texas Specialty Physicians
M.D. Anesthesiologist, NorthStar Anesthesia
Administrator, Northwest Diagnostic Clinic/Access Health Providers
Director of Network Operations, Northwest Diagnostic Clinic/Access Health Providers
General Counsel, Northwest Diagnostic Clinic/Access Health Providers
Medical Director, Northwest Diagnostic Clinic/Access Health Providers
Account Director, Novartis
Account Executive, Novartis
Account Manager, Novartis
Business Relations Manager, Novartis
Senior Account Manager, Novartis
Novartis
Novartis
Account Executive, Novo Nordisk
Senior Account Executive, Novo Nordisk
Director ACO, Ochsner Health Systems
Medical Affairs Project Manager, Ochsner Health Systems
Director of Managed Care, Olympia Medical Center
President / CEO, Oncure Medical Corp.
Accountable Care Solutions, Optum
CMO, Optum
Director of Marketing, Provider Solutions, Optum
Management Consultant, Optum
Payer Sales/Consulting, Optum
Oregon Health Management Services
Director of CM,UM, QI, Pacific Health Corp
Director, Palo Alto Medical Foundation Research Institute
COO, Parkhill Clinic for Women
Manager of Analysis and Reporting, Partners Healthcare
CMO, PeaceHealth Laboratories
CEO , Pediatric Surgical Subspecialists
Chief Clinical Officer , Pediatric Surgical Subspecialists
COO , Pediatric Surgical Subspecialists
Operations Manager , Pediatric Surgical Subspecialists
Operations Manager , Pediatric Surgical Subspecialists
Operations Manager , Pediatric Surgical Subspecialists
Pharmacist, Pharmaceutical Sourcing
Chairman of the Board, Physician Health Partners
Chief Executive Officer, Prairie Cardiovascular
Director of Marketing, Preferred Care Partners Management Group
Director of Billing, Preferred Imaging
VP of Operations, Preferred Imaging
Executive Director, Premier Cardiovascular Center, PLC
Business Development, Primero Health
Executive Director, Primero Health
Provider Relations or Network Executive, Primero Health
Development Manager, Prognosis HIS
Product Manager, Prognosis HIS
Partner, ProvidaCare Medical Supply
Vice President - Financial Analysis, Providers Network Corporation
Sr. Director of Strategic Marketing, QualComm Life
CEO, Regency Nursing and Rehabilitation Centers, Inc.
Regional Director of Operations, RehabCare Group
Enterprise Account Manager, Rubbermaid
Manager, SanfordHealth - Healthcare Accessories
Director, Outreach and Development, Saint Davids Healthcare
National Director of Managed Care , SavaSeniorCare
Senior Director, SCA
Asst. Gen Counsel, Scott & White Healthcare
Vice President Managed Care, Scott & White Healthcare
Program Director, Senior Health Insurance Assistance Program
VP, Managed Care Sales, SeniorBridge
VP Provider Sales, SeniorBridge
Chief Medical Officer, Sentry Data Systems
President, Sentry Data Systems
Operations Manager, Seton Brain and Spine Institute
MSO Director , Seton Brain and Spine Institute
Director of Ambulatory Care, Seton Family of Hospitals
Network Director, Clinical Quality & Patient Safety, Seton Family of Hospitals
V.P, Managed Care, Seton Family of Hospitals
VP of Network, Seton Family of Hospitals
Business Systems Analyst Lead, Seton Healthcare Family
Director, Data Interoperability, Seton Healthcare Family
Director MSO, Seton Healthcare Family
Director, Nursing Informatics, Seton Healthcare Family
MSO Director Southern Market, Seton Healthcare Family
Project Coordinator RN Lead, Seton Healthcare Family
Project Coordinator RN Lead, Seton Healthcare Family
SD Specialist, Seton Healthcare Family
VP Medical Director, Seton Health Plan
CEO, Seton Institute of Reconstructive Plastic Surgery
Clinical Operations Manager, Seton Institute of Reconstructive Plastic Surgery
Operations Manager, Seton Institute of Reconstructive Plastic Surgery
Senior Project Coordinator, Seton Northwest Hospital
VP, Managed Care, & CEO of Sharp HealthCare ACO, Sharp HealthCare
President/CEO, Signature Healthcare
Primary Care Physician, Southwest Medical Group
Business Manager (CFO), Southwest Ohio Ent Specialist, Inc
President/CEO/IT Director, Sports Therapy, Inc.
Principal, Stroudwater Associates
Senior Consultant, Stroudwater Associates
Director Of Physician Consulting, St. David's Healthcare
CEO, Summit Health Care/East Tennessee Health Network
CMO, Summit Health Care/East Tennessee Health Network
COO, Summit Health Care/East Tennessee Health Network
Contract Analyst Summit Health Care/East Tennessee Health Network
Executive Director, Summit Health Care/East Tennessee Health Network
Director of Network Development, Summit Health Care/East Tennessee Health Network
Director of Quality, Summit Health Care/East Tennessee Health Network
Patient Experience Coordinator, Summit Health Care/East Tennessee Health Network
Patient Experience Coordinator, Summit Health Care/East Tennessee Health Network
Patient Experience Coordinator, Summit Health Care/East Tennessee Health Network
Executive Director/General Counsel, Texas Association of Community Health Centers
Assistant Professor, Texas A&M Health Science Center
Consultant, Texas A&M Health Science Center
Director-Patient Access, Texas's Children Hospital
Vice President, Texas's Children Hospital
Deputy Commissioner, Texas Department of Insurance
Director, Litigation Office, Compliance Division, Texas Department of Insurance
Director, Office of Policy Development Counsel, Texas Department of Insurance
HICAP Coordinator, Texas Department of Insurance
Investigator, Litigation Office Compliance Division, Texas Department of Insurance
Staff Attorney, Office of Policy Development Counsel, Texas Department of Insurance
Staff Attorney, Office of Policy Development Counsel, Texas Department of Insurance
Attorney Of Counsel, Texas Gulf Coast Medical Group
Physician & President, Texas Gulf Coast Medical Group
Director, Texas Health Arlington Memorial Hospital
Trustee, Texas Health Arlington Memorial Hospital
HHSC Enterprise HIT PM, Texas Health and Human Services Commission
Pharmacy Manager, Texas Health Presbyterian Hospital Dallas
Chief Financial Officer, The Austin Diagnostic Clinic
Director of Business Services, The Austin Diagnostic Clinic
Director of Managed Care, The Austin Diagnostic Clinic
VP- Managed Care and Revenue Cycle, The Methodist Hospital
CMO Physician Enterprise, The William W Backus Hospital
VP Physician Services, The William W Backus Hospital
CEO, Thibodaux Regional Medical Center
CFO, Thomas-Spann Clinic
Director, TMF Health Quality Institute
Project Director, TMF Health Quality Institute
Manager, TMG Health
Vice President, TMG Health
Vice President , TPAC
EVP Health Networks, Trinity Health
General Partner, TRMC Management
North American Sales Director, Trizetto Group
Chief Financial Officer, UMC Physician Network Services
Vice President, Accountable Care , UnitedHealthcare Community&State
Associate General Counsel , UnitedHealthcare
Relationship Manager - ICS Program Mngmt & Clinical Engg, UHG-IT, UnitedHealth Group
Corporate Attorney, Universal American
Compliance Operations Business Analyst, Universal American
Director, Development Services, Universal American
Senior VP, Corp Development,Universal American
Senior Vice President, Universal American
SVP, Central Region Operations, Universal American
SVP, Texas Region Operations, Universal American
Vice President, Universal American
Vice President, Universal American
Vice President, Finance, Universal American
Sr. Director of Technology, Universal Healthcare
Professor, Division of Cardiology, Dept. of Medicine, University of Maryland, School of
Medicine
Assistant Professor, University of Nebraska Medical Center
Assistant Professor of Health Administration, University of the Incarnate Word
Associate Professor of Health Administration, University of the Incarnate Word
MHA Graduate Student, University of the Incarnate Word
MHA Graduate Student, University of the Incarnate Word
MHA Graduate Student, University of the Incarnate Word
MHA Graduate Student, University of the Incarnate Word
EVP Clinical Affairs and Business Development, UNTHSC and President & CEO, UNTHealth,
UNT Health Science Center
Executive Director Process Improvement, UNT Health Science Center
Senior Director Product Development, URAC
Healthcare Administrator for Patient-Centered Care, USArmy
Sr. Healthcare Systems Analyst, US Army Medical Command
Chief Administrative Officer, UT Medicine San Antonio
Associate Dean for Clinical Affairs, UT Health Science Center San Antonio
Senior Associate Dean for Finance, UT Health Science Center San Antonio
Vice Dean for Clinical Affairs, UT Health Science Center San Antonio
Director of Pharmacy Informatics, UT MD Anderson Cancer Center
Chief Operating Officer, UT Physicians
President, Vermont Managed Care
CMO, Visiting Nurse Service of NY
CEO, Urology Austin
Director, Healthcare Solutions, Washington Consulting, an Alion Company
Physician Business Manager, WellMed Medical Management
Regional Medical Director, WellMed Medical Management
SVP, FL and MSO Operations, WellMed Medical Management
Vice President, Quality Improvement, WellMed Medical Management
Regional Vice-President, Medical Management, WellPoint Health Networks
Regional Vice-President, WellPoint Health Networks
Chief Executive Officer, Whittier Hospital Medical Center
Contract Coordinator, Winston-Salem State University
Director of Academic Services, Winston-Salem State University
Internship Coordinator/Instructor, Winston-Salem State University

 
  Conference Day 1, January 23, 2012
8:00 am Opal Events' Welcome
8:05 am Chair's Welcome & Audience Demographics

Chair:
SVP, Provider Strategy and Business Development, OPTUM

8:15 am Keynote Session:
ACOs: Politics, Partnerships, and Shared Savings

Speaker:

SVP, UNIVERSAL AMERICAN FINANCIAL CORP.
9:00 am Accountable Care Organizations: The State of the Union
  • Societal and legislative context
  • Comparing US & UK health reform
  • Updates on the Medicare Shared Savings Program, the Pioneer ACO Model, and commercial ACOs
  • Pitfalls to avoid

Speaker:
Senior Vice President of Marketing and Director of Healthcare Policy, MEDEANALYTICS

9:45 am Mid-Morning Refreshment Break and Networking
10:15 am Spotlight Panel Discussion:
Pioneer ACOs: Medicare Shared Savings

Talking points:

  • How do Pioneer ACOs fit with the organization's vision?
  • The implementation of the Pioneer program presents challenges.
  • Pioneer ACOs are one tool in a much needed effort to recalibrate how healthcare services are priced, accessed, delivered, and measured in terms of quality outcomes.
  • ACO proponents have characterized ACO enterprises such as the Pioneer programs as a catalyst for improved payer/provider collaboration/alignment.
  • Will successful Pioneer program outcomes lead to a change in CMS services pricing and provider payment approach?

Moderator:
Vice President, GORMAN HEALTH GROUP

Panelists:
Chairman of the Board, PHYSICIAN HEALTH PARTNERS
Chief Operations Officer, NORTH TEXAS SPECIALTY PHYSICIANS
CEO of ACO, VP of Managed Care of Sharp HealthCare ACO, SHARP HEALTHCARE
Senior VP, Finance, GORMAN HEALTH GROUP

11:30 am THE CALIFORNIA MODEL
With six of the nation's 32 Pioneer ACOs, this session will spotlight what is happening on the west coast.

Speakers:
VP, Government Affairs, CALIFORNIA ASSOCIATION OF PHYSICIANS GROUPS (CAPG)
MD, Physician, CAREMORE HEALTH PLAN

12:15 pm Luncheon

1:15 pm Narrative Notes Provide Ready Source of Actionable Information for ACOs
Health systems that plan to participate in an Accountable Care Organization (ACO) need actionable clinical information to help assess risk and manage outcomes. While EMR systems may provide much of the required data, there are often glaring holes, especially for ambulatory care provided by community-based physicians. Fortunately, a readily available source of such clinical data already exists in most practices.

This session will help participants to understand:

  • How narrative notes can be used as a rich source of data for ACO contracting
  • How advanced search and natural language processing (NLP) software can turn transcribed text documents into data
  • Why NLP offers potential advantages over code-based (e.g., ICD9)data mining to report on healthcare quality and utilization measures
  • Case examples of how narrative notes can be used to evaluate practice patterns and drive needed changes for ACO contracting

Speaker:
Vice President, Data Services, MD-IT

1:45 pm Creating Sustainable Health Communities: Optum Institute Survey Pinpoints Opportunities for Action
The goal of the a sustainable health community is one in which providers, patients and insurers work together to deliver high-quality healthcare that meets patients' needs in the most affordable way. A recent national survey of key stakeholders helps us understand how we move communities towards sustainable health and how important it is to gauge where we are now and to appreciate whether the key stakeholders who will influence our direction share the same perceptions and priorities.
  • Hear what a recent survey (sponsored by Optum and administered by Harris Interactive) has said about developing a sustainable health community
  • What are the challenges and opportunities?
  • Learn about physicians and hospitals readiness for building sustainable health communities
  • What are the key provider competencies for developing a sustainable health community?

Speakers:
Chief Medical Officer, OPTUM
SVP, Provider Strategy and Business Development, OPTUM

2:30 pm Lessons Learned From ACOs for Medicaid Beneficiaries: Perspectives for Payers and Providers
  • Key opportunities and considerations for ACOs treating Medicaid beneficiaries
  • Key issues for providers interested in participating in Medicaid ACO programs
  • Medicaid partnerships in multi-payer ACOs

Speakers:
MD, Medical Director, ARKANSAS MEDICAID ENTERPRISE
Senior Program Officer, CENTER FOR HEALTH CARE STRATEGIES

3:15 pm Mid-Afternoon Refreshment Break and Networking
3:45 pm The Power of C+D: Integrating Medical and Pharmacy Data to Enhance Care Management and Accountability for Quality and Cost

Pharmacy data can provide insights into member cost, risk for preventable admissions and safety management, especially when prescribing patterns are integrated with medical claims. VNSNY CHOICE has been using a new class of commercially available software for integrating Part C and Part D data to enhance its management of cost and quality. The software's power can be used by insurers, ACOs, union and employer groups. Its functionality will be demonstrated. Specific application to real-life care management will show its ability to prevent admissions and readmissions as well as to identify individuals at risk for such common ED encounters as falls, near syncope and other geriatric syndromes.

Speaker:
Chief Medical Officer, VNSNY CHOICE HEALTH PLAN

4:30 pm Health Plan Spotlight
The Health Plan's Role in ACOs

Speaker:
President and CEO, BLUE CROSS BLUE SHIELD OF NORTH CAROLINA

5:15 pm NAVIGATING THE ANTITRUST ISSUES IN ACOS
  • What are the principal antitrust concerns raised by ACOs?
  • How are market shares calculated for an antitrust analysis?
  • What types of contractual provisions and contracting practices raise "antitrust red flags?"
  • What are the implications of the DOJ/FTC Policy Statement on ACOs?
  • Should an ACO seek an advisory review from the antitrust agencies?
  • How can antitrust risks be reduced?
  • How do ACOs compare to clinical integration and other types of provider collaborations?

Speaker:
Partner, HOGAN LOVELLS LLP

6:00 pm Day one Adjourns; Cocktails Reception Immediately to Follow
 
  Conference Day 2, January 24, 2012
7:30 am Breakfast
8:00 am Chair's Day One Recap and Welcome Back

Chair:
SVP, Provider Strategy and Business Development, OPTUM

8:15 am The Alternative Quality Contract: An ACO Model for Performance and Incentive-Based Reimbursement

Speaker:
MD, PhD, VP of Quality and Patient Safety, ATRIUS HEALTH | HARVARD VANGUARD MEDICAL ASSOCIATES

9:00 am Structuring Internal Incentive Models for ACOs

Speaker:
Director, PALO ALTO MEDICAL FOUNDATION RESEARCH INSTITUTE

9:45 am ACO Paradigm Shift: How Standards-Based Remote Monitoring Technologies Support Innovative ACO Business Models

This panel discussion will focus on discussing innovative business models for post-acute heart attack patients in remote recovery locations outside of traditional healthcare facilities. The panel discussion will cover a payer and health provider's perspective for testing cost-effectiveness in ACO frameworks for post-acute care models that leverage portable monitoring solutions.

Moderator:
Executive Director, CONTINUA HEALTH ALLIANCE

Panelists:
Sr. Director, Strategic Marketing, QUALCOMM LIFE
MD, Chief Medical Officer, PEACEHEALTH LABORATORIES
SVP, Provider Strategy and Business Development, OPTUM

10:30 am Mid-Morning Refreshment Break; Hotel Check-Out
11:00 am Principals in Value and Risk-Based Contracting: Patient Center Medical Homes, HMOs, ACOs - What Works and Pitfalls to Avoid

Speaker:
Chief Medical Officer, BLUE CROSS BLUE SHIELD ILLINOIS

11:45 am CMS Fee-for-Service Demonstration Model:
Community-Based Care Improvement and Re-Admissions Reduction

Speaker:
Chief Medical Officer, COLORADO FOUNDATION FOR MEDICAL CARE

12:30 pm Luncheon
1:30 pm Case Study:
Securing Level 3 PCHM Designation by the NCQA: The Lone Star Circle of Care Story
  • How FQHCs and PCMH status can benefit an ACO

Speaker:
Chief Medical Officer, LONE STAR CIRCLE OF CARE

2:15 pm ACO Strategic and IT Innovations - A California Perspective
Hear the perspective of the Chief Medical Officers from two innovative California physician organizations that are leading the care management transition from volume-based to value-based delivery and payment models.

The speakers will share their roadmaps for achieving a primary care medical home delivery system as well as coordinated medical management across the care continuum, cornerstones in a successful care management transformation.  They will describe: reengineering and expansion of medical management processes to impact cost and quality while scaling for greater capacity under insurance reform; review meaningful use EHR and collaboration tools: illustrate methods for engaging physicians and patients; and highlight new generation IT infrastructure underpinning the business transformation. 

Speakers:
VP & Chief Medical Officer, ALTAMED HEALTH SERVICES
Chief Medical Officer, INDIVIDUAL PRACTICE ASSOCATION MEDICAL GROUP OF SANTA CLARA COUNTY

3:00 pm Summit Adjourns

BONUS! Free Post-Conference Webinar for Summit Participants:

WEBINAR: CMS' FINAL ACO REGULATIONS SUMMARY: WHAT YOU NEED TO KNOW
February 8, 2012, 3:00pm EST

 

 

   
3:00 pm
Summit Adjourns