Picture of 3rd Annual Medical Management in Medicare Advantage: Payer/Provider Collaborative Care Summit

3rd Annual Medical Management in Medicare Advantage: Payer/Provider Collaborative Care Summit


August 13-14, 2012
DoubleTree by Hilton Hotel San Diego - Mission Valley
San Diego, CA
United States

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Conference Details
With over 200 attendees at our launch event, our Collaborative Care Summit has established itself as one of the premier Medical Management conferences. Our 2012 program will continue to provide the "next generation" medical management tactics that Health Plans, Hospitals and Physician Group's require in the current economic climate.

As the chronically ill make up more of the Medicare Advantage population, hospital readmissions have become a significant financial challenge. Plans must have a medical management strategy that is grounded in:
  • Evidence-based clinical practices
  • Predictive outcomes modeling
  • Member engagement
  • Multi-disciplinary professional collaboration
Our event will discuss:
  • Accountable Care Organizations
  • Medical Homes
  • Transitional Care
  • And more!
For more information on the pre-conference workshop: ACO Best Practices: Politics, Partnership and Shared Savings please click here
Some of the Key Topics to be Covered:
  • Designing patient-centric strategies
  • Initiating provider communication
  • Strategies for changing reimbursement methodologies to better align incentives around primary care & chronic disease management
  • Transitioning to Medical Homes and ACOs

Who Will Attend:
This unique event has been researched and developed specifically for executives from Health Insurance firms, IPA Physician Groups, Hospitals and Community Hospitals.

Chief Medical Officers, Chief Clinical Officers and Medical Directors.

Also, Vice Presidents, Directors, and Managers of:
  • Care Management
  • Utilization Management
  • Chief Actuaries
  • Inpatient Nurse
  • Observation Management
  • Disease Management
  • Quality Management
  • Case Management
  • Quality Improvement
  • Outreach Management
  • Care Coordination
  • Clinical Program Management
  • Medical Management
  • Health Promotion
  • Wellness
  • Compliance
  • Clinical Research
  • Medical Affairs
  • Health Economics
  • Patient Engagement
  • Network Contracting
  • Network Management
  • Provider Relations
Current Conference Composition (as of 5/16/12):

Hotel Info:
DoubleTree by Hilton Hotel San Diego - Mission Valley
7450 Hazard Center Drive
San Diego, CA 92108
Tel: 619-297-5466

We are pleased to announce that the Opal room block is open and we are accepting reservations. Please click on the ONLINE HOTEL RESERVATION link to book your room. The hotel will not accept individual call-ins.
Online Hotel Reservations
  • Rooms are available only to those participants who are registered conference attendees.
  • Rooms will not be guaranteed without a credit card.
  • Rooms are allocated on a first come first serve basis. Room types/rates are subject to availability.
  • The name on the form will be the name of the guest room
Conference Registration Prices:
Earlybird Rate
Standard Rate
Medicare/Medicare Advantage/Medicaid Health Plans*, Physician Group, Hospital, Government Employees
First 100 FREE
$995
Behavioral Health, Vision Plans, Dental Plans, Radiology, Vascular Access, Rehabilitation Services, Diagnostic Laboratory Testing Services
$995
Service Providers
$1895
Pre-Conference Workshop Registration

Medicare/Medicare Advantage/Medicaid Health Plans*, Physician Group, Hospital, Government Employees
$199
Register Now!
Group Discounts:
Register 3 people and receive 10% off ***
Register 4 people and receive 15% off ***
Register 5 people or more and receive 20% off ***

If you'd like to be invoiced, please submit your contact details on the registration page and select "Please invoice me" at the bottom of the page.

If you are interested in sponsorship, exhibiting, or speaking opportunities, please call 212-532-9898 or email information@opalevents.org
* TERMS & CONDITIONS
Subject to approval. To qualify you must be currently employed by a non-vendor company. Eligibility will be verified by conference producer. Opal reserves the right to allocate places and to refuse applications.

* Health plans must be CMS approved as Medicare, Medicare Advantage or Medicaid health plans

***Registrations must be made online on the same date. Discount will be applied after all registrants have been received.


Registration price reflects $100 online discount
Platinum Sponsor:
Leprechaun
Gold Sponsors:
Altegra HealthMatrix Medical Network MedAssurant Optum
Silver Sponsors:
Censeo Health Complex Care SolutionsContinua Health Alliance
Exhibitor Sponsors:
Senior Bridge Your Home Advantage
Media Partners:
Bvents.comContexo Media EHR Outlook PharmaPhorum
Current Attendees
Administrator, Access Medical Group
Director Business Development, Aetna
National Medical Director, Retiree Markets, Aetna
Medical Director, Medical Management, Altamed Health Services
VP & Chief Medical Officer, AltaMed Health Services
Sr. Medical Director of Managed Care & Acting Chief of Medicine, AIDS Healthcare Foundation
Chief Financial Officer, Amanecer Community Counseling Services
Financial Analyst, AppleCare Medical Management
Direct IT, PMO, Apria Healthcare
Chief Medical Officer, Arizona Integrated Physicians
Director Provider Contracting, Atrio Health Plan
Vice President, Axelacare Health Solutions
Director, BlueCross BlueShield of Florida
Chief Medical Officer, BlueCross BlueShield of Illinois
Case Management Supervisor, BlueCross BlueShield of Tennessee
Medical Director, BlueShield of California
Medicare and Regional Medical Director, BlueShield of California
Utilization Management Supervisor, Medicare Advantage Product, BlueCross BlueShield of Tennessee
Professor and Chair, Department of Family Medicine, Buffalo University, New York State AHEC System
VP, Gov't Affairs, California Association of Physician Groups
Director Quality Management, Care 1st Health Plan Arizona
SVP and Chief Medical Officer, Catholic Health Initiatives
VP, Medicare Administration, Cigna HealthCare
Chief Financial Officer, Citizens Choice HealthPlan
Financial Analyst, Citizens Choice HealthPlan
HCC Administrator/Coordinator, Citizens Choice HealthPlan
HCC Auditor, Citizens Choice HealthPlan
HCC Coder/Auditor, Citizens Choice HealthPlan
HCC Manager, Citizens Choice HealthPlan
CPC, Senior HCC Manager, Risk Adjustment / Reimbursement, Citizens Choice HealthPlan
Corporate Quality Specialist, Community Health Group
VP Managed Care, Community Health Systems
Hospice Liaison, Community Hospital of the Monterey Peninsula
Chief Clinical Officer, Community Partnership of Southern AZ
Chief Medical Officer, Community Partnership of Southern AZ
Director of Business Development, Community Partnership of Southern AZ
COO, Cookeville Medical Center
CFO, Doctors Inn
VP, Primary Care, Eisenhower Argyros Health Center
Physician/Managing Partner, Global Rehabilitation Medical PC
PA, Global Rehabilitation Medical PC
CEO, Gorman Health Group
VP, Clinical Services, Gorman Health Group
Administrator Hospitalist Management, HCA Healthcare
Doctor, Healthcare Partners
Project Manager, HealthCare Partners Medical Group
VP, Healthcare Partners of Nevada
Vice President, Network Management, Healthcare Service Corporation
Regional Medical Director, Health Net
Provider Relations or Network Executive, Health Plan Of San Mateo
VP, Ambulatory Clinical Pharmacy Programs, Henry Ford Health System
Director, Provider Engagement, Humana
Chief Medical Officer, Individual Practice Association of Santa Clara County
VP of HS and Member Services, Inter Valley Health Plan
Senior Medicare Operations Specialist, L.A. Care Health Plan
Information Systems Coordinator, Los Angeles County
Billing Assistant, Medical Office Dr. David T Sicard
Consultant, Medicare Risk Adjustment
Director Medical Informatics, MemorialCare Medical Group
Chief Medical Officer, Memorial Healthcare
Manager Managed Care Planning, Memorial Sloan-Kettering Cancer Center
CEO, MMC
Chief Medical Officer, Molina Healthcare of CA
Ex. Director Health Services, Mount St Francis
Vice President, Managed Care, Mt. States Health Alliance/Integrated Solutions Health Network
Chief, General Internal Medicine, National Naval Medical Center (NNMC), Internal Medicine
MD, Physician, National Naval Medical Center (NNMC), Internal Medicine
President, Optometric Eyecare Network
IT Manager, Parker Hudson Rainer & Dobbs LLP
Chief Executive Officer, Prairie Cardiovascular
MD, CEO, Precision Health Systems
Claims Analyst, Priority Health
Administrator, Puget Sound Family Physicians
Business Systems Analyst, Rady Children's Hospital San Diego
HEDIS Project Manager, SCAN Health Plan
Director, HCC Risk Scores, SCAN Health Plan
Informatics Analyst, Quality Initiatives, SCAN Health Plan
Manager, Quality Initiatives, SCAN Health Plan
Medical Director, SCAN Health Plan
Medical Director, SCAN Health Plan
Medical Director, SCAN Health Plan
Strategic Initiatives, Network Management, SCAN Health Plan
VP, Health Care Informatics, SCAN Health Plan
Director, Clinical Systems, Sharp Community Medical Group
Corporate Medical Director, Safety and Quality, Shriners Hospitals for Children
Project Manager, St. Joseph Heritage Healthcare
Medical Director & Practicing Internist, Tallahassee Medical Specialists
Deputy Commissioner, Texas Department of Insurance
Sr. Director of Revenue Integrity, Tri-City Medical Center
Sr. Architect Quality Management Services, Tufts Health Plan
National Medical Director, UnitedHealthcare
National Medical Director UHC Medicare & Retirement, UnitedHealthcare
Regional Vice President, UnitedHealthcare
Director, Medical Management, Universal American
PhD, Assistant Professor, Dept. of Family Medicine, University of Colorado School of Medicine
RN, Uroplasty Urology
Sr. Director of Operations, US Behavioral Health Plan, CA
Assistant Professor of Surgery, US Navy
Chief Medical Officer, WellMed Medical Management
Staff VP Senior Provider Contracting, Wellpoint
Instructor, Winston-Salem State University
Assistant Professor, Winston-Salem State University
Conference Day One: Monday, August 13, 2012
12:30 pm
Continental Breakfast & Registration
1:30 pm
Opal Events' Welcome
1:35 pm
Chair's Welcome & Audience Demographics

Chair:
Vice President, Clinical Services, GORMAN HEALTH GROUP
1:45 pm

Keynote Panel:
Update from the Nation's Pioneer ACOs

Invited Panelists:
Sharp
Monarch
Health Care Partners
Brown & Toland

Moderator:
VP, Government Affairs, CALIFORNIA ASSOCIATION OF PHYSICIAN GROUPS
2:30 pm
Medical Management Across the Care Continuum and IT Innovations - A California Perspective
  • 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
  • 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
3:15 pm
Afternoon Refreshment & Networking Break
3:45 pm
Technology Showcase
Emerging Opportunities to Create Value
4:30 pm
Leprechaun Session: Topic TBA

Speaker:
Representative, LEPRECHAUN
5:15 pm
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
CEO, PRECISION HEALTH SYSTEMS
6:00 pm
Day One Closing Remarks and Cocktail Reception in the Exhibit Hall
Conference Day Two: Tuesday, August 14, 2012
8:00 am
Continental Breakfast & Registration
9:00 am
Chair's Day Two Welcome Back

Chair:
Vice President, Clinical Services, GORMAN HEALTH GROUP
9:05 am
Keynote Address:
Overview of the Political Regulatory Environment in Washington...And How it Impacts You
  • Campaign environment:
  • What happens if budget issues dominate?
  • How do we move forward with mitigating against un-due risk?
  • Balanced billing issues:
    • Role of care coordination
    • Role of quality
10:05 am

Readmission Avoidance: Update on Hospital Penalties

  • Risk Stratification of patients is a function of future cost/admissions/utilization, intervention, and time
  • Interventions include timely handoffs, data exchange with outpatient clinicians and hospitalist, follow-up coordination, and patient centric intervention are critical to reducing avoidable and costly utilization
Speaker: MD, HEALTHCARE PARTNERS
10:50 am
Mid-Morning Refreshment Break
11:20 am
MedAssurant Session: Topic TBA

Speaker:
Representative, MEDASSURANT
12:05 pm
Networking Lunch
Track A - STAR RATINGS
Track B - PATIENT-CENTERED MEDICAL HOME
1:05 PM
Star Performers Panel Discussion
  • Top rated health plans
PCMH Provider Case Studies

Moderator:
Community Liaison, Hospice of the Central Coast, COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA

Panelists:
Chief, General Internal Medicine, NATIONAL NAVAL MEDICINE CENTER
Professor and Chair, Department of Family Medicine, BUFFALO UNIVERSITY, NEW YORK STATE AHEC SYSTEM
1:50 pm
Afternoon Refreshment & Networking Break
2:20 pm
The Physician Group's Role in Star Ratings

Speaker:
Chief Medical Officer, arizona integrated physicians

PCMH Development: Payment Sources and Alternatives

Speaker:
Assistant Professor, Department of Family Medicine, UNIVERSITY OF COLORADO SCHOOL OF MEDICINE

3:05 pm
Medicare STAR and P4P Crossover
  • The overlap between HCC & STARS
Medical Homes in Reducing Readmissions
3:50 pm
Track Concludes; Conference Adjourns
3:55 pm
Optum Session: Topic TBA

Speaker:
Representative, OPTUM   
4:50 pm
Back By Popular Demand!
Physicians and Hospitals Working Together: Is the Primary Care Strategy Successful?

Speaker:
Vice President, Primary Care & Academic Affairs, EISENHOWER MEDICAL CENTER, ANNENBERG CENTER FOR HEALTH SCIENCES
5:50 pm
Day Two Adjourns
Conference Day Three: Wednesday, August 15, 2012
8:00 am
Continental Breakfast & Registration
9:00 am
Chair's Day Two Welcome Back

Chair:
Jane Scott, Vice President, Clinical Services, GORMAN HEALTH GROUP
9:05 am
Health Information Exchanges: Crucial for Reform
  • The position of HIEs in the reform framework - what are they, how are they working?
  • Practical aspects of HIEs - how will data be transferred and used
  • Future of HIEs - the National Health Information Network (NHIN)
Speaker:
Donald E. Lighter, MD, MBA, FAAP, FACHE, Corporate Medical Director of Safety and Quality, SHRINERS HOSPITALS
9:50 am
Care Coordination: Bridging the Gap in Behavioral Health

Speaker:
Representative, CENSEO HEALTH
10:20 am
Mid-Morning Refreshment Break
10:50 am
Open Session

Hold for Apixio
11:30 am
Medicare Payment Changes / Incentive Programs

Speaker:
Mindy Olivarez, Claims Analyst, PRIORITY HEALTH
12:15 pm
Conference Adjourns
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