The PCMH & Shared Savings ACO Leadership Summit


For Healthcare Payers & Providers
September 2014
TBA
Nashville, TN

Conference Details

We are delighted to announce the latest offering in our healthcare line up of events: A joint summit combining the nation's collaborative care leaders in Primary Care Medical Homes and representatives from the nation's acitve Shared Savings & Accountable Care Organizations.

The conference will function as a collective of case studies and best practices from the practitioners involved in the PCMHs and ACOs. You'll hear what's been tried, what's working, what's not working, and all the supporting evidence.

Core Curriculum:

Day 1: PCMH Focus:

  • Case studies
    • Standards
  • Focus on care coordination & enhanced access
  • Payments & bonuses
  • NCQA recognition

Day 2: ACO Focus:

  • Case studies
  • Compliance
  • Weighing the rewards & risks
  • Quality measures
  • Provider concerns
  • Costs analysis
  • Health Plan Spotlight:
    • CIO discussion
    • Data flow & reporting best practices
Who Will Attend:
This unique event has been researched and developed specifically for executives from Hospitals and Community Hospitals, IPAs, Physician Groups, and Health Insurance firms.

Job titles include:
Chief Executive Officers
Chief Marketing Officers
Chief Operating Officers
Chief Compliance Officers
Vice Presidents, Directors, Managers and Analysts 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
Audience Demographics:
Hotel Info:
TBA
Conference Registration Prices:
Early Bird Rate EXPIRED
Standard Rate
Medicare/Medicare Advantage/Medicaid Health Plans*, Physician Group, Hospital, Government Employees
SOLD OUT
$995
Behavioral Health, Vision Plans, Dental Plans, Radiology, Vascular Access, Rehabilitation Services, Diagnostic Laboratory Testing Services
$995
Service Providers
$1895
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
Gold Sponsor:
Health Team Works
Media Partners:
Absolut ResearchEHR IntelligenceGeorgia Bio Health IT Analytics Health IT Security Mostly Medicaid  PharmaPhorum Pharma Voice

Untitled Document
2013 Attendees & Agenda
MD, MED DIR, Access Health Care Physicians, LLC
CEO, Access Health Care Physicians, LLC
Chief Operating Officer, Accountable Care Organization of Pennsylvania
President, Accountable Care Organization of Pennsylvania
Corporate HIE Director, Adventist Health System
Sr. Business Development Executive, Aetna
Sr. Business Development Executive, Aetna
Sr. Business Development Executive, Aetna
President, Alabama Physical Rehabilitation Services
Quality Performance Division, Altegra Health
VP, Sales, Altegra Health
Regional SVP, Altus HMS
RN UTILIZATION MANAGER, AMERIGROUP
Quality Management Coordinator, Amerigroup of Tennessee
VP/CFO, Ark-La-Tex Health Network
Executive Director PHO and Managed Care, Ark-La-Tex Health Network
Chief Nursing Officer in Charge, BACH
Partner, Balch & Bingham LLP
VP Healthcare Informatics, Blue Cross & Blue Shield of Louisiana
Medical Director, Blue Cross Blue Shield of Tennessee
Manager Clinical Improvement, Blue Cross Blue Shield of TN
Manager Clinical Compliance & Appeals, Blue Cross Blue Shield of TN
Counsel, BlueCross BlueShield of Tennessee, Inc.
Administrator, Briarcrest Nursing Center
VP, East Bay Region, Brown & Toland
Owner, Bryant's Healthcare Solutions
VP, Gov't Affairs, California Assoc. of Physician Groups
Medical Director, Caribbean Medical Center
Executive Director, Caribbean Medical Center
President, Caribbean Medical Center
IT Director, Caribbean Medical Center
Administrator, Caribbean Medical Center
DO, FAOBFP, Medical Director, Carolina Advanced Health
Director Reimbursement Strategy/Payment Innovation, Centene
Sr Director Complex Care, Centene
Sr. VP, Network Development and Operations, Centene Corp.
Financial Analyst II, Centene Corporation
Health Insurance Specialist, Centers for Medicare & Medicare Services
Health Insurance Specialist, Centers for Medicare & Medicare Services
COO, Centex Systems
ACO RN Clinical Coordinator, Central Western Maine ACO
President / Medical Director, Chesapeake Hospitalists Grp LLC
Manager, Physician Coding and Compliance, Children's Hospital of Chicago, Faculty Practice Plan
Director, Population Health Management, Christushealth
Accountable Care Consultant/Analyst, Cigna
Director, Healthcare, Cognizant
SVP, Quality & Care Management, Cognizant
Senior Director, Healthcare Solutions, Cognizant
Sr Client Account Director, Cognizant Technology Solutions
Project Manager, Collaborative Health Systems / Universal American
Corporate Compliance Officer & Project Manager, Collaborative Health Systems / Universal American
Nat'l Exchange/ACO Director, Community Health Systems
CEO, Community Health Works
Ex Director of Health Care Innovations, Community Health Works
Community Liaison, Hospice of the Central Coast, Community Hospital of the Monterey Peninsula
Marketing Director, Compuware
Director, Compuware
Sales Rep, Compuware
RN, Director of Medical Home Care Management, Concord Elliot ACO
Executive Director, Concord Elliot ACO
Director, Medical Home Navigation Program, Concord Hospital
Director of Quality and Disease Management, Cookeville Medical Center
COO, Cookeville Medical Center
CIO, Cookeville Medical Center
CEO/ Medical Director, Cookeville Medical Center
CEO, Cumberland Center for Healthcare Innovation
Clinical Nurse OIC, DOD/Blanchfield Army Community
Practice Administrator, Drs. Borders & Associates, P.S.C.
Program Analyst, East Hawaii IPA
QI Project Manager, Eau Claire Family Medicine Clinic, Univ of Wisconsin
Business Development - CCMR/ACO, eClinicalWorks
Sales, eClinicalWorks
Clinical Officer, El Rio Santa Cruz Neighborhood
Director of Business Development, eTransX
MD, PhD, CIO, Family Physicians Group
Administrator, Fantus Health Center
Enterprise Architect, Florida Blue
Associate Professor, Grand Valley State University
Corporate Finance Director, HCA - Physician Services
AVP Quality, Physician Services, HCA, Inc.
Project Manager, HCA, Inc.
Director of reform programs, Health Choice/Hospital
Vice President Strategic Client Relationships, Healthgrades
Vice President of Business Development, HMG Healthcare
President, HMG Healthcare
MD, Holston Medical Group
Director, Holy Cross Physician Partner
, Home Instead Senior Care
Business Performance Manager, Home Instead Senior Care
Vice President of Operations, Housecall Management Solutions
Associate Dean, Clinical Affairs, Howard University
Corporate Purchasing Director, Huntsville Hospital System
Business Manager, Huntsville Hospital System
MD, Director, Healthcare Transformation, IBM | Patient-Centered Primary Care Collaborative (PCPCC)
, Imagine Health
SVP Healthcare Delivery Innovation, Independent Health
Acting Area Director, Indian Health Service
VP, Integrated Health Management, Integrated Solutions Health Network
VP, Clinical Integration, Integrated Solutions Health Network
Corporate Director, Network Management, ISHN
EVP & Chief Legal Officer, Jefferson Health System
Health Coach Educator, John Muir Health
COO, LONE STAR CIRCLE OF CARE
Director of Operations, Maryville Medical Services
Regional Manager, Mayo Clinic
Practice Administrator, MD Practice
CEO, Medical Care PLLC
MD, Medical Specialists of the Palm Beaches Inc
Management Svcs Director, Compliance Officer, Medical Specialists of the Palm Beaches Inc
VP, Sales, MedSolutions
DIRECTOR, Metrohealth System Inc
Vice President of Clinical Integration, MissionPoint Health Partners
SVP, Medical Group Operations, Monarch HealthCare
CMSRN Patient Care Manager PCMH, Mountain States Medical Group
Administrative Director, Munoz FH Clinic
Executive Director, Physician Health Partners, Munroe Regional Medical Center
Director of Operations, MUSC Physicians Primary Care
President, MUSC Physicians Primary Care
Project Manager, MUSC Physicians Primary Care
Executive V.P., Nationwide Medical Group, Inc.
Medical Director, Healthcare Business, Naval Medical Center San Diego
Physician, North Texas Spine and Pain Center
RN Health Coach, Northwest Health System
RN Health Coach, Northwest Health System
Health Coach, Northwest Health System
, Northwest Health System
Director Outpatient Complex Care Management, Ochsner Health System
Chief Growth Officer, Orange Health Solutions
Vice President, Marketing & Brand Management, Orange Health Solutions
CEO, Orlando Medical Group
VP Strategy and Business Development, Partners In Care Foundation
HEDIS Director, Pasteur Medical
Ph.D, MPH, PEARL, NYU and Neuverus Health
VP, Contracting & Payor Relations, Pentech Health
Assistant VP Corporate Financial Analysis, Peoples Health
VP of Operations, Phoenix Home Care
CEO, Physician's Provisio
Medical Director, Physicians Affiliated Care
Sr. Business Development Executive, Practice iQ
Sr. Business Development Executive, Practice iQ
MD, PRAISE
MD, Principal, Chief Clinical Officer, Population Health Management, Premier Inc.
Director of Clinics, Primary Care Plus / Peoples Health
Vice President of Clinical Operations, Primary Care Plus / Peoples Health
Director of Clinic Finance, Primary Care Plus / Peoples Health
Marketing Manager, Primary Care Plus / Peoples Health
Executive Assistant to Jeff Friedman, Primary Care Plus / Peoples Health
Corporate Director Transitions in Care, ProCare Health Plan, Inc/ Michigan Pioneer ACO
MD, Medical Director, Queen City Physicians
President, Queen City Physicians
Director, Strategy and Solutions, Quest Diagnostics
, Quest Diagnostics
Marketing Director, Quest Diagnostics
, Quest Diagnostics
Medical Practice Manager, Regional Medical Center
Sr. VP, Results Physiotherapy
former Chaplain (COL), Retired from the US Army
Group Marketing Manager, Roche Diagnostics
Practice Administrator, SC Internal Medicine and Rehabilitation LLC
Admin, SC Internal Medicine and Rehabilitation LLC
Managing Partner, SC Internal Medicine and Rehabilitation LLC
Managing Partner, SC Internal Medicine Associates and Rehabilitation
Program Director, SC Program of Rural Outreach
Assistant General Counsel, Scott & White Healthcare
President, Secure Telehealth
Psychologist, Serendipity Alliance
CEO, Serendipity Alliance
Clinical Nurse Officer in Charge, Soldier Health Services, BACH
Sales Engagement Executive, Solix
Practice Manager, Southern Endocrinology Associates
System Director, Care Management, Southern Illinois Healthcare
Chief Medical Informatics Officer, State of Tennessee, Office of e-Health
Program Director, Student Health Insurance Plan (SHIP), University Health Center
NewHealth Collaborative Medical Director, Summa Health System
VP Business Development, TeamCare Medicine
Managing Director, Texas Tech Health Science Center
Administrator, UF Jacksonville Healthcare
Student, UNH
RN, University of Arkansas for Medical Sciences (UAMS)
LPN, University of Arkansas for Medical Sciences (UAMS)
PhD, University of Arkansas for Medical Sciences (UAMS)
Director, University of Arkansas for Medical Sciences (UAMS)
LPN, University of Arkansas for Medical Sciences (UAMS)
IT Director, University of Arkansas for Medical Sciences (UAMS)
MA, University of Arkansas for Medical Sciences (UAMS)
RHD, University of Arkansas for Medical Sciences (UAMS)
BS, University of Arkansas for Medical Sciences (UAMS)
PROGRAM MANAGER, University of Arkansas for Medical Sciences (UAMS)
Director, Ambulatory Care, University of North Carolina Health Care
Professor, UTHSC-MEMPHIS
Professor, UTHSC-MEMPHIS
Executive Director, UW Medicine Neighborhood Clinics Univ of Washington
Administrative Director, Vanderbilt Med Center
MD, FACP, Chief, General Internal Medicine, Walter Reed
QI Manager, Wellcare
Sr. QI Manager, WellCare Health Plans
Sr Dir Corporate Quality, Wellcare Inc
Director of Case Management, Care Coordination, Medical Home, Wellmont Medical Associates
Program Director Network Strategy Medicare Programs, WellPoint
Director of Physician Integration, Western Baptist Hospital
Director of Managed Care, Western Baptist Medical Ventures
CEO, Your Home Advantage, Inc. CEO, Your Home Advantage, Inc.
2013 Agenda (current as of 8/28/13)
Past Conference Day One: Monday, September 9, 2013
PCMH LEADERSHIP SPOTLIGHT
9:00 am
Registration & Continental Breakfast
Pick up your name badge & conference materials. Enjoy a cup of coffee, and mingle with the attendees, exhibitors, and speakers.
9:45 am
Opal Events' Welcome
9:50 am
Chair's Welcome & Audience Demographics

Chair
:
PEARL, NYU and NEUVERUS HEALTH
10:20 am
Improving Patient Care Through PCMH Recognition: Lessons Learned During the Recognition Process
  • Improving patient care by utilizing team based care
  • Involving the entire clinic in the recognition process
  • Involving physicians, staff, and patients in the improvement process
Speaker:
QI Project Manager, EAU CLAIRE FAMILY MEDICINE CLINIC, UNIV. OF WISCONSIN
11:05 am
Refreshment & Networking Break
Enjoy a cup of coffee while you peruse the exhibit hall. Mingle with your fellow attendees. Ask questions of the day's speakers.

Sponsored by:
Opal Events
11:35 am
PCMH Optimization: From Training to Implementation
  • Creating a new generation of PCMH clinicians
How to integrate health and intensive services within the PCMH model
Speakers:
Community Liaison, Hospice of the Central Coast, COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
Medical Director, Healthcare Business, NAVAL MEDICAL CENTER SAN DIEGO
12:20 pm
Complimentary Luncheon
1:20 pm
Expanding PCMH to Better Accommodate Person-Centricity: Improving the Medical/Health Neighborhood
  • Leveraging technology and connectivity to bend the sickness curve
  • Mobile health and virtual care encounters: Expanding the role of medicine by thinking beyond the sickness box
  • Moving from healthcare to health
  • The role of system, community and person
  • Changing paradigms
Speaker:
PEARL, NYU and NEUVERUS HEALTH
Chief of Internal Medicine, WALTER REED
2:05 pm
Practice Transformation Spotlight:
Developing & Managing Your Internal Staff

Speaker:
CAROLINA ADVANCED HEALTH
2:50 pm
Refreshment & Networking Break
Enjoy a cup of coffee while you peruse the exhibit hall. Mingle with your fellow attendees. Ask questions of the day's speakers.

Sponsored by:

Opal Events
3:20 pm
Health IT in the PCMH Model
  • Utilizing technology to reach your PCMH goals through non-traditional, optimized contact points
Speakers:
Chief Operating Officer, CENTEX SYSTEMS SUPPORT SERVICES
Chief Revenue Officer, LONE STAR CIRCLE OF CARE
4:05 pm
Case Study:
The PCMH & Diabetes

Speakers:
Associate Professor, GRAND VALLEY STATE UNIVERSITY
4:50 pm
Integrating the Needs of the US Veteran into PCMH Practices: On Being a Tricare Network Provider
               
Speakers:
Founder and President, SERENDIPITY ALLIANCE
Consultant, SERENDIPITY ALLIANCE
535 pm
Day One Concludes; Complimentary Wine & Cheese Reception Immediately to Follow
Be sure to play our networking game for a chance to win 2-night hotel accommodations at a future Opal Events conference!
Past Conference Day Two: Tuesday, September 10, 2013
SHARED SAVINGS ACO LEADERSHIP SPOTLIGHT
8:00 am
Networking Continental Breakfast

Peter B. Anderson, MD will be on hand to sign copies of his new book, The Familiar Physician: Saving Your Doctor In the Era of Obamacare. Bring your copy, or purchase one on-site.

8:40 am
Chair's Welcome Back

Former Director of Care Coordination, JOHN MUIR HOSPITALS and System Director, Care Management, SOUTHERN ILLINOIS HEALTHCARE
8:45 am
A Journey of Transformation in Accountable Care
  • Current climate in Washington
Speaker:
Director, Healthcare Transformations, IBM; President, PATIENT-CENTERED PRIMARY CARE COLLABORATIVE(PCPCC)
9:30 am
ACO Case Studies
2 20-min case studies
Case Study: #1:  Improving Patient Care Transitions  at  John Muir Health – Medicare Accountable Care Organization

Speaker:
former Director of Care Coordination, JOHN MUIR HOSPITALSand System Director, Care Management, SOUTHERN ILLINOIS HEALTHCARE
Case Study: #3: Successful Accountable Care Partnerships:  Lessons Learned in Overcoming Barriers, Securing Interest, Maintaining Feasibility

Speaker:
Regional Financial Analysis Manager in Collaborative Accountable Care, CIGNA
10:20 am
Understanding Medical Costs in Medicare Shared Savings in the ACO Environment
  • Understand problems and opportunities
  • Understand timeframe for solutions
  • how to make analytics work for you
  • Apply solutions to your problems
Speaker:
Chief Strategy Officer, MEDSOLUTIONS
11:05 am
Refreshment & Networking Break
Enjoy a cup of coffee while you peruse the exhibit hall. Mingle with your fellow attendees. Ask questions of the day's speakers.

Sponsored by:
Opal Events
11:35 am
Readmissions Report: The Effectiveness of Home Care
This presentation will report on the results of a demonstration project testing the hypothesis that in-home care is effective in reducing unnecessary hospital readmissions. The demonstration, initiated in May 2012 and to be concluded in January 2013, involves 60 high-risk CHF patients discharged into home care. Clients are voluntary participants each receiving between 80and 100 hours of non-medical care delivered over 30 days. This program will offer the following information as developed and applied in the test:
  • Impact on readmission rate: Goal was to reduce readmissions by a minimum of 6 percent. (Mid-point result: 40% reduction in readmissions for all causes.)
  • Care model applied: Description of the care model utilized.
  • Care management model followed: Discussion of the care management process followed by participating hospital and care provider.
  • Caregiver training & engagement: Implication for and response to providing readmissions care for caregivers
Speakers:
Business Performance Manager, HOME INSTEAD SENIOR CARE
12:05 pm
Case Study: AnewCare Collaborative: A Rural, Multi-State Integrated Delivery System
Learn how this integrated ACO in northeast Tennessee and southwest Virginia accelerated its development and       launch with support from the Premier PACT collaborative.

Speakers:
Principal, Chief Clinical Officer, Population Health Management, PREMIER, INC.
VP Integrated Health Management, IINTEGRATED SOLUTIONS HEALTH NETWORK

12:50 pm
Luncheon
1:50 pm
Clinical Spotlight: ACOs & Oncology, Diabetes & Obesity
In the new healthcare model, we are even more responsible, for the health and wellness of a patient.  But often patients are “non compliant”  learn how to eliminate this term from your vocabulary and help them find a well state that is meaningful to them.
  • The A in ACO stands for "accountable": Moving a patient toward health... together

Moderator:
Medical Director, ACCESS HEALTH CARE PHYSICIANS, LLC

Speakers:
VP, Clinical Integration, MISSIONPOINT HEALTH PARTNERS
Business Development – CCMR/ACO, ECLINICALWORKS
CEO, ACCESS HEALTH CARE PHYSICIANS, LLC
Medical Director, ACCESS HEALTH CARE PHYSICIANS, LLC

2:35 pm
Case Study:
The First 18 Months of  ACO Development At Concord/Elliot ACO in New Hampshire
Our speaker will cover Concord/Elliot ACO's top priorities, and where they are making investments. Concord/Elliot ACO's start date was July 1, 2012.
  • Culture changes – the new imbedded Care Manager
  • Using data in an actionable way
  • Developing patient engagement strategies
  • Managing transitions with post-acute care
Speaker:
Executive Director, CONFORD/ELLIOT ACO
Director of Medical Home Care Management, CONCORD/ELLIOT ACO
3:20 pm
Refreshment & Networking Break
Enjoy a cup of coffee while you peruse the exhibit hall. Mingle with your fellow attendees. Ask questions of the day's speakers.

Sponsored by:
Opal Events
3:50 pm
Panel Discussion
The California Story: Medical Home/Medical Village
With 26 operational ACOs and a handful more in the planning stages, there is a lot to learn from the CA healthcare providers.
  • Featuring both operational and in-progress ACO Medical Directors

Moderator:
VP, Government Affairs, CALIFORNIA ASSOCIATION OF PHYSICIANS GROUPS

Panelist:
SVP, Medical Group Operations, MONARCH HEALTHCARE
Vice President, East Bay Region, BROWN & TOLAND
4:35 pm
Practice Transformation Spotlight:
Redesigning the Team
  • Getting the specialists involved – and on the same page
Speakers:
President, QUEEN CITY PHYSICIANS
Medical Director, QUEEN CITY PHYSICIANS
5:20 pm
Summit Concludes
Register:
Service Providers
$1,895.00
Behavioral Health, Vision Plans, Dental Plans, Radiology, Vascular Access, Rehabilitation Services, Diagnostic Laboratory Testing
$995.00
Medicare/Medicare Advantage/Medicaid Health Plans*, Physician Group, Hospital, Government Employees
First 100 Free
$995.00
$0.00
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Sub-Total: $537.00