Virtual Collocated Value-based Payment Summit

Virtual Collocated Value-based Payment

SummitAGENDA-AT-A-GLANCE & AGENDA

BRINGING TOGETHER:

ACO/Direct Contracting Summit XIBundled Payment Summit X

Medical Home/Advanced Primary Care Summit IX

MACRA MIPS/APM Summit VMedicare Advantage Summit III

ONE REGISTRATION – ATTEND ALLBROADCAST SEPTEMBER 20 – 23, 2021 & ARCHIVED THEREAFTERAGENDA-AT-A-GLANCE: PAGES 2 – 3 AGENDA: PAGES 4 – 14

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AGENDA-AT-A-GLANCE All times listed are EDT.

DAY I: MONDAY, SEPTEMBER 20, 2021

MINI SUMMITS GROUP I (1 pm - 2 pm)

DAY II: TUESDAY, SEPTEMBER 21, 2021

JOINT OPENING PLENARY SESSION (10 am - 12:30 pm)

1. All-Payer Spread of ACOs & VB Payment Models

2. How Specialty Bundles can Transform Care

3. Data Sharing to Support ACO Success

4: Value-based Payment in Community Health Centers . . .

Continued next page

COLLOCATED VIRTUAL VALUE-BASED PAYMENT SUMMITMONDAY, SEPTEMBER 20 – THURSDAY, SEPTEMBER 23, 2021

Detailed Agenda starts page 4. Subject to change. This Agenda current as of September 19, 2021.

ACO/DIRECT CONTRACTING SUMMIT XI PLENARY SESSION

• Keynote - Pauline Lapin, CMMI Seamless Care Models Group

• Private Sector Keynote - Aledade CEO Farzad Mostashari, MD

• Panel: Operationalizing the Direct Contracting Model

• Panel: Lightning Round on the Hot ACO/Direct Contracting IssuesMINI SUMMITS GROUP II (2:15 pm - 3:15 pm)

CMMI LISTENING SESSION I: HOW CAN ACO AND SPECIALTY MODELS CO-EXIST? (3:30 pm - 5 pm)

JOINT AFTERNOON PLENARY SESSION (1 pm - 3:15 pm)

MINI SUMMITS GROUP III (10 am - 11 am) 9. The Role of Private Equity in VB Care

10. Value-Based Reim-bursement Operations & Preserving Revenue in VB Reimbursement

11. Multi-payer ACO Contracts & Building ACOs from Existing VB Programs

MINI SUMMITS GROUP IV (11:15 am - 12:15 pm) 12. Medicare ACO Care Delivery Innovations & Employer Value-based Payment Initiatives

13. Bundled Payments in Primary Care & Population Health & Humana/Iora Health MA Capitation Case Study

14. Real-Time Drug Therapy Opportunities

MACRA SUMMIT V PLENARY SESSION

• Keynote - AMA President Gerald Harmon

• MACRA Has Not Lived Up to Its Promise

• The (SGR) Fix is In: How MACRA Short-Circuited Incentives for Joining Two-Sided Models

• Panel: Lightning Round on the Hot Bundled Payment Issues

MINI SUMMITS GROUP V (3:30 pm – 4:30 pm)

15. Prospective Payments for Episodes of Care

16. VB Payment Models for Medical Products

17. The Future of Quality Measurement in APMs

MINI SUMMITS GROUP VI (4:45 pm - 5:45 pm) 18. Technical Issues on Evaluating APMs

19. Simplifying Bundled Payment Administration & Delivery of Different Bundle in Commercial Space

20. New Model to Move to Risk in Rural Communities & Value-based Care Strategies for Rural Areas

• Keynote - CMMI Director Liz Fowler• Private Sector Keynote - Intermountain CEO Marc Harrison, MD• COVID impact on Value-based Care - FAH CEO Chip Kahn• The Future of Value-Based Care: Recommendations from the Commonwealth Fund Delivery System Reform Task Force

CONCURRENT SESSIONS (1 pm - 3:15 pm)

CONCURRENT SESSIONS (10 am - 12:15 pm)

BUNDLED PAYMENT SUMMIT X PLENARY SESSION

• Keynote - Chris Ritter, Director, CMS Patient Care Models Group

• Next Generation Payment Reform - Kevin Bozic, MD

• Panel: Episodes Energize Provider Competition

• Panel: Lightning Round on the Hot Bundled Payment Issues

• ONC Keynote - Deputy National Coordinator for HIT Steven Posnack, MS, MHS• Price Transparency - Cost Institute CEO Niall Brennan• Employer VB Payment - PBGH CEO Elizabeth Mitchell• Value-based Care 2030: Zeke Emanuel, MD - U Penn

CONCURRENT SESSIONS (3:30 pm - 5:45 pm)

5. Value-based Payment Lessons Learned for CMMI

6. Provider-owned Health Plans & Incorporating Bundled Pay-ments into ACOs

7. Value-based Care Risk Protection Reinsurance

8: Using Intelligent Care Manage-ment to Foster Payer-Provider Collaboration

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CMMI LISTENING SESSION II: SUPPORTING PRIMARY CARE PRACTICES IN VALUE-BASED CARE: IMPROVING PRIMARY AND SPECIALTY CARE COLLABORATION WITHIN FEDERAL INITIATIVES (3:30 pm - 5 pm)

COLLOCATED VIRTUAL VALUE-BASED PAYMENT SUMMIT continued

DAY IV: THURSDAY, SEPTEMBER 23, 2021

DAY III: WEDNESDAY, SEPTEMBER 22, 2021

MINI SUMMITS GROUP VII (10 am - 11 am)

21. Physician Leader-ship in Accountable Care Innovation

22. Physician Compen-sation in a Value-based Environment & Influence of Pay for Performance on Medical Decision Making

23. Measuring and Acting on What Matters ...and There’s the Rub & Full Integration of Medical and Social Services

MINI SUMMITS GROUP VIII (11:15 am - 12:15 pm)

24. Negotiating MA Plan Provider Contacts & Behavioral Economics to Nudge the MA Population

25. Oncology Care Model 2.0: What Comes Next?

26. Leveraging AI/ML to Optimize Post-acute Utilization and Improve Outcomes

CONCURRENT SESSIONS (10 am - 12:15 pm)

MEDICAL HOME/ADVANCED PRIMARY CARE SUMMIT IX PLENARY SESSION

• Keynote - Nick Minter, Director, CMS Division of Advanced Primary Care

• Panel: Primary Care Payment Reform & Greater Investment

• Panel: Lightning Round on the Hot Medical Home Issues

CONCURRENT SESSIONS (1 pm - 3:15 pm) MINI SUMMITS GROUP IX (1 pm - 2 pm)

27. Boeing Bundles Case Study

28. Managing Risk for Multiple APM Models Beneficiaries

29. Primary Care Hybrid Pay for Value Reimbursement Model & Global Risk Preserves Independent Primary Care

MINI SUMMITS GROUP X (2:15 pm - 3:15 pm)

MEDICARE ADVANTAGE SUMMIT III PLENARY SESSION

• Keynote - CMS Director, Center for Medicare Meena Seshamani

• Provider Best Practices in HCC Coding

• Panel: Lightning Round on the Hot Medicare Advantage Issues

JOINT CLOSING PLENARY SESSION (10 am - 4:30 pm) • ONC MedPAC Keynote - MedPAC Chair Michael Chernew, PhD

• Private Sector Keynote - Mark McClellan, MD, PhD

• Telehealth Adoption - ATA Chair Joseph Kvedar, MD

• Panel: Payment Models Interaction/Overlap Issues

• Advancing Health Equity in VBC - Reed Tuckson, MD

• Road to Capitation - Robert Pearl, MD

• Value-Based Payment 3.0 - Harold Miller

• Data & Interoperability in Implementing VBC - Aneesh Chopra

• Panel: Making Outcome Measures the North Star for Payment

• Panel: Integrating SDoH into New Payment Models

All times listed are EDT.

30. Applying Data Science to Drive Better Member Experience & Developing Specialty Medical Homes

31. Savings from Biosimilar Adoption in VBC Models

32. Transformation Starts with C

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DAY I: MONDAY, SEPTEMBER 20, 2021 JOINT OPENING PLENARY SESSION10:00 am Co-chair and Commonwealth Fund Welcome and Vision for Value-based Care 2030

Susan Dentzer, Senior Policy Fellow, Duke-Margolis Center for Health Policy; Former Editor in Chief, Health Affairs; Former Health Correspondent, PBS NewsHour, Washington, DC (Co-chair)

With Special Commonwealth Fund Welcome: David Blumenthal, MD, President, Commonwealth Fund; Former National Coordinator for Health Information Technology; Former Samuel O. Thier Professor, Medicine at Harvard Medical School, New York, NY

10:15 am CMMI Keynote AddressElizabeth Fowler, JD, PhD, Director, Center of Medicare and Medicaid Innovation; Former Executive Vice President for Programs, Commonwealth Fund; Former Special Assistant to President Barack Obama on Health Care and Economic Policy, National Economic Council, Washington, DC

10:45 am Update on Private Sector Value-based Care Initiatives

A. Marc Harrison, MMM, MD, President and Chief Executive Officer, Intermountain Healthcare; Former Chief of International Business, Cleveland Clinic, Salt Lake City, UT

Interviewed by: Susan Dentzer, Senior Policy Fellow, Duke-Margolis Center for Health Policy; Former Editor in Chief, Health Affairs; Former Health Correspondent, PBS NewsHour, Washington, DC (Co-chair)

11:15 am COVID-19 Will Upend Value-Based Programs for Years to Come

Charles “Chip” Kahn, MPH, President and CEO, Federation of Ameri-can Hospitals; Former Staff Director Health Subcommittee, Ways and Means Committee, US House of Representatives, Washington, DC

11:45 am The Future of Value-Based Care: Recommendations from the Commonwealth Fund Delivery System Reform Task Force

Patrick H. Conway, MD, MSc, Chief Executive Officer, Care Solutions at Optum; Former Chief Medical Officer, Deputy Admin-istrator, and Director, Center for Medicare & Medicaid Innovation, Department of Health and Human Services, Baltimore, MD

Julian J. Harris, MD, MBA, Partner, Health Care Services and Technology, Deerfield; Chairman & Chief Executive Officer, ConcertoCare; Adjunct Professor, Medical Ethics and Health Policy, University of Pennsylvania, New York, NY

Wayne J. Riley, MD, MPH, MBA, MACP, President, State University of New York (SUNY), Downstate Health Sciences University; Chair, National Advisory Council on Minority Health and Health Disparities, National Institute of Health (NIH), Brooklyn, NY

Mary Wakefield, PhD, RN, Visiting Professor, University of Texas at Austin School of Nursing; Former Acting United States Deputy Secretary of Health and Human Services; Former Administrator, Health Resources and Services Administration, Austin, TX

Gregg S. Meyer, MD, MSc, President, Community Division & EVP Value-Based Care, Mass General Brigham; Professor of Medicine, Harvard Medical School; Chair, Commonwealth Fund Task Force on Payment and Delivery System Reform, Boston, MA (Moderator)

12:30 pm Luncheon Break and Visit Exhibit Hall

DAY I AFTERNOON CONCURRENT SESSIONSACO & DIRECT CONTRACTING SUMMIT PLENARY SESSION1:00 pm CMS/CMMI ACO/Direct Contracting Keynote Address

Pauline Lapin, MHS, Director, Seamless Care Models Group, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, US Department of Health and Human Services, Baltimore, MD

Interviewed by: Valinda Rutledge, MBA, Executive Vice President of Federal Affairs, America’s Physician Groups (APG); Former Group Director, Patient Care Model Group and BPCI Lead, Centers for Medicare and Medicaid Services, Washington, DC

1:30 pm Private Sector KeynoteFarzad Mostashari, MD, Founder, Aledade Inc.; Former National Coordinator for Health Information Technology, Washington, DC

2:00 pm Operationalizing the Direct Contracting ModelEric Becker, MPP, Vice President, Provider Engagement Strategies, agilon health; Former Director, Clinical Integration & Providence Partners for Health, Providence Health & Services, Long Beach, CA

Eric Cragun, Executive Director, Government Programs, Castell, an Intermountain Healthcare Company, Salt Lake City, UT

Kimberly Kauffman, MHS, Chief Value-Based Care Officer, Best Value Healthcare, LLC; Former Chief Value Based Care Officer, Summit Medical Group, Maryville, TN

Mara McDermott, JD, Vice President, McDermott+Consulting; Former Senior Vice President of Federal Affairs, America’s Physician Groups, Washington, DC (Moderator)

2:30 pm ACO/Direct Contracting Co-chair Keynote Roundtable: A Lightning Round on the Hot Accountable Care/ Direct Contracting Issues of Today

Emily Brower, MBA, Senior Vice President, Clinical Integration & Physician Services, Trinity Health; Former Vice President, Population Health, Atrius Health, Livonia, MI

Melanie Matthews, MA, President, MultiCare Care Connected (MCC); Chief Executive Officer, Physicians of Southwest Washington; Former Vice President, Operations, Prestige Care, Olympia, WA (Co-chair)

David B. Muhlestein, PhD, JD, Chief Research Officer, Leavitt Partners, LLC; Visiting Policy Fellow, Margolis Center for Health Policy, Duke University; Visiting Fellow, Accountable Care Learning Collaborative, Washington, DC (Co-chair)

S. Lawrence Kocot, JD, LLM, MPA, Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Former Senior Advisor to the Administrator, CMS, Washington, DC (Co-chair and Moderator)

3:15 pm Transition Break and Visit Exhibit Hall

COLLOCATED VIRTUAL VALUE-BASED PAYMENT SUMMITBRINGING TOGETHER IN A SINGLE VIRTUAL EVENT: Virtual ACO/Direct Contracting Summit XI • Virtual Bundled Payment Summit IX •

Virtual MACRA MIPS/APM Summit IV • Virtual Medical Home/Advanced Primary Care Summit IX • Virtual Medicare Advantage Summit III

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AFTERNOON MINI SUMMITS – GROUP I 1:00 pm – 2:00 pm

Mini Summit 1: All-Payer Spread of ACOs and Value-Based Payment Models in 2021: The Crossroads and Future of Value-Based Care

1:00 pm Introduction, Discussion and Q&AWilliam K. Bleser, PhD, MSPH, Managing Associate, Payment Reform and Population Health, Duke-Margolis Center for Health Policy, Washington, DC

Robert Richards, PhD, Data and Analytics Manager, Torch Insight at Milliman, Salt Lake City, UT

Robert S. Saunders, PhD, Senior Research Director, Health Care Transformation, Duke-Margolis Center for Health Policy, Duke University; Former Senior Adviser to the President, National Quality Forum, Washington, DC

David B. Muhlestein, PhD, JD, Chief Research Officer, Leavitt Partners, LLC; Visiting Policy Fellow, Margolis Center for Health Policy, Duke University; Visiting Fellow, Accountable Care Learning Collaborative, Washington, DC (Moderator)

Mini Summit 2: How Specialty Bundles can Transform Care

1:00 pm Introductions, Discussion and Q&AKevin J. Bozic, MD, MBA, Chair, Department of Surgery and Perioperative Care; Professor, Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, Austin, TX

Lee A. Fleisher, MD, Chief Medical Officer and Director, Centers for Clinical Standards and Quality, Centers for Medicare and Medicaid Services; Robert Dunning Dripps Professor of Anesthesia and Chair, Department of Anesthesiology and Critical Care, University of Pennsylvania Health System; Senior Fellow, Leonard Davis Institute for Health Economics, Philadelphia, PA

Robert S. Saunders, PhD, Senior Research Director, Health Care Transformation, Duke-Margolis Center for Health Policy, Duke University; Former Senior Advisor to the President, National Quality Forum, Washington, DC

Francois de Brantes, MBA, Senior Vice President, Signify Health; Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT (Moderator)

Mini Summit 3: Data Sharing to Support ACO Success

1:00 pm Data Sharing to Support ACO SuccessJames Colbert, MD, Senior Medical Director, Delivery System Innovation and Analytics, Blue Cross Blue Shield of Massachu-setts; Assistant Professor of Medicine, Harvard Medical School, Boston, MA

1:30 pm Session Adjournment (Move to other mini summit)

Mini Summit 4: Value-based Payment in Community Health Centers: Options and Opportunities

1:00 pm Introduction, Discussion and Q&AMarshall Chin, MD, MPH, Richard Parrillo Family Professor of Healthcare Ethics, Department of Medicine, University of Chicago, Chicago, IL

Megan Haase, FNP, Chief Executive Officer, Mosiac Medical, Bend, OR

Manny Lopes, MBA, President and CEO, East Boston Neighborhood Health Center; Founding Chair of Community Care Cooperative, a FQHC Accountable Care Organization, Boston, MA

James Macrae, MA, MPP, Health Resources and Services Administration, Bureau of Primary Health Care, US Department of Health and Human Services, Washington, DC

Melinda Abrams, MS, Executive Vice President for Programs, The Commonwealth Fund, New York, NY (Moderator)


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MINI SUMMITS GROUP II 2:15 pm – 3:15 pm

Mini Summit 5: A Decade of Value-Based Payment: Lessons Learned and Implications for the Center for Medicare And Medicaid Innovation

2:15 pm Introductions, Discussion and Q&ADonald H. Crane, JD, President and Chief Executive Officer, America’s Physician Groups, Los Angeles, CA

Elizabeth Mitchell, President and Chief Executive Officer, Purchaser Business Group on Health (PBGH); SVP, Healthcare and Community Health Transformation, Blue Shield of California, San Francisco, CA

Judy Zerzan-Thul, MD, MPH, Chief Medical Officer, Washington Health Care Authority; Former Chief Medical Officer, Colorado Department of Health Care Policy and Financing, Olympia, WA

Robert S. Saunders, PhD, Senior Research Director, Health Care Transformation, Duke-Margolis Center for Health Policy, Duke University; Former Senior Adviser to the President, National Quality Forum, Washington, DC

Mini Summit 6: Provider-owned Health Plans Strategic Alternatives; Metrics of Success; Pros & Cons & Incorporating Bundled Payment Models into ACOs

2:15 pm Provider-owned Health Plans Strategic Alternatives; Metrics of Success; Pros & Cons

Joe W. Lastinger, MBA, President, Health Plan Alliance; Former System Vice President of Strategy and Market Development, Baylor Scott & White Health, Irving, TX

2:45 pm Incorporating Bundled Payment Models into ACOsSam Reynolds, MD, Medical Director of Quality, Physician Partners of Western PA, CIN, Allegheny Health Network; Former Medical Director of Population Health, Saint Vincent Healthcare Partners, Pittsburgh, PA

Justin Rock, MBA, Director, Premier, Inc., Former Executive Director, Valley Baptist ACO, Harlingen, TX


Mini Summit 7: Value-based Care Risk Protection through Data, Analytics and Reinsurance

2:15 pm Introductions, Discussion and Q&AMah-J Soobader, PhD, Chief Analytics Officer, Archway Health, Boston, MA

Brian York, Vice President, Value Based Care, Coverys, Boston, MA

Dave Terry, MBA, Founder and Chief Executive Officer, Archway Health, Boston, MA (Moderator)

Mini Summit 8: Using Intelligent Care Management to Foster Payer-Provider Collaboration

2:15 pm Discussion and Q&ATim Ashe, RN, MS, MBA, Chief Clinical Officer, WellSky; President, Fazzi Associates, Northampton, MA

Lissy Hu, MD, MBA, Chief Executive Officer, CarePort, powered by WellSky; Advisor, Excelerate Health Ventures; Former SVP & General Manager, Allscripts, Boston, MA

2:45 pm Session Adjournment (Move to other mini summit)


3:30 pm CMMI Listening Session I: How Can ACO and Specialty Models Co-exist?

Moderators: Francois de Brantes, MBA, Senior Vice President, Signify Health; Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT

Valinda Rutledge, MBA, Executive Vice President of Federal Affairs, America’s Physician Groups (APG); Former Group Director, Patient Care Model Group and BPCI Lead, Centers for Medicare and Medicaid Services, Washington, DC

5:00 pm Day I Adjournment

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DAY II: TUESDAY, SEPTEMBER 21, 2021

MORNING CONCURRENT SESSIONSBUNDLED PAYMENT SUMMIT PLENARY SESSION 10:00 am CMS/CMMI Bundled Payment Keynote Address

Christina S. Ritter, PhD, Director, Patient Care Models Group (PCMG); Former Deputy Director, Hospital and Ambulatory Policy, Group Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MA


10:45 am Fireside Chat: The Next Generation Alternative Payment Models: Moving Upstream from Procedures to Conditions

Kevin J. Bozic, MD, MBA, Chair, Department of Surgery and Perioperative Care, Professor, Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, Austin, TX

Interviewed by: Valinda Rutledge, MBA, Executive Vice President of Federal Af-fairs, America’s Physician Groups (APG); Former Group Director, Patient Care Model Group and BPCI Lead, Centers for Medicare and Medicaid Services, Washington, DC

11:15 am How to Use Episodes of Care Payments to Energize Provider Competition

Francois de Brantes, MBA, Senior Vice President, Signify Health; Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT

11:45 am Bundled Payment Co-chair Keynote Roundtable: A Lightning Round on the Hot Bundled Payment Issues of Today

Lili Brillstein, MPH, CEO, BCollaborative; Former Director, Episodes of Care, Horizon Healthcare Innovations, Horizon Blue Cross Blue Shield New Jersey; Member, CMS Advisory Panel on Oncology Bundles; Former Senior Director, Medicare & Retirement, UnitedHealthcare, Newark, NJ (Co-chair)

Gina Bruno, MBA, Vice President of Value-based Care, naviHealth, Boston, MA (Co-chair)

Pamela M. Pelizzari, MPH, Principal and Senior Healthcare Consultant, Milliman; Former Senior Technical Advisor and Program Lead, CMS, New York, NY (Co-chair)

Valinda Rutledge, MBA, Executive Vice President of Federal Af-fairs, America’s Physician Groups (APG); Former Group Director, Patient Care Model Group and BPCI Lead, Centers for Medicare and Medicaid Services, Washington, DC (Co-chair)

Francois de Brantes, MBA, Senior Vice President, Signify Health; Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT (Moderator)


DAY II MORNING MINI SUMMITS – GROUP III 10:00 am – 11:00 amMini Summit 9: The Role of Private Equity in Value-based Care

10:00 am Introductions, Discussion and Q&ARobert Galvin, MD, MBA, Operating Partner of Equity Healthcare, Blackstone; Former Executive Director of Health Services and Chief Medical Officer, General Electric, New York, NY

Christopher D. McFadden, Managing Director, KKR Credit; Former Partner, Health Evolution Partners; Former Managing Director, Goldman Sachs, San Francisco, CA

Ravi Sachdev, Partner, Clayton, Dubilier & Rice; Board, agilon health, Covetrus and naviHealth; Former Managing Director, Healthcare Coverage and Co-Head, Healthcare Services, JP Morgan, New York, NY

Thomas A. Scully, JD, General Partner, Welsh, Carson, Anderson & Stowe; Former Deputy Assistant to the President; Former Administrator, Centers for Medicare and Medicaid Services, Washington, DC


Mini Summit 10: Value-Based Reimbursement Operations & Preserving Revenue in an Increasingly Value-Based Reimbursement Environment

10:00 am Value-Based Reimbursement Operations: A Closed-Loop Ecosystem That Requires a Solid Back Office

Jeffrey D. Rivkin, CHRS, PAHM, CPEHR, CBIP, CCP, CDP, Research Director, IDC Health Insights; Assistant Professor, University of Maryland; Former Enterprise Architect, CareFirst Blue Cross/Blue Shield; Former Lead Data Architect, Magellan Health Services, Baltimore, MD

10:30 am Preserving Revenue in an Increasingly Value-Based Reimbursement Environment

Wren Keber, MBA, Managing Partner, Cardinal Consulting Group, Los Angeles, CA

Lisa Soroka, MA, Senior Executive Advisor, Cardinal Consulting Group, Redondo Beach, CA

Mini Summit 11: Foundations of Success across Multi-payer ACO Contracts & Building ACOs from Existing Value-based Programs

10:00 am Foundations of Success across Multi-payer ACO ContractsBradford Diephuis, MD MBA, Senior Advisor, Center for Medicare and Medicaid Innovation; Former Internal Medicine, Atrius Health Multispecialty Practice; Associate Vice President, Healthcare Growth and Solutions, Persistent Systems; Co-founder and CEO, Herald Health, Auburndale, MA

Julia Jezmir, MD, MBA, Associate Medical Director, VP of Digital Health, ConcertoCare, Brooklyn, NY

Joe Kimura, MD, Chief Medical Officer, Atrius Health Multispecialty Practice; Former Leader, Complete Care Program, Orange County, Southern California Permanente Medical Group, Auburndale, MA

10:30 am Building ACOs from Existing Value-based ProgramsJosh Hollander, Director, Health Solutions, FTI Consulting; Former Manager, Practice & Payment Transformation, CareFirst BlueCross BlueShield, Silver Spring, MD

11:00 am Transition Break and Visit Exhibit Hall


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DAY II AFTERNOON JOINT PLENARY SESSION1:00 pm Co-chair Welcome and Introduction

Mark Smith, MD, MBA, Founding President and Former CEO, California Health Care Foundation; Clinical Professor of Medicine, University of California, San Francisco; Attending Physician, Positive Health Program for AIDS Care, San Francisco General Hospital, Oakland, CA (Co-chair)

1:05 pm Implications of ONC Interoperability and Information Blocking Rules for Value-based Care

Alexander Baker, MPP, Senior Policy Advisor, Office of the National Coordinator for Health IT, U.S. Department of Health and Human Services, Baltimore, MD

Steven Posnack, MS, MHS, Deputy National Coordinator for Health Information Technology, US Department of Health and Human Services, Washington, DC

1:30 pm Implications of new Price Transparency Rules for Value-based Care

Niall Brennan, MPP, President & Chief Executive Officer, Health Care Cost Institute; Former Chief Data Officer, Centers for Medicare and Medicaid Services, Washington, DC

Interviewed by: Mara McDermott, JD, Vice President, McDermott+Consulting; Former Senior Vice President of Federal Affairs, America’s Physician Groups, Washington, DC

2:00 pm Employer Value-based Payment Case StudiesElizabeth Mitchell, President and Chief Executive Officer, Purchaser Business Group on Health (PBGH); SVP, Healthcare and Community Health Transformation, Blue Shield of California, San Francisco, CA

Interviewed by: Susan Dentzer, Visiting Fellow, Duke-Margolis Center for Health Policy; Former Editor in Chief, Health Affairs; Former Health Correspondent, PBS NewsHour, Washington, DC

2:30 pm Value-based Care: The Path Forward to 2030Ezekiel J. Emanuel, MD, Vice Provost for Global Initiatives, Diane V.S. Levy and Robert M. Levy University Professor, Co-Director, Health Transformation Institute and Chair, Department of Medical Ethics, University of Pennsylvania; Former Special Advisor, Office of Management and Budget (Obama), Philadelphia, PA

Rachel M. Werner, MD, PhD, Executive Director, Leonard Davis Institute of Health Economics, Robert D. Eilers Professor in Health Care Management and Economics, Professor of Medicine, University of Pennsylvania, Philadelphia, PA

Marc Rothman, MD, Chief Medical Officer, Signify Health; Founder, Dementia Spring Foundation, Louisville, KY (Moderator)



MINI SUMMIT GROUP IV 11:15 am – 12:15 pm

Mini Summit 12: Insights from Medicare Accountable Care Organizations’ Care Delivery Innovations & Employer Value-based Payment Initiatives

11:15 am Insights from Medicare Accountable Care Organizations’ Care Delivery Innovations

Sonya Streeter, MPP, MPH, Senior Researcher and Associate Director, Center on Health Care Effectiveness, Mathematica, Princeton, NJ

11:45 am Employer Value-based Payment InitiativesDylan Landers-Nelson, MPH, Director and Lead, Executive Committee on Value Purchasing, Business Group on Health, Washington, DC

Mini Summit 13: The Role that Bundled Payments Can Play in Primary Care and Population Health Models & Humana/Iora Health Medicare Advantage Capitation Case Study

11:15 am The Role that Bundled Payments Can Play in Primary Care and Population Health Models

George Beauregard, DO, Senior Vice President, Value-based Care & Chief Physician Executive, Catholic Health Services Long Island; Former Chief Physician Executive, St Luke’s Health Partners, Boise, ID

Gina Bruno, MBA, Vice President of Value-based Care, naviHealth, Boston, MA

Matthew M. McCambridge, MD, MHQS, FACP, FCCP, CPHQ, CPPS, Chief Quality and Patient Safety Officer, Lehigh Valley Health Network (LVHN), Allentown, PA

11:45 am Humana/Iora Health Medicare Advantage Capitation Case Study

Rushika Fernandopulle, MD, MPP, Co-Founder and Chief Executive Officer, Iora Health; First Executive Director, Interfaculty Program for Health Systems Improvement, Harvard University; Former Managing Director, Clinical Initiatives Center, Advisory Board Company, Boston, MA

William H. Shrank, MD, MSHS, Chief Medical Officer, Humana; Former Director of Evaluation, Innovation Center, Centers for Medicare and Medicaid Services, Louisville, KY

Mini Summit 14: Unlocking Real-Time Drug Therapy Opportunities to Achieve Better Outcomes at Lower Costs

11:15 am Welcome, Introductions, Discussion and Q&AAmanda Brummel, PharmD, BCACP, Vice President, Clinical Pharmacy Services, Fairview Pharmacy Services; Adjunct Professor, University of Minnesota, Minneapolis, MN

Daniel Rehrauer, PharmD, Senior Manager, Medication Therapy Management Program and Pharmacy Quality, HealthPartners, Minneapolis, MN

Katherine Herring Capps, President, Health2 Resources; Co-Founder & Executive Director, GTMRx Institute, Vienna, VA (Moderator)


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DAY II AFTERNOON CONCURRENT SESSIONSMACRA SUMMIT PLENARY SESSION 3:30 pm MACRA Keynote Address

Gerald E. Harmon, MD, President, American Medical Association; Former Chair and President, South Carolina Medical Association, Chicago, IL

4:00 pm MACRA Has Not Lived Up to Its Promise

Travis Broome, MPH, MBA, Senior Vice President for Policy and Economics, Aledade, Inc.; Former Regional Operations Manager, Centers for Medicare & Medicaid Services, Bethesda, MD

4:30 pm The (SGR) Fix is In: How MACRA Short-Circuited Incentives for Joining Two-Sided Models

Tim Gronniger, MPP, MHSA, President & Chief Executive Officer, Caravan Health; Former Deputy Chief of Staff, Centers for Medicare & Medicaid Services; Former Senior Adviser for Health Care Policy, White House Domestic Policy Council, Takoma Park, MD

5:00 pm Co-chair Keynote Roundtable: A Lightning Round on the Hot MACRA and Related Issues of Today

Paul N. Casale, MD, MPH, Executive Director, NewYork Quality Care, The ACO of New York Presbyterian Hospital, Columbia & Weill Cornell; Professor of Clinical Medicine, Weill Cornell Medicine; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC), New York, NY (Co-chair)John O’Shea, MPA, MD, Former Senior Fellow, Health Policy, Domestic Policy Studies, Heritage Foundation; Former Visiting Scholar, Engelberg Center for Health Care Reform, The Brookings Institution; Former Health Policy Advisor, US House Committee on Energy and Commerce, Washington, DC (Co-chair)Kavita Patel, MD, Nonresident Senior Fellow Brookings Institu-tion; Member, Physician-Focused Payment, Model Technical Advisory Committee (PTAC); Former Director of Policy, The White House (Obama); Former Senior Advisor, Senator Edward Kennedy, Washington, DC (Co-chair)David B. Muhlestein, PhD, JD, Chief Research Officer, Leavitt Partners, LLC; Visiting Policy Fellow, Margolis Center for Health Policy, Duke University; Visiting Fellow, Accountable Care Learning Collaborative, Washington, DC (Moderator)

5:45 pm Day II Adjournment


DAY II AFTERNOON MINI SUMMITS – GROUP V 3:30 pm – 4:30 pm Mini Summit 15: Prospective Payments for Episodes of Care

3:30 pm Welcome, Introductions, Discussion and Q&ALynn Garbee, MBA, Managing Director, Network Affordability Strategy, Cigna Healthcare; Former Director, Payment Policy, Oxford Health Plans, Bloomfield, CTKen Janda, JD, Founder and Managing Principal, Wild Blue Health Solutions, Houston, TXFrancois de Brantes, MBA, Senior Vice President, Signify Health; Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT (Moderator)

Mini Summit 16: Value-based Payment Models for Medical Products

3:30 pm Welcome, Introductions, Discussion and Q&AHarold Carter, PharmD, Vice President, Strategy and Contracting, Express Scripts, Saint Louis, MOGreg Daniel, MPH, PhD, Global Head, Public Policy, Eli Lilly; Editor-In-Chief, Therapeutic Innovation & Regulatory Science, Drug Information Association, Washington, DCVadim Lubarsky, MBA, Executive Director, CMS Policy and Reimbursement, Novartis; Former Director, HHS Engagement, GSK, Washington, DCAparna Higgins, MA, Senior Policy Fellow, Duke-Margolis Center for Health Policy; Former Senior Vice President, Private Market Innovations, Center for Policy and Research, America’s Health Insurance Plans(AHIP), Washington, DC (Moderator)

Mini Summit 17: The Future of Quality Measurement in APMs3:30 pm Welcome, Introductions, Discussion and Q&A

Maria Alexander, Senior Director, Population Health Clini-cal Operations and Government Channels, Mount Sinai Health Systems; Former Director, Division of Special Populations and Projects, Centers for Medicare & Medicaid Services, New York, NYAshley Ridlon, MSc, Vice President, Health Policy, Evolent Health; Former Care Transitions Field Director, Partnership for Patients, Center for Medicare & Medicaid Innovation, Washington, DCAisha T. Pittman, MPH, Vice President of Policy, Premier Inc.; Former Chief, Government Relations/Health Plan Quality and Performance, Maryland Health Care Commission, Washington, DC (Moderator)


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5:15 pm How to Deliver a Different Bundle in the Commercial Space through Patient Centered Care

Brittany Cunningham, MSN, RN, CSSBB, Senior Director, Episodes of Care, Office of Population Health, Vanderbilt University Medical Center, Nashville, TN Liam Woodard, MA, Assistant Director, Office of Value Transformation, Vanderbilt University Medical Center, Nashville, TNCary (CJ) Stimson MD, JD, Senior Vice President of Value Transformation, Chief Medical Officer, Office of Population Health, Assistant Professor, Department of Urology, Vanderbilt University Medical Center, Nashville, TN (Moderator)

Mini Summit 20: A New Model to Encourage the Move to Risk in Rural Communities & Value-based Care Strategies for Rural Areas

4:45 pm A New Model to Encourage the Move to Risk in Rural Communities

Tim Gronniger, MPP, MHSA, Chief Executive Officer, Caravan Health; Former Deputy Chief of Staff, Centers for Medicare & Medicaid Services; Former Senior Adviser for Health Care Policy, White House Domestic Policy Council, Takoma Park, MD

5:15 pm Value-based Care Strategies for Rural AreasBrad Smith, Founder and CEO, Russell Street Ventures; Former Director, Center for Medicare and Medicaid Innovation, Nashville, TN

5:45 pm Day II Adjournment


MINI SUMMITS GROUP VI 4:45 pm – 5:45 pmMini Summit 18: Technical Issues on Evaluating APMs

4:45 pm Welcome, Introductions, Discussion and Q&ANick Bluhm, MA, JD, Senior Director, Strategy and Government Policy, Signify Health; Former Litigation Attorney/Health Insurance Specialist, Department of Health and Human Services, Washington, DCHoangmai H. Pham, MD, MPH, President, Institute for Exceptional Care; Former Vice President, Provider Alignment Solutions, Anthem; Former Chief Innovation Officer, Center for Medicare and Medicaid Innovation, Washington, DCJeff Micklos, JD, Executive Director, Health Care Transformation Task Force; Former Executive Vice President, Management, Compliance, & General Counsel, Federation of American Hospitals; Former Regulatory Counsel, Health Care Financing Administration, Washington, DC (Moderator)

Mini Summit 19: Simplifying Bundled Payment Administration & How to Deliver a Different Bundle in the Commercial Space through Patient Centered Care

4:45 pm Simplifying Bundled Payment AdministrationTom Aubel, MBA, Senior Director, Medical Payment Strategy and Policy, UPMC Health Plan; Director, Managed Care Contracting, Heritage Valley Health System; Director of Managed Care Contracting, Mercy Health System, Pittsburg, PABill Nordmark, President and Chief Executive Officer, Aver Inc., Atlanta, GA

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DAY III: WEDNESDAY, SEPTEMBER 22, 2021DAY III MORNING CONCURRENT SESSIONS

MEDICAL HOME/ADVANCED PRIMARY CARE SUMMIT PLENARY SESSION 10:00 am CMS/CMMI Medical Home/Advanced Primary Care Keynote Address

Nicholas Minter, MPP, Director, Division of Advanced Primary Care, Centers for Medicare & Medicaid Services, US Department of Health and Human Services, Rockville, MD


10:45 am Roundtable on Primary Care Payment Reform and Greater Investment Will Lead to Higher Value

Asaf Bitton, MD, MPH, Practicing Primary Care Physician; Executive Director, Ariadne Labs; Senior Advisor, Primary Care, Center for Medicare and Medicaid Innovation; Associate Professor of Medicine, General Medicine, Brigham and Women’s Hospital, Boston, MA

Sinsi Hernández-Cancio, JD, Vice President, National Partnership for Women & Families; Former Director, Center on Health Equity Action for System Transformation, Families USA, Washington, DC

Christopher F. Koller, MA, President, Milbank Memorial Fund; Former Rhode Island Health Insurance Commissioner; Former CEO, Neighborhood Health Plan of Rhode Island, New York, NY

Peter Long, PhD, Executive Vice President, Strategy and Health Solutions, Blue Shield of California; Former President and CEO, Blue Shield of California Foundation, Menlo Park, CA

Ann Greiner, MA, President & Chief Executive Officer, Primary Care Collaborative; Former Vice President of Public Affairs, National Quality Forum, Washington, DC, (Moderator)

11:30 am Co-chair Keynote Roundtable: A Lightning Round on the Hot Medical Home Issues of Today

Rushika Fernandopulle, MD, MPP, Co-Founder and Chief Ex-ecutive Officer, Iora Health; First Executive Director, Interfaculty Program for Health Systems Improvement, Harvard University; Former Managing Director, Clinical Initiatives Center, Advisory Board Company, Boston, MA (Co-chair)

Ann Greiner, MA, President & Chief Executive Officer, Primary Care Collaborative; Former Vice President of Public Affairs, National Quality Forum, Washington, DC (Co-chair)

R. Shawn Martin, Chief Executive Officer & Executive Vice President, American Academy of Family Physicians; Former Director of Government Relations, American Osteopathic Association, Washington, DC (Co-chair)

Paul Grundy, MD, MPH, FACOEM, FACPM, Chief Transformation Officer, Innovaccer; Founding President, Primary Care Collaborative; President, GTMRx Institute; Former Chief Medical Officer, Healthcare and Life Sciences Industry, IBM, Hopewell Junction, NY (Moderator/Co-chair)


DAY III MORNING MINI SUMMITS – GROUP VII 10:00 am – 11:00 am

Mini Summit 21: Physician Leadership in Accountable Care Innovation

10:00 am Physician Leadership in Accountable Care InnovationPaul N. Casale, MD, MPH, Executive Director, NewYork Quality Care, The ACO of New York Presbyterian Hospital, Columbia & Weill Cornell; Professor of Clinical Medicine, Weill Cornell Medicine; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC), New York, NY

Steven Strongwater, MD, President and CEO, Atrius Health; Former Chief Transformation Officer, Geisinger Health System; Former CEO Stony Brook University Hospital, Boston, MA

S. Lawrence Kocot, JD, LLM, MPA, Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Former Senior Advisor to the Administrator, CMS, Washington, DC (Moderator)

Mini Summit 22: Physician Compensation in a Value-based Environment & How Physicians Describe the Influence of Pay for Performance on their Medical Decision Making

10:00 am Physician Compensation in a Value-based EnvironmentKevin J. Conroy, MS, Chief Financial Officer and Chief Population Health Officer, CareMount Medical ACO; President, HealthCare Partners IPA & MSO, Mount Kisco, NY

10:30 am How Physicians Describe the Influence of Pay for Performance on their Medical Decision Making

Beth Graefe, EdD, Senior Vice President, Vizent Inc.; General Manager, Excelerate (Cleveland Clinic Foundation and Vizient Joint Venture), Parker, CO

Mini Summit 23: Measuring and Acting on What Matters . . . and There’s the Rub & Full Integration of Medical and Social Services

10:00 am Population Health and Patient Health: Measuring What Matters

Lynn Ho, MD, Family Medicine Physician, North Kingstown Family Practice, North Kingstown, RI

John H. Wasson, MD, Emeritus Professor of Community and Family Medicine; Emeritus Professor of Medicine, Dartmouth Medical School, Hanover, NH

10:30 am The Key to Success in Value-Based Care: Full Integration of Medical and Social Services for Highest-need, Highest-cost Patients

Neil A. Solomon, MD, Co-founder and Chief Medical Officer, MedZed; Former VP, Quality, Blue Shield of California; Former VP and Senior Medical Director, Health Net, San Francisco, CA

Laurie Sprung, PhD, MPH, Executive Vice President, Product & Innovation, MedZed Physician Services; Former Senior Consultant, McKinsey, Portland, ME

11:00 am Transition Break and Visit Exhibit Hall


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MINI SUMMITS GROUP VIII 11:15 am – 12:15 pm

Mini Summit 24: Advanced Strategies in Negotiating Medicare Advantage Plan Provider Contacts & Behavioral Economics to Nudge the Medicare Advantage Population

11:15 am Advanced Strategies in Negotiating Medicare Advantage Plan Provider Contacts

Jeremy Earl, JD, Partner, McDermott Will & Emery, Washington, DC

Matthew J. Perreault, JD, Partner, McDermott, Will & Emery, Boston, MA

Tom Sass, MBA, Senior Director, Consumer Markets & Corporate Sales Operations, HealthNow New York Inc., Buffalo, NY

11:45 am Behavioral Economics to Nudge the Medicare Advantage Population

Kevin Volpp, MD, PhD, Founding Director, Center for Health Incentives and Behavioral Economics, Professor of Medicine, Division of Health Policy, Perelman School of Medicine; Professor of Health Care Management, Wharton School, University of Penn-sylvania; Co-founder and Principal, VAL Health, Philadelphia, PA

Mini Summit 25: Oncology Care Model 2.0: What Comes Next?

11:15 am Welcome, Introductions, Discussion and Q&ARon Kline, MD, Chief Medical Officer, US Office of Personnel Management (OPM); Former Clinical Lead, Oncology Care Model & Team Lead, Oncology Care First, CMMI, Washington, DC

Blasé N. Polite, MD, MPP, Professor of Medicine, Department of Medicine, Section of Hematology/Oncology, University of Chicago, Chicago, IL

Gabrielle Rocque, MD, Associate Professor, Divisions of Hematology & Oncology, University of Alabama at Birmingham; Associate Scientist, O’Neal Comprehensive Cancer Center, Birmingham, AL (Moderator)

Mini Summit 26: Leveraging AI/ML to Optimize Post-acute Utilization and Improve Outcomes

11:15 am Welcome, Introductions, Discussion and Q&ABianca Duff, MPH, PA-C, Senior Vice President, Clinical Operations/Population Health, Steward Health Care Network, Needham, MA

Thaddeus Fulford-Jones, PhD, Co-Founder and Chief Executive Officer, Radial Analytics, Concord, MA


DAY III AFTERNOON CONCURRENT SESSIONS

MEDICARE ADVANTAGE SUMMIT PLENARY SESSION1:00 pm CMS/CMMI Medicare Advantage Keynote Address

Meena Seshamani, MD, PhD, Director, Center for Medicare, Centers for Medicare & Medicaid Services, Washington, DC

Interviewed by: Valinda Rutledge, MBA, Executive Vice President of Federal Affairs, America’s Physician Groups (APG), Former Group Director, Patient Care Model Group and BPCI Lead, Centers for Medicare and Medicaid Services, Washington, DC

1:45 pm Provider Best Practices in HCC CodingStephen Greene, MBA, Chief Administrative Officer, ChenMed; Former Managing Director of Special Projects, Mid-Atlantic Permanente Medical Group, Miami Gardens, FL

Boris Vabson, PhD, Seidman Fellow, Department of Health Care Policy, Harvard Medical School; Visiting Scholar, UC Berkeley’s Haas School of Business and Washington University’s Envolve Center, Boston, MA

Aneesh Chopra, MPP, Co-Founder & President, CareJourney; Author, Innovative State; Assistant to the President and Chief Technology Officer, Executive Office of the President, Washington, DC (Moderator)

2:30 pm Co-chair Keynote Roundtable: A Lightning Round on the Hot Medicare Advantage Issues of Today

John B. Bulger, DO, MBA, Chief Medical Officer, Geisinger Health Plan; Chair, Board of Directors, Keystone ACO, Danville, PA (Co-chair)

John Gorman, Chairman, Nightingale Partners LLC; Founder and Former Executive Chairman, Gorman Health Group; Former Assistant to the Director, Office of Managed Care, HCFA, Washington, DC (Co-chair)

William H. Shrank, MD, MSHS, Chief Medical Officer, Humana; Former Director of Evaluation, Innovation Center, Centers for Medicare and Medicaid Services, Louisville, KY (Co-chair)




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AFTERNOON MINI SUMMITS – GROUP IX 1:00 pm – 2:00 pm

Mini Summit 27: Boeing Bundles Case Study

1:00 pm Welcome, Introductions, Discussion and Q&AHelen Macfie, PharmD, Chief Transformation Officer, MemorialCare Health System; Former VP, Performance Improvement, St. Joseph Hospital; Former Director, Quality Management, St. Mary Medical Center, Fountain Valley, CA

Neil Smithline, MD, Chief Medical Officer, EmsanaCare; Medical Director, Employers’ Center of Excellence Network, Pacific Business Group on Health, Sausalito, CA

Deirdre M. Baggot, PhD, Partner, Health & Life Sciences, Oliver Wyman; Former Senior Vice President, GE Healthcare Partners, Denver, CO (Moderator)

Mini Summit 28: Managing Risk when Beneficiaries are Assigned to Multiple APM Models

1:00 pm Welcome, Introductions, Discussion and Q&A Brede Eschliman, MPH, Medicare Director, Aurrera Health Group; Former CMMI Model Lead, Sacramento, CA

Meg Koepke, MHA, Vice President, Aurrera Health Group; Former CMMI Deputy Group Director, Minneapolis, MN

Melissa Cohen, JD, MPA, Vice President, Medicare, Aurrera Health Group; Former VP Payment Innovation and Strategy, Anthem Blue Cross Blue Shield; Former Director, Policy and Programs Group, Center of Medicare and Medicaid Innovation, Washington, DC (Moderator)

Mini Summit 29: Primary Care Hybrid Pay for Value Reimbursement Model

1:00 pm Primary Care Hybrid Pay for Value Reimbursement ModelNina Birnbaum, MD, Medical Director, Innovation Acceleration, Blue Shield of California; Former Medical Director, Primary Care, Sutter East Bay Medical Group, San Francisco, CA

Angela Chen, Actuarial Manager, Blue Shield of California, Torrance, CA

Laura Fox, MPH, Senior Manager of Payment Innovation, Blue Shield of California; Former Director, Office of Chronic Disease Prevention, Baltimore City Health Department, Torrance, CA

1:30 pm Preserving Access to Independent Primary Care for Medicare Beneficiaries Through Global Risk

Kevin Spencer, MD, Chairman, Premier Family Physicians; Chief Clinical Partner, agilon health, Former President, Premier ACO, Austin, TX

Steven Sell, MBA, Chief Executive Officer, agilon health; Former President, CEO and Chairman, Health Net (Centene subsidiary), Long Beach, CA

Bill Wulf, MD, Chief Executive Officer, Central Ohio Primary Care, Westerville, OH


MINI SUMMITS GROUP X 2:15 pm – 3:15 pm

Mini Summit 30: Applying Data Science to Drive Better Member Engagement and Experience & Developing Specialty Medical Homes

2:15 pm Applying Data Science to Drive Better Member Engagement and Experience

Stacy Coggeshall, MSN, MBA, Vice President, Risk Adjustment, Fallon Health; Former Vice President, Medicare Risk Adjustment, Iora Health, Natick, MA

David Pierre, MBA, Chief Operating Officer, Signify Health; Former Vice President, Pediatrics, Cerner Corporation, Dallas, TX

2:45 pm Developing Specialty Medical HomesLili Brillstein, MPH, Former Director, Episodes of Care, Horizon Healthcare Innovations, Horizon Blue Cross Blue Shield New Jersey; Member, CMS Advisory Panel on Oncology Bundles; Former Senior Director, Medicare & Retirement, UnitedHealthcare, Newark, NJ

Mini Summit 31: Savings from Biosimilar Adoption in VBC Models

2:15 pm Welcome, Introductions, Discussion and Q&ASibel Blau, MD, Partner and Medical Director, Northwest Medical Specialties; President and CEO, Quality Cancer Care Alliance Network, Puyallup, WA

Keely Eng Macmillan, MSPH, Senior Vice President, Policy & Solutions Management, Archway Health; Former Manager, Government Payment Policy, Partners HealthCare, Boston, MA

Mini Summit 32: Transformation Starts with C: As Primary Care Practices Work Towards more APMs across Payer Populations, Culture is the Cornerstone of any Transformation

2:15 pm Welcome, Introductions, Discussion and Q&AKelly B. Garrison, MBA, MHA, President & Chief Executive Officer, Emtiro Health; Executive Director, Northwest Community Care Network, Winston-Salem, NC

David Nace, MD, Chief Medical Officer, Innovaccer, San Francisco, CA


3:30 pm CMMI Listening Session II: Supporting Primary Care Practices in Value-Based Care: Improving Primary and Specialty Care Collaboration within Federal Initiatives

Moderators: Richard J. Baron, MD, President & CEO, ABIM Foundation, Former Medical Officer, Health Partners, Philadelphia, PA

Valinda Rutledge, MBA, Executive Vice President of Federal Affairs, APG; Former Group Director, Patient Care Model Group and BPCI Lead, Centers for Medicare and Medicaid Services, Washington, DC

5:00 pm Day III Adjournment


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DAY IV: THURSDAY, SEPTEMBER 23, 2021

JOINT CLOSING PLENARY SESSION10:00 am Welcome and Should We Throw the Baby out with the Bathwater?

Donald H. Crane, JD, President and Chief Executive Officer, America’s Physician Groups, Los Angeles, CA (Co-chair)

10:15 am Keynote: MedPAC Fireside ChatMichael E. Chernew, PhD, Leonard D. Schaeffer Professor of Health Care Policy, Department of Health Care Policy, and Direc-tor, Healthcare Markets and Regulation Lab, Harvard Medical School; Chair, MedPAC, Cambridge, MA

Interviewed by: Gail R. Wilensky, PhD, Senior Fellow, Project HOPE; First Chair, Medicare Payment Advisory Commission; Former Administrator, Health Care Finance Administration, Washington, DC

10:45 am Keynote Address: Mark McClellan, MD, PhD, Director, Robert J Margolis Center for Health Policy and Margolis Professor of Business, Medicine and Health Policy, Duke University; Co-chair, Health Care Payment Learning & Action Network; Former CMS Administrator and FDA Commissioner, Washington, DC

11:15 am Lessons Learned from 2020 Provide a Springboard for Increased Telehealth Adoption in Value-based Care

Joseph C. Kvedar, MD, Chair, American Telemedicine Association (ATA); Professor, Harvard Medical School; Senior Advisor, Virtual Care, Mass General Brigham; Editor In Chief, npj Digital Medicine, Boston, MA

11:45 am Panel: Payment Models Interaction/Overlap IssuesPatrick H. Conway, MD, MSc, Chief Executive Officer, Care Solutions at Optum; Former Chief Medical Officer, Deputy Admin-istrator, and Director, Center for Medicare & Medicaid Innovation, Department of Health and Human Services, Baltimore, MD

Joshua M. Liao, MD, MSc, FACP, Medical Director of Payment Strategy, Associate Professor of Medicine, and Director of the Value and Systems Science Lab, UW Medicine; Adjunct Senior Fellow, Leonard Davis Institute of Health Economics, Seattle, WA

Valinda Rutledge, MBA, Executive Vice President of Federal Affairs, APG; Former Group Director, Patient Care Model Group and BPCI Lead, Centers for Medicare and Medicaid Services, Washington, DC

Susan Dentzer, Visiting Fellow, Duke-Margolis Center for Health Policy; Former Editor in Chief, Health Affairs; Former Health Correspondent, PBS NewsHour, Washington, DC (Moderator)


CLOSING PLENARY SESSION CONTINUED

1:00 pm Advancing Health Equity in Value-based CareReed V. Tuckson, MD, FACP, Managing Director, Tuckson Health Connections, LLC; Former EVP & Chief of Medical Affairs, UnitedHealth Group; Former SVP, AMA; Former President, Charles R. Drew University of Medicine and Science; Former DC Commissioner of Public Health, Atlanta, GA

Interviewed by: Laurie Zephyrin, MD, MPH, MBA, Vice President for Advancing Health Equity, Commonwealth Fund; Former National Director, Reproductive Health Program; Former Acting Deputy Under Secretary for Health for Community Care, US Department of Veterans Affairs, New York, NY

1:30 pm The Road from Fee-for-Service to Capitation and What it Takes to Complete the Journey

Robert M. Pearl, MD, Author, Uncaring: How the Culture of Medicine Kills Doctors & Patients; Contributor, Forbes; Professor, Stanford University Graduate School of Business; Former Executive Director and CEO, The Permanente Medical Group, San Francisco, CA

2:00 pm Value-Based Payment 3.0: Patient-Centered Payments

Harold D. Miller, President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform, Pittsburgh, PA

2:30 pm The Role of Data and Interoperability in Implementing Value-based Payment Models

Aneesh Chopra, MPP, Co-Founder & President, CareJourney, Author, Innovative State; Assistant to the President and Chief Technology Officer, Executive Office of the President, Washington, DC

3:00 pm Roundtable on Paying for Value: Making Outcome Measures the North Star for Payment

Kate Goodrich, MD, SVP, Trend and Analytics, Humana; Former Chief Medical Officer and Director, Center for Clinical Standards and Quality, Centers for Medicare and Medicaid Services, Washington, DC

Aparna Higgins, MA, Senior Policy Fellow, Duke-Margolis Center for Health Policy; Former Senior Vice President, Private Market Innovations, Center for Policy and Research, America’s Health Insurance Plans(AHIP), Washington, DC

Rachel Sisodia, MD, Associate Medical Director for Patient Reported Outcomes, Massachusetts General Hospital; Assistant Professor of Obstetrics, Gynecology and Reproductive Endocrinology, Harvard Medical School, Boston, MA

Rachel Brodie, Senior Director, Measurement & Accountability, Purchaser Business Group on Health, San Francisco, CA (Moderator)

3:45 pm Roundtable on Integrating Social Determinants of Health into New Payment Models

Marion Everett Couch, MD, PhD, MBA, Senior Vice President and Chief Medical Officer, Cambia Health Solutions; Former Senior Medical Advisor, Office of the Administrator, Centers for Medicare & Medicaid Services; Former Chair, Indiana University Health Physician Board, Washington, DC

John Gorman, Chairman, Nightingale Partners LLC; Founder and Former Executive Chairman, Gorman Health Group; Former Assistant to the Director, Office of Managed Care, HCFA, Washington, DC

Alefiyah Mesiwala, MD, MPH, Chief Medical Officer, Government Business, Humana; Former Senior Medical Director for Innovation and Valued Based Care, UPMC Health Plan; Former Senior Policy Advisor for Health, White House, Pittsburgh, PA

Donald H. Crane, JD, President and Chief Executive Officer, America’s Physician Groups, Los Angeles, CA (Co-chair/Moderator)

4:30 pm SUMMIT ADJOURNMENT


Documents

Virtual Collocated Value-based Payment Summit