AcademyHealth, with support from the Robert Wood Johnson Foundation, convened experts and practitioners for a one-and-a-half day meeting to share insights and lessons learned on a variety of payment and delivery system reform topics. The first day of the meeting focused on initiatives from across the country that have been successful in their implementation efforts, while the second day addressed emerging frontiers in payment and delivery system reform. The agenda and selected faculty presentations, listed by session, can be viewed below.

View the Agenda

Presentations:

Opening Plenary: Now That We Are Testing New Models, What Do We Need to Refine and Where Do we Need to Go Next?

Dana Safran, Blue Cross Blue Shield of Massachusetts


Breakout 1.1: Renovating the Medical Home: Lessons from Blue Cross Blue Shield of Michigan

Tom Leyden, Blue Cross Blue Shield of Michigan
Gregg Stefanek, Covenant Healthcare - Gratiot Family Practice


Breakout 1.2: Integrating Payment to Integrate Behavioral Health and Primary Care

Keith Gaither, TennCare
Patrick Gordon, Rocky Mountain Health Plans
Jeffery Howard, Cherokee Health Systems


Breakout 1.3: Appropriately Risk-adjusting Payment: What Two Alternative Approaches Have to Offer

Norbert Goldfield, 3M Health Information Systems
Gregory Pope, RTI International


Breakout 1.4: Successful Matchmaking: Patient Attribution

Diane Bechel Marriott, University of Michigan
Susan Pantely, Milliman
Greger Vigen, Independent Actuary


Breakout 2.1: Taking Episodes of Care to Scale: Considerations for Defining Structures and Payment

Lee Clark, Arkansas Department of Human Services
William Golden, Arkansas Department of Human Services
E.J. Shoptaw, General Dynamics Information Technology


Breakout 2.2: Exploring the Implementation Experience of Safety Net ACOs

Jaeson Fournier, West Side Community Health Services
Heather Petermann, Minnesota Department of Human Services
Patrick Schwartz, OptumInsight


Breakout 2.3: From Top to Bottom: Distributing the Payment Underneath the Payment

Dean Gruner, ThedaCare
Wells Shoemaker, Healthcare Consultant
John Walker, Cornerstone Health Enablement Strategic Solutions (CHESS)


Breakout 2.4: All About Data: Advancing the Transformation to Value through Clinical and Claims Data Integration

Joe Kimura, Atrius Health
Vivian Lee, University of Utah Health Care


Plenary 3: Establishing New Business Models to Succeed Under Reformed Payment

Joe Damore, Premier, Inc.
Joel Kaufman, Rhode Island Hospital and Warren Alpert Medical School of Brown University
Doug Ratner, Jersey City Medical Center


Plenary 4: Pushing the Boundaries of Payment and Delivery System Reform: Creating Models That Work for Providers, and That Can Move the Needle for All Patients

Karen Hacker, Allegheny County Health Department


Breakout 3.1: Its Not All About the Money: Designing Payment and Delivery System Change with the Provider in Mind

Larry Casalino, Weill Cornell Medical College
Franois de Brantes, Health Care Incentives Improvement Institute (HCI3)


Breakout 3.2: Improving Care for All Patients: Considerations for Risk-adjustment and an Early Look at New Efforts to Address Disparities through Refined Payment Methodologies and Delivery System Reforms

Kevin Fiscella, University of Rochester School of Medicine
Laurie Francis and Laura Sisulak, Oregon Primary Care Association


Breakout 3.3: Treating the Whole Patient: Addressing Social Determinants of Health

Manik Bhat, Healthify
Rachel Meeks Cahill, Benefits Data Trust
James Teufel, Mercyhurst University


Topic 3.4: Taking Payment Reform Global: How Marylands Hospital Rate Waiver Will Change Hospital Financial Incentives and Rewards through Global Budgeting

John Chessare, Greater Baltimore Medical Center
John Colmers, Johns Hopkins Medicine
David Louder, Carroll Health Group