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.
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