Agenda Links: Preconference | Day 1
AGENDA: DAY II
FRIDAY, MARCH 2, 2018
7:30 am
Continental Breakfast
CLOSING PLENARY SESSION
8:00 am
Welcome and Introductions
Donald H. Crane, JD
President and Chief Executive Officer, America’s Physician Groups, Los Angeles, CA (Co-Chair)
President and Chief Executive Officer, America’s Physician Groups, Los Angeles, CA (Co-Chair)
Don Crane is the President and CEO of America’s Physician Groups, the nation’s leading professional association representing medical groups and independent practice associations practicing coordinated care. During his tenure, America’s Physician Groups has expanded from being a division of a regional hospital trade association consisting of 40 member groups to a national professional association consisting of nearly 300 physician organizations in 45 states, Washington, DC and Puerto Rico. Under Mr. Crane’s leadership, America’s Physician Groups has become a leading voice in federal and California advocacy.
Mr. Crane has served as corporate counsel for several major integrated health systems. He serves on the Board of Directors of the National Coalition on Health Care. He is also the Editor-in-Chief of the Journal of America’s Physician Groups, a magazine that reports on business trends, legislation, and industry initiatives impacting coordinated care.
Mr. Crane has served as corporate counsel for several major integrated health systems. He serves on the Board of Directors of the National Coalition on Health Care. He is also the Editor-in-Chief of the Journal of America’s Physician Groups, a magazine that reports on business trends, legislation, and industry initiatives impacting coordinated care.
Jeffrey A. Rideout, MD
President and Chief Executive Officer, Integrated Healthcare Association, Oakland, CA (Co-Chair)
President and Chief Executive Officer, Integrated Healthcare Association, Oakland, CA (Co-Chair)
Dr. Rideout is President and CEO of the Integrated Healthcare Association. Dr. Rideout holds academic appointments with Stanford University School of Medicine and University of California Berkeley Haas School of Business. He serves as an independent director for the Amedisys Corporation, is an independent director for privately held MatrixCare, was recently a Senior Advisor/EIR to GE Ventures, is Senior Advisor to the American Heart Association’s Worksite Wellness Initiative and frequently advises new health IT and digital health companies.
Previously Dr. Rideout served as Senior Medical Advisor for Covered California and was SVP, Chief Medical Officer for The TriZetto Group. Dr. Rideout also served as the global leader of the healthcare division for Cisco He also served as a member of the American Health Information Community’s Chronic Care Workgroup for the US Department of Health and Human Services under the direct leadership of Secretary Michael Leavitt.
Previously Dr. Rideout served as Senior Medical Advisor for Covered California and was SVP, Chief Medical Officer for The TriZetto Group. Dr. Rideout also served as the global leader of the healthcare division for Cisco He also served as a member of the American Health Information Community’s Chronic Care Workgroup for the US Department of Health and Human Services under the direct leadership of Secretary Michael Leavitt.
8:15 am
Keynote: Payment Reform from a National Perspective—A View from the CMS/CMMI Health Care Payment Learning and Action Network (LAN)
Mark D. Smith, MD, MBA
Clinical Faculty, University of California, San Francisco; Attending Physician, Positive Health Program for AIDS Care, San Francisco General Hospital; Co-Chair, Guiding Committee, Health Care Payment Learning and Action Network; Founding President and Chief Executive Officer, California Health Care Foundation, San Francisco, CA
Clinical Faculty, University of California, San Francisco; Attending Physician, Positive Health Program for AIDS Care, San Francisco General Hospital; Co-Chair, Guiding Committee, Health Care Payment Learning and Action Network; Founding President and Chief Executive Officer, California Health Care Foundation, San Francisco, CA
Mark Smith is a Professor of Clinical Medicine at the University of California at San Francisco and Visiting Professor at the School of Public Health at the University of California at Berkeley. He was Founding President of the California HealthCare Foundation and helped build the Foundation into a recognized leader in delivery system innovation, public reporting of care quality, and applications of new technology in health care. He was a 2014 Menschel Senior Policy Fellow at the Harvard School of Public Health.
Before CHCF, Dr. Smith was Executive Vice-President of the Henry J. Kaiser Family Foundation, was on the faculty at the Johns Hopkins Schools of Medicine and of Public Health, and directed the AIDS clinic there. Dr. Smith was elected to the Institute of Medicine in 2001. He chaired the IOM’s Committee on the Learning Healthcare System. A Board-certified internist, he maintains an active clinical practice in HIV care at Zuckerberg San Francisco General Hospital.
Before CHCF, Dr. Smith was Executive Vice-President of the Henry J. Kaiser Family Foundation, was on the faculty at the Johns Hopkins Schools of Medicine and of Public Health, and directed the AIDS clinic there. Dr. Smith was elected to the Institute of Medicine in 2001. He chaired the IOM’s Committee on the Learning Healthcare System. A Board-certified internist, he maintains an active clinical practice in HIV care at Zuckerberg San Francisco General Hospital.
8:45 am
Update on CMS/CMMI Value-Based Care Initiatives
Kate Goodrich, MD
Chief Medical Officer and Director, Center for Clinical Standards and Quality Centers for Medicare and Medicaid Services, Washington, DC
Chief Medical Officer and Director, Center for Clinical Standards and Quality Centers for Medicare and Medicaid Services, Washington, DC
Dr. Kate Goodrich joined the Centers for Medicare and Medicaid Services in September 2011 where she serves as the Director of the Center for Clinical Standards & Quality (CCSQ) and CMS Chief Medical Officer. This Center is responsible for over 20 quality measurement and value-based purchasing programs, implementation of the new Merit-based Incentive Payment System and the Improving Medicare Post-Acute Care Transformation Act, quality improvement programs in all 50 states, clinical standards and survey and certification of all providers across the nation, and all coverage decisions for treatments and services for CMS.
9:15 am
Alternative Payment Models in 2018 — Is the Glass Half Full or Half Empty?
Francois de Brantes, MBA
Vice President and Director, Center for Value in Health Care, Altarum; Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT
Vice President and Director, Center for Value in Health Care, Altarum; Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT
François de Brantes is Vice President and Director of Altarum’s Center for Value in Health Care, whose mission is to create a high value, sustainable and equitable health care system through payment and health benefits innovation, behavioral incentives to promote health, and consumer engagement; and to advocate for broad system change and conduct research on effective ways to bring about that change. Prior to that Mr. de Brantes was the Executive Director of the Health Care Incentives Improvement Institute and a Program Leader in GE’s Corporate Health Care department, where he led the development and implementation of Bridges To Excellence and PROMETHEUS Payment. Mr. de Brantes has been published in peer-reviewed journals such as The New England Journal of Medicine, JAMA, and Health Affairs. He has published two books, the latest being “The Incentive Cure: The Real Relief For Health Care.”
9:45 am
What to Expect in the Future for Government Programs, Medicare, Medicaid and the ACA Marketplaces
J. Mario Molina, MD
President, Golden Shore Medical Group; Former President and Chief Executive Officer, Molina Healthcare, Inc., South Pasadena, CA
President, Golden Shore Medical Group; Former President and Chief Executive Officer, Molina Healthcare, Inc., South Pasadena, CA
Dr. Molina is the president of the Golden Shore Medical Group and former CEO of Molina Healthcare. Dr. Molina earned his bachelor’s degree from California State University, Long Beach and his medical degree from USC. He performed his medical training at the Johns Hopkins Hospital and his fellowship in endocrinology at UCSD. He obtained a certificate in executive management from the Anderson school at UCLA. He has an honorary doctorate from the Claremont Graduate School. He is a board member of the Aquarium of the Pacific, an Overseer of the Huntington Library, a Curator of the Osler Library at McGill University and a trustee of Johns Hopkins Medicine.
10:15 am
Transition Break
10:30 am
The Role of Analytics, Big Data and Technology in Value-Based Care
Bill Gil, MBA
Consultant; Former Chief Executive Officer, Providence Health Network, Southern California; Former Chief Executive Officer, Facey Medical Foundation, Los Angeles, CA
Consultant; Former Chief Executive Officer, Providence Health Network, Southern California; Former Chief Executive Officer, Facey Medical Foundation, Los Angeles, CA
Bill Gil is a Healthcare Consultant providing strategic, managed care and operational advice to leading healthcare institutions. Bill retired in 2017 as President and Chief Executive Officer, Providence Southern California Medical Foundations, leading the two Providence medical foundations: Facey Medical Foundation and Providence Medical Institute (total 400 physicians and a patient population of 300,000 patients).
Bill is the former CEO of Facey Medical Foundation, a nonprofit medical foundation that manages Facey Medical Group, a 200-physician medical group. Providence and Facey formed an affiliation in 2012.
Bill is focused on growing both physician foundations while enhancing a commitment to clinical excellence through shared records and expert-to-expert collaboration. Bill also teaches at the University of Southern California (USC), in the Master’s Program.
Bill is the former CEO of Facey Medical Foundation, a nonprofit medical foundation that manages Facey Medical Group, a 200-physician medical group. Providence and Facey formed an affiliation in 2012.
Bill is focused on growing both physician foundations while enhancing a commitment to clinical excellence through shared records and expert-to-expert collaboration. Bill also teaches at the University of Southern California (USC), in the Master’s Program.
Sean Cavanaugh, MD
Chief Administrative and Performance Officer, Aledade; Former Deputy Administrator and Director, Center for Medicare, Centers for Medicare and Medicaid Services, Washington, DC
Chief Administrative and Performance Officer, Aledade; Former Deputy Administrator and Director, Center for Medicare, Centers for Medicare and Medicaid Services, Washington, DC
Sean Cavanaugh is the Chief Administrative and Performance Officer of Aledade, a start-up aimed at helping primary care doctors form accountable care organizations (ACOs). Until 2017, he was the Deputy Administrator and Director of the Center for Medicare at the Centers for Medicare & Medicaid Services.
Before assuming his leadership role at Medicare, Mr. Cavanaugh was the Deputy Director for Programs and Policy in the CMS Center for Medicare and Medicaid Innovation. Previously, Mr. Cavanaugh was director of health care finance at the United Hospital Fund in New York City and served in senior positions at Lutheran Healthcare (Brooklyn, NY), the New York City Mayor’s Office of Health Insurance Access, and the Maryland Health Services Cost Review Commission. He started his career on Capitol Hill working for a Representative serving on the House Ways and Means Health Subcommittee.
Before assuming his leadership role at Medicare, Mr. Cavanaugh was the Deputy Director for Programs and Policy in the CMS Center for Medicare and Medicaid Innovation. Previously, Mr. Cavanaugh was director of health care finance at the United Hospital Fund in New York City and served in senior positions at Lutheran Healthcare (Brooklyn, NY), the New York City Mayor’s Office of Health Insurance Access, and the Maryland Health Services Cost Review Commission. He started his career on Capitol Hill working for a Representative serving on the House Ways and Means Health Subcommittee.
Indu Subaiya, MD, MBA
Health 2.0 Executive Vice President, HIMSS; Former Co-Chairman and Chief Executive Officer, Health 2.0, Los Angeles, CA (Moderator)
Health 2.0 Executive Vice President, HIMSS; Former Co-Chairman and Chief Executive Officer, Health 2.0, Los Angeles, CA (Moderator)
Indu Subaiya is the Health 2.0 Executive Vice President of HIMSS. She co-founded and served as CEO of Health 2.0 until it was acquired by HIMSS. Indu is a passionate advocate for an end to healthcare disparities and increased diversity across the leadership ranks of the industry.
She has worked with the Robert Wood Johnson, World Bank/International Finance Corporation, the New York City Economic Development Corporation and the California Health Care Foundation. In 2013, FierceHealthIT named Indu one of Health Information Technology’s Most Influential Women.
Prior to founding Health 2.0, Indu was Entrepreneur-in-Residence at Physic Ventures, Vice President of Healthcare and Biomedical Research at Gerson Lehman Group and Director of Outcomes Research at Quorum Consulting, Inc. She has served as Vice President of the Society for Participatory Medicine and on advisory committees of the Department of Health and Human Services and National Health Data Consortium.
She has worked with the Robert Wood Johnson, World Bank/International Finance Corporation, the New York City Economic Development Corporation and the California Health Care Foundation. In 2013, FierceHealthIT named Indu one of Health Information Technology’s Most Influential Women.
Prior to founding Health 2.0, Indu was Entrepreneur-in-Residence at Physic Ventures, Vice President of Healthcare and Biomedical Research at Gerson Lehman Group and Director of Outcomes Research at Quorum Consulting, Inc. She has served as Vice President of the Society for Participatory Medicine and on advisory committees of the Department of Health and Human Services and National Health Data Consortium.
11:15 am
MACRA Implementation Update
Barbara L. McAneny, MD, FASCO, MACP
Board-Certified Medical Oncologist/Hematologist; Co-Founder and Managing Partner, New Mexico Oncology Hematology Consultants Ltd.; President-Elect, American Medical Association, Albuquerque, NM
Board-Certified Medical Oncologist/Hematologist; Co-Founder and Managing Partner, New Mexico Oncology Hematology Consultants Ltd.; President-Elect, American Medical Association, Albuquerque, NM
Barbara L. McAneny is a board-certified medical oncologist/hematologist. She is president-elect of the American Medical Association, served on the AMA Board of Trustees, has been a member of the American Society of Clinical Oncology (ASCO) Board of Directors, president of the New Mexico Medical Society (NMMS), president of the Greater Albuquerque Medical Association, and president of the New Mexico Chapter of the American College of Physicians. Currently Dr. McAneny chairs the board of the National Cancer Care Alliance.
In 2012 Dr. McAneny received a $19.8 million award from the Centers for Medicare & Medicaid Innovation to test how oncology private practices could provide cancer patients better care at a lower cost. This award, called COME HOME (for Community Oncology Medical Home), later helped form Medicare’s Oncology Care Model. Innovative Oncology Business Solutions Inc., the company she created to manage the award, is now assisting physician practices, in collaboration with ASCO, in developing the process changes needed for MACRA.
In 2012 Dr. McAneny received a $19.8 million award from the Centers for Medicare & Medicaid Innovation to test how oncology private practices could provide cancer patients better care at a lower cost. This award, called COME HOME (for Community Oncology Medical Home), later helped form Medicare’s Oncology Care Model. Innovative Oncology Business Solutions Inc., the company she created to manage the award, is now assisting physician practices, in collaboration with ASCO, in developing the process changes needed for MACRA.
11:45 am
Medicare Advantage Update
John Gorman
Founder and Executive Chairman, Gorman Health Group; Former Assistant to the Director, Office of Managed Care, HCFA, Washington, DC
Founder and Executive Chairman, Gorman Health Group; Former Assistant to the Director, Office of Managed Care, HCFA, Washington, DC
John Gorman is Founder and Executive Chairman at Gorman Health Group (GHG). In this role, he has led the development of the industry’s leading consulting practice and several entrepreneurial ventures in government health programs. John’s work focuses on Medicare, Medicaid, and Affordable Care Act strategy, governance, and turnaround of distressed health plans.
Prior to founding the firm in 1996, John served as Assistant to the Director of Health Care Financing Administration’s Office of Managed Care, where he provided day-to-day management and served as the external liaison for the Medicare and Medicaid managed care programs. During the 1993 debate on national healthcare reform, John was chief lobbyist on healthcare financing issues for the National Association of Community Health Centers, an organization of federally-funded primary care clinics for the medically underserved. John’s career in Washington began as Press Secretary and Staff Director for U.S. Representative John Conyers, Jr. (D-MI), then-Chairman of the Government Operations Committee.
Prior to founding the firm in 1996, John served as Assistant to the Director of Health Care Financing Administration’s Office of Managed Care, where he provided day-to-day management and served as the external liaison for the Medicare and Medicaid managed care programs. During the 1993 debate on national healthcare reform, John was chief lobbyist on healthcare financing issues for the National Association of Community Health Centers, an organization of federally-funded primary care clinics for the medically underserved. John’s career in Washington began as Press Secretary and Staff Director for U.S. Representative John Conyers, Jr. (D-MI), then-Chairman of the Government Operations Committee.
12:15 pm
Co-Chairs Closing Comments
Donald H. Crane, JD
President and Chief Executive Officer, America’s Physician Groups, Los Angeles, CA (Co-Chair)
President and Chief Executive Officer, America’s Physician Groups, Los Angeles, CA (Co-Chair)
Don Crane is the President and CEO of America’s Physician Groups, the nation’s leading professional association representing medical groups and independent practice associations practicing coordinated care. During his tenure, America’s Physician Groups has expanded from being a division of a regional hospital trade association consisting of 40 member groups to a national professional association consisting of nearly 300 physician organizations in 45 states, Washington, DC and Puerto Rico. Under Mr. Crane’s leadership, America’s Physician Groups has become a leading voice in federal and California advocacy.
Mr. Crane has served as corporate counsel for several major integrated health systems. He serves on the Board of Directors of the National Coalition on Health Care. He is also the Editor-in-Chief of the Journal of America’s Physician Groups, a magazine that reports on business trends, legislation, and industry initiatives impacting coordinated care.
Mr. Crane has served as corporate counsel for several major integrated health systems. He serves on the Board of Directors of the National Coalition on Health Care. He is also the Editor-in-Chief of the Journal of America’s Physician Groups, a magazine that reports on business trends, legislation, and industry initiatives impacting coordinated care.
Jeffrey A. Rideout, MD
President and Chief Executive Officer, Integrated Healthcare Association, Oakland, CA (Co-Chair)
President and Chief Executive Officer, Integrated Healthcare Association, Oakland, CA (Co-Chair)
Dr. Rideout is President and CEO of the Integrated Healthcare Association. Dr. Rideout holds academic appointments with Stanford University School of Medicine and University of California Berkeley Haas School of Business. He serves as an independent director for the Amedisys Corporation, is an independent director for privately held MatrixCare, was recently a Senior Advisor/EIR to GE Ventures, is Senior Advisor to the American Heart Association’s Worksite Wellness Initiative and frequently advises new health IT and digital health companies.
Previously Dr. Rideout served as Senior Medical Advisor for Covered California and was SVP, Chief Medical Officer for The TriZetto Group. Dr. Rideout also served as the global leader of the healthcare division for Cisco He also served as a member of the American Health Information Community’s Chronic Care Workgroup for the US Department of Health and Human Services under the direct leadership of Secretary Michael Leavitt.
Previously Dr. Rideout served as Senior Medical Advisor for Covered California and was SVP, Chief Medical Officer for The TriZetto Group. Dr. Rideout also served as the global leader of the healthcare division for Cisco He also served as a member of the American Health Information Community’s Chronic Care Workgroup for the US Department of Health and Human Services under the direct leadership of Secretary Michael Leavitt.
12:30 pm
Adjournment
Agenda Links: Preconference | Day 1