Moving to High Value Provider Networks

A Call to Action

Friday December 8th, 2017 at 7:00 am - 4:00 pm.

Delamar Hotel West Hartford

1 Memorial Drive, West Hartford, CT


Connecticut Joint Replacement Institute

The Connecticut Joint Replacement Institute is a service line at Saint Francis Hospital and Medical Center, a member of Trinity Health Of New England. Trinity Health is one of the largest Catholic health care systems in the United States. CJRI is an internationally recognized value-driven healthcare model. CJRI has performed over 28,000 procedures since 2007.

Connecticut Health Council

The Connecticut Health Council is a network of health sector leaders who work together to promote Connecticut as a premier center of health excellence. With that network, the Council supports the development of businesses, initiatives, and technology that enhance health and wellness on a national basis and thereby drive economic and employment growth in Connecticut.

Connecticut Business Group on Health

Connecticut Business Group on Health is an employer advocacy group using our combined leverage to make an impact on the quality and cost of delivery of healthcare in Connecticut.

Agenda


Moderator
Margaret M. Flinter, APRN, PhD, FAAN, FAANP, c-FNP

Senior Vice President and Clinical Director, Community Health Center, Inc.
Founder Emeritus, Weitzman Institute, Community Health Center, Inc.
7:00 - 8:00 am Breakfast and Registration - December 8, 2017  
8:00 - 8:10 am

Welcome

"Start with Why"

Steve Schutzer, M.D.

Physician Executive
The Connecticut Joint Replacement Institute

8:10 - 8:50 am Keynote
Moving to High Value Provider Networks:
Lessons from Across the US

Suzanne Delbanco

Executive Director
Catalyst for Payment Reform

8:50 - 9:20 am How Providers are Selected and What are the Right Incentives
to Ensure they Continue to Offer High-Value Care?

Mai Pham, M.D.

Vice President of Provider Alignment Solutions
Anthem

9:20 - 9:50 am What are the Essential Incentives to Drive
Consumers to High-Value Networks?

Jeff Levin-Scherz, M.D. MBA

North American Co-Leader

Health Management Practice

Willis Towers Watson

9:50 - 10:10 am Break  
10:10 - 10:50 am Keynote
Value-Based Insurance Design
Influencing Patients to Choose Wisely

Mark Fendrick, M.D.

University of Michigan (VBID Founder)

10:50 - 11:20 am

Our Experience with High Value Provider Networks:
The Ends Justify the Means

Robert Ihrie

(Former) Senior Vice President of Total Rewards
Lowes

11:20 am - 12:05 pm Obstacles to Developing High Value Networks

(Payor) Stephen Farrell

Chief Executive Officer of United Healthcare New England


(Provider) Joseph P. Iannotti, M.D., PhD

Cleveland Clinic


(Employer) Tom Ellis, MBA, CCP, PHR

The Jackson Laboratory 

12:05 - 1:00 pm Networking Lunch  
1:00 - 2:00 pm Multi-stakeholder Group Sessions
"Overcoming the Obstacles"

François de Brantes

Vice President and Director

Altarum Institute | Center for Payment Innovation


Jill Hummel

President & General Manager

Anthem BCBS of Connecticut


Tina Morey

Director of Value-Based Contracting

Aetna

2:00 - 2:20 pm Break  
2:20 - 3:05 pm Report Out from Group Sessions

Table Leaders

3:05 - 4:00 pm Next Steps
Closing

Margaret Flinter, APRN, PhD, FAAN, FAANP, c-FNP


Moderator

Margaret Flinter, APRN, PhD, FAAN, FAANP, c-FNP

Senior Vice President and Clinical Director
Community Health Center, Inc.

Founder Emeritus, Weitzman Institute
Community Health Center, Inc.

Dr. Margaret. Flinter is the Senior VP and Clinical Director of the Community Health Center, Inc., (CHCI) a statewide federally qualified health center serving 150,000 patients from its primary care centers across Connecticut. A family nurse practitioner since 1980, she has held progressive roles in the organization as CHCI transformed from a free clinic to one of the country’s largest and most innovative FQHCs. In 2005, she founded CHCI’s Weitzman Center for Innovation, now the Weitzman Institute. Margaret also serves as the national co-director of the Robert Wood Johnson Foundation’s Primary Care Teams. She has led the development of a model of post-graduate residency training programs for new nurse practitioners and established the National Nurse Practitioner Residency and Fellowship Training Consortium. Since 2009, she has co-hosted a weekly radio show, “Conversations on Health Care”, which connects people with issues of health policy, reform, and innovation. Margaret received her BSN from the University of Connecticut, her MSN from Yale University, and her PhD at the University of Connecticut. She is a fellow of the American Academy of Nursing and the American Academy of Nurse Practitioners, and an alumna of both the National Health Service Corps Scholars and the Robert Wood Johnson Executive Nurse Fellows Programs.


Keynote Speakers

Suzanne F. Delbanco, PhD

Executive Director
Catalyst for Payment Reform

Contact

Suzanne F. Delbanco is the executive director of Catalyst for Payment Reform, an independent, non-profit corporation working to catalyze employers, public purchasers, and others to implement strategies that produce higher-value health care and improve the functioning of the health care marketplace. In addition to her duties at CPR, Suzanne serves on the advisory board of the Blue Cross Blue Shield Institute and participates in the Healthcare Executives Leadership Network. Previously, Suzanne was the founding CEO of The Leapfrog Group. Suzanne holds a Ph.D. in Public Policy from the Goldman School of Public Policy and an M.P.H. from the School of Public Health at the University of California, Berkeley.

Dr. A. Mark Fendrick, M.D.

University of Michigan
(VBID founder)

Contact

A. Mark Fendrick, M.D. is a Professor of Internal Medicine in the School of Medicine and a Professor of Health Management and Policy in the School of Public Health at the University of Michigan. Dr. Fendrick received a bachelor’s degree in economics and chemistry from the University of Pennsylvania and his medical degree from Harvard Medical School. He completed his residency in internal medicine at the University of Pennsylvania where he was a fellow in the Robert Wood Johnson Foundation Clinical Scholars Program. Dr. Fendrick conceptualized and coined the term Value-Based Insurance Design (V-BID) and currently directs the V-BID Center at the University of Michigan [www.vbidcenter.org], the leading advocate for development, implementation, and evaluation of innovative health benefit plans. His research focuses on how clinician payment and consumer engagement initiatives impact access to care, quality of care, and health care costs. Dr. Fendrick has authored over 250 articles and book chapters and has received numerous awards for the creation and implementation of value-based insurance design. His perspective and understanding of clinical and economic issues have fostered collaborations with numerous government agencies, health plans, professional societies, and health care companies. Dr. Fendrick is an elected member of the National Academy of Medicine (formerly IOM), serves on the Medicare Coverage Advisory Committee, and has been invited to present testimony before the U.S. Senate Committee on Health, Education, Labor and Pensions, the U.S. House of Representatives Ways and Means Subcommittee on Health, and the U.S. Senate Committee on Armed Services Subcommittee on Personnel. Dr. Fendrick is the co-editor in chief of the American Journal of Managed Care and is an editorial board member for 3 additional peer-reviewed publications. He is also a member of the Institute for Healthcare Policy and Innovation at the University of Michigan, where he remains clinically active in the practice of general internal medicine.




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