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2010 Managed Healthcare Industry Forum Presents:
Health Plans Involvement in
Patient-Centered Medical Homes and ACOs
Monday, November 8, 2010 • New York City
Preliminary Agenda
7:00-8:00 Registration and Continental Breakfast
8:00-9:00 Morning Keynote Address: Can the Medical Home Model Transform Healthcare Delivery?
Health plans are playing a key role in the development of patient-centered medical homes – pioneering new provider reimbursement structures, bonus pools, care management programs and other incentives and innovations to help change provider practices. The goal is familiar: improved care at a lower cost. In this unique keynote address, you’ll learn why patient-centered medical homes – along with Accountable Care Organizations – may be the answer.
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Brian Ebersole
Chronic Care Project Manager
Pennsylvania Governor's Office of Health Care Reform
(View Biography) |
9:00-10:30 Roundtable Discussion: Medical Home Case Success Stories
Health plans are funding a wide variety of medical homes initiatives, and while it’s too early in most cases to measure return on investment, the initial results are promising. In this roundtable discussion, you’ll hear a frank assessment of what’s working and what isn’t as health plans ramp up medical home efforts. Learn about effective provider reimbursement structures, incentives that drive provider quality and efficiency, best practices for leveraging IT investment, and how to successful integrate disease management and wellness programs into medical homes.
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Andrea Galgay
Director, Practice Innovation, Provider Relations
Blue Cross Blue Shield of Rhode Island
(View Biography) |
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Robert J. Reid, M.D., PhD.
Associate Medical Director
Group Health
(View Biography) |
| Moderator: |
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Carl Mercurio
President and Managed Care Analyst
Corporate Research Group |
10:30-10:45 Coffee Break
10:45-12:00 Gaining Physician Buy-In – Key Incentives and Reimbursement Structures
The only way to drive the kind of practice transformation required to make medical homes a success is to move from the traditional fee-for-service payment model to a capitated approach. But it’s easier said than done. Moving to capitation requires sophisticated information systems and new skill-sets to help doctors manage risk. We’re not there yet – not by a long shot. On this panel, you’ll learn how health plans are slowly acclimating doctors to the capitated model – for example, paying a PMPM rate (above and beyond fee-for-service) to encouraging physicians to embrace care coordination for patients with chronic conditions in a medical home setting. Additional bonuses and pay-for-performance incentives aim to push physicians to improve outcomes.
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Lisa Sasko
Director of Clinical Transformation
Capital District Physicians Health Plan
(View Biography) |
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Christine Schon
Vice President, Community Group Practices
Dartmouth-Hitchcock
(View Biography) |
12:00-1:00 Lunch
1:00 – 2:00 Building the Medical Home: Partnerships and Collaborations
A successful medical home requires the collaboration of various key stakeholders in the local medical community. Ideally, a medical home should be multi-payer to ensure a complete transformation of payments, incentives and ultimately the physician practice itself. It should include care coordination experts and facilitate communication and connectivity between health plans, practices and hospitals. And most important it requires accountability. On this panel you’ll hear how health plans have successfully built multi-payer medical homes initiatives, funded the cost of care coordination personnel, and helped practices take the first steps to transforming into a full medical home.
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Donald Liss, M.D.
Senior Medical Director of Clinical Programs
Independence Blue Cross
(View Biography) |
2:00-2:45 Patient Quality and Health Outcomes
Learn how the medical home model has enhanced chronic disease management and improved health outcomes. The medical home model’s cohesive team of nurse managers, facilitated by electronic health records, allows healthcare practitioners to apply best practices to achieve optimal patient results. This panel will provide insight on the tools and strategies that improve patient care and reduce hospital cost.
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Thomas L. Simmer, M.D.
Sr. Vice President & Chief Medical Officer
Blue Cross Blue Shield of Michigan
(View Biography) |
2:45-3:30 The Physician Perspective: The Reality of the Medical Home
The medical home model requires nothing short of a complete transformation of the physician practice. Care coordination, NCQA accreditation, risk-based reimbursements, information technology investments, working collaboratively with health plans – these are just a sampling of what physicians must consider before beginning the transition to a medical home. On this panel, you’ll get the inside scoop on what physician practices really need to enjoy the benefits of a medical homes – and how they are responding to calls for a new approach to primary care.
3:30-4:00 Coffee Break
4:00-5:00 Outlook for Medical Homes
Corporate Research Group provides the highlights from its latest report on health plan involvement in medical homes and accountable care organizations.
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Alicia Chung
Senior Editorial Analyst
Corporate Research Group
(View Biography) |
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Carl Mercurio
President and Managed Care Analyst
Corporate Research Group |
Pricing
Pricing for this report is not yet available. Please check back soon for updates.
Team Discount:
Register 3 team members from the same organization at the same time and the 4th team member attends FREE! (Valid only at regular registration rate.)
Register Online or call 800-647-7600
Organized by:
Corporate Research Group has been serving the healthcare marketplace for 14 years as the industry's leading source for breaking news, strategic intelligence, market research and custom consulting.
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