accountable care conference
accountable care conference
accountable care conference
accountable care conference
accountable care conference
accountable care conference



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National Accountable Care Congress
Agenda: Day III

Wednesday, November 18, 2015

8:00 am
Registration Opens
CLOSING PLENARY SESSION
9:00 am

A Dialogue on Accountable Care in California: Lessons Learned and Implications for the Future

Mark McClellan, MD, PhD
Senior Fellow in Economic Studies and Director, Initiatives on Value and Innovation in Health Care, The Brookings Institution; Former CMS Administrator and FDA Commissioner, Washington, DC (Moderator)

    Speaker Bio

    Senior fellow and director of the Health Care Innovation and Value Initiative at the Brookings Institution. Within Brookings, his work focuses on promoting quality and value in patient centered health care.

    A doctor and economist by training, he also has a highly distinguished record in public service and in academic research. Dr. McClellan is a former administrator of the Centers for Medicare & Medicaid Services (CMS) and former commissioner of the U.S. Food and Drug Administration (FDA), where he developed and implemented major reforms in health policy. These include the Medicare prescription drug benefit, the FDA's Critical Path Initiative, and public-private initiatives to develop better information on the quality and cost of care. Dr. McClellan chairs the FDA's Reagan-Udall Foundation, is co-chair of the Quality Alliance Steering Committee, sits on the National Quality Forum's Board of Directors, is a member of the Institute of Medicine, and is a research associate at the National Bureau of Economic Research. He previously served as a member of the President's Council of Economic Advisers and senior director for health care policy at the White House, and was an associate professor of economics and medicine at Stanford University.
Donald H. Crane, JD
President and Chief Executive Officer, CAPG, Los Angeles, CA

    Speaker Bio

    Mr. Crane is President and CEO of CAPG, the nation's only professional association that exclusively represents capitated, coordinated care organizations, and is a leading voice promoting the interests of physicians practicing accountable care across the nation. CAPG consists of over 180 multi-specialty medical groups and IPAs that provide medical care to over 16 million patients across 31 states and Puerto Rico.

    CAPG is in the forefront of public policy advocacy on behalf of accountable care organizations. CAPG also serves as a key communication conduit between health care plans and their physician networks within the delegated model of delivery, and provides a collaborative forum for benefit design, product design, and other strategic initiatives.

    Mr. Crane is a member of the UCLA Health Services Professional Advisory Council. He is also the Editor-in-Chief of the CAPG Health, a California magazine that reports on business trends, legislation, and industry initiatives impacting on coordinated care. He is a member of the Board of Directors of Northridge Hospital Medical Center.

    Mr. Crane received his B.A. from the University of California at Berkeley and his J.D. from Loyola University of Los Angeles.
Jeffrey A. Rideout, MD
President and Chief Executive Officer, Integrated Healthcare Association, Oakland, CA

    Speaker Bio

    Dr. Rideout was recently appointed as President and CEO of the Integrated Healthcare Association. He also serves as a Senior Advisor to GE Ventures, focusing on new business development related to Digital Health and Digital Therapeutics. Dr. Rideout holds academic appointments with Stanford University and University of California Berkeley Haas School of Business, teaching on topics related to healthcare technology, services and investment. Previously Dr. Rideout served as the Senior Medical Advisor for Covered California. In this role he was responsible for quality and network management and all physician and hospital relations. He also served as SVP, Chief Medical Officer for The TriZetto Group, leading strategy around development and delivery of a comprehensive suite of products and services that enable payers, providers and employers improve the cost and quality of care for consumers.
    Presentation Material (Acrobat)
9:30 am

Plenary Panel #1: State Innovations in Population Health

Matt Salo
Executive Director, National Association of Medicaid Directors, Washington, DC (Moderator)

    Speaker Bio

    Matt Salo was named Executive Director of the National Association of Medicaid Directors (NAMD) in February 2011. The newly formed association represents all 56 of the nation's state and territorial Medicaid Directors, and provides them with a strong unified voice in national discussions as well as a locus for technical assistance and best practices.

    Matt formerly spent 12 years at the National Governors Association, where he worked on the Governors' health care and human services reform agendas, and spent the 5 years prior to that as a health policy analyst working for the state Medicaid Directors as part of the American Public Human Services Association.

    Matt also spent two years as a substitute teacher in the public school system in Alexandria, VA, and holds a BA in Eastern Religious Studies from the University of Virginia.
Marc Berg, MD, PhD
Principal and National Lead of Government Healthcare Transformation, KPMG; Former Professor in Health Policy and Management, Erasmus University, Rotterdam, Washington, DC

    Speaker Bio

    Marc Berg leads KPMG's national Government Health Care Transformation group, and is Global Center of Excellence member for Outcome Measurement and Payment Reform. He pioneered the introduction of measuring value of care for defined populations, working for governments and payers, building upon an integrated set of claims data, patient-reported outcome measures and clinical data. He has developed and helped implement several national delivery- and payment reform programs for governments and commercial payers, including New York State. He is a former Professor of Health Policy and Management and has published widely on health care information management, quality management and payment reform.
Susan E. Birch, MBA, BSN, RN
Executive Director, Colorado Department of Health Care Policy and Financing, Denver, CO

    Speaker Bio

    As Executive Director, Sue Birch oversees the operations and strategic direction of the Department of Health Care Policy and Financing. The Department is the single state agency administering Colorado Medicaid and the Child Health Plan Plus (CHP+) program. Birch was appointed by Governor Hickenlooper in January 2011. Director Birch directs the Department's efforts to improve the health of Medicaid and CHP+ clients and increase access to care across the state while containing costs.

    Under Birch's leadership, the Department has been awarded numerous grants and performance bonuses, including the highest bonus of any state in 2012 and 2013 in recognition for its innovation and modernization of eligibility and enrollment systems by the Centers for Medicare and Medicaid Services. Director Birch is also leading the implementation of federal and state health care reform, while working with stakeholders to integrate care across the continuum and transform the Department's health care delivery systems.
Jeanene Smith, MD, MPH
Principal, Health Management Associates; Former Chief Medical Officer, Oregon Health Authority, Portland, OR

    Speaker Bio

    Dr. Jeanene Smith, Health Management Associates, has fifteen years of experience developing major health policy initiatives in Oregon. As the Chief Medical Officer for the Oregon Health Authority, the state agency that purchases healthcare for one in four Oregonians and coordinates behavioral and population health efforts statewide, she provided clinical guidance for agency and statewide efforts to implement and spread Oregon's coordinated care model across the delivery system. A graduate of Oregon Health Sciences University School of Medicine and a Family Medicine residency at Jefferson University in Philadelphia, Dr. Smith has a Masters in Public Health from Portland State University.
10:15 am

Plenary Panel #2: Payer/Provider Partnerships and Efforts to Scale Reforms

Mark McClellan, MD, PhD
Senior Fellow in Economic Studies and Director, Initiatives on Value and Innovation in Health Care, The Brookings Institution; Former CMS Administrator and FDA Commissioner, Washington, DC (Moderator)

    Speaker Bio

    Senior fellow and director of the Health Care Innovation and Value Initiative at the Brookings Institution. Within Brookings, his work focuses on promoting quality and value in patient centered health care.

    A doctor and economist by training, he also has a highly distinguished record in public service and in academic research. Dr. McClellan is a former administrator of the Centers for Medicare & Medicaid Services (CMS) and former commissioner of the U.S. Food and Drug Administration (FDA), where he developed and implemented major reforms in health policy. These include the Medicare prescription drug benefit, the FDA's Critical Path Initiative, and public-private initiatives to develop better information on the quality and cost of care. Dr. McClellan chairs the FDA's Reagan-Udall Foundation, is co-chair of the Quality Alliance Steering Committee, sits on the National Quality Forum's Board of Directors, is a member of the Institute of Medicine, and is a research associate at the National Bureau of Economic Research. He previously served as a member of the President's Council of Economic Advisers and senior director for health care policy at the White House, and was an associate professor of economics and medicine at Stanford University.
Jordan H. Ginsburg, MD
National Medical Director, Cigna Collaborative Care, Clinical Operations; Regional Medical Executive, SouthEast Region, St. Louis, MO

    Speaker Bio

    Dr. Jordan Ginsburg is the National Medical Director, Cigna Collaborative Care, Clinical Operations as well as the Southeast Regional Medical Executive. He has been with Cigna since 2007.

    Prior to his career in managed care, Dr. Ginsburg practiced for 23 years as an orthopedic surgeon specializing in sports medicine. He has experience in both academic medicine and private practice.

    Dr Ginsburg earned his medical degree from the University of Illinois, and completed his internship and residency at Barnes Hospital and Washington University. He is board certified by the American Board of Orthopedic Surgery and is a Fellow of the American College of Surgeons.
Stuart Levine, MD, MHA
Chief Innovation and Clinical Care Officer, Blue Shield of California, Los Angeles, CA

    Speaker Bio

    Dr. Stuart Levine is currently the Chief Innovation and Clinical Care Officer at Blue Shield of California where he is responsible for the ACO initiative state-wide, clinical optimization across all partner provider groups/ systems and business lines, clinical care as well as government programs and clinical innovations for the enterprise. He had previously served as the Vice President of Quality, and Vendor Management of External Clinical Programs at Blue Shield of California in San Francisco. There, he was responsible for developing and executing the quality programs which focused on improved health care processes and delivery.
    Presentation Material (Acrobat)
Mari Zag, MPH, RD, CDE
Administrative Director, Health Services, Providence Medical Foundations, Providence Health & Services, Los Angeles, CA

Presentation Material (Acrobat)
11:00 am Closing
Mark McClellan, MD, PhD
Senior Fellow in Economic Studies and Director, Initiatives on Value and Innovation in Health Care, The Brookings Institution; Former CMS Administrator and FDA Commissioner, Washington, DC

    Speaker Bio

    Senior fellow and director of the Health Care Innovation and Value Initiative at the Brookings Institution. Within Brookings, his work focuses on promoting quality and value in patient centered health care.

    A doctor and economist by training, he also has a highly distinguished record in public service and in academic research. Dr. McClellan is a former administrator of the Centers for Medicare & Medicaid Services (CMS) and former commissioner of the U.S. Food and Drug Administration (FDA), where he developed and implemented major reforms in health policy. These include the Medicare prescription drug benefit, the FDA's Critical Path Initiative, and public-private initiatives to develop better information on the quality and cost of care. Dr. McClellan chairs the FDA's Reagan-Udall Foundation, is co-chair of the Quality Alliance Steering Committee, sits on the National Quality Forum's Board of Directors, is a member of the Institute of Medicine, and is a research associate at the National Bureau of Economic Research. He previously served as a member of the President's Council of Economic Advisers and senior director for health care policy at the White House, and was an associate professor of economics and medicine at Stanford University.
11:30 am Adjourn




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