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: Preconference
Monday, November 16, 2015

8:00 am Registration for Preconference Attendees (Registration Optional)

PRECONFERENCE: ACCOUNTABLE CARE AND THE CHANGING DYNAMICS OF PAYMENT REFORM
9:00 am

Introduction

S. Lawrence Kocot, JD, LLM, MPA
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Visiting Fellow, The Brookings Institution; Former Senior Advisor to the CMS Administrator, Washington, DC

    Speaker Bio

    Larry Kocot is a Principal of KPMG, working within the Health Care and Life Sciences practice in the Washington, DC, office. Mr. Kocot is also the National Leader of the Center for Healthcare Regulatory Insight. Mr. Kocot provides strategic advice and counsel to companies on regulatory matters relating to public health care programs, including Medicare and Medicaid.
9:10 am

Will MACRA Hurt Physicians or Make Them Stronger?

S. Lawrence Kocot, JD, LLM, MPA
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG, Visiting Fellow, The Brookings Institution, Former Senior Advisor to the CMS Administrator, Washington, DC (Moderator)

    Speaker Bio

    Larry Kocot is a Principal of KPMG, working within the Health Care and Life Sciences practice in the Washington, DC, office. Mr. Kocot is also the National Leader of the Center for Healthcare Regulatory Insight. Mr. Kocot provides strategic advice and counsel to companies on regulatory matters relating to public health care programs, including Medicare and Medicaid.
Jennifer Jackman
Chief Operations Officer, MemorialCare Medical Group, Tustin, CA

    Speaker Bio

    Jennifer L. Jackman has over 25 years' experience successfully leading physician organizations and integrated delivery systems in California. As COO for MemorialCare Medical Foundation (MCMF), she is responsible for implementation of its overall strategic plan and leading operational success. MCMF is part of MemorialCare Health System, a California nonprofit integrated delivery system including six hospitals; two medical groups (MemorialCare Medical Group and Greater Newport Physicians IPA); a health plan and numerous outpatient imaging and surgery centers.

    Ms. Jackman frequently represents physician organization policy issues at the state and national level , and currently serves on the Governing Board of CAPG.
Mara McDermott, JD, MPH
Vice President, Federal Affairs, CAPG, Washington, DC

    Speaker Bio

    Mara McDermott serves as the Vice President of Federal Affairs for CAPG, heading up the federal legislative and regulatory activities for the association in Washington, DC. Mara works on behalf of CAPG member organizations to advance policies that promote coordinated care in Washington, DC. This role includes advocacy and education efforts with Members of Congress and their staff, the Administration, and other health policy stakeholders.

    Prior to joining CAPG, Mara was Counsel in the health industry practice at Akin Gump Strauss Hauer & Feld. In this role, she focused on a variety of issues affecting health industry clients with a particular emphasis on health policy and regulatory issues facing physician organizations, hospitals, pharmaceutical companies, and academic medical institutions. Mara received her J.D. with high honors from George Washington University School of Law in 2007. That same year, she received a M.P.H. from George Washington University. She received her B.A. in 2003 from the University of California, Davis.
Kurt Ransohoff, MD
Chief Executive Officer and Chief Medical Officer, Sansum Clinic, Santa Barbara, CA

    Speaker Bio

    Board certified in internal medicine, Dr. Kurt Ransohoff earned a Bachelor of Arts degree from Bowdoin College, Brunswick, Maine and a medical degree from UCLA. He was Chief Resident at UCLA in 1998 and then Assistant Clinical Professor of Medicine at the UCLA 1989-1992 before coming to Sansum Clinic in 1992, where Dr. Ransohoff has been Medical Director since 1997, President since 1998, and CEO since 2002. He is the chair of the CAPG Public Policy Committee and chair elect of CAPG. He is on the CenCal Board of Directors, the local Medi-Cal managed care plan in Santa Barbara and San Louis Obispo Counties.
Piper Nieters Su, JD
Vice President, Health Policy, The Advisory Board Company; Former Legislative Counsel, Senator Ken Salazar, Washington, DC

    Speaker Bio

    Piper Su serves as Vice President, Health Policy at The Advisory Board Company, where she leads the company's efforts to bring market insights to Congress, the Administration, and senior leaders in the policy community. An experienced attorney, Piper spent over a decade in private practice, focusing on Medicare and Medicaid reimbursement and compliance as well as payment and delivery transformation. Previously, she served as Legislative Counsel to U.S. Senator Ken Salazar, where she was the principal advisor for his health care-related activities on the Senate Finance Committee.

    Piper earned her B.A. at the University of North Carolina at Asheville, and her J.D., cum laude, from American University.
    Presentation Material (Acrobat)
10:30 am

The Evolving Role of the Office of Inspector General in Alternative Payment Models

S. Lawrence Kocot, JD, LLM, MPA
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Visiting Fellow, The Brookings Institution; Former Senior Advisor to the CMS Administrator, Washington, DC (Moderator)

    Speaker Bio

    Larry Kocot is a Principal of KPMG, working within the Health Care and Life Sciences practice in the Washington, DC, office. Mr. Kocot is also the National Leader of the Center for Healthcare Regulatory Insight. Mr. Kocot provides strategic advice and counsel to companies on regulatory matters relating to public health care programs, including Medicare and Medicaid.
Troy A. Barsky, JD
Partner, Crowell & Moring; Former Director, Division of Technical Payment Policy, Chronic Care Policy Group, CMS, Washington, DC
Robert G. Homchick, Esq.
Partner, Davis Wright Tremaine, Seattle, WA

    Speaker Bio

    Bob Homchick is a partner in Davis Wright Tremaine's national health care practice. As a health care transactional and regulatory lawyer, Bob counsels clients in areas such as physician self-referral (i.e., the federal Stark Law and its state law counterparts), regulatory compliance and fraud and abuse. Bob assists hospitals, physician organizations, ancillary services providers, and others in acquisitions, the formation and operation of joint ventures and in the development and implementation of new care delivery models, including accountable care organizations and other clinically integrated networks. His extensive experience includes defending providers in government audits, investigations, administrative proceedings and assisting providers with voluntary disclosures to federal and state enforcement agencies.
11:10 am

The Impact of Healthcare Consolidation on Accountable Care

S. Lawrence Kocot, JD, LLM, MPA
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Visiting Fellow, The Brookings Institution; Former Senior Advisor to the CMS Administrator, Washington, DC (Moderator)

    Speaker Bio

    Larry Kocot is a Principal of KPMG, working within the Health Care and Life Sciences practice in the Washington, DC, office. Mr. Kocot is also the National Leader of the Center for Healthcare Regulatory Insight. Mr. Kocot provides strategic advice and counsel to companies on regulatory matters relating to public health care programs, including Medicare and Medicaid.
Robert F. Leibenluft, Esq.
Partner, Hogan Lovells; Former Assistant Director, Health Care, Bureau of Competition, Federal Trade Commission, Washington, DC

    Speaker Bio

    Bob Leibenluft is a partner at Hogan Lovells in Washington, D.C. where he works exclusively on antitrust matters in the health care sector. In the mid-1990s, Bob served as Assistant Director for Health Care in the FTC's Bureau of Competition, where he supervised the FTC/DOJ Policy Statements that first addressed clinical integration. Bob is an inaugural fellow of the American Health Lawyers Association, former chair of the ABA Antitrust Section's Health Committee, Board Chair of HCI3 (the parent company of Prometheus Payment. and Bridges to Excellence), and teaches a course on health care antitrust at George Washington University Law School.
Christine L. White, Esq.
Assistant Vice President-Legal Affairs, North Shore-Long Island Jewish Health System, New York, NY

    Speaker Bio

    Christine White joined the Health System in October 2014 as Assistant Vice President. Previously, Christine was a staff attorney in the Northeast Regional Office of the Federal Trade Commission ("FTC"), where she worked primarily on healthcare policy and enforcement matters including hospital and physician mergers and acquisitions as well as issues relating to the formation and operation of Accountable Care Organizations and other network joint ventures. During her tenure, she received the 2013 FTC Award for Outstanding Scholarship based on her work as a lead author and editor of the book Antitrust & Healthcare: A Comprehensive Guide. Prior to joining the FTC, Christine was a partner in the Health Law and Antitrust practice groups of Crowell & Moring LLP, Bingham McCutchen LLP and McDermott Will & Emery LLP.

    Christine has been active for many years in both the American Health Lawyers Association, where she currently is Chair of the Antitrust Practice Group, and the Antitrust Section of the American Bar Association. She holds a J.D. and M.P.H. from Boston University and a B.A. cum laude from Wellesley College.
11:50 am

Closing

S. Lawrence Kocot, JD, LLM, MPA
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG; Visiting Fellow, The Brookings Institution; Former Senior Advisor to the CMS Administrator, Washington, DC

    Speaker Bio

    Larry Kocot is a Principal of KPMG, working within the Health Care and Life Sciences practice in the Washington, DC, office. Mr. Kocot is also the National Leader of the Center for Healthcare Regulatory Insight. Mr. Kocot provides strategic advice and counsel to companies on regulatory matters relating to public health care programs, including Medicare and Medicaid.
12:00 pm Preconference Adjournment


Agenda: Day I
Monday, November 16, 2015
OPENING PLENARY SESSION
1:00 pm

Welcome

Elliott Fisher
Director, Dartmouth Institute for Health Policy and Clinical Practice, John E. Wennberg Distinguished Professor of Health Policy, Medicine and Community and Family Medicine, Geisel School of Medicine at Dartmouth, Co-Director, Dartmouth Atlas of Health Care, Lebanon, NH

    Speaker Bio

    Dr. Fisher is Director of the Dartmouth Institute for Health Policy and Clinical Practice and the John E Wennberg Distinguished Professor of Health Policy, Medicine and Community and Family Medicine at the Geisel School of Medicine at Dartmouth. His research has focused on exploring the causes and consequences of regional and provider-specific differences in spending and quality and, more recently, on developing policy approaches to slowing the growth of spending while improving quality. He was one of the originators of the concept of "accountable care organizations" (ACOs) and worked with colleagues to carry out the research that led to their inclusion in the Affordable Care Act. His current research is exploring the determinants of successful ACO formation and performance. He received his undergraduate and medical degrees from Harvard University and his MPH from the University of Washington. He has published over 150 research articles and commentaries and is a member of the Institute of Medicine.
Michael Leavitt
Founder and Chairman, Leavitt Partners; Former Governor of Utah; Former Secretary, US Department of Health and Human Services, Salt Lake City, UT

    Speaker Bio

    Michael O. Leavitt is the founder and Chairman of Leavitt Partners where he helps clients navigate the future as they transition to new and better models of care. In previous roles, Mr. Leavitt served in the Cabinet of President George W. Bush (as Administrator of the Environmental Protection Agency and Secretary of Health and Human Services) and as a three-time elected governor of Utah.
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.
1:15 pm

Keynote

Patrick Conway, MD, MSc
Deputy Administrator for Innovation and Quality, Chief Medical Officer, Director, CMMI and Director, Office of Clinical Standards and Quality, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MD

    Speaker Bio

    Patrick Conway, MD, MSc, is the CMS Acting Principal Deputy Administrator and Deputy Administrator for Innovation and Quality & CMS Chief Medical Officer. As the CMS Acting Principal Deputy Administrator and CMS Chief Medical Officer, Dr. Conway is responsible for overseeing the programs that serve the millions of Americans that access health care services through Medicare, Medicaid, CHIP and the Marketplace. He and the CMS team focus on improving health outcomes, access and affordability while improving health disparities and combatting health care fraud.

    As the Deputy Administrator for Innovation and Quality, Dr. Conway leads the Center for Clinical Standards and Quality (CCSQ) and the Center for Medicare and Medicaid Innovation (CMMI) at CMS. CCSQ is responsible for all quality measures for CMS, value-based purchasing programs, quality improvement programs in all 50 states, clinical standards and survey and certification of Medicare and Medicaid health care providers across the nation, and all Medicare coverage decisions for treatments and services. The center's budget exceeds $2 billion annually and is a major force for quality and transformation across Medicare, Medicaid, CHIP, and the U.S. health care system. The CMS Innovation Center is responsible for testing numerous new payment and service delivery models across the nation. Models include accountable care organizations, bundled payments, primary care medical homes, state innovation models, and many more. Successful models can be scaled nationally. The CMS Innovation Center budget is $10 billion over 10 years.
    Presentation Material (Acrobat)
1:45 pm

Health Plans Driving Health Care Payment Reform

Elliott Fisher
Director, Dartmouth Institute for Health Policy and Clinical Practice, John E. Wennberg Distinguished Professor of Health Policy, Medicine and Community and Family Medicine, Geisel School of Medicine at Dartmouth, Co-Director, Dartmouth Atlas of Health Care, Lebanon, NH (Moderator)

    Speaker Bio

    Dr. Fisher is Director of the Dartmouth Institute for Health Policy and Clinical Practice and the John E Wennberg Distinguished Professor of Health Policy, Medicine and Community and Family Medicine at the Geisel School of Medicine at Dartmouth. His research has focused on exploring the causes and consequences of regional and provider-specific differences in spending and quality and, more recently, on developing policy approaches to slowing the growth of spending while improving quality. He was one of the originators of the concept of "accountable care organizations" (ACOs) and worked with colleagues to carry out the research that led to their inclusion in the Affordable Care Act. His current research is exploring the determinants of successful ACO formation and performance. He received his undergraduate and medical degrees from Harvard University and his MPH from the University of Washington. He has published over 150 research articles and commentaries and is a member of the Institute of Medicine.
Roy A. Beveridge, MD
Senior Vice President and Chief Medical Officer, Humana; Former Chief Medical Officer, US Oncology and McKesson Health Solutions, Louisville, KY

    Speaker Bio

    Dr. Roy Beveridge is Humana's Senior Vice President and Chief Medical Officer, where he is responsible for developing and implementing the company's clinical strategy and advancing its integrated care delivery model. He is known for creating collaborative environments among physician communities and providing thought leadership, publishing extensively in the fields of medical oncology, quality design, ethics, and population health. Previously, Dr. Beveridge served as Chief Medical Officer for McKesson Specialty Health and as Executive VP and Chief Medical Officer for US Oncology. He practiced for more than 20 years in medical oncology and stem cell transplant in northern Virginia.
Sam Ho, MD
Executive Vice President, Chief Medical Officer, UnitedHealthcare; Chief Medical Officer, UnitedHealthcare Medicare and Retirement, Cypress, CA

    Speaker Bio

    Dr. Sam Ho is currently Chief Medical Officer for UnitedHealthcare, UnitedHealth Group's health benefits division, and, as President of Clinical Services, is responsible for the clinical advancement of 40 million members throughout the U.S., including enrollees in commercial, Medicare, Medicaid, and military health plans. He is the clinical executive specifically responsible for the execution of the quality improvement, medical management, care delivery transformation, performance measurement, transparency, and health care affordability programs throughout UnitedHealthcare and is also active in helping lead the value-based benefits and value-based provider payment programs.
Charles D. Kennedy, MD, MBA
Chief Population Health Officer, Healthagen, an Aetna Company, Hartford, CT

    Speaker Bio

    Charles D. Kennedy, M.D. is chief population health officer for Healthagen. In this role, Dr. Kennedy is responsible for leading Healthagen's population health and care management strategies and working with health systems and provider organizations to design and implement population health management programs. Previously, Dr. Kennedy was chief executive officer of Accountable Care Solutions from Aetna, a business he helped to establish at Aetna that collaborates with high quality health systems to implement accountable care models.

    Dr. Kennedy is a recognized expert in health care and health information technology. He was a founding commissioner of the Certification Commission for Health Information Technology (CCHIT), the first organization recognized by the federal government to certify EMRs. He is currently the health insurance industry representative on the HIT Policy Committee, a Federal Advisory Committee that is guiding Centers for Medicare and Medicaid Services (CMS) policies to allocate $40 billion in federal funding for HIT deployment. Dr. Kennedy serves on the AHIP Foundation Board of Directors and on the advisory board for the Center for Healthcare Innovation, Healthcare and Life Science Innovation Lab.

    Dr. Kennedy holds an M.D. in Internal Medicine from the University of California at Los Angeles, an MBA in Corporate Strategy and Health Care Economics from Stanford University, and a bachelor's degree in Genetics from the University of California at Berkeley. He has been featured and quoted on the topics of health care technology and operations in new publications and outlets.
2:30 pm Break
3:00 pm

Health Care Delivery Transformation: From ACOs to Full Risk

Donald H. Crane, JD
President and Chief Executive Officer, CAPG, Los Angeles, CA (Moderator)

    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.
Richard Merkin, MD
President and Chief Executive Officer, Heritage Medical Systems, Marina del Rey, CA

    Speaker Bio

    Richard Merkin is the CEO and founder of the Heritage Group. Under his stewardship, the Heritage Group has become the largest, physician-owned and operated integrated delivery system in the United States with over 50 related healthcare companies. The Heritage Group encompasses numerous patent, venture capital, private equity, and insurance companies. Dr. Merkin serves on the Board of the California Institute of Technology and the Keck School of Medicine at the University of Southern California. He is the Co-founder of Fastercures. He has established the Richard Merkin Foundation for Stem Cell Research at the Broad Institute at Harvard and the Massachusetts Institute of Technology, the Richard Merkin Initiative at the Johns Hopkins Brain Sciences Institute, the Richard Merkin Foundation for Neural Regeneration at UCLA, and the Merkin Family Foundation Fund for Regenerative Medicine at the Keck School of Medicine at USC. He is on the board of the California Nano Systems Institute and serves on many other boards that focus on science, healthcare and finance. Inspired by the X-Prize Foundation, Dr. Merkin launched the Heritage Health Prize, a $3 million global incentivized competition seeking to achieve a fundamental breakthrough in our ability to predict future hospitalization. Dr. Merkin supports the Merkin initiative to study payment and clinician reform at the Brookings Institution in Washington DC.
Thomas Priselac
President and Chief Executive Officer, Cedars-Sinai Health System, Los Angeles, CA

    Speaker Bio

    Thomas Priselac has been associated with Cedars-Sinai in Los Angeles since 1979 and has served as President and CEO since 1994.

    He has been recognized for the development of strategic and operational innovations to foster high quality, safe and efficient healthcare as well as being actively involved in healthcare delivery and finance policy development.

    Mr. Priselac is a former member of American Hospital Association Board of Trustees which he chaired in 2009 and also served as Chair of the Association of American Medical Colleges in 2006.
3:45 pm

Consolidation and Competition in Health Care Markets

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.
John Bertko, FSA, MAAA
Chief Actuary, Covered California; Former Director, Office of Special Initiatives and Pricing, Center for Consumer Information and Insurance Oversight (CCIIO), Centers for Medicare and Medicaid Services, Sacramento, CA

    Speaker Bio

    John Bertko is currently an independent actuarial consultant working as the Chief Actuary with Covered California (California's Insurance Marketplace) and was the Director of Special Initiatives and Pricing in the Center for Consumer Information and Insurance Oversight at the Centers for Medicare and Medicaid Services (CMS), retiring from this position as of January 31, 2014. He served as a senior actuarial advisor on various private insurance initiatives, including risk adjustment, insurance programs and insurance oversight activities. He served on the Massachusetts Connector Board from October 2014 to March 2015. He formerly was a Senior Fellow at the LMI Center for Health Reform, Adjunct Staff at RAND, a Visiting Scholar at the Brookings Institution, a Visiting Scholar at the Center for Health Policy at Stanford and the retired Chief Actuary of Humana Inc., where he managed the corporate actuarial group and directed work by actuarial staff for Humana's major business units, including developing Part D, Medicare Advantage and consumer-driven health care products. He has extensive experience with risk adjustment and has served in several public policy advisory roles. He serves on the panel of health advisors for the Congressional Budget Office and completed a 6-year term on the Medicare Payment Advisory Commission (MedPAC). He served the American Academy of Actuaries as a board member from 1994 to 1996 and as vice president for the health practice council from 1995 to 1996. He is a Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries. He has a B.S. in mathematics from Case Western Reserve University.
Robert F. Leibenluft, Esq.
Partner, Hogan Lovells; Former Assistant Director, Health Care, Bureau of Competition, Federal Trade Commission, Washington, DC

    Speaker Bio

    Bob Leibenluft is a partner at Hogan Lovells in Washington, D.C. where he works exclusively on antitrust matters in the health care sector. In the mid-1990s, Bob served as Assistant Director for Health Care in the FTC's Bureau of Competition, where he supervised the FTC/DOJ Policy Statements that first addressed clinical integration. Bob is an inaugural fellow of the American Health Lawyers Association, former chair of the ABA Antitrust Section's Health Committee, Board Chair of HCI3 (the parent company of Prometheus Payment. and Bridges to Excellence), and teaches a course on health care antitrust at George Washington University Law School.
Douglas C. Ross, Esq.
Partner, Davis Wright Tremaine LLP; Former Attorney, Antitrust Division, US Department of Justice, Seattle, WA

    Speaker Bio

    Douglas C. Ross is a partner in the Seattle office of Davis Wright Tremaine, where he concentrates his practice in antitrust and litigation. He is also an adjunct faculty member at the University of Washington Law School, where he teaches antitrust and a seminar on competition in health care.

    Mr. Ross is an officer of the ABA's Antitrust Section and a delegate appointed by the Section to the ABA's House of Delegates. He is a past chair of the Section's Health Care Industry Committee and past chair of the Antitrust Practice Group of the American Health Lawyers Association.

    Mr. Ross is a member of the Bureau of National Affairs' Health Law Advisory Board. Chambers USA lists him in Commercial Litigation. Best Lawyers in America named him Seattle Antitrust Lawyer of the Year and lists him in antitrust law and litigation, commercial litigation, and health care law.

    Before entering private practice, Mr. Ross spent three years at the Antitrust Division of the U.S. Department of Justice. He received his J.D. from Columbia Law School, where he was a Harlan Fiske Stone Scholar, and his B.A. from Tufts University, where he graduated summa cum laude in economics.
    Presentation Material (Acrobat)
Steve Shortell, PhD, MBA, MPH
Blue Cross of California Distinguished Professor of Health Policy and Management, Professor of Organization Behavior, Haas School of Business, University of California Berkeley, Berkeley, CA

    Speaker Bio

    Stephen M. Shortell, Ph.D., M.P.H, MBA is the Blue Cross of California Distinguished Professor of Health Policy and Management and Professor of Organization Behavior at the School of Public Health and Haas School of Business at University of California-Berkeley where he also directs the Center for Healthcare Organizational and Innovation Research (CHOIR).

    Author/co-author of over 300 articles in peer-reviewed journals and author/co-author of 10 books, Dr. Shortell and his colleagues have received numerous awards for their research examining `the performance of integrated delivery systems and the factors associated with quality and outcomes of care. He is a recent recipient of the AHA/HRET TRUST Visionary Leadership Award and an elected member of the National Academy of Medicine (Institute of Medicine) where he served two terms on the Governing council.

    He is currently conducting research on physician practice adoption of innovations in care delivery; on evaluation of Accountable Care Organizations; and on ACO involvement in patient activation and engagement activities.
    Presentation Material (Acrobat)
4:30 pm

Contracting for Medicare ACOs in 2016

Hoangmai H. Pham, MD, MPH
Acting Chief Innovation Officer, Center for Medicare and Medicaid Innovation Center, Centers for Medicare and Medicaid Services, Washington, DC

    Speaker Bio

    Hoangmai Pham is a general internist and Director of the Seamless Care Models Group at the CMS Innovation Center, where she is responsible for overseeing portfolios of demonstrations on accountable care organizations and advanced primary care. SCMG sponsors the Pioneer ACO Model, the Advance Payment Model, the Comprehensive Primary Care Initiative, and the Comprehensive ESRD Care Initiative, and continues to develop new models. Prior to coming to CMS, Dr. Pham was senior researcher and co-director of research at the Center for Studying Health System Change and Mathematica. She has published extensively on care fragmentation and coordination, provider market trends, health disparities, primary care, and quality measurement/improvement, and the intersection of each of these with provider payment policy. Dr. Pham also contributed to the design of Medicare demonstrations and programs, including the Physician Quality Reporting System and Resource Use Reports. She practiced for many years at safety net clinics in the Washington area. Dr. Pham received her AB from Harvard, her MD from Temple University, and her MPH from Johns Hopkins, where she was also a Robert Wood Johnson Clinical Scholar.
    Presentation Material (Acrobat)
5:00 pm Networking Reception




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