Accountable Care Organization Congress



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National Accountable Care Organization Congress
Agenda: Preconference
Tuesday, October 30, 2012

8:00 am Registration (Registration Optional; Choose one)

PRE-CONFERENCE I: ACTUARIAL PERSPECTIVES ON ACCOUNTABLE CARE ORGANIZATIONS
(Sponsored by Milliman)
9:00 am Risk-Adjusted Episodes as Benchmarks for ACO Financial Success

William T. O'Brien, FSA, MAAA
Consulting Actuary, Milliman, Houston, TX
Presentation Material (Acrobat)
9:45 am Operational & Financial Issues: Lessons Learned from a Pioneer ACO

Arthur L. Wilmes, FSA, MAAA
Principal, Consulting Actuary, Milliman, Indianapolis, IN

Jill S. Herbold, FSA, MAAA
Actuary, Milliman, Indianapolis, IN
10:30 am Break
10:45 am Client Case Studies

Kimberley K. Hiemenz, FSA, MAAA
Consulting Actuary, Milliman, Brookfield, WI
Presentation Material (Acrobat)
11:15 am Management Reports for ACOs

William J. Fox, FSA, MAAA
Principal, Consulting Actuary, Milliman, Seattle, WA
Presentation Material (Acrobat)
11:45 am Q&A
12:00 pm Pre-Conference Adjourns (Lunch on Own)

PRE-CONFERENCE II: BUILDING A SUCCESSFUL ACO: A BLUEPRINT FOR IMPLEMENTATION
(Sponsored by The Camden Group)
9:00 am Building a Successful ACO: A Blueprint for Implementation

Laura Jacobs, MPH
Executive Vice President, The Camden Group, Los Angeles, CA

Nancy Markle, RN
Vice President, The Camden Group, Los Angeles, CA

Carolyn Tung, MS
Vice President, The Camden Group, Los Angeles, CA
Presentation Material (Acrobat)
12:00 pm Pre-Conference Adjourns (Lunch on Own)

PRE-CONFERENCE III: ACO'S KEY RESOURCE FOR SUCCESS: AN INFORMATION EXCHANGE THAT SUPPORTS THE SHARING OF DIGITAL INFORMATION ACCORDING TO THE BUSINESS RULES OF THE ACO
(Sponsored by Health IT Certification)
8:30 am Overview of Health IT for ACOs

Steven S. Lazarus, PhD
President, Boundary Information Group; HIPAA Summit Distinguished Service Award Winner, Denver, CO
10:15 am Break
10:30 am ACO Data Stewardship

Margret Amatayakul, MBA
President, Margret\A Consulting, LLC; Adjunct Faculty in Health Informatics, College of St. Scholastica, Schaumburg, IL
12:00 pm Pre-Conference Adjourns (Lunch on Own)

PRE-CONFERENCE IV: MANAGING ONCOLOGY COSTS: A MULTI-PARTY PERSPECTIVE ON PERSONALIZED CHEMOTHERAPY MANAGEMENT
(Invitation Only ? please contact Jen Kellar at jkellar@iha.org if you are interested in attending this session)
9:00 am Welcome and Introductions
9:15 am Understanding the Clinical Rationale for Incorporating Genomic Biomarkers in Oncology Care

Robert A. Moss, MD
Medical Oncology and Hematology; President, Medical Oncology Association of Southern California, Fountain Valley, CA
10:00 am Financial Implications of Oncology Clinical Pathways and Genomic Testing: A Payers Perspective

Bruce Feinberg, MD
Vice President and Chief Medical Officer, P4 Healthcare, Cardinal Health Specialty Solutions, Dublin, OH
Presentation Material (Acrobat)
10:45 am Refreshment Break
11:00 am How to Successfully Integrate Specialists into an Accountable Care Organization

Martie Ross
Principal, Pershing Yoakley & Associates, P.C., Knoxville, TN

Terry Spoleti
President, Glenridge Healthcare Solutions, Columbia, MD
Presentation Material (Acrobat)
11:45 am Discussion and Q&A
12:00 pm Pre-Conference Adjourns (Lunch on Own)



Agenda: Day I
Tuesday, October 30, 2012
OPENING PLENARY SESSION
1:00 pm

Welcome and Introductions

Don Crane, JD
President and Chief Executive Officer, California Association of Physician Groups (CAPG), Los Angeles, CA
1:15 pm

Keynote Address: Updates on the Pioneer ACO Demonstration

Mai Pham, MD
Director of ACO Programs, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Washington, DC
1:45 pm

Keynote Address: Updates on the Medicare Shared Savings Program

Terri L. Postma, MD
Medical Officer, Performance-Based Payment Policy Staff, Centers for Medicare and Medicaid Services, Baltimore, MD
Presentation Material (Acrobat)
2:15 pm

Keynote Address: ACOs: Learning from Experience

Stephen M. Shortell, PhD, MBA, MPH
Blue Cross of California Distinguished Professor of Health Policy and Management, Dean, School of Public Health, University of California at Berkeley, Berkeley, CA
Presentation Material (Acrobat)
2:45 pm Refreshment Break
3:15 pm

Keynote Panel: Early Success Stories from Pioneer ACOs

Pam Halvorson
Vice President Regional Clinic Operations, Executive Sponsor - ACO Strategies, Trinity Health Systems, Fort Dodge, IA
Presentation Material (Acrobat)
John Jenrette, MD
Chief Executive Officer, Sharp Community Medical Group; Chair, California Association of Physician Groups, San Diego, CA
Presentation Material (Acrobat)
Richard Merkin, MD
President and Chief Executive Officer, Heritage California ACO, Marina del Rey, CA
Barbara Spivak, MD
President, Mount Auburn Cambridge Independent Practice Association (MACIPA), Brighton, MA
Presentation Material (Acrobat)
Stephen M. Shortell, PhD, MBA, MPH
Blue Cross of California Distinguished Professor of Health Policy and Management, Dean, School of Public Health, University of California at Berkeley, Berkeley, CA (Moderator)
4:30 pm

Keynote Panel: The Political Side: The Romney and Obama Campaigns' Views on Health Reform

Scott Gottlieb, MD
Resident Fellow, American Enterprise Institute; Clinical Assistant Professor, New York University School of Medicine; Former Deputy Commissioner for Medical and Scientific Affairs, FDA; Former Senior Adviser to the Administrator, Centers for Medicare and Medicaid Services, New York, NY
Jack Lewin, MD
Principal and Founder of Lewin and Associates, Former CEO, American College of Cardiology, Former CEO, California Medical Association, Former Director of Health, State of Hawaii, Washington, DC
Susan Dentzer
Editor-in-Chief, Health Affairs; Health Policy Analyst, The News Hour with Jim Lehrer, Washington, DC (Moderator)
5:30 pm Networking Reception




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