Unless noted, all activities will take place at The Radisson Blu Aqua Hotel, located at 221 N. Columbus Drive, Chicago, IL 60601
Wednesday, March 29, 2017
|11:30||am||–||6:00||pm||Care Model Workshop|
Thursday, March 30, 2017
|12:00||pm||–||1:00||pm||Lunch and Registration|
|1:00||pm||–||1:30||pm||Welcome & Opening Remarks|
Phil Kamp, Chief Strategy Officer, Evolent Health
|1:30||pm||–||2:30||pm||Keynote Session Charting the Route to Value in Uncertain Waters|
Susan Dentzer, President and CEO, Network for Excellence in Health Innovation
A sweeping change in the national government; efforts to repeal and replace the Affordable Care Act; and proposed changes in the structure of Medicaid, all portend major disruption for the U.S. healthcare system. How will the move to value-based payment and delivery system reform be affected, and, in particular, what are the implications for children’s hospitals? Hear what Susan Dentzer, respected health policy thought leader and former editor-in-chief of Health Affairs, has to say about potential future scenarios, and whether the pursuit of value-based reforms will remain one lasting area of bipartisan agreement.
|2:30||pm||–||3:30||pm||General Session Payor Contracting: To Play or Not to Play|
Panel includes Casey Osborne, Vice President, Operations Phoenix Children's Care Network; Chad Moore, Senior Director of Payor Relations & PCN Operations, Children's Mercy Hospital; Facilitated by former Executive Director of Managed Care at Cleveland Clinic, Michael McMillan, Senior Vice President, Strategic Solutions, Evolent Health
Health systems and payors frequently agree that value-based payments are good for all parties. Yet sometimes payors are reluctant to transfer as much risk and responsibility as providers would like. In this interactive panel, learn from leading pediatric providers as they share their strategies for successfully getting payors into the value-based game.
|3:45||pm||–||4:45||pm||General Session Pediatric Population Health in the Perinatal Space|
Frank Belmonte, D.O., MPH, FAAP, Vice President Pediatric Population Health and Care Modeling, Advocate Children’s Hospital and Alvia Siddiqi, MD, FAAFP, Medical Director, Advocate Physician Partners (APP)
Hear Advocate Health Children’s leaders describe lessons learned through partnering with a payor to establish a large Medicaid ACO for the TANF population. Specifically, they will focus on programs that support maternity and infant populations. Walk away with a deeper understanding of the connection between maternity care and the health outcomes of children in the first three years of life.
Option 1: STAR Kids: Texas Medicaid Managed Care for Medically Complex Children
Emily Zalkovsky, Deputy Associate Commissioner for Policy and Program, Medicaid and CHIP Services, Health and Human Services Commission
Learn about Texas' experience with developing and implementing a managed care program for medically complex children. Hear Emily Zalkovsky, Deputy Associate Commissioner for Policy and Program, Medicaid and CHIP Services, Health and Human Services Commission, explain the program's structure and goals, and highlight lessons learned from implementation and post implementation. Come prepared with questions for this interactive session!
Option 2: The Operational Realities of a CMC Program
Colleen A. Kraft, M.D., FAAP, President-Elect, American Academy of Pediatrics, Interim Medical Director, Complex Care Center, Cincinnati Children’s Hospital Medical Center
Hear Dr. Kraft outline the experience of the Complex Care Center at Cincinnati Children’s and their journey through the development of strategic clinic goals, policy development, clinic operational procedures and engagement of providers, nursing, care management and administrative staff. You can take real learnings home after seeing a demonstration of their clinical processes and patient outcome improvements in preventive care, immunizations, care management planning and efficiency of nursing/DME care planning.
|6:30||pm||–||8:30||pm||Dinner and Networking Event:
1200 W Randolph Street
Join us at City Winery for yes, you guessed it, wine-a-plenty, Mediterranean-inspired cuisine and great conversation with fellow conference attendees. Located in the West Loop, this fast-growing neighborhood is known for its industrial history and its sleek row of restaurants, bars and nightlife.
Friday, March 31, 2017
|7:30||am||–||8:00||am||Breakfast & Networking|
|8:00||am||–||9:00||am||Keynote Session Lessons From the Herd|
Governor Michael Leavitt, Former Secretary of Health and Human Services
Health Care is in the midst of the most significant transformation in 75 years. The speed of change is important. Move too quickly, and lose control. Move too slowly, and lose market share. Governor Leavitt will review the practicalities, politics and dynamics accompanying the post-2016 election. In particular, he will do a deep dive on Medicaid Block Grants, and discuss the potential implications this strategy can have on health policy and the industry at large.
Option 1: From Excluded Provider to Valued Partner: A Children’s Hospital CIN Journey to Value-Based Contracting
Sandy Melzer, MD, Executive Vice President, Networks and Population Health, Seattle Children's and Michael Murphy, FACHE, CMPE, Vice President, Accountable Care and Executive Director, Seattle Children’s Care Network
fMany pediatric CINs have historically focused on Medicaid. However, Seattle Children’s Care Network is a 3-year old, 900 provider CIN with 21 practice locations and over 200 primary care providers, has focused exclusively on commercial value-based contracting. In this session, Seattle Children’s will describe their journey in developing critical capabilities to deliver value-based care and build bridges to partner with payors, adult systems, and employers after being initially excluded from exchange contracts.
Option 2: A Comprehensive Statewide Pediatric CIN: Bold or Folly?
Dr. Robert Steele, Senior Vice President and Chief Strategy Officer, Arkansas Children's Hospital
There are regional pediatric CINs and statewide adult-based CINs…but no statewide pediatric CINs. Hear Dr. Robert Steele of Arkansas Children’s Hospital discuss their CIN journey as he addresses the differences between urban and rural, the pros and cons of contracting within what is already established versus launching something new to the market, how being creative in partnering can pay off…and of course he will also touch on how payors are not quite sure what to make of all of this.
Option 1: Preventing the Crisis: Integrated Behavioral Health Models That Work
Nancy Jaeckels Kamp Managing Principal, Health Management Associates
With one in five children and adolescents in the U.S. experiencing mental health problems, integration across outpatient and community settings must be a key priority. The challenge is understanding which types of models are most effective in improving overall pediatric health and how to implement them. This session will focus on a review of the current national environment regarding behavioral health needs in pediatrics and the evidence to support the why’s and how’s of integrated behavioral health models for children.
Option 2: Adventures in Value-Based Care: Stories & Strategies From Three Successful CINs
Scott Wilkerson, Executive Director, Lurie Children’s Health Partners Clinically Integrated Network LLC; Kacie Lewenthal, Manager, Population Risk Analytics at Phoenix Children's Hospital; Terry Lindquist, Executive Director, Health Network by Cincinnati Children's (HNCC)
Discover best practices on how to effectively marry technology, analytics and services to improve clinical quality, negotiate payer contracts and grow market share. A panel discussion of representatives from three very different clinically integrated networks will share their unique experiences so you can walk away with tangible takeaways to consider for your organization’s value-based care strategy.
|11:15||am||–||12:15||pm||General Session Provider Reality Check: Physician Panel|
Daniel Ostlie, MD, Surgeon in Chief and Chair of Surgery, Phoenix Children’s Hospital; Charles V Moylan, MD, Pediatric Associates, Kansas City, Missouri; Additional panelists to be announced
Let’s hear it from the folks living it every day – the physicians. Through a variety of lenses, this physician panel will explore the practical application of value transformation in their respective practices and roles.
|12:30||pm||–||1:30||pm||Lunch On-Site or To Go|
* Agenda subject to change. Be sure to check back often for real-time updates!