Raising the Bar / Payment Reform and Cardiovascular Disease - Conferences

Raising the Bar /
Payment Reform and
Cardiovascular Disease
Presented by Avalere Health

Agenda / June 12, 2009

7:30 am - 4:00 pm / Registration (East Room Promenade)

8:00 - 8:30 am / Networking Breakfast (East Room Promenade)

8:30 - 8:45 am / Welcome and Introduction (East Room)

Speaker:

Jon Glaudemans, Senior Vice President, Avalere Health

8:45 - 9:30 am / Cardiovascular Care: A Model for Examining Systemic Payment Reform (East Room)

What challenges and opportunities face the cardiovascular community, and how do those relate to other therapeutic areas? This session will describe how changes in prevention, screening, treatment, and survival rates are affecting Americans at both the aggregate and individual levels. It will also examine delivery and coverage of cardiovascular care in the context of rising cost pressures, calls for stronger evidence, and concerns about disparities in access and quality.

Speaker:

Jack Lewin, MD, Chief Executive Officer, American College of Cardiology

9:30 - 10:30 am / Paying for Value, Not Volume: Payment Reform to Promote Efficient Care (East Room)

As we convene this conference, Congress will be rolling up its sleeves to work on the Medicare physician fee fix, as well hospital payment reform. Is the political muscle there to put it in place? This session will explore innovative payment proposals – such as selective contracting, bundled payments, and gain-sharing – that seek to promote more efficient delivery of care for patients with cardiovascular disease.

Speakers:

Len Nichols, Ph.D, Director, Health Policy Program, New America Foundation
Peter V. Lee, JD, Executive Director, National Health Policy, Pacific Business Group on Health
Mandy Bazile, Vice President, Avalere Health (moderator)

10:30 - 10:45 am / Refreshment Break (East Room Promenade)

10:45 - 11:30 am / Avalere Research on Exploring Opportunities for Efficient Care (East Room)

Speakers:

Richard Frank, MD, Ph. D., Vice President, Medical Affairs and Clincial Strategy, GE Healthcare
Penny Mills, Vice President, Avalere Health

11:30 am - 12:30 pm / Fostering 'Systemness': Payment Reform to Improve Chronic Care Delivery (East Room)

This session will focus on payment reforms to promote better care for chronically ill patients. The medical home model and condition-based payments are examples of two such reform proposals that seek to improve care and promote value. Panelists will discuss the benefits and potential unintended consequences of a shift to these proposed payment models.

Speakers:

Francois de Brantes, M.S., M.B.A., Chief Executive Officer, Bridges to Excellence
John Fallon, M.D., Chief Physician Executive, Blue Cross and Blue Shield of Massachusetts
Sue Nelson, Vice President, Federal Advocacy, American Heart Association
Sharon Siler, Manager, Avalere Health (moderator)

12:30 - 1:30 pm / Networking Lunch (Chinese Room)

1:30 - 2:00 pm / Keynote: A View from the Marketplace: Reform and Realities (East Room)

Speaker:

Robert Galvin, M.D., Director for Global Healthcare, General Electric

2:00 - 3:00 pm / Evidence in Action: Point-of-Care Information and Its Influence on Care Delivery (East Room)

How will payment incentives tied to evidence-based care impact providers and care delivery? This session will focus on how different payment models can promote better adherence to evidence-based guidelines for cardiovascular disease, examine the infrastructure needs to support providers at the point-of-care, discuss new funding streams for adopting health information technology, and highlight successes and lessons learned from existing initiatives.

Speakers:

William J. Oetgen, Jr., MD, MBA, FACC, Clinical Professor of Medicine, Division of Cardiology, Georgetown University
James Hereford, Executive Vice President, Strategic Services and Quality, Group Health Cooperative
Cyndy Nayer, MA, President and Chief Executive Officer, Center for Health Value Innovation
Janet Wright, MD, FACC, Vice President, Science & Quality, American College of Cardiology (moderator)

3:00 - 3:15 pm / Refreshment Break (East Room Promenade)

3:15 - 4:15 pm / Transparency of Cost and Quality Information: Implications for Patients, Payers, and Employers (East Room)

The role of health information is critical to all healthcare stakeholders. Patients seek information on conditions and treatments, increasingly using the internet for data gathering and networked interaction with other patients. Payers and purchasers also use comparative quality information to assess provider performance and inform contracting strategies. But the central question remains: Can greater transparency of cost and quality data improve healthcare decision-making? This session will examine the opportunities and challenges of improved availability of healthcare information, focusing on strategies to advance productive information sharing and value-based healthcare.

Speakers:

Michael Barry, MD, Chief Medical Editor, Foundation for Informed Medical Decision Making; Professor of Medicine, Harvard Medical School
Leah Binder, MA, MGA, Chief Executive Officer, The Leapfrog Group
Sarah Thomas, Director, Health Team, AARP Public Policy Institute
Karen Linscott, Director, Avalere Health (moderator)

4:15 - 4:30 pm / Concluding Remarks (East Room)

Speaker:

Jon Glaudemans, Senior Vice President, Avalere Health

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