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ifth Annual Accountable Care Web Summit
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Overview
 
Around the nation in 2014, over 360 Accountable Care Organizations participate in Medicare, and hundreds more in commercial and Medicaid programs. More than two-thirds of the U.S. population now live in localities served by accountable care organizations and more than 40 percent live in areas served by two or more. As new ACOs continue to develop around the country, and existing organizations continue to mature, a variety of models and approaches have emerged and evolved, with a growing track record to take stock of. While some programs point to significant growth and success, there are also pitfalls and and concerns that a number of organizations have experienced, evidenced for example by various ACOs dropping out of the Medicare Pioneer program. Certainly the coming year presents the range of caution, optimism, opportunities and challenges to the expanded ACO arena.

The Fifth Annual Accountable Care Web Summit features a 90 minute webinar with three prominent accountable care speakers that will share their organizational experience, insights, strategic perspectives and operational knowledge. Joseph Gifford, MD, Chief Executive, Accountable Care Organization of Washington, Providence Health & Services will share the Providence-Swedish ACO experience with employer driven accountable care, involving their Boeing Preferred Partnership program, plus their experience with Medicare Shared Savings and other accountable care programs. Hugh Morgan, Vice President with Somnia Anesthesia will present the innovative concept and issues involved with the Accountable Anesthesia Organization. Julian D. (Bo) Bobbitt, Partner, with Smith Anderson Law will overview ACO legal, regulatory, strategic and operational hurdles for physicians to navigate and then present specific professional liability issues that ACO physicians must address.

The event also includes three on-demand sessions, with MedChi's Craig Behm discussing ACO Lessons Learned - Case Study of Maryland ACOs; EpsteinBeckerGreen's Mark Lutes, Patricia Wagner and Paul Gomez discussing Current ACO Market Consolidation and Antitrust Issues; and Cigna's Harriet Wallsh and Dr. Renee McLaughlin discussing Cigna's Collaborative Care Strategy - Engaging Healthcare Professionals,

Position your organization for 2015 and beyond in the accountable care arena. Join us for the Fifth Annual Accountable Care Web Summit on Thursday, December 11, 2014, and participate in the live national webinar, additional downloadable on-demand faculty sessions, ACO e-poll and more, featuring national experts providing key insights, trends, strategies, actionable intelligence and more on critical accountable care topics, plus receive a three month trial subscription to Accountable Care News for no additional cost (new subscribers only).

 
Webinar Agenda
Thursday, December 11, 2014
1:00 p.m. to 2:30 p.m. Eastern (10:00 a.m. - 11:30 a.m. Pacific)
Click here to find out what time your event starts in your time zone.
  • 1:00 pm - 1:05 pm  Introductory Comments - Raymond Carter, Senior Editor, Accountable Care News; Webinar Moderator 
  • 1:05 pm - 1:35 pm  The Providence-Swedish ACO Experience - Joseph Gifford, MD, Chief Executive, Accountable Care Organization of Washington, Providence Health & Services 
  • 1:35 pm - 2:05 pm  The Accountable Anesthesia Organization - Hugh Morgan, CPHQ, CMPE, Vice President, Quality Assurance, Executive Director, Somnia Patient Safety Organization, Inc., Somnia Anesthesia 
  • 2:05 pm - 2:30 pm  ACOs and Liability Risks for Physicians-- Julian D. (Bo) Bobbitt, Partner, Smith Anderson
 
On-Demand Sessions & More
On-Demand Video Presentations with audio and synchronized slide advancement:
  • MedChi: ACO Lessons Learned | Case Study of Maryland ACOs - Craig R. Behm, Executive Director, MedChi Network Services (57 minutes)
  • Current ACO Market Consolidation and Antitrust Issues - Mark E. Lutes, Chair, Board of Directors; Member of the Firm, EpsteinBeckerGreen; Patricia M. Wagner, Member of the Firm, Epstein Becker Green; and Paul A. Gomez, Member of the Firm, Epstein Becker Green (63 minutes)
  • Cigna's Collaborative Care Strategy: Engaging Healthcare Professionals - Harriet P. Wallsh, RN, Director of Collaborative Care Clinical Operations, Cigna; and Renee McLaughlin, MD FACS, Senior Medical Director, Market Medical Executive, Cigna (61 minutes)
  • Plus other Web Summit features including a Accountable Care Article Library, an exclusive ACO e-poll, and a three month trial subscription to Accountable Care News
 
Learning Objectives
Participants will be able to:
  1. Gain an overall sense of selected applicable current strategies, initiatives, challenges, experiences, legal issues and insights relating to accountable care that will be applicable for the coming year ahead.
  2. Explore the Providence-Swedish ACO experience in Western Washington with employer driven accountable care and the Medicare Shared Savings program.
  3. Consider the innovation, potential and implications of a specialty ACO as the Accountable Anesthesia Organization is examined.
  4. Examine the professional liability and other related issues that physicians must navigate in 2015 with their participation in ACOs.
  5. Share in findings and implications of ACO lessons learned from the MedChi experience; ACO market consolidation and antitrust issues to consider, and Cigna's collaborative care strategy.
  6. Obtain relevant case experience and lessons learned offered by the faculty, with insights provided from multiple perspectives including operational, legal, provider and purchaser.
  7. Experience e-learning at the attendees' convenience, with on-demand sessions, article library, and other online Summit features available 24/7.
  8. Engage in interactive learning through live webinar providing online question submission, attendee surveys, feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group.
 
Who Should Attend
Interested attendees would include:
  • C-Suite Executives
  • Accountable Care Directors and Staff
  • Strategy and Planning Executives and Staff
  • Legal, Regulatory and Policy Executives and Staff
  • Health Reform, Transformation and Clinical Integration Executives and Staff
  • Managed Care and Revenue Cycle Executives and Staff
  • Business Development Executives and Staff
  • Operations Executives and Staff
  • Provider Network Managers and Staff
  • Provider Contracting Managers and Staff
  • Medical Directors
  • Clinical Executives
  • Care Management Executives
  • Business Intelligence Executives and Analysts

Attendees would represent organizations including

  • Accountable Care Organizations
  • Hospitals
  • Provider Networks
  • Medical Groups 
  • Health Plans 
  • Government Agencies
  • Business Process Organizations 
  • Solutions Providers 
  • Care Management Organizations
  • Associations, Institutes and Research Organizations 
  • Pharmaceutical Organizations
  • Media
  • Other Interested Parties
 
Registration
Accountable Care Web Summit 2014
 
  Individual Registration Fee: $295. Post Event Materials including videos syncing slides and recorded audio, presentation pdf files, and e-poll survey report: $45 for attendees; $355 for non-attendees after the event. Registration includes a three month trial subscription to Accountable Care News for no additional cost.  
     
 
Register Now   Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!
 
 
 
Faculty
 
Joseph Gifford, MD

Joseph Gifford, MD
Chief Executive, Accountable Care Organization of Washington
Providence Health & Services

 
  Joseph M. Gifford, MD, serves as chief executive of the Providence-Swedish Health Alliance, the accountable care organization in Western Washington. In this role he is responsible for the development of population health structures in Washington, and works in strategic partnership to support innovations in care management, population health contracting, and digital health capabilities across the system. He is responsible for the Boeing Preferred Partnership program, the Medicare Shared Savings Program, and other accountable care contracts.

Prior to joining Providence in 2012, Dr. Gifford served as executive medical director of Cambia, Inc., and prior to that, as chief medical officer of Regence BlueShield of Washington. Previously, he worked in the information technology sector in product development for two software companies, including one he co-founded. He serves on multiple boards, including the WINGS investment arm of the Washington Biotechnology/Biomedical Association, and the Foundation for Health Care Quality. He was appointed by the Washington State Governor to the Bree Collaborative, a new public-private health care initiative.

Before his executive career, Dr. Gifford practiced medicine as a board-certified emergency physician in Seattle after residency training at the University of Washington. He earned his medical degree from the University of California at San Diego and his bachelor’s in English Literature from the University of California at Santa Cruz, with postgraduate studies in biochemisty at UC Berkeley, medical informatics at Stanford, and business at the University of Washington.
 



Hugh Morgan

Hugh Morgan,
CPHQ, CMPE
Vice President, Quality Assurance
Executive Director, Somnia Patient Safety Organization, Inc.
Somnia Anesthesia
 
 


Mr. Morgan joined Somnia full time in 2010, after serving for a year as a consultant for the company in the capacity of administrator for a start-up anesthesia physician practice. He oversees the company’s quality initiatives and in this role also serves as director of the Somnia Patient Safety Organization (PSO).

Mr. Morgan’s deep hospital experience includes administrative and management positions in the US Army military healthcare system, including assistant hospital administrator at Brooke Army Medical Center in San Antonio, and administrator for the Department of Surgery at Keller Army Community Hospital at West Point.

 Following his work for the Army, Morgan moved to Temple University Hospital, where he spent five years managing perioperative services. He subsequently became director for Anesthesia and Perioperative Medicine at AtlantiCare Regional Medical Center in Atlantic City, New Jersey, where he managed an anesthesia physician practice.

 



Julian (Bo) Bobbitt

Julian D. “Bo” Bobbitt, Jr. Partner, Smith Anderson Blount Dorsett Mitchell & Jernigan, LLP
   
Bo Bobbitt’s practice focuses on providing strategic general counsel and regulatory guidance for health care organizations. He is involved in business planning, resolution of complex legal and health policy questions, and advanced negotiations for these clients. The legal issues involve antitrust, Stark, federal and state anti-kickback laws, managed care contracting, federal legislative and regulatory advocacy, HIPAA and related privacy and security laws.

His practice is concentrated in the area of representing clinically-integrated hospital and physician organizations, physician-owned Health Information Technology companies, accountable care organizations, patient-centered medical homes, health information exchanges, and nonprofit and professional associations, to achieve process, outcomes and cost improvements in health care delivery. He has extensive experience in developing and drafting accountable care shared savings and other pay-for-performance contracts.

Bo has spoken nationally to both legal and medical audiences and written in both legal and medical journals concerning health law and policy issues. He is credited nationally for authoring the guide to Accountable Care (“The ACO Guide: How to Identify and Implement the Essential Elements for Accountable Care Organization Success”) from which health care providers and medical communities are developing accountable care networks.

 

 
Craig Behm

Craig R. Behm
Executive Director
MedChi Network Services

  Mr. Behm is the Executive Director of MedChi Network Services (MNS), a firm that offers practice services and Accountable Care Organization (ACO) management as a subsidiary of MedChi, the Maryland State Medical Society. Mr. Behm is the executive director of the three Medicare Shared Savings Program ACOs operated by MNS, where he performed a vital role in the ACO formation process and leads clinical integration and quality improvement actions. He continues to facilitate the expansion of ACOs and related services to enhance the private practice of medicine.

Prior to joining MNS, Mr. Behm worked as a health care business consultant for a small firm in the Baltimore region. He also worked at Erickson Living, a large-scale developer and operator of continuing care retirement communities. Mr. Behm holds a Bachelors of Arts from the University of Maryland, College Park and a Masters of Business Administration from the Loyola University Sellinger School of Business. 
 

Mark E. Lutes

Mark E. Lutes
Chair, Board of Directors; Member of the Firm
EpsteinBeckerGreen

 

Mark E. Lutes is a Member of the Firm in the Health Care and Life Sciences practice of Epstein Becker Green and the Chair of the firm's Board of Directors. Based in Washington, DC, he has practiced with the firm for nearly three decades. Prior to that, he was a legislative adviser to the Federal Trade Commission. He also offers strategic counsel in health policy and on reimbursement strategy through the firm's affiliates EBG Advisors, Inc., and National Health Advisors, LLC.

Mr. Lutes is a leader in the firm's representation of private equity and financial services firms with health care companies in their portfolios. He routinely deploys multidisciplinary teams of attorneys, reimbursement specialists, engineers, and scientists to assess the reimbursement, FDA and other domestic and international regulatory approvals, fraud and abuse compliance, CMS and legislative landscapes and other issues impacting proposed client investments in health care companies. Mr. Lutes combines experience with the corporate aspects of transactions with his deep experience in health care compliance issues to provide clients with practical advice in the negotiation of warranty and indemnification issues and in assessing risk factors in health and life science deals. He has advised on the largest transactions in the health care market including services, pharmaceutical and device companies.

Mr. Lutes is also an experienced antitrust counselor to health care companies contemplating mergers or acquisitions and has facilitated the antitrust clearance of numerous significant hospital mergers. He has managed the defense of high profile healthcare antitrust actions by the FTC.

Mr. Lutes has a deep understanding of managed care markets and regulation. He is consulted by a variety of providers and payors in structuring innovative payment arrangements. Additionally, he counsels on hospital and physician ventures and compliance issues and in the area of information privacy and security. Mr. Lutes has developed privacy and security audit tools which support client compliance needs.

He has been selected for inclusion in Washington, DC Super Lawyers (2007 to 2010, 2013, 2014) and honored by Nightingales as a leading health care antitrust lawyer. He is ranked among the "Leaders in Their Field" by Chambers USA (2010 to 2014).

Mr. Lutes is active in his parish and serves as Chair of the Advisory Board of the Spanish Catholic Center, a social and health services nonprofit. He also serves on the President's Council of Catholic Charities, Archdiocese of Washington, DC, which honored him with The Caritas Award, its highest recognition of volunteers. Mr. Lutes also has over a decade of service in leadership in the Boy Scouts of America organization.


Patricia Wagner

Patricia M. Wagner
Member of the Firm
Epstein Becker Green
 

Patricia M. Wagner is a Member of the Firm in the Health Care and Life Sciences and Litigation practices, in the firm's Washington, DC, office.

Ms. Wagner's experience includes the following:
•Advising clients on a variety of matters related to federal and state antitrust issues
•Representing clients in antitrust matters in front of the Federal Trade Commission and the United States Department of Justice, and state antitrust authorities
•Advising clients on issues related HIPAA Privacy and security
•Advising clients on issues related to state licensure and regulatory requirements

Ms. Wagner is a contributor to the Health Law Advisor and speaks and writes frequently in her areas of practice. Selected presentations and articles include the following:
•Contributor to ABA Health Law Series: E-Health, Privacy, and Security Law: Evaluating Antitrust Concerns in the Electronic Marketplace, 2nd ed.
•Speaker at Massachusetts Medical Society Symposium: "A Path to Accountable Care Organizations: How Do We Get There from Here?" (September 13, 2011)
•Panelist at Federal Trade Commission Workshop: "Another Dose of Competition - Accountable Care Organizations and Antitrust" (May 9, 2011)
•Lecturer in DC Bar Introduction to Health Law Series: "Managed Care Contracting" (2005 to 2012)
•Presentation for Lorman Group: "Privacy Compliance for Medical Records" (February 2008, November 2008, and December 2008)
•Presenter in Webinar: "HIPAA and Wellness Programs" (March 2007)
•Coauthor with William G. Kopit, Dagher Redux: Searching for the Missing Pieces, 39 J. HEALTH L. 349 (Summer 2006)

Prior to practicing law, Ms. Wagner received her doctorate in microbiology (1990) from the University of Kansas. With that degree, she worked as a research microbiologist at a number of research institutions around the country, including the Centers for Disease Control in Atlanta, Georgia.

 


Paul Gomez
Paul A. Gomez

Member of the Firm
Epstein Becker Green
 

Paul A. Gomez is a Member of the Firm in the Health Care and Life Sciences and Corporate Services practices, in the Los Angeles office of Epstein Becker Green. He represents a wide variety of health care providers, including nonprofit and for-profit hospitals, health systems, dialysis providers, medical groups, laboratories, and other health care entities. Mr. Gomez’s practice focuses on all of the transactional and regulatory aspects of the health care industry.

Mr. Gomez advises clients with respect to:

Complex hospital/physician integration models
Physician practice acquisitions
Mergers and acquisitions
Health care joint ventures
Strategic affiliation models
Health care fraud and abuse compliance
Medicare/Medicaid reimbursement
Provider licensing and certification
HIPAA and state privacy laws
For several years, Mr. Gomez has been ranked by Chambers USA in the Healthcare category in California. He was also selected as a “Southern California Rising Star” by Super Lawyers Magazine in the areas of health care and business/corporate for years 2009-2012.

Mr. Gomez is a frequent speaker and author on various health care topics, including strategic affiliations, acquisitions and joint ventures, as well as fraud and abuse compliance. He is actively involved in several health care legal professional associations.


Harriet P. Wallsh, RN

Harriet P. Wallsh, RN
Director of Collaborative Care Clinical Operations
Cigna
 

Harriet Wallsh is the Director of Cigna Collaborative Care Clinical Operations. She developed Cigna Collaborative Care/ACO and is responsible for clinical operations for Cigna Collaborative Care initiatives. Her responsibilities include development, implementation and ongoing clinical operations through informatics, clinical collaboration process, program support tools, and field communication.

Harriet and her team have supported expansion for the Cigna Collaborative Care – Large Group program and infrastructure which now has 90 active Collaborative Accountable Care initiatives. Due to this work, Cigna has been sited as a “significant player” to the ACO space. Harriet oversees a team of clinical and project management experts who work in collaboration with Cigna Medical Operations, Contracting and healthcare professional management teams with the goal to drive Cigna Collaborative Care outcomes to improve the quality, affordability and experience of care for Cigna customers.

Her experience includes over 23 years at Cigna in roles including contracting, network management and developing programs designed to enhance the patient care experience, overseeing and directing the development, evaluation and implementation of new or changing programs, policies and procedures in concert with health care reform legislation as well as hiring, training and retaining a consultant staff.

Prior to joining CIGNA, she served as a Physician Consultant and as a Clinical Nurse with a focus in Maternal Fetal care. Harriet holds a Bachelor’s of Science Degree in Nursing from Rutgers University.

 


Renee McLaughlin, MD

Renee McLaughlin, MD FACS, Senior Medical Director, Market Medical Executive
Cigna
 

Dr. Renee Mclaughlin is a senior medical director and the market medical executive for Cigna's Mid-South market. In this role she shares responsibility for managing the total medical costs for 800,000 CIGNA customers and serves as the senior medical liaison for CIGNA's provider partners and clients.

She is the clinical director for CIGNA's performance improvement initiatives in the mid-South and is a member of Cigna's corporate team responsible for the design and implementation of Cigna’s value-based solutions to improve quality, affordability, and patient satisfaction. She has extensive experience in the development, implementation, and operation of successful population health management partnerships. She speaks regularly in both regional and national forums on value-based health care delivery.

Prior to joining CIGNA in 2005, Dr McLaughlin was a practicing general and vascular surgeon in a single-specialty practice. She earned a BS at Adrian College, MS at Wayne State University, and completed her graduate and post-graduate medical and surgical training at the University of Pittsburgh. She served in the United States Army during the first Gulf war. She currently lives in Chattanooga, Tennessee where she spends her free time enjoying Southern culture as well as the waters of the Tennessee River.

 

 
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