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Sixth Annual Accountable Care Web Summit
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Overview
 
Around the nation in 2015, over 580 Accountable Care Organizations participate in Medicare, commercial and Medicaid programs. More than two-thirds of the U.S. population now live in localities served by accountable care organizations with up to 56 million people receiving care from these organizations.  While some programs point to significant growth and success, there are also significant pitfalls and and concerns for many organizations as they look to the future. As ACOs continue to develop and mature around the country, their survival depends upon adequately adapting and evolving their delivery models, along with refining their contracting approaches and order to succeed going forward. Certainly the coming year presents the range of caution, optimism, opportunities and challenges to the expanded ACO arena.

The Sixth 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, with a particular emphasis on the accountable care environment going forward, and ACO contracting challenges, opportunities and strategies. Tomas Mikuckis, Principal with Oliver Wyman  will overview The Evolution of Accountable Care in 2016 and Beyond, presenting Oliver Wyman research on the state of ACOs at this juncture and the strategic implications of their continual state of evolution.  David Fairchild, MD, MPH, Director, BDC Advisors, will speak on  Preparing For Direct Employers Contracts: The Next Business Curve for ACOs - addressing strategies to deal with self-insured employers with dispersed well as centralized work forces.   Kimberley K. Hiemenz, FSA, MAAA, Principal and Consulting Actuary with Milliman will share Eight Essential Keys to Successful ACO Contracting - identifying eight common elements critical to analyzing and understanding shared risk and population-based arrangements for accountable care organizations.

The event also includes three on-demand sessions providing case-studies of ACO experiences, with Atrius Health's Richard Lopez, MD and Emily Brower discussing Atrius Health’s Medicare Population Health Strategy: ACOs as the platform; Capital BlueCross' Jennifer Chambers, MD MBA FACP and Denise Harr, MD, discussing Capital BlueCross Accountable Care Arrangements: A Regional Health Plan's ACO Approach; and the National Rural ACO Consortium's Lynn Barr, MPH, discussing Rural Accountable Care Initiatives: The National Rural Accountable Care Consortium Approach.

Position your organization for 2016 and beyond in the accountable care arena. Join us for the Sixth Annual Accountable Care Web Summit on Thursday, December 10, 2015, 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 10, 2015
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 Evolution of Accountable Care in 2016 and Beyond - Tomas Mikuckis, Principal, Oliver Wyman 
  • 1:35 pm - 2:05 pm  Preparing For Direct Employers Contracts: The Next Business Curve for ACOs  - David Fairchild, MD, MPH, Director, BDC Advisors 
  • 2:05 pm - 2:30 pm  Eight Essential Keys to Successful ACO Contracting - Kimberley K. Hiemenz, FSA, MAAA, Principal and Consulting Actuary, Milliman
On-Demand Sessions & More
On-Demand Video Presentations with audio and synchronized slide advancement:
  • Atrius Health’s Medicare Population Health Strategy: ACOs as the platform - Richard Lopez, MD, Chief Medical Officer, Atrius Health; and Emily Brower, Vice President, Population Health, Atrius Health (58 minutes)
  • Capital BlueCross Accountable Care Arrangements: A Regional Health Plan's ACO Approach - Jennifer Chambers, MD MBA FACP, Senior Vice President & Chief Medical Officer with Capital BlueCross; and Denise Harr, MD, Senior Medical Director, with Capital BlueCross (55 minutes)
  • Rural Accountable Care Initiatives: The National Rural Accountable Care Consortium Approach - Lynn Barr, MPH, Chief Transformation Officer, National Rural ACO Consortium (53 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, contracting issues and insights relating to accountable care that will be applicable for the coming year ahead.
  2. Explore the Oliver Wyman research into the current state and continual evolution of accountable care organizations, and survival strategies going forward.
  3. Consider the strategies, implications and logistics involved for ACOs in Preparing For Direct Employers Contracts with self-insured organizations.
  4. Identify eight common elements critical to analyzing and understanding shared risk and population-based arrangements for accountable care organizations.
  5. Share in findings and implications of ACO lessons learned in case studies on the accountable care experiences of Atrius Health, Capital BlueCross and the National Rural Accountable Care Consortium.
  6. Obtain relevant case experience and lessons learned offered by the faculty, with insights provided from multiple perspectives.
  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
2015 Accountable Care Web Summit
 
  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
 
Tomas Mikuckis

Tomas Mikuckis
Principal
Oliver Wyman

 
  Tomas is a Principal in the Health and Life Sciences Group at Oliver Wyman, based in the Boston area. Tomas advises senior executives on consumer engagement and retail strategy, value-based healthcare, organizational transformation, and predictive modeling and risk-based analytical approaches to strategy and decision-making.

Tomas has served with Oliver Wyman since 2006, with prior experience in the Financial Services Group, with a focus on risk management and risk-based capital, credit risk assessment, and portfolio management. Tomas received his degree from Harvard University.
 


David Fairchild

David Fairchild, MD, MPH
Director
BDC Advisors
 

David Fairchild, M.D. is a Director at BDC Advisors with a particular expertise in physician organization and engagement, clinical quality improvement, and shared-risk contracting in academic health systems. He has extensive successful experience in the development of Accountable Care Organizations, Clinically Integrated Physician Networks, and Population Health Management strategies.

David has had a distinguished academic and clinical career including over eight years of C-Suite experience serving as a Chief Medical Officer and as a Senior Vice President in major academic health systems, and as President of a Medicare Shared Savings Program (MSSP) ACO. As Chief Medical Officer at the Tufts Medical Center and Associate Professor of Medicine at Tufts Medical School in Boston, David worked with over 1,000 community physicians and faculty in the New England Quality Care Alliance (NEQCA), the first academic system to sign the total cost of care Alternative Quality Contract (AQC) with Blue Cross of Massachusetts. More recently, at UMass Memorial Health Care, he was responsible for the clinical integration of over 1,600 academic and community physicians, a risk-sharing network with commercial and government contracts. He served as the first President of the Health System’s Medicare Shared Savings Program Accountable Care Organization.

David’s specific areas of specialization include: Physician/Hospital Population Health Management Strategy; Accountable Care and CIN Organization and Design; Physician Network Development and Product Design; Health System/Physician Leadership Organization and Governance; Physician Engagement and Compensation; Patient Satisfaction and Consumer Engagement; Physician Organizations and Faculty Practice Plan Development; and Operations Cost Management and Care Process Improvement.

In addition to serving as President of the UMass Memorial Health Care’s MSSP ACO, David served as the system’s Senior Vice President for Clinical Integration, and Professor of Medicine at the University of Massachusetts Medical School. He previously served as Division Chief of General Medicine and Chief Medical Officer at Tufts Medical Center where he was also Associate Professor of Medicine at Tufts University School of Medicine. Prior to joining Tufts, David was the Director of Primary Care Services at Brigham and Women’s Hospital and Assistant Professor of Medicine at Harvard Medical School. Board Certified in Internal Medicine and a Fellow of the American College of Physicians, David is also a healthcare researcher with a keen interest in physician engagement and quality improvement in ambulatory care settings. He has published over 30 papers on a variety of topics ranging from primary care, population health, hypertension, physician and patient satisfaction. Additionally, David is the editor-in-chief of Physician’s First Watch, an e-publication of The New England Journal of Medicine (NEJM) Group, providing daily medical news to over 160,000 primary care clinicians worldwide.

David received his undergraduate degree from Haverford College in Philadelphia, PA, and his medical degree from the Pennsylvania State University School of Medicine in Hershey, PA. After completing his residency and chief residency at Yale New Haven Hospital in Connecticut, he was a general medicine fellow at the Brigham and Womens Hospital in Boston and earned his Masters of Public Health degree from the Harvard School of Public Health. David also served for three years on the Navajo Reservation as a physician in the Indian Health Service.
 


 
Kimberley K. Hiemenz, FSA, MAAA

Kimberley K. Hiemenz,
 FSA, MAAA, Principal and Consulting Actuary
Milliman

  Kim is a principal and consulting actuary with the Milwaukee office of Milliman. She joined the firm in 2006 after working for two large insurance carriers.

Kim has extensive experience with managed care payment structures including shared risk and population-based payment arrangements. She has worked with Medicare Pioneer and Medicare Shared Savings Program ACOs as well as commercial, Medicare Advantage, and Medicaid reimbursement arrangements.

Kim also provides financial and strategic risk management support to insurance companies and health plans. She assists clients with several facets of their business including product development and pricing, experience analysis, valuation of reserves, financial reporting, and development of risk sharing arrangements. Kim is very well versed in the Patient Protection and Affordable Care Act (ACA) and understands the strategic and financial implications of the ACA.

Further, she assists clients with Medicare Advantage feasibility studies and bid development. Her current Medicare clients span a variety of covered populations and benefits. Kim's clients include integrated delivery systems, hospitals, health plans (including provider-owned health plans), and associations/trusts.

Prior to joining Milliman, Kim had over six years of experience working for two large insurance carriers, where she focused on pricing, experience analysis, and special initiatives such as broker compensation programs.

Kim is a Fellow, Society of Actuaries; Member, American Academy of Actuaries; Member, American College of Healthcare Executives; Member, Healthcare Financial Management Association; and Member, National Association of Professional Women Education. Kim received a BS in Mathematics and Risk Management from Illinois Wesleyan University. 
 
 

Richard Lopez, MD

Richard Lopez, MD
Chief Medical Officer
Atrius Health
 

Dr. Richard Lopez, a physician at Harvard Vanguard Medical Associates, was appointed Chief Medical Officer in January 2009. In this position, Dr. Lopez works collaboratively with the Chief Medical Officers and Chief Executive Officers of the five Atrius Health medical groups across a wide range of clinical and quality initiatives. 

Specifically, Dr. Lopez’s focus includes clinical program and regional project development, clinical aspects of payer/provider contracting, clinical informatics, medical management, and safety and quality, as well as collaborating to develop quality standards and the outcome reporting measures and clinical dashboards that support the medical groups in meeting those standards. More than a 30-year veteran of Harvard Vanguard, Dr. Lopez has made many significant contributions to the organization and is the recipient of Harvard Vanguard’s Lifetime Achievement Award and the Becker's Healthcare 2014 Leadership Award.


Dr. Lopez received his medical degree from Boston University School of Medicine and completed his residency and internship at St. Elizabeth’s Hospital. Dr. Lopez received his Bachelor of Arts degree from Boston University and is a clinical instructor at Harvard Medical School. As a board certified internist, Dr. Lopez has practiced primary care internal medicine at Harvard Vanguard’s Medford practice since 1982. 

Dr. Lopez serves on several committees including the State Quality Advisory Committee and the Massachusetts Healthcare Quality and Cost Council, the Neighborhood Health Plan Patient Care Assessment Committee, and is an advisor to the Massachusetts Medical Society Committee on Quality of Medical Practice. In addition, Dr. Lopez has served in the past on the Board of the Massachusetts Coalition for the Prevention of Medical Errors.

 


Emily Brower

Emily Brower
Vice President, Population Health
Atrius Health
 

Emily DuHamel Brower is Vice President of Population Health for Atrius Health, an alliance of three community-based medical groups and a home health care and hospice agency in Massachusetts. Emily first joined Atrius Health in 2010, as Senior Director, Clinical Improvement Ventures for Harvard Vanguard and became Executive Director of Atrius Health’s Accountable Care Programs in 2012.

In her position at Atrius Health, Emily has developed opportunities to support transformational work that measurably improves healthcare within value-based payment models. Key accomplishments include securing Atrius Health’s participation in, and leading our implementation of, the Pioneer ACO model, an initiative of CMS’ Center for Medicare and Medicaid Innovation. She is currently working with local health plans partnering with MassHealth (Massachusetts Medicaid) and Medicare on a demonstration for the “dual eligibles,” developing new care models for patients with both Medicare and Medicaid. In her position, Brower leads cross-Atrius Health, cross-discipline teams of over 50 people involved in redesigning care for Atrius Health’s highest risk patients, moving from a payer-based to population-based approach.

Previously, Brower spent fifteen years as the Chief Operating Officer/Director of Finance and Operations at Urban Medical Group in Jamaica Plain, a non-profit healthcare organization specialized in medical management of medically complex, chronically ill populations across a community-based long term care continuum. Among her accomplishments at Urban Medical, Brower served as Principal Investigator for a multi-year research project analyzing cost and quality outcomes to support payment reform, and developed innovative, capitated contracts for medically complex populations.

Brower received her Bachelor of Arts from Smith College, and MBA from the New York University Stern School of Business.
 


Jennifer Chambers, MD

Jennifer Chambers,
MD MBA FACP
Senior Vice President & Chief Medical Officer
Capital BlueCross
 

Dr. Jennifer Chambers is the senior vice president & chief medical officer at Capital BlueCross. In this capacity, she leads the company’s medical policy, clinical innovation, patient safety and quality initiatives, and clinical teams. She joined the Capital BlueCross medical staff in 2007.

Prior to joining Capital BlueCross, Dr. Chambers directed the Palliative Medicine Program at Penn State Milton S. Hershey Medical Center. She also worked as the clinical director of the VA Medical Center in Lebanon, Pa.

Dr. Chambers serves as board chair of Keystone Autism Services and as vice chair for Keystone Human Services. She is also a board member of the Pennsylvania Health Care Quality Alliance and is a member of the Harrisburg Multiple Sclerosis Leadership Council. She was recently recognized as a Central Penn Business Journal Woman of Influence.

Dr. Chambers serves as board chair of Keystone Autism Services and as vice chair for Keystone Human Services. She is also a board member of the Pennsylvania Health Care Quality Alliance and is a member of the Harrisburg Multiple Sclerosis Leadership Council. She was recently recognized as a Central Penn Business Journal Woman of Influence.

Dr. Chambers is board certified in both internal medicine and in hospice and palliative medicine. She is an American College of Physicians Fellow and a member of the American Academy of Hospice and Palliative Medicine.
 

 


Denise Harr, MD

Denise Harr, MD
Senior Medical Director
Capital BlueCross
 

Dr. Denise Harr is a senior medical director at Capital BlueCross with primary involvement in Capital BlueCross’ medical value strategy initiatives, including Accountable Care Arrangements (ACAs) and other value-based reimbursement programs. Additionally, she provides clinical guidance to the sales team and is an external presence with customers and clients. 

Dr. Harr joined Capital BlueCross in May 2012, after spending 15 years as a clinician in an active primary care practice in central Pennsylvania. Most of those clinical years were spent as a physician partner in a multi-specialty group. During the last several years of her clinical practice, she was a member of an ACA which had been newly established in the area. Her firsthand experience in an accountable care relationship provided the foundation for her work at Capital BlueCross. 

Through her work at Capital BlueCross, she regularly interacts with the performance improvement department in developing and maintaining quality programs that are a critical piece of these initiatives. Her clinical experience helps guide the clinical team in their care management activities. Analyzing data along with members of the analytics and reporting staff allows for the identification of actionable areas of opportunity that can then be leveraged to effect practice change. Focus remains, in all of these activities, on medical value, aiming for cost-effective, high quality care delivery, while improving the patient experience of care. 

Developing and maintaining strong relationships with Capital BlueCross’ provider partners and customers is another key activity for Dr. Harr. She is seen as a respected peer to her clinical colleagues and as a trusted clinical resource for Capital BlueCross’ customers and clients. 

Dr. Harr is a graduate of Hood College in Frederick, Md., with a Bachelor of Arts degree in Biochemistry. She earned her medical degree at the Pennsylvania State University College of Medicine. She is board certified in family medicine, and resides in Hummelstown, PA.
 


Lynn Barr

Lynn Barr, MPH
Chief Transformation Officer 
National Rural ACO Consortium
 

An energetic entrepreneur with thirty years of experience in health care, Lynn has shepherded four start ups and twelve medical inventions through research, the FDA and to worldwide markets.

While pursuing her Master’s Degree in Public Health, she led the California Health IT and Exchange Strategic Planning Team under California Health and Human Services, formed the Rural Health Information Technology Consortium and assessed HIT status of California Rural and Critical Access Hospitals. She developed a $20 million rural hospital loan program with United Health Group and led 13 rural hospitals through vendor acquisition to meaningful use.

While acting as the CIO of a critical access hospital, she created the National Rural Accountable Care Organization to overcome barriers for rural providers to participate in innovative payment models under healthcare reform.

 

 
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