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Capital BlueCross Accountable Care Arrangements: A Regional Health Plan's ACO Approach 
 
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Overview
Capital BlueCross, headquartered in Harrisburg, Pa., is the leading health insurer in central Pennsylvania and the Lehigh Valley. For more than 75 years, the company has provided products and services to individuals, families and employers. Today, Capital BlueCross continues to evolve, innovating new ways to create an even healthier future for customers with more choice, greater convenience, and better quality of care.

During the past four years Capital BlueCross has been collaborating with area providers to implement Accountable Care Arrangements throughout the region, yielding excellent results including improved quality of care, healthier customers, and lower health care costs. The company currently has seven Accountable Care Arrangements throughout central Pennsylvania and the Lehigh Valley, with both independent physician groups and integrated delivery systems that serve more than 100,000 Capital BlueCross customers.

Capital BlueCross has also introduced a program geared toward small to mid-sized, independent primary care physician practices that are not part of an integrated delivery system and that would likely not have an opportunity to participate in a regular ACA. QualityFirst rewards eligible primary care physicians for best value in delivering high-quality, efficient, patient-centered care to Capital BlueCross customers. The QualityFirst Program affects over 130,000 members.

The Capital BlueCross Accountable Care Arrangements are meeting or exceeding agreed-upon quality goals relating to chronic disease management, helping patients who have chronic conditions such as diabetes, coronary artery disease, and congestive heart failure experience improved health. More specifically, Capital BlueCross’ Accountable Care Arrangements are exceeding the regional average for Healthcare Effectiveness Data and Information Set (HEDIS) measures for some of the leading chronic diseases. Medical and pharmacy costs for Capital BlueCross Accountable Care Arrangements are growing at a lower rate than Capital BlueCross’ total book of business, and compare favorably against similar arrangements implemented by other Blue Plans across the country.

Jennifer Chambers, MD MBA FACP, Senior Vice President & Chief Medical Officer with Capital BlueCross; and Denise Harr, MD, Senior Medical Director, with Capital BlueCross will be presenting on Capital BlueCross' accountable care approach - discussing their medical value strategy; providing an overview and history of Capital BlueCross’ value-based programs; detailing Capital BlueCross’ Accountable Care Arrangements model; and sharing data regarding their program outcomes and results.  Please join Capital BlueCross' Dr.  Chambers and Dr. Harr on Wednesday, May 27th, 2015 at 1PM Eastern in this Healthcare Web Summit event as they discuss Capital BlueCross Accountable Care Arrangements: A Regional Health Plan's ACO Approach.
 
Learning Objectives
Participants will be able to:
  1. Understand the Capital BlueCross medical value strategy.
  2. Review an overview and history of Capital BlueCross’ Value-Based Programs.
  3. Explore Capital BlueCross' Accountable Care Arrangements Model, including the financial model, clinical support, quality program, and data sharing components.
  4. Ascertain the accountable care outcomes and results experienced by Capital BlueCross Accountable Care Arrangements, which are outperforming their peers.
  5. Consider Capital BlueCross' use of technology-enabled tools, such as a Population Management Tool in which applicable members are identified for outreach, education, and referral for additional clinical, wellness, or community-based services.
  6. Examine Capital BlueCross' QualityFirst program, in addition to their ACO programs, that rewards eligible smaller-sized independent primary care physician practices for best value in delivering high-quality, efficient, patient-centered care.
  7. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow-up questions, and networking with attendees, faculty and other professionals through a dedicated LinkedIn group.
Who Should Attend
Interested attendees would include:
  • C-Suite Executives
  • Accountable Care Directors and Staff
  • Medical Directors
  • Strategy and Planning Executives and Staff
  • Legal, Regulatory and Policy Executives and Staff
  • Health Reform, Transformation and Clinical Integration Executives and Staff
  • Business Intelligence and Research Analysts
  • 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
  • Clinical Executives
  • Care Management Executives

Attendees would represent organizations including:

  • Accountable Care Organizations
  • Hospitals and Health Systems
  • Provider Networks
  • Medical Groups 
  • Health Plans 
  • Government Agencies
  • Employers
  • Business Process Organizations 
  • Solutions Providers 
  • Care Management Organizations
  • Associations, Institutes and Research Organizations 
  • Pharmaceutical Organizations
  • Media
  • Other Interested Parties


Registration
Capital BlueCross Accountable Care Arrangements: A Regional Health Plan's ACO Approach 
 
  Individual Registration Fee: $195. Post-event materials, with video syncing slides and recorded audio, plus presentation pdf file: $45 for attendees; $260 for non-attendees after the event. Register online or download the event brochure. Attendees also receive a complimentary three month subscription to Accountable Care News.
 
 
 
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
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.
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