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Fall Leadership and Board of Directors Meeting

Event Date: 10/18/2016 - 10/20/2016

Event Overview

Managing risk reimbursement arrangements

Join your Alliance peers and system partners in beautiful Monterey, California, for a deep dive into how health plans and health systems are managing risk reimbursement arrangements.  

  • Tuesday the 18th features an exclusive, Health Plan Alliance member CEO-only workshop, from 8-5pm. Click here for details and to register
  • Wednesday the 19th includes a Board of Directors meeting from 8-10am
  • Wednesday the 19th general sessions kick off later that morning and end at 5pm
  • Wednesday evening features the 20th Anniversary Gala Reception at the beautiful Monterey Bay Aquarium
  • Thursday the 20th general sessions run from 8-5pm

Topics include:

  • Politics and healthcare: The impact we can expect this election cycle to have on our industry
  • Value-based payments: It's not a trend - it's a mandate
  • Innovations in provider engagement: Alliance members share success stories and lessons learned
  • How CMS is transforming the vision into reality: Accelerating the industry's transformation through collaboration, policy and regulation
  • MACRA: What the latest game changing regulation means for provider sponsored plans

Who should attend?

  • Health Plan CEOs and executive leadership teams
  • Partner health system CEOs and executive leadership teams

Agenda

For a printable, detailed agenda, visit the Documents tab noted above 

AGENDA AT A GLANCE  

Tues, Oct 18

 (Private Alliance member CEO event only) click to learn more

7:30am

Breakfast and Registration

8:00am

Welcome and Introductions

8:30am

CEO Change management workshop – morning session

12:00pm

Lunch

1:00pm

CEO Change management workshop – afternoon session

5:00pm

Day Adjourns

6:00pm

Welcome reception

Wed, Oct 19

(All Value Visit Attendees)

7:00am

Value Visit Attendees Breakfast | Executive Committee Meeting and Private Breakfast

8:00am

Board of Directors Meeting

10:00am

Break

10:30am

Value Visit Welcome and Introductions

10:45am

Political update and anticipated policy changes

12:00pm

Lunch

1:00pm

Panel Discussion: The CMS push to accelerate the transformation to Value Based Reimbursement

2:30pm

Break

3:00pm

Case study: Collaboration between system, physicians, plan and employers in managing costs and improving care

4:30pm

Day Adjourns

6:00pm

20th Anniversary Gala Reception

Thur, Oct 20

 

8:00am

Breakfast Roundtables

9:00am

MACRA: Preparing for regulatory challenges and opportunities

10:15am

Break

10:45am

Panel Discussion: Value based payment design that connects employer priorities and payment reform

12:00pm

Lunch

1:00pm

Case Study: Bringing Providers, Members and Data together – CHPW’s Clinical Integration Solution 

3:00pm

Provider contracts: What’s the road ahead?

4:00pm

Wrap up

4:30pm

Event adjourns

 

Special Events

Tuesday, October 18, 2016

6:00 - 8:00 pm WELCOME RECEPTION

Fall Forum attendees, their guests, and invited speakers and sponsors are all welcome at this kick-off reception with an ocean view, on the hotel's beautiful Pacific view courtyard.  

 

Wednesday, October 19, 2016

6:00 - 9:00 pm 20TH ANNIVERSARY GALA RECEPTION AND DINNER at the Monterey Bay Aquarium

Fall Forum attendees, their guests, and invited speakers and sponsors are invited to attend this one-of-a-kind event. The Alliance is celebrating 20 fantastic years of service at the beautiful Monterey Bay Aquarium.  Join us for a private reception and tour the Aquarium exhibits after hours with your Alliance colleagues and guests.  Following the reception, we'll sit down to dine in this beautiful venue and share memories of the last 20 years.

 

Other ideas for attendees and their guests, to explore any time!

​The 2016 Fall Forum is at a beautiful location, with lots of great opportunities for guests to explore.  We've curated some of our favorite items here, and encourage you to visit Monterey's visitors center for more ideas.

  • The Intercontinental has a spa facility onsite, which offers beauty treatments and relaxation experiences
  • The hotel is also adjacent to the Monterey Bay Coastal Recreation Trail for walking, jogging and cycling
  • Bayonet Black Horse, Black Horse Golf Course (831-899-7271)
  • Monterey Bay Whale Watching (831-375-4658)
  • Canoe and Kayak rental (831-373-5357)
  • Monterey walking tours 

 

Documents
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11/23/2016

Deloitte MACRA Desk Reference
Shared by Deloitte at the Alliance Fall Leadership Value Visit, this MACRA desk reference sheet puts the essential information health plans need to know at their fingertips.

11/7/2016

Presentation: Provider Contracts: What's the road ahead?
In this session, Ellen Brown describes key considerations for provider contracts as we move toward value based reimbursement.

11/1/2016

Presentation: CMS Push to Accelerate the Transformation to Value Based Reimbursement
This panel discussion focuses on CMS' multi-pronged approach to accelerate the industry's transformation to value based reimbursement.

11/1/2016

Presentation: Case Study: Collaboration between the system, physicians, plan and employers in managing costs and improving care
SelectHealth shares an overview of their share products, including experiences to date and expectations going forward.

11/1/2016

Presentation: MACRA: Preparing for regulatory challenges and opportunities
Deloitte offers insight into how healthcare stakeholders can begin to assess how the law could affect their strategic objectives and long-term business priorities.

11/1/2016

Presentation: Value Based Plan Design that connects Employer Priorities and Payment Reform
This session describes what are big players doing to drive employees to value based care, how real-world implementations of value based design have impacted claims, and the wellness activities that encourage people to take better care of themselves and real life experiences in designing risk models for physicians.

11/1/2016

Presentation: Case Study: Bringing Providers, Members and Data together - CHPW's Clinical Integration Solution
Community Health Plan of Washington discussed how the plan evolved their Clinical Integration Solution (CIS) and now have expanded the program into most of their clinics.

10/31/2016

Presentation: Political update and anticipated policy changes
In this session, Gorman Health Group shares insights and expectations regarding the end of President Obama's second term and what we can expect for the health care industry, in 2017 and beyond.

10/20/2016

Audio: MACRA: Preparing for regulatory challenges and opportunities
MACRA is intended to help shift the health care sector away from the traditional fee-for-service system and toward value-based payment arrangements. Notably, the law’s incentives for health care professionals to enter into risk-bearing coordinated care models has the potential to accelerate reform by further promoting opportunities for public and private collaboration. With the Administration entering into a period of significant regulatory activity related to MACRA, now is a critical time for healthcare stakeholders to begin to assess how the law could affect their strategic objectives and long-term business priorities.

10/20/2016

Audio: Case Study: Bringing Providers, Members and Data together – CHPW’s Clinical Integration Solution
Over many years, Community Health Plan of Washington has evolved their Clinical Integration Solution (CIS) and now have expanded the program into most of their clinics. Today, data aggregated from seven disparate EMRs, combined with claim data, drives CHPW’s P4P program, their risk adjustment processes, not to mention member outreach and care gap closure.

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Attendees

Below is a list of all delegates registered to date for this event

  • Pat Driscoll
  • ALLIANCE GUEST
  • Professor, Texas Women's University at Health First, Inc.
  • Daniel Jorgenson
  • ALLIANCE GUEST
  • SVP, Chief Strategy Officer at CareConnect Insurance Company, Inc.
  • Matthew Aug
  • ALLIANCE MEMBER
  • President at Cox HealthPlans
  • Jennifer Brady
  • ALLIANCE MEMBER
  • CEO, Carolinas Physician Alliance at Carolinas Physician Alliance
  • David Burnett
  • ALLIANCE MEMBER
  • Chief Growth Officer at Neighborhood Health Plan of Rhode Island
  • Bruce Butler
  • ALLIANCE MEMBER
  • Chief Executive Officer at Samaritan Health Plans
  • Rebecca Downing
  • ALLIANCE MEMBER
  • Chief Legal Officer at Western Health Advantage
  • Alison Dunton
  • ALLIANCE MEMBER
  • Director of Practice Enhancement & Analytics at Aspire Health Plan
  • Brandon Fryar
  • ALLIANCE MEMBER
  • President at Presbyterian Health Plan
  • Don Hufford
  • ALLIANCE MEMBER
  • Innovation Strategist at Western Health Advantage
  • Kelley Kaiser
  • ALLIANCE MEMBER
  • SVP - Chief Administrative Officer at Samaritan Health Services
  • Zach Keeling
  • ALLIANCE MEMBER
  • CEO, Medical Associates Clinic & Health Plans at Medical Associates Health Plans
  • Stacy Kessel
  • ALLIANCE MEMBER
  • Chief Finance & Strategy Officer at Community Health Plan of Washington
  • Larry Loo
  • ALLIANCE MEMBER
  • Chief Executive Officer at CCHP
  • Garry Maisel
  • ALLIANCE MEMBER
  • President and Chief Executive Officer at Western Health Advantage
  • Mark Mixer
  • ALLIANCE MEMBER
  • Chief Executive Officer at Alliant Health Plans
  • Priti Mody-Bailey
  • ALLIANCE MEMBER
  • Chief Medical Officer/VP at Community First Health Plans
  • Matt Morgan
  • ALLIANCE MEMBER
  • Chief Financial Officer at Aspire Health Plan
  • Jack Randolph
  • ALLIANCE MEMBER
  • Chief Executive Officer at MediGold
  • Penny Ransom
  • ALLIANCE MEMBER
  • Chief Administrative Officer at Network Health
  • Amanda Reed
  • ALLIANCE MEMBER
  • Chief Strategy Officer at Alliant Health Plans
  • Dennis Reese
  • ALLIANCE MEMBER
  • President and CEO at Physicians Health Plan
  • Dan Rhodes
  • ALLIANCE MEMBER
  • Market and Network Development Executive at Adventist Health Plan
  • Rita Ruecker
  • ALLIANCE MEMBER
  • Chief Financial Officer at Western Health Advantage
  • Amy Shin
  • ALLIANCE MEMBER
  • CEO at Health Plan of San Joaquin
  • Mary Tournoux
  • ALLIANCE MEMBER
  • Chief Commercial Officer at Solera
  • Amy Tsui
  • ALLIANCE MEMBER
  • CFO at Chinese Hospital Association
  • Jeff Myers
  • HEALTH SYSTEM/MEDICAL GROUP (ALLIANCE MEMBER OWNER/PARTNER)
  • President and CEO - Hamilton Health Care System at Alliant Health Plans
  • Lance Hunsinger
  • PROFESSIONAL
  • Former CEO of Community Health Plan of Washington at
  • Sheila Jenkins
  • PROFESSIONAL
  • Former President/CEO of Network Health Plan at
  • Darleen Mastin
  • PROFESSIONAL
  • Former Sr VP & COO, Sentara Health Plans (Optima) at
  • Niall Brennan
  • SPEAKER
  • Chief Data Officer and Director, Office of Enterprise Data and Analytics at Centers for Medicare & Medicaid Services (CMS)
  • Daniel Esquibel
  • SPEAKER
  • Senior Manager, Deloitte Advisory at Deloitte Consulting
  • Amy Kroll
  • SPEAKER
  • Principal, US Health Plans Advisory Leader at Deloitte Consulting
  • Lauren Vela
  • SPEAKER
  • Sr. Director Member Value at Pacific Business Group on Health
  • Becky Erbe
  • SPONSOR
  • Chief Business Development Officer at hunterAI
  • Mark Fabiano
  • SPONSOR
  • Chief Executive Officer at Curatus LLC
  • Kim Hiemenz
  • SPONSOR
  • Principal and Consulting Actuary at Milliman
  • Thomas Joyer
  • SPONSOR
  • Chief Commercial Officer at Altruista Health, Inc
  • Craig Pfent
  • SPONSOR
  • Founder, President, and CEO at FlexTech, Inc.
  • Brad Piper
  • SPONSOR
  • Principal and Consulting Actuary at Milliman
  • Diana Sonbay-Benli
  • SPONSOR
  • Chief Product Officer, TriZetto Healthcare Products Group at Cognizant
  • Joe Caldwell
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Finance Officer at Denver Health Medical Plan
  • Victor Collymore
  • VIRTUAL ATTENDEE - MEMBER
  • Former CMO at Community Health Plan of Washington at
  • Edward Curis
  • VIRTUAL ATTENDEE - MEMBER
  • Product Director - Medicaid at Neighborhood Health Plan of Rhode Island
  • Rita Datko
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Financial Officer at Sharp Health Plan
  • Elisabeth Fagan
  • VIRTUAL ATTENDEE - MEMBER
  • Director of Health Plan Operations at Aspire Health Plan
  • Lisa Fallert
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Operating Officer at University of Utah Health Plan (UHHP)
  • Patrick Frawley
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Executive Officer at Fidelis Care New York
  • Melissa Hall
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Operating Officer at Aspire Health Plan
  • Kevin Lewis
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Executive Officer at Community Health Options
  • Peter Marino
  • VIRTUAL ATTENDEE - MEMBER
  • President and Chief Executive Officer at Neighborhood Health Plan of Rhode Island
  • Cary Shames
  • VIRTUAL ATTENDEE - MEMBER
  • VP and Chief Medical Officer at Sharp Health Plan
  • Christine Tomcala
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Executive Officer at Santa Clara Family Health Plan
Speakers
  • Niall Brennan
    Chief Data Officer and Director, Office of Enterprise Data and Analytics at Centers for Medicare & Medicaid Services (CMS)
    click here for full people profile