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AGENDA: DAY I
THURSDAY, OCTOBER 12, 2017
7:00 am
MORNING PLENARY SESSION
8:00 am
Welcome and Introduction: Overview of MACRA MIPS/APM Challenges and Opportunities

President and Chief Executive Officer, CAPG, Los Angeles, CA (Co-chair)
Mr. Crane joined CAPG in 2001 and has served as President and CEO since that time. During his tenure CAPG has expanded from being a division of a regional hospital trade association consisting of 40 member groups to a national professional association consisting of more than 250 physician organizations.
Mr. Crane serves on the Board of Directors of the National Coalition on Health Care. He is also the Editor-in-Chief of CAPG Health, a magazine that reports on business trends, legislation, and industry initiatives impacting coordinated care.

Board-Certified Medical Oncologist/Hematologist; Co-Founder and Managing Partner, New Mexico Oncology Hematology Consultants Ltd.; President-Elect, American Medical Association, Albuquerque, NM (Co-chair)
Dr. McAneny is active in organized medicine and advocacy. She was the 1989 President of the Greater Albuquerque Medical Association and was President of the New Mexico Medical Society in 2000. She served a four-year term on the Practicing Physicians Advisory Council for the Centers for Medicare and Medicaid Services, on the AMA Council of Medical Service, and the American Society of Clinical Oncologists (ASCO) Board of Directors and their Clinical Practice committee. She is a member and Past-Chair of the Board of Trustees of the American Medical Association. In June of 2017, Dr. McAneny was elected by the AMA House of Delegates as President Elect of the AMA.

President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Co-chair)

Nonresident Senior Fellow Brookings Institution; Member, Physician-Focused Payment Model Technical Advisory Committee; Former Director of Policy, The White House; Former Senior Advisor, Senator Edward Kennedy, Washington, DC (Co-chair)
9:00 am
Which Path to Follow: MIPS, CMS APMs or your own APM Model?

President and Chief Executive Officer, CAPG, Los Angeles, CA
Mr. Crane joined CAPG in 2001 and has served as President and CEO since that time. During his tenure CAPG has expanded from being a division of a regional hospital trade association consisting of 40 member groups to a national professional association consisting of more than 250 physician organizations.
Mr. Crane serves on the Board of Directors of the National Coalition on Health Care. He is also the Editor-in-Chief of CAPG Health, a magazine that reports on business trends, legislation, and industry initiatives impacting coordinated care.

Vice President, Governmental Affairs and Medical Practice, American College of Physicians, Washington, DC

US Health Care Regulatory Leader, Deloitte LLP; Former Executive Director, National Platform Committee; Former Special Assistant to the President for Domestic Policy (Health) (Bush), Washington, DC

Chief Executive Officer, Envision Genomics; Former President and Chief Executive Officer, Cornerstone Health Care; Member, Physician-Focused Payment Model Technical Advisory Committee, Huntsville, AL
In 2013, Dr. Terrell launched CHESS, a company dedicated to helping health systems and other medical groups make the transition to value-based medicine. For over 16 years, Dr. Terrell served as the President and CEO of Cornerstone Health Care.
Dr. Terrell currently serves on the U.S. Department of Health and Human Services’ Physician-Focused Payment Model Technical Advisory Committee, the Board of Directors of the American Medical Group Association, the American Medical Association’s Integrated Physician section, and the Oliver Wyman Health Innovation Center’s Leadership Alliance. She is also a practicing internist.

President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Moderator)
10:00 am
Break
10:30 am
Lessons Learned from Advanced APMs

Kate de Lisle
Value Based Payment Research Lead, Accountable Care Learning Collaborative, Salt Lake City, UT

Edward R. Jones, MD
Medical Consultant to Chief Medical Officer, Medical Director, Fresenius Medical Care (FMC); Clinical Professor of Medicine, Temple University Hospital; Past Chairman, Kidney Care Partners; Former Counselor, Renal Physician Association, Philadelphia, PA

Laura Sessums, MD
Director, Division of Advanced Primary Care, Center for Medicare and Medicaid Innovation; Former Chief, General Medicine Section, Walter Reed Army Medical Center, Baltimore, MD

Barbara L. McAneny, MD
Board-Certified Medical Oncologist/Hematologist; Co-Founder and Managing Partner, New Mexico Oncology Hematology Consultants Ltd.; President-Elect, American Medical Association, Albuquerque, NM
Dr. McAneny is active in organized medicine and advocacy. She was the 1989 President of the Greater Albuquerque Medical Association and was President of the New Mexico Medical Society in 2000. She served a four-year term on the Practicing Physicians Advisory Council for the Centers for Medicare and Medicaid Services, on the AMA Council of Medical Service, and the American Society of Clinical Oncologists (ASCO) Board of Directors and their Clinical Practice committee. She is a member and Past-Chair of the Board of Trustees of the American Medical Association. In June of 2017, Dr. McAneny was elected by the AMA House of Delegates as President Elect of the AMA.

Nonresident Senior Fellow, Brookings Institution; Member, Physician-Focused Payment Model Technical Advisory Committee; Former Director of Policy, The White House; Former Senior Advisor, Senator Edward Kennedy, Washington, DC (Moderator)
11:30 am
MACRA Implications for Health Plans and APMs Outside of Medicare: Participation Alternatives in Other Payer Advanced APMs

Medical Director, Population Health-Blue Cross Blue Shield, Blue Cross and Blue Shield of Oklahoma, Former Chief Medical Officer: Senior Vice President, Quality, Saint Francis Health System, Tulsa, OK

Managing Director, Legislative and Regulatory Policy at Blue Cross Blue Shield Association, Washington, DC

Senior Vice President, Partner Services, Remedy Partners, Former Vice President and Payment Innovations Leader, Humana Inc., Former Director, Accountable Care Organizations, WellPoint, Former Director, Financial Models, Alternative Reimbursement Programs, Florida Blue, Former Director, Provider Contracting Performance and Cost Analytics, Kaiser Permanente, Louisville, KY
Before joining Remedy, Mr. Howard served as Vice President and Payment Innovations Leader in the Provider Development Center of Excellence at Humana, Inc. where he was responsible for advancing its Accountable Care Continuum, including Humana’s primary care and bundled payment programs.

Chief Executive Officer, xG Health; Former Vice President, Innovation and Dissemination, Geisinger Health System; Former Senior Vice President, Clinical Strategy, Quality and Outcomes, WellPoint, Inc., Columbia, MD
Dr. Steinberg has received numerous awards, including a Special Presidential Visionary Award from the National Kidney Foundation (2004) for his work as the scientific director of NKF’s landmark Kidney Disease Outcomes and Quality Initiative, which produced over 250 clinical practice guidelines for management of patients with end stage renal disease. He also is a Fellow of both the American College of Physicians and AcademyHealth and has published more than 125 articles in peer reviewed journals.

Director of Public Policy, Alliance of Community Health Plans; Former Vice President for Public Policy, American College of Physicians, Washington, DC (Moderator)
Dr. Shapiro has extensive health policy experience in Washington, D.C. as a senior manager of membership organizations, including the American College of Physicians (ACP), where he was Vice President for Public Policy. Immediately prior to joining ACHP, Dr. Shapiro was the first Executive Director of State Associations of Addiction Services. Dr. Shapiro has also done consulting work and research for the federal government, foundations, and non-profit organizations on issues that have included quality improvement, health coverage trends in the workforce, and access to health care. Earlier in his career he was Deputy Director of the Washington Office of the Governor of New Jersey and a Special Assistant to the U.S. Secretary of Health, Education, and Welfare.
12:30 pm
Networking Luncheon and MACRA Technology Solutions Presentations
12:45 pm
MACRA Technology Solutions Session

MACRA Service Offering Leader, Cognizant, East Meadow, NY
Octavia holds an MBA from Babson College and JD from Romania. She is board certified in diagnostic testing and holds numerous other certifications in the healthcare and IT areas.

Market Director of Compliance, Philips, Alpharetta, GA

Vice President, Business Development, Darien, CT

Senior Consultant, Provider Services, Signature Consulting Group, Windsor Mill, MD

Business Development, Healthcare Delivery Systems, New Jersey Innovation Institute, Newark, NJ

Director, Solutions Consulting, SA Ignite, Chicago, IL

CEO and Founder, Healthmonix, Malvern, PA

Sales Consultant, Healthmonix, Malvern, PA

Director, Master of Health Care Delivery Science Program, Dartmouth College, Hanover, NH
AFTERNOON MINI SUMMITS GROUP I: 2:00 pm – 3:00 pm
(Choose one Mini Summit only)
Mini Summit I: APM Models Supporting Specialty Medical Homes for Chronic Disease
2:00 pm

Chief Medical Officer, Four Seasons Compassion for Life, Flat Rock, NC

Managing Partner, Illinois Gastroenterology Group; President, SonarMD, LLC; Community Private Practice Councillor, AGA Governing Board, Elgin, IL

Vice President Medical Affairs, DaVita Inc.; Nephrologist, Kidney Health Center of Maryland, Easton, MD
He is currently a VP of Medical Affairs with Clinical IT Services at DaVita as well as a part-time clinical nephrologist in Maryland. He continues to serve as the AMA RUC advisor for the Renal Physicians Association (RPA) and chairs the RPA clinical data registry workgroup.

President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee; Adjunct Professor, Carnegie Mellon University. Pittsburgh, PA (Moderator)
Mini Summit II: Episode-Based Cost Measure Development for the Quality Payment Program
2:00 pm

Senior Medical Officer, Quality Measurement and Value-Based Incentives Group, Centers for Medicare and Medicaid Services; Former Medical Director, Rhode Island State Department of Health, Baltimore, MD
Before coming to CMS, Dr. Long served as Medical Director for the Rhode Island State Department of Health.
He is also an Assistant Professor Adjunct at the Yale School of Medicine and an affiliate of the Harvard Medical School Center for Primary Care.

Nonresident Senior Fellow, Brookings Institution; Member, Physician-Focused Payment Model Technical Advisory Committee; Former Director of Policy, The White House; Former Senior Advisor, Senator Edward Kennedy, Washington, DC (Moderator)
Mini Summit III: Lessons Learned from the Oncology Care Model
2:00 pm

Assistant Professor of Medicine (Medical Oncology), Yale Cancer Center; Chief Quality Officer and Deputy Chief Medical Officer, Smilow Cancer Hospital at Yale-New Haven, New Haven, CT

Assistant Professor, Hematology and Oncology, School of Medicine, University of Alabama at Birmingham; Medical Director, Cancer Community Network, UAB Health System, Birmingham, AL
Dr. Rocque’s research interests include improving the quality of healthcare delivery for cancer patients with an emphasis on shared decision-making, payment reform, and provision of supportive care services to patients. She served as Medical Director and focused on improving health and healthcare costs by implementing a lay navigator workforce to support cancer patients across from diagnosis through survivorship and end-of-life. She also received an American Cancer Society Mentored Research Scholar Grant to develop treatment plans aimed to enhance shared decision making for patients with metastatic breast cancer.

Board-Certified Medical Oncologist/Hematologist; Co-Founder and Managing Partner, New Mexico Oncology Hematology Consultants Ltd.; President-Elect, American Medical Association, Albuquerque, NM (Moderator)
Dr. McAneny is active in organized medicine and advocacy. She was the 1989 President of the Greater Albuquerque Medical Association and was President of the New Mexico Medical Society in 2000. She served a four-year term on the Practicing Physicians Advisory Council for the Centers for Medicare and Medicaid Services, on the AMA Council of Medical Service, and the American Society of Clinical Oncologists (ASCO) Board of Directors and their Clinical Practice committee. She is a member and Past-Chair of the Board of Trustees of the American Medical Association. In June of 2017, Dr. McAneny was elected by the AMA House of Delegates as President Elect of the AMA.
Mini Summit IV: No One Left Behind: Ensuring the Transition of Critical Access Hospitals to Value-Based Care
2:00 pm

Health Policy Advisor, Congressman Markwayne Mullin; Former Senior Legislative Assistant, Congresswoman Mimi Walters; Former Legislative Assistant, Congressman John R. Carter; Former Staff Assistant, Congressman Michael Burgess, MD, Washington, DC

Senior Vice President, Member Services, National Rural Health Association; Former Administrator and Chief Executive Officer, Field Memorial Community Hospital, Washington, DC

Vice President of Policy and Advocacy, Premier Inc.; Former Senior Associate Director, American Hospital Association; Former Vice President, California Hospital Association, Washington, DC (Moderator)
Prior to coming to Premier, Lloyd worked on an array of healthcare issues including Medicare and Medicaid payment, quality policies, and health information technology for the American Hospital Association, California Hospital Association, the U.S. House of Representatives Committee on Ways and Means and the Centers for Medicare & Medicaid Services. Danielle is an active volunteer for Sibley Memorial Hospital’s Patient & Family Advisory Council and Quality & Safety team.
3:00 pm
Transition Break
AFTERNOON MINI SUMMITS GROUP II: 3:15 pm – 4:15 pm
(Choose one Mini Summit only)
Mini Summit V: Supporting Primary Care: Comprehensive Primary Care Plus (CPC+) and other Primary Care Models
3:15 pm

Vice President, Healthcare Insights and Partnerships, Blue Cross and Blue Shield of Kansas City, Kansas City, MO
Karen has worked in a variety of roles throughout the health insurance and health care industries for more than 30 years. She served as an internal consultant to Blue KC for six years and played an integral role in product development, marketing, and integrated health services. Previously, she worked as a benefits consultant, helping employers find new approaches to benefit design.

Senior Vice President, Advocacy, Practice Advancement and Policy, American Academy of Family Physicians (AAFP), Washington, DC
Prior to joining AAFP, Martin served as director of government relations and health policy and director of socioeconomic affairs at the American Osteopathic Association, director of government relations and health policy, director of socioeconomic affairs and deputy director of government relations and director of congressional affairs.
Martin has served on multiple boards, including National Quality Assurance Coalition Patient Centered Medical Home Advisory Board, Agency for Healthcare Research and Quality Practice Transformation Advisory Board, Hospital and Facilities Accreditation Program Patient-Centered Medical Home Advisory Panel. He has served as chair of the Health Coalition on Liability and Access and is an active member of the Patient Centered Primary Care Collaborative.

Director, Division of Advanced Primary Care, Center for Medicare and Medicaid Innovation; Former Chief, General Medicine Section, Walter Reed Army Medical Center, Baltimore, MD

President and Chief Executive Officer, Saint Thomas Medical Partners; Former Vice President, Physician Enterprise, Providence Health System, Nashville, TN
Prior to joining Saint Thomas Health, Fahad served as Vice President of Physician Enterprise and Community Health Network at Providence, a health system in Washington, D.C. He was also Executive Sponsor for the implementation of a Health Information Exchange (HIE), an integrated EMR system that brings together the health records of multiple physician group practices, clinics, hospitals and health centers. Prior, held roles physician practice development, acquisitions and practice management at Columbia St. Mary’s Health System in Milwaukee, WI.

Senior Manager, Manatt Health; Former Team Lead, Comprehensive Primary Care (CPC) Initiative, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Washington, DC (Moderator)
Prior to Manatt, Edith served as a Health Insurance Specialist at the Center for Medicare and Medicaid Innovation (CMMI) within the Centers for Medicare and Medicaid Services (CMS). Before CMS, Edith was a special assistant at the Office of the State Superintendent of Education for the District of Columbia Government. She started her career as a Barrister at Outer Temple Chambers in London, UK and later served as an associate for the Judge David Bazelon Center for Mental Health Law in Washington, D.C.
Mini Summit VI: Lessons Learned from the First Round of Alternative Payment Model (APM) Proposals Reviewed by the Physician-Focused Payment Model Technical Advisory Committee (PTAC)
3:15 pm

Lawrence Kosinski, MD, MBA, AGAF, FACG
Managing Partner, Illinois Gastroenterology Group; President, SonarMD, LLC; Community Private Practice Councillor, AGA Governing Board, Elgin, IL

Christopher P. Tompkins, PhD
Director, Institute on Healthcare Systems, Associate Professor, Heller School for Social Policy and Management, Brandeis University, Waltham, MA
Mini Summit VII: The Evolving Role of BPCI in MACRA
3:15 pm

Director, Strategy and Government Policy, Remedy Partners; Litigation Attorney/Health Insurance Specialist, US Department of Health and Human Services, New York, NY

Vice President of Policy and Advocacy, Premier Inc.; Former Senior Associate Director, American Hospital Association; Former Vice President, California Hospital Association, Washington, DC
Prior to coming to Premier, Lloyd worked on an array of healthcare issues including Medicare and Medicaid payment, quality policies, and health information technology for the American Hospital Association, California Hospital Association, the U.S. House of Representatives Committee on Ways and Means and the Centers for Medicare & Medicaid Services. Danielle is an active volunteer for Sibley Memorial Hospital’s Patient & Family Advisory Council and Quality & Safety team.

Director, Public Policy, Cardinal Health; Former Director, Division of Technical Model Support and Lead Bundled Payments for Care Improvement (BPCI) Initiative, CMMI, Center for Medicare and Medicaid Services, Washington, DC

Chief Executive Officer, Envision Genomics; Former President and Chief Executive Officer, Cornerstone Health Care; Member, Physician-Focused Payment Model Technical Advisory Committee, Huntsville, AL
In 2013, Dr. Terrell launched CHESS, a company dedicated to helping health systems and other medical groups make the transition to value-based medicine. For over 16 years, Dr. Terrell served as the President and CEO of Cornerstone Health Care.
Dr. Terrell currently serves on the U.S. Department of Health and Human Services’ Physician-Focused Payment Model Technical Advisory Committee, the Board of Directors of the American Medical Group Association, the American Medical Association’s Integrated Physician section, and the Oliver Wyman Health Innovation Center’s Leadership Alliance. She is also a practicing internist.

Vice President, Public Payor Health Strategy, Care Coordination Institute, Greenville Health System; Former Group Director of Patient Care Model Group and BPCI Lead, Centers for Medicare and Medicaid Services, Greenville, SC (Moderator)
Mini Summit VIII: How Patient-Centered Care is the Key to MACRA Success
3:15 pm

Law Office of Robert W. McCleave, LLC, Rock Hill, SC

Managing Partner and Chief Executive Officer, Carolina Blood and Cancer Care; President, South Carolina Oncology Society, Charlotte, NC

Executive Vice President, NCQA; Former Senior Vice President, Division of Medical Practice, American College of Physicians; Chief Medical Officer, Baltimore Medical System, Inc., Washington, DC (Moderator)
Dr. Barr’s previous experience includes Chief Medical Officer for Baltimore Medical System, Inc., and he practiced internal medicine full-time in the Division of General Internal Medicine at Vanderbilt University and held various administrative positions, including physician director, Medical Management Programs, for the Vanderbilt Medical Group. Dr. Barr was an active duty physician in the United States Air Force at Moody Air Force Base, Georgia.
4:15 pm
Transition Break
MINI SUMMITS GROUP III 4:30 pm – 5:30 pm
(Choose one Mini Summit only)
Mini Summit IX: MACRA and Medicare Advantage Alternative Payment Models
4:30 pm

Managing Director, Legislative and Regulatory Policy at Blue Cross Blue Shield Association, Washington, DC

Principal & Consulting Actuary, Milliman, Seattle, WA

Senior Fellow, Center for Health Policy Studies, The Heritage Foundation; Former Senior Health Policy Advisor, Committee on Energy and Commerce, US House of Representatives, Washington, DC

Vice President, Federal Affairs, CAPG, Washington, DC (Moderator)
Prior to joining CAPG, Mara was Counsel in the health industry practice at Akin Gump Strauss Hauer & Feld. In this role, she focused on a variety of issues affecting health industry clients, with a particular emphasis on health policy and regulatory issues facing physician organizations, hospitals, pharmaceutical companies, and academic medical institutions.
Mini Summit X: Bundled Payments and Other APMs for Surgical Care
4:30 pm

Professor and Chief, Division of Cardiothoracic Surgery, Vice Chair, Quality Improvement, Department of Surgery, University of Connecticut School of Medicine, UCONN Health, Farmington, CT

Chief Medical Officer, Remedy Partners; Assistant Professor of Medicine, University of Massachusetts Medical School; Co-Founder and Past President, Society of Hospital Medicine, Darien, CT
Dr. Whitcomb has led the development of the hospitalist specialty since 1994, when he assumed leadership of the nation’s first 24/7 on-site hospitalist program. Dr. Whitcomb is co-founder and past president of the Society of Hospital Medicine. , He has been on the ground floor of a myriad of initiatives that form the foundation of the hospitalist movement, including working with the American Board of Internal Medicine to create board certification for hospitalists.
He also serves as Assistant Professor of Medicine at the University of Massachusetts Medical School.

President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Moderator)
Mini Summit XI: What MACRA Means for Employers: Purchaser Priorities and Alignment with the Quality Payment Program
4:30 pm

President and Chief Executive Officer of The Leapfrog Group, Washington, DC
Under her leadership, The Leapfrog Group launched the Hospital Safety Score, which assigns letter grades assessing the safety of general hospitals across the country. She has also fostered groundbreaking innovations in the annual Leapfrog Hospital Survey, including partnerships to eliminate early elective deliveries, central line-associated bloodstream infections and safe use of health technology.

ACO Portfolio Manager, Health Care Strategy and Policy, Boeing, Chicago, IL

Senior Manager, National Health Policy, Pacific Business Group on Health; Former Program Analyst, US Department of Health and Human Services; Former Associate Policy Officer, Commonwealth Fund, San Francisco, CA
Prior to joining PBGH, Stephanie served as a program analyst for the U.S. Department of Health and Human Services (HHS) in Washington, D.C., working to improve health care quality and outcomes. At HHS, Stephanie shaped the strategic direction of HHS quality measurement and public reporting initiatives. Previously, she served as Associate Policy Officer at the Commonwealth Fund where she worked to implement a national policy strategy for improving health system performance.

Senior Director, Northeast Business Group on Health, New York, NY
Mini Summit XII: Developing Alternative Payment Models to Align Specialty Physicians and Payers in Value-Based Care Delivery
4:30 pm

Executive Director, Association of Community Cancer Centers, Rockville, MD

Chief Medical Officer, Mercy Care Management, Mercy Health, Springfield, MO

Chief Growth Officer, New Century Health; Vice President, National Care Management Team, Healthagen LLC; Former Head, National Care Management, Aetna Inc.; Former Senior Vice President, Network and Medical Cost Management, UnitedHealth Group, Wellesley, MA

Clinical Director, Radiation Oncology, Fox Chase Cancer Center, Philadelphia, PA
5:30 pm
Networking Reception