WHCC20 | Conference Agenda
7:00 am

Registration Opens

7:20 am

Peer-To-Peer Networking Breakfasts

8:00 am

Congress Welcome

Vivek Garg
Vivek Garg, MD
Chief Medical Officer
CareMore

Craig E. Samitt
Craig E. Samitt, MD
President and Chief Executive Officer
Blue Cross and Blue Shield of Minnesota

Moderator

Ceci Connolly
Ceci Connolly
President and Chief Executive Officer
Alliance of Community Health Plans (ACHP)

Susan DeVore
Susan DeVore
Chief Executive Officer
Premier

Robert Pearl
Robert Pearl, MD
Author, Mistreated: Why We Think We're Getting Good Health Care and Why We're Usually Wrong

Moderator

Mary Grealy
Mary Grealy
President
Healthcare Leadership Council

10:00 am

Refreshment Break in the Exhibit Hall

10:45 AM - 11:30 AM - Market Insights A-F

To showcase in a Sponsored Market Insight, please contact: Company Names from A–K: Bernie Weiss • 781-939-2502 • Bernie.Weiss@worldcongress.com, from L–Z: David Capobianco • 781-939-2567 • David.Capobianco@worldcongress.com

Tired of efforts to lower pharmacy costs having little impact on the bottom line? Frustrated with the industry always seeming to find ways to add cost without adding value?

Managing your pharmacy benefits can be complex, making it difficult to weigh costs with value. However, by taking a closer look at a few key components you can gain a better understanding and uncover significant savings opportunities.

Hear first-hand how one plan went from year-over-year double-digit trend increases to achieving a less than 3% average increase over six years.

During this session, you’ll discover:

  • Examples of drugs that you might be covering that are costing you
  • The most important metric when comparing PBMs
  • Strategies to significantly reduce costs and improve member health
Byron Mickle
Byron Mickle
Senior Vice President, Sales and Marketing
Navitus Health Solutions

John Stenerson
John Stenerson
Deputy Executive Officer
Self-Insured Schools of California (SISC)

Data is the future of health care. As a business leader, it is critical to focus on what is possible with data, and reignite your imagination. In order to support health care’s inevitable data-driven transformation, it’s time to turn the traditional ‘data as an asset’ rhetoric into an operational reality. In this session, you’ll learn,

  • The importance of data governance: If you don’t govern your data as an asset, you’ve failed before you’ve even begun
  • How to get value from your data and remove obstacles to access data
  • Why your IT team is an enabling function, not a controlling function
  • The people doing the work must be accountable for the results
  • How your data strategy is your business strategy
Nick Minale
Nick Minale
Data Officer and Senior Director, IT Enterprise Data Management
Johns Hopkins HealthCare

Richard Cramer
Richard Cramer
Chief Healthcare Strategist
Informatica

Studies prove it and employers know it: Healthy employees are more productive employees. But when it comes to employee well-being, physical health—healthy weight, in-range biometrics, and low disease risk—is only part of the equation. Mental health—an employee’s ability to manage stress, regulate emotions, and use positive coping mechanisms—matters too, in a capital B-I-G way.

Why? Resilient, mentally healthy employees are less likely to burn out, form unhealthy habits that lead to chronic disease development, and use harmful behaviors to cope with life’s curveballs. For employers, that can mean fewer employee sick days taken, less turnover, and a reduction in claims and prescription drug costs.

The good news is, employers can help employees improve their mental health, become more resilient, and develop lifelong healthy habits. But… how? In this session:

  • Discuss the latest research on occupational stress and behavioral health in the workplace
  • Address and overcome unique challenges employers face surrounding employee mental health
  • Determine approaches to engage employees in their well-being and increase resilience long-term
Dana Labat
Dana Labat, PhD
Licensed Clinical Psychologist
Naturally Slim

While employers and brokers continue to develop health benefits offerings that are positioned to improve health outcomes and lower benefit costs, the needs of today’s workforce also require a focus on gender equality and diversity. This session will explore new types of benefit structures that are cost-effective, innovative, and enable companies to create a more inclusive workplace culture.

  • Explore new and existing benefits offerings that help promote a culture of equality, diversity, and inclusion
  • Discuss the fertility care problem and identify opportunities for employers to implement cost-neutral solutions
  • Hear case studies from principals who represent providers, employer/brokers, and patients
G. David Adamson
G. David Adamson, MD
Chief Executive Officer
ARC Fertility

Barbara Collura
Barbara Collura
President and Chief Executive Officer
RESOLVE: The National Infertility Association

Michelle Lim
Michelle Lim
Human Resources Manager
Planisware USA

11:35 AM - 12:20 PM - Concurrent Executive Tracks

  • Align alternative and value-based models with network solutions and population health goals
    • Identify high-performing provider partners
    • Structure network redesign to improve quality and reduce costs, and address members’ need for behavioral health and other specialty care
  • Develop the care delivery and technology infrastructure necessary to support pop health
    • Implement and expand evidence-based clinical models
    • Expand access to new delivery models for low-acuity care
    • Incorporate behavioral health services and coverage into value-based model design
Melissa Cohen
Melissa Cohen
Staff VP, Payment Innovation Strategy
Anthem

Kate Hobbs Knutson
Kate Hobbs Knutson, MD
Chief of Behavioral Health
Blue Cross Blue Shield of North Carolina

Ralph Tang
Ralph Tang, IPA
President, Maryland/Virginia IPA
WellCare Health Plans / Collaborative Health Systems

Moderator:

Thomas S. Campanella
Thomas S. Campanella, JD
Director, Health Care MBA and Professor, Health Economics, Baldwin Wallace University;
Of-Counsel, Baker Hostetler, LLP

  • Understand the new value-based, primary care models and determine which pathways improve quality and lower costs at your organization
  • Rethink approaches to primary care and learn about changes to implement
  • Assess the impact of telehealth on patient-centered care delivery
  • Discuss whether Medicaid and the commercial markets will adopt similar approaches
Marion Everett Couch
Marion Everett Couch, MD
Senior Medical Advisor, Office of the Administrator
CMS

Gaurov Dayal
Gaurov Dayal, MD
President, New Markets and Chief Growth Officer
ChenMed

Additional Panelists TBA

Moderator

Valinda Rutledge
Valinda Rutledge
Senior Vice President, Federal Affairs
America’s Physician Groups

  • Unpack the hottest areas of interest for digital health investors
  • Learn where health care organizations have the greatest technology innovation needs
  • Discuss the impact of economic uncertainty on investors’ plans

Additional Panelists TBA

Moderator

Rebecca Pifer
Rebecca Pifer
Associate Editor
Healthcare Dive

  • Gain confidence in a model’s ability to stratify risk and predict outcomes
  • Integrate AI/NLP tools to mine clinical documentation in the EHR
  • Hear about ways the clinical environment can be optimized so the data is actually used
  • Readjust care plans and connect patients at risk to community-based, social services
Alexander Antoniou
Alexander Antoniou, MD
Medical Director, Healthworx
CareFirst BlueCross BlueShield

Additional Panelists TBA

Moderator:

Jo Ellen McNamara
Jo Ellen McNamara
National Housing + Health Growth Lead
UnitedHealthcare Community & State

  • Use advanced technologies to enhance personalized patient care
  • Engage physician partners and in-house experts
Angela Yochem
Angela Yochem
Executive Vice President and Chief Digital Officer
Novant Health

  • Explore obstacles, risks, and opportunities in state Medicaid programs
  • Examine priorities to improve policy, care delivery, and lower costs through waivers
  • Discuss how states are expanding risk-based managed care linked to quality and outcomes measures
Melisa S. Byrd
Melisa S. Byrd
Senior Deputy Director and Medicaid Director
D.C. Department of Health Care Finance

Dave Richard
Dave Richard
Deputy Secretary, NC Medicaid, Department of Health and Human Services
North Carolina

Gabe Roberts
Gabe Roberts
Former TennCare Director
Tennessee Medicaid

Matthew Van Patton
Matthew Van Patton, DHA
Director, Division of Medicaid and Long-Term Care, Department of Health and Human Services
Nebraska

Moderator:

Hemi Tewarson
Hemi Tewarson
Director, Center for Best Practices’ Health Division
National Governors Association

  • Collect data and develop predictive models to identify individuals at high risk
  • Evaluate the effectiveness of new models that address unmet need
    • Nurse-led, team-based care
    • Integrated behavioral health and primary care for children and adults
    • Digitally delivered self-help or therapy
    • Opioid academic detailing programs
Matthew O. Hurford
Matthew O. Hurford, MD
President and Chief Executive Officer, Community Care Behavioral Health Organization
UPMC Insurance Services Division

Kiran Taylor
Kiran Taylor, MD
Chief Medical Officer
Hope Network

Moderator:

Pamela Greenberg
Pamela Greenberg
President and Chief Executive Officer
Association for Behavioral Health and Wellness (ABHW)

  • Discuss organizational efforts to elevate women executives
  • Hear perspectives on how to efficiently address and overcome challenges to move up the corporate ladder
  • Understand the importance of mentorship to strengthen leadership skills
Laurie Kowalevsky
Laurie Kowalevsky
Vice President, Global Marketing and Chief Marketing Officer
Lilly Bio-Medicines

Elizabeth Popwell
Elizabeth Popwell
Chief Strategy Officer
Ascension Michigan

Kimberly Townsend
Kimberly Townsend, EdD, JD, GPHR
President and Chief Executive Officer
Loretto

Additional Panelists TBA

Moderator TBA

  • Understand the basics of plan design and evaluate the level of acceptable risk for your organization
    • Network design options such as Centers of Excellence, narrow networks, and carve-outs / bundled payments
    • Purchasing options such as coalition pricing and global budgeting
  • Discuss the role of the TPA/broker and indicate what makes an ideal broker-employer relationship
    • Claims payment and administration
    • Care navigation
    • Provider network development
    • Provider-employer program alignment
  • Explore the importance of long-term planning strategies such as stop loss insurance to offset rising care costs
Megan Cook Narrance
Megan Cook Narrance
Founder and Chief Executive Officer
Adept Benefits

Doug Geinzer
Doug Geinzer
Chief Executive Officer
Las Vegas Heals

Steven Nelson
Steven Nelson
Chief Executive Officer
Contigo Health

Michael Thompson
Michael Thompson
President and Chief Executive Officer
National Alliance of Healthcare Purchaser Coalitions

Moderator:

  • Customize benefits offerings to meet the needs of a diverse population
    • Discuss specialty insurance options
  • Leverage data to understand employee/member needs
  • Identify cost containment strategies that maximize savings while improving outcomes
Dan Ludwig
Dan Ludwig
Director, Benefits and Safety
Brakebush Brothers

Lucas Pauls
Lucas Pauls
Plan Sponsor Channel Lead
Mount Sinai

Shane Wolverton
Shane Wolverton
Senior Vice President, Growth
Quince

Michelle Zettergren
Michelle Zettergren
President Labor, Chief Sales and Marketing Officer
Brighton Health Plan Solutions

Additional Panelists TBA

Moderator

David Mallet
David Mallet
Senior Vice President, Data Forensics and Intelligence Lead
Aon

  • Establish worksite clinics that promote healthy lifestyles
    • Develop a holistic well-being approach
    • Integrate physical, behavioral, primary care services
  • Leverage data to identify employee needs and offer personalized care
  • Identify the right provider/vendor partner that meets your population’s needs
  • Discuss best practices to measure clinic performance
    • Justify ROI and VOI to leadership
  • Explore innovative worksite clinic models to ensure instant access to quality care
    • Evaluate which model works best for your population
Michael J. Miesch
Michael J. Miesch
Vice President
Aon

Louise J. Short
Louise J. Short, MD
National Clinical Leader
Strategic Benefit Advisors/Brown & Brown, Inc.

Additional Panelists TBA

Moderator

12:30 pm

Luncheon in the Exhibit Hall

1:40 PM - 2:25 PM - Concurrent Executive Tracks

  • Create customized and specialized value-based models for provider partners
  • Enable real-time data exchange and claims approval
  • Automate and streamline prior authorization and utilization management
  • Provide reliable and informative price transparency tools
  • Improve operational efficiency and reduce administrative burdens
Jennifer Atkins
Jennifer Atkins
Vice President, Network Solutions
Blue Cross Blue Shield Association

Nancy W. Dickey
Nancy W. Dickey, MD
Executive Director, A&M Rural & Community Health Institute;
President Emeritus, Texas A&M Health Science Center

Moderator:

Mary Grealy
Mary Grealy
President
Healthcare Leadership Council

  • Share perspectives on disruption and anticipate the impact on the industry
  • Discover new possibilities in the current market while building a growth engine for the future
  • Assess core capability and resources for growth potential
  • Leverage partnerships and acquisitions to succeed
Matthew Ewend
Matthew Ewend, MD
Chief Clinical Officer
UNC Health Care;
President
UNC Physicians

Michelle Stansbury
Michelle Stansbury
Vice President, Innovation and IT Corporate Systems
Houston Methodist

Dan Weberg
Dan Weberg, PhD, RN
Clinical Assistant Professor, The Ohio State University College of Nursing;
Author, Evidence Based Innovation Leadership for Health Professions

Additional Panelists

Moderator

Faye Karnavy Sahai
Faye Karnavy Sahai
Managing Director,
Vinaj;
Advisor;
UCSF Catalyst;
Global Leader,
Innovation Executive Forum

  • Identify top system-wide business priorities for today’s health systems and health plans
  • Link the benefits of technology innovation to top-line clinical and financial metrics that drive organizational decision-making
  • Find the right stakeholders in health care organizations to engage in discussion
Christopher McFadden
Christopher McFadden, CFA
Managing Director
Kohlberg Kravis Roberts (KKR)

Anahita Nakhjiri
Anahita Nakhjiri
Associate, Strategic Investment
Echo Health Ventures

George Ribaroff
George Ribaroff, MD
Investor
Meridian Street Capital

Panelists TBA

  • Define the value of this work within the context of your organization
  • Examine challenges to demonstrate overall costs savings and justify spending
  • Discuss your major strategies to address social needs or SDoH in your populations and communities
  • Share new or scalable initiatives on the horizon
Manik Bhat
Manik Bhat
Chief Executive Officer
Healthify

Allen J. Karp
Allen J. Karp
Executive Vice President, Healthcare Management and Transformation
Horizon Blue Cross Blue Shield of New Jersey

Moderator:

David Kulick
David Kulick
Founder
Adaptation Health

  • Build an analytics platform that integrates digital health streams to support real-time, point-of-care decision making
  • Unlock opportunities to impact care with insights derived from analyzing fully integrated data
Matthew O. Hurford
Matthew O. Hurford, MD
President and Chief Executive Officer, Community Care Behavioral Health Organization
UPMC Insurance Services Division

Gurmeet Sran
Gurmeet Sran, MD
Associate Enterprise Chief Medical Information Officer, Department of Medical Informatics & Data Science
CommonSpirit Health

Moderator:

Ferris W. Taylor
Ferris W. Taylor
Executive Director
HealthCare Executive Group (HCEG)

  • Enhance collaboration around shared goals and outcomes
  • Explore innovations in integrated care and value-based purchasing
  • Discuss promising practices to address gaps in care in the community around SDoH-related needs
  • Leverage resources and tools to engage members
Curtis Cunningham
Curtis Cunningham
Assistant Administrator, Long Term Care Benefits and Programs, Division of Medicaid Services
Wisconsin Department of Health Services

Camille Infussi Dobson
Camille Infussi Dobson
Deputy Executive Director
ADvancing States

Merrill Friedman
Merrill Friedman
Senior Director, Disability Policy Engagement
Anthem

Moderator:

Shannon Attanasio
Vice President, Government Relations and Advocacy
Medicaid Health Plans of America (MHPA)

  • Examine a cross-sector, consensus-learning model that incentivizes risk-based provider integration
  • Gain insight into the payment structure of a model that spans pre-recovery to community-based recovery management
  • Hear progress to date establishing a risk-bearing, clinically integrated network that syncs with the different phases of recovery
Eric Bailly
Eric Bailly, LPC, LADC
Business Solutions Director, Behavioral Health Clinical Strategy
Anthem Inc.

Greg Williams
Greg Williams
Manager
The Alliance for Addiction Payment Reform

  • Explore tips and tricks to maintain a healthy work-life balance
    • Address common myths and misconceptions
  • Gain strategies to mentally and physically disconnect from work at appropriate times
  • Examine the value of building a support system within and outside the workplace
    • Promote an open dialogue among peers, managers, and family members
    Andrea Coyle
    Andrea Coyle, RN
    Program Director, Professional Excellence and Magnet®
    Medical University of South Carolina

    Additional Panelists TBA

    Moderator TBA

  • Outline the direct contracting model between University of Colorado Health and Poudre School District and describe the process for developing and negotiating the model
  • Identify how the model achieved cost savings and improved clinical outcomes
  • Explore challenges and lessons learned from developing and implementing the model
  • Discuss future plans for model growth and evolution

Moderator TBA

  • Explore actionable strategies to manage MSDs
    • Implement programs that focus on improving employee health and well-being while containing costs
    • Focus on minimizing fraud, waste, and abuse
  • Explore best practices to manage the increased variability of care and cost
    • Prevent non-evidence based procedures
  • Maximize modern technology to "hardwire" value-based strategies into your advanced self-insurance plan benefit design
Mike Adams
Mike Adams
Vice President, Benefits and Human Resources Systems
Dean Foods

Scott Conard
Scott Conard, MD
Medical Director, Dallas Forth Worth Business Group on Health;
Chief Executive Officer, Converging Health

  • Gain strategies to enhance your worksite clinic strategy using technology
  • Consider telehealth services for remote and off-site employees
    • Outlook on virtual clinics
  • Leverage digital technology including mobile apps to deliver 24X7 care to employees
David Hines
David Hines
Director, Employee Benefits
Metro Nashville Public Schools

Panelists TBA

2:30 PM - 3:15 PM - Concurrent Executive Tracks

  • Identify key short- and long-term business objectives that depend on data-driven decision-making
  • Evaluate options for sourcing, extracting, and analyzing relevant data, including external data sources
  • Deploy technology at the point of care to enable data-driven clinical decision support
  • Make data available to executive leadership as well as front-line clinical staff where, when, and how they need it

Moderator:

Ferris W. Taylor
Ferris W. Taylor
Executive Director
HealthCare Executive Group (HCEG)

Panelists:

Mark A. Caron
Mark A. Caron
Executive Vice President, Business Platforms and Solutions, Capital Blue Cross;
Chief Executive Officer, Geneia

Chris Molaro
Chris Molaro
Chief Executive Officer and Co-Founder
NeuroFlow

  • Hear approaches to structuring innovation centers: Examine how innovation is sourced inside and outside the hospital
  • Explore ways to prioritize focus areas, pilot projects, and evaluate end results
Daniel J. Durand
Daniel J. Durand, MD
Chief Innovation Officer; Vice President, Research; Chair, Radiology
LifeBridge Health

Philip M. Oravetz
Philip M. Oravetz, MD
Chief Population Health Officer
Ochsner Health System

Moderator:

  • Explore why it makes sense for a health system to develop investment strategies and use its institutional assets to advance social determinants of health
  • Examine steps taken to implement affordable housing strategies in partnership with local governments, developers, CBOs, and banks
  • Share lessons to help ease the way for other organizations that are beginning a similar journey

Solo Presenter:

Robin Hacke
Robin Hacke
Executive Director
Center for Community Investment

  • Combine IT systems and predictive analytics to better manage patient safety, volume, experience, and movement in and out of the hospital in real-time
  • Hear early results that demonstrate improved patient experience and operational outcomes
  • Discuss the center’s potential to improve quality outcomes using patient level data and steps needed to move forward
Renee Demski
Renee Demski, MSW, MBA
Vice President, Quality and Safety
Johns Hopkins Health System

James J. Scheulen
James J. Scheulen
Chief Administrative Officer, Emergency Medicine and Capacity Management
Johns Hopkins Medicine

Additional Panelists TBA

Moderator TBA

  • Identify barriers to maternal and family health services
  • Develop community-based care programs that strengthen families and support the optimal health and wellbeing of children
  • Adopt value-based models that focus on care coordination and prevention
  • Consider policy strategies that improve access to critical services
Sigi Marmorstein
Sigi Marmorstein, RN, PHN, FNP-BC
Founder and Chief Executive Officer
BabyLiveAdvice

DuAne L. Young
DuAne L. Young
Deputy Administrator
Nevada Division of Health Care Financing and Policy

Additional Panelists TBA

Moderator:

  • Expand the reach of telepsychiatry for Medicare and rural populations, teens, and SUD
  • Explore state Medicaid policy changes that provide coverage for behavioral telehealth
  • Assess telepsychiatry outcomes to better position for value-based care success
Jonathan Merson
Jonathan Merson, MD
Medical Director, Behavioral Telehealth, Associate Vice President, Clinical Operations, Behavioral Health Service Line
Northwell Health

Sophia L. Thomas
Sophia L. Thomas, DNP, APRN
President
American Association of Nurse Practitioners (AANP)

Moderator:

  • Address gender disparities in roles, opportunities, pay, and leadership
  • Gain insight into efforts organizations must take to reduce the gender gap
  • Analyze the impact of gender equality on outcomes, patient engagement, and overall organizational success
    • Discuss recent research studies

Panelists TBA

  • Describe the changing landscape of rising prescription drug costs and its impact on employers, unions, participants and Medicare retirees
  • Explore the direct contracting process with PBMs
    • Outlook on prior authorization, co-pays/tiers, and medical relevance/effectiveness
  • Develop strategies to address high-cost therapeutics
  • Promote price transparency efforts that benefit self-insured employers
  • Gain strategies to mitigate costs for retired Medicare beneficiaries
    • Identify advantages of insuring Medicare retiree Rx plans
John Heenan
President
Delaware Valley Health Care Coalition (DVHCC)

Mark Whitcher
Mark Whitcher
Chairman and Chief Executive Officer
KTP Advisors

  • Discuss the importance of delivering primary care via the workplace
    • Assess financial and not financial benefits
  • Learn how to manage a direct primary care clinic for employees
    • Gain insight on primary care in an on-site, a near-site, and a virtual setting
  • Understand the nuances of integrating direct primary care into an employee benefit plan

Panelists TBA

3:20 pm

Refreshment Break in the Executive Networking Lounge

Robert E. Andrews
Robert E. Andrews
Chief Executive Officer
Health Transformation Alliance (HTA)

Heather Cox
Heather Cox
Chief Digital Health and Analytics Officer
Humana

Rebecca S. Koszalinski
Rebecca S. Koszalinski, Ph.D., RN, CRRN, CMSRN
Assistant Professor
University of Tennessee-Knoxville;
Developer
Speak for Myself-Voice App

Moderator:

Henry Wei
Henry Wei, MD
Medical Director
Google Health

Richard S. Isaacs
Richard S. Isaacs, MD
Chief Executive Officer and Executive Director, The Permanente Medical Group;
President and Chief Executive Officer, Mid-Atlantic Permanente Medical Group;
Co-Chief Executive Officer, The Permanente Federation

Roy Smythe
Roy Smythe, MD
Chief Executive Officer
SomaLogic

Reed V. Tuckson
Reed V. Tuckson, MD, FACP
Managing Director
Tuckson Health Connections, LLC

Moderator:

Paige Minemyer
Paige Minemyer
Senior Editor
FierceHealthPayer

6:00 pm

Networking Reception in the Executive Networking Lounge



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