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After months of delaying routine and elective in-person care, the healthcare industry is moving quickly to reopen and recover from a coronavirus-related shutdown. While a return to normal remains over the horizon, providers and payers must work together to ensure that patients and populations with complex health needs receive the care necessary to manage their conditions effectively and prevent future health risks and costs.

This Summit will focus on how providers and payers should collaborate to care for high-risk individuals and communities and put in place strategies and goals for sustainability and scalability that will lead to future success.

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We invite all payers and providers to attend free of charge. This includes employees of major hospitals, physician practices, outpatient centers, ACOs, federal/state/public health agencies, and skilled nursing facilities; as well as those who work for payers, insurance companies, and MCOs. We invite you to listen live, ask questions, and collaborate in our virtual environment.

For those who work for companies that offer products and services to those in the healthcare industry, we ask you to register for $99. If you have any questions as to which category you qualify for, please contact us. To register as a vendor, click here

If you are currently unemployed or furloughed, please contact us directly to register.

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Monday November 16, 2020

1:00pm
Operationalizing Process Automation For Healthcare & Insurance

Scaling your clinic, pharmaceutical, or insurance agency can pose many challenges for both health practitioners and administrators alike. Maintaining patient records, improving customer experience, and managing the back office can go a long way towards ensuring your organization is growing efficiently. 

In this session you will learn:

  • How intelligent automation can reduce manual entry, ensure clean data, and speed up patient onboarding 
  • How a higher functioning back office can improve your practice 
  • How process orchestration helps you to offload monotonous and repetitive tasks
  • How automation can increase agility and innovation

Kevin Guererro
Product Marketing Manager
Bizagi


3:00pm
How COVID-19 Has Accelerated Adoption of Healthcare Technology

All areas of healthcare, payers, providers, and other healthcare organizations have been impacted by this once in a lifetime public health crisis. Unfortunately, providers are saddled with of the brunt of COVID-19 and they can expect to deal with the disruption to their practices for many years after the crisis abates. However, payers have also been impacted by these never-seen-before challenges.

Despite significant headwinds, healthcare technology is leading the way to creating a new dynamic in the payer-provider relationship. Current trends in healthcare technology such as contactless point of service payments, electronic delivery of health notifications, value-based care reimbursements and electronic payments processing technology will fuel changes to the newly forged payer-provider relationship, laying the groundwork for new contracting and reimbursement models.

In this session you will learn:

  • What are the most significant impacts to providers
  • How Payers are leveraging technology to reduce costs and accelerate providers payments
  • How providers can improve patient payments and reduce collections
  • Understanding what the new payer-provider relationship will look like

Join Rob Pinataro, CEO of Payspan, Inc for an in-depth, common-sense discussion on the impacts of the pandemic on the healthcare communities, and how technology is facilitating the emergence to a post-COVID world.

Rob Pinataro
CEO
Payspan



Tuesday November 17, 2020

11:00am
Panel: Resuming Chronic Disease Management With Digital Tools

With the coronavirus pandemic sharply limiting visits to the doctor’s office, many care providers worry that patients with chronic conditions aren’t managing their care properly or are skipping care altogether. So they’re turning to telehealth to establish a link with those patients, and they’re using remote patient monitoring tools to get those patients back on track. This panel session will discuss how providers are identifying patients in need of care management and how they’re using telehealth to coordinate that care.

Dr. Janell Simpkins
Medical Director
Avera eCARE Specialty Clinic


Dr. Richard Zane
Chief Innovation Officer
UCHealth


Benjamin Kaplan, MD, MPH, FACP
Lead Physician
Orlando Health Internal Medicine Faculty Practice


1:00pm
Building a Successful Transition to Value-Based Hospital Medicine

Nearly 1 in 4 Medicare enrollees experience a hospitalization, and over 50% of Medicare spending takes place within the acute episode of care. Sound Physicians believes hospitalists are uniquely positioned to impact the major drivers of episode spending and improve the patient experience. In this presentation, John Birkmeyer, MD, Sound Physicians’ Chief Clinical Officer, will discuss lessons learned in Sound’s transition to value-based hospital medicine as well as the keys to building a successful strategy.

John Birkmeyer, MD
Chief Clinical Officer
Sound Physicians


3:00pm
Keynote: Reimagining Care Delivery

With the pandemic limiting access to care, many services were shut down. Now healthcare providers are looking to relaunch those care pathways and bring back patients who may be avoiding the care they need. Chris Waugh of Sutter Health explains how the California health system is using connected health platforms to restore those service lines and balance in-person and virtual care.

Chris Waugh
Vice President, Chief Innovation Officer
Sutter Health



Wednesday November 18, 2020

11:00am
Partnering for Success In a Value Based World

As “Change” leaders in your organization, you’ve started to make strides towards a Value-Based mindset. Now that you have navigated the additional challenges, let’s discuss best practices as you move forward.  We will walk through the strategies that your Ambulatory clinic can put into place to make the transition to and execution of value-based care a quicker and less intrusive one, and keep it simple at the same time.  It takes a village and a community to excel in a Value-Based Care world, and Allscripts is happy to be a part of that community.

Key Takeaways:

  • Regardless of your role, you play an important part in impacting patient care and operational outcomes, learn how you can be a change leader
  • Simple strategies for shifting your organization into a “Value-Based mindset”

What we’ve learned from COVID and how will this impact the way we care for patients moving forward?

Kortney Gunther
Senior Solutions Manager
Allscripts


Marsha Boyle
Enterprise Sales Executive, Finance and Operations in Value-Based Care
Allscripts


1:00pm
Keynote: Achieving Value-Based Care: A Model for Success

For nearly two decades, Southcentral Foundation (SCF) has worked to institute a system-wide transformation of care, increasing the quality and flexibility of health programs.

A recipient of the Malcolm Baldrige Quality Award, SCF's Nuka System of Care enables value-based care through a combination of data and information management, integrated care, behavioral health, workforce development, improvement, and innovation.

SCF's Interim CEO April Kyle and Douglas K. Eby, MD, MPH, CPE, Vice President of Medical Services, will share how this approach to care is supporting both providers and the Alaska Native Community.

April Kyle, MBA
Interim CEO
Southcentral Foundation


Douglas K. Eby, MD, MPH, CPE
Vice President of Medical Services
Southcentral Foundation


3:00pm
Panel: Accelerating Financial Recovery and Return to Value with Clinical AI

COVID has exacerbated an already fragile healthcare system. Hospitals have seen stifling margin declines and insurance executives are warning that costs will be driven higher by more-intensive care for patients whose conditions worsened during the pandemic.

The pandemic has also shone a light on the disparities plaguing our communities, impacting the ability of healthcare organizations to deploy effective population health management. These factors have strained value-based care efforts. Despite this, there is a unique opportunity for payers and providers to rebuild their organizations around value and efficiency and accelerate financial health by applying clinical AI with intention and purpose.  

Listen to a panel of experts from Sentara Healthcare, Northwell Health and Jvion discuss and guide participants in using AI to:

  • Enable value-based care and population health programs with insights that help focus resources more precisely
  • Optimize utilization and drive service line volumes
  • More accurately identify and action on patients whose risk trajectory can be modified
  • Reduce the impact of uncompensated and delayed care across their populations

Deepak R Talreja, MDm FACCm FSCAI
eCare Medical Director and Chair of Clinical Solutions Group
Sentara Healthcare


Zena Brown, MD
Vice President and Medical Director, Population Health
Northwell Health


John Showalter, MD, MSIS
Chief Product Officer
Jvion



Thursday November 19, 2020

11:00am
Activating Chronic Disease Management with Digital Tools and Patient Engagement

Engaging patients is paramount to a successful virtual care management program and essential to improving health outcomes.  ACOs, Physicians, and Payers are all diligently working to find innovative ways to increase patient engagement.  The level of patient buy-in and adoption of the care plan objectives has a tremendous ability to meet the goals of value-based payment models.

Learning Objectives

  • Using data and technology to direct patient engagement and close quality gaps of care
  • Aligning digital and non-digital interactions in real time to inform clinical interventions
  • Building trust and compliance through engagement to fuel data capture and clinical programming 

David Hunt
Founder, Chief Marketing & Development Officer
Cosán Group LLC


Dan Hirschfeld
President and Chief Executive Officer
Cosán Group LLC


1:00pm
Panel: Best Practices for Patient Re-Engagement

As healthcare organizations reopened their doors following the initial COVID-19 surge, they faced a somewhat unprecedented challenge. How would they get patients back in? After months of public health messaging encouraging patients to maintain social distance and only access urgent or emergency care, many were understandably reticent to come back into the office. At the same time, providers faced a twofold imperative: reignite the clinic revenue cycle, and manage patient wellness and chronic illness. What kind of patient outreach is necessary to re-engage patients and bring them back into the office? What kind of safety protocols do clinics need to employ to keep patients — and staff — safe from the virus? And how can organizations market those strategies to gain patient trust?

Frances Palm
Chief Operating Officer
Zufall Health


Lisa R. Bardack, MD, FACP
Medical Director, CareMount Medical Chair of Department of Internal Medicine/Endocrine/Rheumatology


Rich Morino
Senior Director, Solutions Consultants
LexisNexis Risk Solutions


3:00pm
Removing Barriers to Value-Based Care: A Roundtable with Surgeons General

What unique insights can four former Surgeons General of the United States share about transforming healthcare delivery by combining the lessons learned from value-based care and population health, and their role in effecting lasting change to care delivery during and beyond the pandemic?

Hosted by Dr. William Shrank, Chief Medical and Corporate Affairs officer for Humana, these former US Surgeons General, promise to bring powerful perspectives and their considerable experience to bear on the past, present and future of healthcare – particularly in light of the worldwide pandemic. Surgeons General – Richard H. Carmona (17th), David Satcher (16th), M. Joycelyn Elders (15th), and Antonia C. Novello (14th) – have served at the highest level of America’s public health efforts and will share the challenges and opportunities of aging they have faced in their professional and personal lives.

William Shrank, MD, MSHS
Chief Medical & Corporate Affairs Officer, Office of Health Affairs and Advocacy
Humana


Antonia Coello Novello, MD. MPH. Dr.PH
14th Surgeon General of the United States; 13th New York State Health Commissioner


M. Joycelyn Elders, MD
15th Surgeon General of the United States


David Satcher, MD, PhD
16th Surgeon General of the United States; 10th Assistant Secretary for Health in the Department of Health and Human Services; Founding Director and Senior Advisor, Satcher Health Leadership Institute at the Morehouse School of Medicine


Richard H. Carmona, MD, MPH, FACS
17th Surgeon General of the United States; Chief of Health Innovations
Canyon Ranch



Friday November 20, 2020

11:00am
Panel: Are Providers and Payers Ready to Talk Value?

A public health crisis proved to be a setback for value-based care, but providers   and payers still recognize the value of emphasizing quality over quantity. The   question remains where to start.

This panel will explore how providers and payers have already implemented value-based care models, whether COVID-19 has had an impact on value-based care plans, and where the industry needs to go from here to advance value-based care.

Mike Albainy
Founder & CEO
MDClarity


Caraline Coats
Vice President of Provider Alliances
Humana


Dr. David Hatfield
Chief Medical Officer
Hatfield Medical Group


1:00pm
Keynote: Moving From Sick to Preventive Care

As the healthcare industry moves from a pay-for-performance model to value-based care, the emphasis will shift toward helping people manage their health before they become sick. Providers and payers will both be looking for models of care that stress health and wellness and preventive services, including chronic care management and behavioral health.

In this keynote, Sree Chaguturu, MD, Chief Medical Officer for CVS Caremark, will discuss how CVS Health is using digital health tools and other platforms to create new methods of collaboration for members and patients. He’ll talk about how the company and its employer partners are incorporating connected health opportunities to improve health and wellness, and how the COVID-19 crisis has both affected the industry and helped frame a long-term strategy.

Sree Chaguturu, MD
Chief Medical Officer
CVS Caremark


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