Partnering with Providers: Improving the Patient Experience and Transforming the Delivery of Care

AHIP’s Summit on Payment Reform and Delivery Transformation, March 5 in Washington, D.C., spotlights efforts across the country to transform the payment system and care delivery. 

The Summit showcases initiatives where providers and health plans are partnering with success. The sessions will demonstrate the many lessons learned from these partnerships, including gaining provider buy-in, governance issues, strategies for changing the paradigm for health plans, providers, and consumers.

The Summit's sessions include:

Health Plan Leadership in Delivery System Reform: Panel Discussion

Through robust discussion, the speakers will explore opportunities and challenges for stakeholders to work together on new payment approaches and care models that can accelerate the needed changes to our health care delivery system and improve the quality and affordability of health care.

• Patrick Courneya, MD, Health Plan Medical Director, HealthPartners
• Charles Kennedy, MD, Chief Executive Officer, Accountable Care Solutions, Aetna, Inc.
• Alan Muney, MD, MHA, Chief Medical Officer and Senior Vice President, Total Health and Network, CIGNA Corporation
• Lewis G. Sandy, MD, Senior Vice President, Clinical Advancement, UnitedHealth Group

Collaborative Quality Improvement Programs: Blue Cross Blue Shield of Illinois and AdvocateCare

This innovative partnership showcases a changing paradigm – new partnerships and shared savings with providers. This session will illustrate how Blue Cross and AdvocateCare have constructed PPO and HMO arrangements that reduce cost trends and clinically integrated care.

• H. Scott Sarran, MD, MM, Vice President and Chief Medical Officer, Blue Cross Blue Shield of Illinois
• Lois Elia, MBA, Vice President, AdvocateCare

Performance Improvement: Demonstrating Results with Humana and Norton Health System Partnership

Focusing on Accountable Care Organizations, learn about this successful ACO pilot project between Humana and Norton Healthcare – active physician participation and financial modeling, as well as performance reporting and shared savings.

• Marcia Guida James, MS, MBA, CPC, Director, Provider Engagement, Humana, Inc.
• Kenneth C. Wilson, MD, MS, CPE, System Vice President, Clinical Effectiveness and Quality, Norton Healthcare

Harvard Pilgrim Health Care's Payment Reform Initiatives

This session will showcase lessons learned from a suite of products and services that drive volume to high performing providers and move providers to improve the delivery and coordination of medical care.

• Richard Weisblatt, PhD, Senior Vice President for Provider Network and Product Development, Harvard Pilgrim Health Care, Inc.
• Roberta Herman, MD, Chief Operating Officer, Harvard Pilgrim Health Care, Inc.

Physician Partnerships and Patient-Centered Medical Homes: Capital District Physicians’ Health Plans' (CDPHP) Successful Initiative

CDPHP's Patient-Centered Medical Home pilot is designed to improve the quality of care provided members while improving the efficiency in which care is delivered. Learn how this model improves provider reimbursement and focuses on payment for value (vs. payment for volume) under risk-adjusted capitation. Hear about how to gain provider trust and buy-in to successfully operationalize the payment model.

• Lisa Sasko, MA, MBA, Director of Clinical Transformation, Capital District Physicians’ Health Plans
• Holly Cleney, MD, Family Physician, Latham Medical Group, Community Care Physicians

Plan to attend now -- the Summit is right around the corner

While online registration is closed, you may register onsite. Registration begins at 7:45 a.m. on the day of the event, Monday, March 5, in Washington, D.C. Visit the conference website for location details.

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