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Selected news releases for today's health care executives


 
 
  Tuesday, December 7th, 2010
1:00 p.m. to 2:30 p.m. Eastern (10:00 - 11:30 a.m. Pacific)
Click here to find out what time your event starts in your time zone.
 

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      Regulatory, Contracting, Payment, Developmental & Operational Perspectives
      Live Webinar, Plus Pre-Recorded Sessions & 3 Months Free ACO News
 
 
      Overview and update on ACO legal and regulatory issues and environment for 2011 and beyond
      ACO provider payment and contracting considerations, alternatives and issues
      Piedmont Physicians Group Accountable Care Pilot program with CIGNA health plan
      Plus Pre-Recorded Presentations on: Vermont ACO Pilot Feasibility Study;
Establishing ACO Financial
       Targets; Path to Becoming a Model ACO; and Application of Lean Methods to Serve as an ACO Lynchpin
 
Webinar Faculty:
James C. Sams, MD, Piedmont Physicians Group
Doug Hastings, Chair, Epstein Becker & Green, P.C.
Terri L. Welter, Principal, ECG Management Consultants
Pierce Conran, Editor, Accountable Care News (Moderator)

Pre-Recorded
Presentation Faculty:
James Hester PhD, Vermont Health Care Reform Commission
Susan E. Pantely, FSA, MAAA, Milliman, Inc.
Elizabeth Hammond, MD, Exec. Editor Pathology Amirsys, Inc 
Keith T. Kanel, MD, Jewish Healthcare Foundation
 

 
 
Overview
 
A flurry of activity regarding Accountable Care Organizations is occurring across the country in response to the Affordable Care Act's provision for Medicare ACO pilots, in addition to significant momentum for commercial market and state Medicaid and other initiatives.

Monitoring, positioning, developing or operating an ACO requires a firm grasp of applicable legal, regulatory, payment, contracting, operational, clinical, financial and market intelligence considerations regarding accountable care. This web summit offers significant insight into these components and more through a live webinar, additional pre-recorded downloadable presentations and other web summit features.

Position yourself and your organization for Accountable Care in 2011 and beyond with the Accountable Care Organization Web Summit. Attendees also receive a free three month subscription to Accountable Care News (new subscribers only).

 
Webinar Agenda
  
Live Webinar Agenda (1:00PM - 2:30PM Eastern)
  • 1:00 pm - 1:05 pm Introductions and logistics - Pierce Conran, Editor, Medical Home News (Moderator)
  • 1:05 pm - 1:30 pm Piedmont Physicians Group Accountable Care Pilot Program - James C. Sams, MD, Medical Director, Piedmont Physicians Group
  • 1:30 pm - 2:00 pm The ACO Legal and Regulatory Environment: An Update for 2011 - Doug Hastings, Chair of the Board of Directors, Epstein Becker & Green, P.C.
  • 2:00 pm - 2:30 pm ACO Payment and Contracting Issues for 2011 - Terri L. Welter, Principal, ECG Management Consultants, Inc.
 
Plus More Features
  
Pre-Recorded Presentations in Windows Media Video format with audio and synchronized slide advancement:
  • Feasibility Study Results for Vermont ACO Pilots, by James Hester PhD, Director, Health Care Reform Commission, Vermont General Assembly
  • Keys to Establishing Successful Financial Targets for ACOs, by Susan E. Pantely, FSA, MAAA, Principal, Consulting Actuary, Milliman, Inc.
  • A Path to Becoming a Model ACO, by Elizabeth Hammond, MD, Pathologist, Executive Editor Pathology Amirsys, Inc., Professor of Pathology, University of Utah, and Member, Intermountain Healthcare Board of Trustees
  • Application of Lean Methods to Improve Patient Care and Serve as a Lynchpin for ACO Development by Keith T. Kanel, MD, MHCM, FACP, Chief Medical and Learning Officer, Jewish Healthcare Foundation
  • Plus other Web Summit features including an ACO Article Library, and an exclusive Accountable Care e-poll
  • Attendees also receive a complimentary three month subscription to Accountable Care News (new subscribers only)

 

 
Learning Objectives

Participants will:
  1. Understand the significant considerations, outstanding unresolved issues and status with the current legal and regulatory environment
  2. Ascertain the alternative ACO provider payment and incentive structures, and current contracting considerations
  3. Identify key ACO developmental and operational considerations
  4. Determine essential elements to establishing ACO financial targets
  5. Consider case experiences including the Piedmont Physicians Group, Vermont health reform feasibility study for ACO pilots, the Jewish Healthcare Foundation, and for Intermountain Health Care.
  6. Engage in interactive learning through live webinar providing online question submission, attendee surveys, feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group.
Who Should Attend
  
Interested attendees would include:
  • C-Suite Executives
  • Strategy and Planning Executives and Staff 
  • Legal, Regulatory and Policy Executives and Staff
  • Managed Care and Revenue Cycle Executives and Staff
  • Business Development Executives and Staff
  • Operations Executives and Staff
  • Provider Network Managers and Staff
  • Provider Contracting Managers and Staff
  • Medical Directors
  • Clinical Executives
  • Care Management Executives

Attendees would represent organizations including:

  • Hospitals
  • Provider Networks
  • Medical Groups 
  • Health Plans 
  • Business Process Organizations 
  • Solutions Providers 
  • Care Management Organizations
  • Associations, Institutes and Research Organizations 
  • Pharmaceutical Organizations
  • Media
  • Other Interested Parties
Registration
  
Individual Registration Fee: $295
. Web Summit CD-ROM: $40 for attendees; $355 for non-attendees after the event.
Corporate Site licensing also available. Click here to register or call 209.577.4888. We look forward to your participation in this event!
 
Faculty
 
 
James Sams, MD

James C. Sams, MD
Medical Director
Piedmont Physicians Group


 
  Dr. James Sams earned a bachelor of science degree in biology from Southwestern at Memphis (now Rhodes College) in Memphis, Tennessee. He attended graduate school at the University of Georgia prior to receiving his medical degree from Emory University School of Medicine. He completed his internal medicine internship and residency at the Medical University of South Carolina. Dr. Sams is board certified in internal medicine and is a member of the American College of Physicians.

Dr. Sams began his private practice with the Sams Clinic in 1982. This practice merged with Fayette Medical Clinic in 1987. The physicians of Fayette Medical Clinic joined Piedmont Physicians Group in 2004; Dr. Sams practices at PPG Yorktown in Fayetteville, Georgia.

Dr. Sams is a lifelong resident of Fayette County. He is a member of Fayetteville First United Methodist Church. He serves on the Board of Directors of the Joseph Sams School, a school for children with special needs. He has been Chairman of the Executive Committee for Piedmont Physicians Group and is currently in his second term on the Board of Directors and Executive Committee for Piedmont Clinic. He has recently accepted the position of Medical Director for PPG.
 

 
Douglas Hastings

Doug Hastings
Chair of the Board of Directors, Epstein Becker & Green, P.C.


 
  Douglas A. Hastings currently serves as Chair of the Board of Directors of Epstein Becker & Green, P.C. He is a Member of the Firm's Health Care and Life Sciences Practice in the Washington, DC office. Mr. Hastings provides a wide range of health care organizations with strategic and transactional legal guidance in responding to the legal challenges and opportunities of the rapidly changing U.S. health care system.

Mr. Hastings serves on the Board on Health Care Services of the Institute of Medicine and is a member of the Advisory Board of the BNA's Health Law Reporter. He served on the Board of Directors of the American Health Lawyers Association from 1991 to 2003, and was President of that organization for 2001-2002.

Mr. Hastings' clients include academic medical centers; hospitals and health systems; faculty practices, medical groups and other physician organizations; health plans and other managed care organizations; long-term care facilities; investment banks and venture funds; and other health care-related entities. He focuses on representing these organizations in mergers, acquisitions, joint ventures, governance issues, complex contractual arrangements and other affiliations and collaborative efforts. Mr. Hastings and his colleagues also provide his clients with a full range of legal advice and services, including: antitrust law; Medicare reimbursement and other third party payment issues; Stark, fraud and abuse, and other health care compliance issues; tax and tax-exempt counseling; privacy law; bankruptcy and restructuring; real estate and construction law; labor and employment law; and liability and litigation matters.

Mr. Hastings has been named by Best Lawyers as the "Washington, DC Health Care Lawyer of the Year" for 2010. He is listed in Chambers USA Leading Lawyers for Business, The Best Lawyers in America, Washington DC Super Lawyers, and Who's Who in American Law. In 2006, Mr. Hastings was named one of the DC Area's Top Life Sciences Attorneys by the Legal Times. In 2004, Nightingale's Healthcare News listed him as one of the nation's leading healthcare transaction lawyers. In 1997, the National Law Journal named him as one of "40 Health Care Lawyers Who Have Made Their Mark." From 1991 through 1999, he served as Program Chair of the Managed Care Law Institute of the American Health Lawyers Association. He is a graduate of Duke University and the University of Virginia Law School.

Mr. Hastings speaks and publishes regularly on topics related to health care law, complex health care transactions, corporate governance, collaborative health care ventures, legal issues related to quality improvement and the legal trends influencing the U.S. health care system.
 


 
Terri L. Welter

Terri L. Welter
Principal, ECG Management Consultants, Inc.

 
  Ms. Welter, Principal, leads ECG Management Consultants, Inc.'s Managed Care Services practice. She has extensive experience in the area of managed care, including strategy development, reimbursement, contract negotiations, and operations. She has assisted numerous hospitals and medical groups in the financial planning, assessment, and negotiation of their managed care contracts in various regions of the country and with all of the major national health plans. Her experience includes the analysis and design of risk arrangements and other innovative payment methodologies.

Ms. Welter served as a board officer and the managed care committee chairperson for the Healthcare Financial Management Association’s (HFMA’s) Washington Metropolitan Chapter. She is a current member of HFMA’s Virginia Chapter. She holds a master of healthcare administration degree from Villanova University and a bachelor of arts degree in preprofessional studies from the University of Notre Dame.

Ms. Welter has been the featured speaker on managed care and provider reimbursement for a variety of national professional associations, including HFMA and the Medical Group Management Association (MGMA). She has also been published in several healthcare journals.
 


 James Hester

James Hester, PhD
Director
Health Care Reform Commission
Vermont General Assembly
 
 

James A. Hester, Ph.D. is the Director of the Health Care Reform Commission for the Vermont state legislature. The commission is charged with overseeing the implementation of a comprehensive package of health reform legislation passed since 2006 and recommending the long term strategy to ensure that all Vermonter’s have access to affordable, quality health care. The three major themes of Vermont’s reform strategy are reducing the number of uninsured, accelerating the availability and secure exchange of electronic health information, and improving the performance of the delivery system. The delivery system reforms currently include a statewide enhanced medical home program and the development of pilot community health systems based on the ACO concept.

Dr. Hester has 35 years experience in the health care field, and has held senior management positions with MVP Healthcare in Vermont, ChoiceCare in Cincinnati, Pilgrim Health Care in Boston, and Tufts Medical Center in Boston. He began his managed care career as Director of Applied Research for the Kaiser Permanente Medical Care Program in Los Angeles, California.

Dr. Hester earned his Ph.D. in urban studies, and his M.S. and B.S. degrees in Aeronautics and Astronautics, all from the Massachusetts Institute of Technology. He has a continuing interest in health services research and teaching, and has held faculty appointments at the University of Vermont, University of Cincinnati, Harvard School of Public Health and the University of Massachusetts. He has served on the boards of Vermont Information Technology Leaders (VITL), the Vermont Program for Quality Health Care, UVM’s College of Nursing and Health Science, the Lake Champlain Chamber of Commerce, and is a former member of the Vermont Business Roundtable. He and his family live in Jericho, Vermont where he pursues his hobbies of backpacking, photography and cross country skiing.
 


Susan E. Pantely
 
Susan E. Pantely
FSA, MAAA
Principal, Consulting Actuary
Milliman, Inc.
 
  Susan E. Pantely, FSA, MAAA, is a Principal and Consulting Actuary with Milliman, Inc. Susan rejoined Milliman in 2002. She previously worked for the New York office of
Milliman from 1988 through 1999.

Susan provides actuarial and consulting services to a broad range of clients, including
Blue Cross/Blue Shield plans, HMOs, commercial insurers, government agencies and healthcare providers. Her work includes rate development, provider contract review,
reserve certification, capitation development, Medicare risk feasibility studies, HMO startups, HMO due diligence, and development of risk sharing and reimbursement arrangements for physician groups, PHOs, and other integrated delivery systems.

In addition, Susan has extensive experience with the valuation, financial analysis, and
projection of healthcare services for several state public health insurance (Medicaid)
programs.

Prior to rejoining Milliman, Susan worked at Andersen LLP and Ernst & Young, LLP.
Susan serves on the Society of Actuaries’ Education and Examination Committee.
Susan serves as Chair of the Health Section Council of the Society of Actuaries.
Susan is also a member of the American Academy of Actuaries’ Health Care Quality
Workgroup.
 



 Elizabeth Hammond, MD

Elizabeth Hammond, MD
Pathologist, Executive Editor Pathology Amirsys, Inc., Professor of Pathology, University of Utah, and Member, Intermountain Healthcare Board of Trustees
 
 

Elizabeth H. Hammond, M.D. FCAP, is Executive Editor of Amirsys' pathology division. Dr. Hammond, a pioneering pathologist and medical researcher, is the recipient of the 2005 Pathologist of the Year Award, the highest award given by the College of American Pathologists In addition to her clinical responsibilities in immunopathology, molecular pathology, transplantation pathology, and diagnostic electron microscopy, Dr. Hammond has devoted much of her life to collaborative clinical research in cardiac transplantation and predictive cancer factor testing. She is the current and past principal investigator of numerous local and federally sponsored grants and contracts. She is the author of 150 original articles in peer-reviewed journals, as well as several books and book chapters. She has presented numerous conferences and symposia related to her clinical and research interests, and she continues to teach medical students, pathology residents, and cardiology fellows. Named among the "Foremost Women of the Twentieth Century," Dr. Hammond has been applauded for her accomplishments on numerous lists, including "Notable American Women," "Notable Americans," "Personalities of the World," "Community Leaders of America" and "Best Doctors in America."

Dr. Hammond is also Professor of Pathology at the University of Utah School of Medicine and Associate Professor of Internal Medicine (Cardiology) at the University of Utah School of Medicine. She is also the Chairman of the Department of Pathology at LDS Hospital and Urban Central Region, Intermountain Health Care in Salt Lake City, Utah. She has an active pathology practice in renal and cardiac pathology. Her primary transplant interest is immunopathology of heart and kidney allografts, particularly relating to humoral immune responses. She was one of the pathologists who developed the International Society of Heart and Lung Tranplantation grading schema for cardiac allograft rejection in 1990. She has written extensively on her experience with the Utah Cardiac Transplant Program. She and her colleagues reported the first prospective series of patients with humorally mediated acute vascular rejection of the cardiac allograft. She is the author of 125 original publications and 14 book chapters.

 




Keith Kanel, MD
Keith T. Kanel
MD, MHCM, FACP
Chief Medical and Learning Officer, Jewish Healthcare Foundation
 
 

Dr. Kanel is the Chief Medical and Learning Officer for the Jewish Healthcare Foundation and its supporting organizations. He is an internal medicine physician with over 20 years of clinical and administrative experience in prominent academic medical centers and progressive integrated delivery systems.

He was previously Chief of General Internal Medicine at Allegheny General Hospital, where he co-founded one of the region’s first hospitalist services and was director of its primary care training program. Dr. Kanel later led successful quality and patient safety initiatives at the UPMC Health System.

He has served on the faculties of the University of Pittsburgh School of Medicine, the Drexel University College of Medicine, and the Carnegie Mellon H. John Heinz III School of Public Policy and Management. For the last 12 years he has been named to the Best Doctors in America list, and has been cited multiple times as a “Top Doctor” by Pittsburgh Magazine. Dr. Kanel is the author of multiple articles and textbook chapters on topics ranging from patient safety to electronic health information technology. His focus areas will include quality improvement, health delivery systems, and payment policy. He received his MD from the University of Pittsburgh and his MHCM from Harvard University.
  

 
 

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