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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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co-sponsored
by:
Register
for $295
Call 209.577.4888 or
Click here to register |
Regulatory, Contracting, Payment, Developmental
&
Operational Perspectives
Live Webinar,
Plus Pre-Recorded Sessions & 3 Months Free
ACO News
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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 |
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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
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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)
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James C. Sams, MD
Medical Director
Piedmont Physicians Group
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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.
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Doug Hastings
Chair of the Board of Directors, Epstein Becker & Green,
P.C.
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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.
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Terri L. Welter
Principal, ECG Management Consultants, Inc.
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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.
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James Hester, PhD
Director
Health Care Reform Commission
Vermont General Assembly
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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.
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Susan E. Pantely
FSA, MAAA
Principal, Consulting Actuary
Milliman, Inc.
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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.
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Elizabeth Hammond, MD Pathologist, Executive Editor
Pathology Amirsys, Inc., Professor of Pathology,
University of Utah, and Member, Intermountain Healthcare
Board of Trustees
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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.
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Keith T. Kanel
MD, MHCM, FACP
Chief Medical and Learning Officer, Jewish Healthcare
Foundation
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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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