Janet Pogar
Regional Vice President, Network Management
Anthem Blue Cross and Blue Shield

Rick Weisblatt, PhD
Senior Vice President, Provider Network & Product Development
Harvard Pilgrim Health Care

Gary Jacobs
Senior Vice President, Corporate Development
Universal American Financial Corporation

David Webster
Director, Medicare Preferred Contracting, Network Contracting & Performance Management
Tufts Health Plan

Marin Gordon
Director, Provider Services
CenCal Health Plan

Robert Robidou
Director, Network Development
Cook Children’s Health Plan

Patricia Jones, RN, MBA
Healthcare Management Consultant
Milliman

Edward M. Duke
Chief Executive Officer
Oasis Health System, LLC

Robert Cetti
Vice President, National Medical Cost Management
Cigna

Michael Ruiz de Somocurcio
Director, Network Contracting
AmeriHealth

Christopher Simpkins
Director, Plan & Provider Performance
Independence Blue Cross

Carl Lund
Vice President, Facility Contracting & Services
EmblemHealth

Frederick Crawford
Corporate Director, Provider Contracting
Molina Healthcare

Al Mytty
Director, Payer Contracting
Carle Foundation Hospital
Former President & CEO
CareLink Health Plans

Scott Garrett
Vice President, Managed Care
Alliant Health Plans

Politics and Provider-Payer Partnerships for Effective Network Management

Innovative Network Contracting Strategies to Establish Effective Partnerships with Large Primary Care Practices and Multispecialty Groups

Data Driven Decision Making: Applying Sound Financial Modeling and Analysis to Provider Contracting

Incentive-Based Contracting Models for Providers and Payers: Facilitating the Development of Accountable Care Organizations

Payment Methodologies for Ancillary Contracts – Incorporating Effective Reimbursement Strategies and Terminology

Utilizing Advanced Analytics and Health Plan Data to Ensure P4P Programs and ACOs Deliver Quality and Cost Reductions

Implementing Effective Membership Growth Strategies for Network Contracting – Focusing on Innovation and Medical Cost Trend

Implementing Strategies with the Provider Network to Survive the Reduction in Medicare Advantage Funding

Developing Provider Engagement Strategies that Maintain Long-Term, Mutually Successful Partnerships with Providers

Creating and Implementing Innovative Pay-For-Performance Programs in Provider Contracting to Improve Quality and Manage Costs

Implementing Innovative Technological Solutions to Improve Contracting Opportunities within Network Management

Creating Operational Efficiency through Cross-Departmental Collaboration in Areas that Impact Provider Network Management

Utilizing Effective Contracting and Negotiating Strategies with Providers – Leveraging Key Contract Terms to Gain Advantage