Health Plan Executive Forum

Health Plan Executive Forum

A 3M client event
Held February 15-17, 2017 | Celebration, Florida

Agenda

Details coming soon!

  • Wednesday, February 15th

    2:00 – 3:00pm: Registration
    3:00 – 4:00pm: Pre-conference workshop, 3M Value-based Care 101: A Primer
    6:30pm: Group dinner

  • 7:30-8:30am: Registration and breakfast

    8:30-9:00am: Welcome address by Garri Garrison, Division Operations Manager, 3M Health Information Systems

    9:00-10:00am: Navigating the Cross-Currents of a Changing Health Policy Environment

    Government changes in Washington augurs for new and different federal policies on health coverage, and for possible changes in Medicare and Medicaid. What lies ahead in these areas? Will policies continue to encourage greater value-based payment, delivery system reform and moderation in pharmaceutical prices? This session will scan the horizon and assess what the likely trends mean for health plans.

    Presenter: Susan Dentzer, president and CEO of the Network for Excellence in Health Innovation (NEHI)

    10:00-11:00am: Building ties: Opportunities, challenges and strategies for collaborative success

    3M and Verily Life Sciences (formerly Google Life Sciences) are developing new population health measurement technology, the Performance Matrix, for managing clinical and financial performance. The joint technology platform is designed to analyze quality performance data across healthcare delivery systems and patient populations. It aims to deliver meaningful information that can be used to promote real and sustainable improvements in healthcare quality and cost.

    11:00-11:15am: Break

    11:15am-12:15pm: What’s working and what’s on the horizon for value-based and population health approaches

    When it comes to value-based programs, it’s important that organizations know what is working now and how to recognize opportunities to achieve value. And, to survive in the new frontier, programs must be designed for sustainability. This session takes a deep-dive into the areas that are critical to success, including:

    • Comprehensive primary care
    • Bundled payments
    • Medical ecosystems
    • Sustainable program design
    Presenters: Erika Johnson, Consultant, 3M Health Information Systems; Herb Fillmore, Senior Director of Population Health and Strategic Innovation, 3M Health Information Systems

    12:15-1:15pm: Lunch

    1:15-2:15pm: Creating actionable analytics faster to address provider variation, outcomes and population health

    The health industry’s evolution requires innovation throughout the entire healthcare system. Payers, traditional healthcare systems, new entrants and communities are working to shift aspects of primary care and reimbursement into new analytical models. This session will explore some of the opportunities and challenges these new models present, as well as as examine recent innovative approaches.

    Presenter: Carole Cusack, Vice President of Innovative Provider Solutions, 3M Health Information Systems

    2:15-2:30pm: Break

    2:30-3:30pm: Predictions about predictive analytics: From telescope to microscope

    The old adage “quality over quantity” rings true for your healthcare data. The future of big data will be anything but big. Rather, payers and providers will shift focus to multi-source data. Instead of a telescope approach, which focuses on gathering a universe of data, actionable predictive analytics rely on the microscope approach to data, which takes a detailed look at the individual patterns that make up patient behavior. The microscope approach allows you to identify where real change can occur. This approach yields insights that will have a profound impact on predictive analytics in the following areas:

    • Personal behavior—our ability to affect patient activation and success by integrating social determinants data
    • Personalized medicine—our ability to determine the ideal therapeutic choices for a patient
    • Personal value equation—our ability to determine whether the benefits a patient experiences outweigh the resources invested
    • Personal interventions—our ability to predict expected rates for individuals and organize appropriate interventions for similar cohorts.
    This session will then take a look at how strong feedback loops among these four areas can produce even more accurate, useful, and sophisticated analytics.

    Presenter: Herb Fillmore, Senior Director of Population Health and Strategic Innovation, 3M Health Information Systems

    3:30-4:30pm: Applications and integration in a value-based healthcare system: The implications of MACRA and HCCs

    Under the Medicare Access and CHIP Reauthorization Act (MACRA), CMS will begin adjusting payments to individual providers for fee-for-service Medicare. These adjustments are expected to be based partly on the HCC-related diagnoses they document in 2017 and beyond. To stay aligned with MACRA initiatives, plans must focus on the application and integration of clinical data and quality measures, and how providers can make this work within their existing infrastructure.

    Presenter: Scott Clinton, Consultant, 3M Health Information Systems

  • 8:30-9:30am: The impact of non-medical determinants of health

    Health outcomes are determined by many factors other than how care is delivered. Social determinants of health (e.g. housing, income, education) are receiving an increasing amount of attention as providers figure out how to improve outcomes and variation among the populations they serve. This session will describe complementary approaches to understanding and acting on multiple determinants of health (MDoH) using large data resources and patient-reported data as overlay on top of member level data. We will discuss the implications for risk adjustment as well as actions that can impact outcomes.

    Presenter: Gordon Moore, MD, Senior Medical Director, 3M Health Information Systems

    9:30-10:30am: Pharmaceutical drugs and the Triple Aim: Where is the opportunity?

    The world of prescription drugs, over-the-counter medication and nutritional supplements has a large impact on health care’s pursuit of the Triple Aim.

    But it’s not a simple case of overuse. Underuse and abuse also have an impact. Add in the complexity prescription drugs introduce. Their costs are unregulated, access is narrow, and multiple layers of administration are involved at every stage from manufacturing to consumption.

    How can we make sure that pharmaceutical drugs achieve their intended purpose? How can we reign in drug costs so that they’re consistent with the value they provide?

    Drug manufacturers, prescribers, dispensers, benefit managers, payers, and users all have a role to play.

    Presenter: Steve Delaronde, Director of Analytics, 3M Health Information Systems

    10:30-10:45am: Break

    10:45-11:45am: Closing remarks: The future of value-based care

    11:45am: Lunch to-go and dismissal


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