Held September 25 – 27, 2016 | Chicago, IL
Creating a healthcare system that supports improved outcomes calls for harnessing data from various sources so you can make informed decisions on payment models, contracts, care management, performance metrics and more.
But once you have that data in hand, what's next? How do you best use it to drive real improvements in healthcare value—and sustain those results over time?
On Sept. 25-27, 2016, 3M's Value-Based Care Conference gathered decision makers from health plans, government and hospital systems to share firsthand their experiences using data to build, refine and scale healthcare reform initiatives.
The event was held at theWit hotel in Chicago, Illinois from Sunday, September 25 to Tuesday, September 27. We kicked off the event with an optional networking reception Sunday evening. Monday and Tuesday included a day and a half of educational presentations, engaging panel discussions and social events. See the detailed agenda and session descriptions below.
September 25, 2016
5:30-7:30pm: Networking reception at ROOF, the rooftop lounge at theWit (optional)
September 26, 2016
7:30-8:30am: Registration and breakfast
8:30-9:00am: Welcome by James Lawson, vice president, Population and Payment Solutions, 3M Health Information Systems
9:00 – 10:15: Keynote presentations
Achieving value for payers, providers and patients: Solutions that enable providers and patients to achieve success by Kyna Fong, PhD, Elation Health
Putting care before the accounting by Terry McGeeny, MD, MBA, Care Accountability, Inc.
10:15-11:15am: Payer-provider relationships: Everyone wins when you think long-term
For value-based care contracts to have lasting impact on quality and costs, payers and provider must have a long-term focus. Programs aimed at immediate quality and cost improvements undoubtedly have benefit in the short term. But what happens when program resources run out and focus shifts to other initiatives? When designed to maintain improvements over time, the inherent risk in value-based care contracts is more likely accepted by providers and results in benefits for everyone—payer, provider and patient.
11:15-12:15pm: To share or shelter? Overcoming the challenges in data transparency
In a value-based model, it’s critical for everyone involved to have insight into the cost drivers across the entire care continuum. True data transparency allows providers and community partners to optimize clinical pathways and protocols. It lets plans understand the total cost of care for a specific population so they can accurately evaluate performance. And, it helps consumers make better informed decisions when shopping for services. But transparency isn’t just a task. It’s a responsibility. Healthcare is accountable for both sharing and protecting data. It’s a delicate balancing act at the crossroads of technical, operational and security challenges.
1:00-3:00pm: Breakout sessions
3:15-4:00pm: Pinpoint and predict: How to impact care now and down the line with predictive modeling
6:00-8:30pm: Take in the views during a Chicago architectural dinner cruise
1:00-2:00pm: Social networks aren’t just for kids: How social network analysis informs network service areas
Social network analysis is the science of studying how information naturally flows through relationships and interactions. It’s a method that can be applied to examine referral patterns in healthcare. A primary care physician group’s tendencies to refer to certain specialist can tell us a lot about the networks that naturally exist. This knowledge can be used for determining how to cluster PCPs groups within a service area when establishing Accountable Care Organizations (ACOs).
In this session you will:
Understand what geocoding is and how it highlights a PCP group’s referral patterns
Learn how referral pattern data can be used to analyze network performance and define ACO service areas.
Presenter: Paul LaBrec, Research Director, Population and Payment Solutions, 3M Health Information Systems
2:00 – 3:00pm: Fresh findings on patient classification
Presenter: Elizabeth McCullough, Research Manager, Clinical and Economic Research, 3M Health Information Systems
Payer and government track
1:00-2:00pm: Keeping benefit design in mind: Products that promote value
Decisions about benefit design are never black and white. Balancing cost, quality and access is already a challenge for plans. Enter value-based payment models and it gets more complicated. Strategies that encourage providers and their patients to use care efficiently, such as having certain tests in an outpatient setting or taking generic drugs, are typically cost-effective in the short term. But what about the long term? Some patients may fare better over time if they take pricier drugs or receive needed tests promptly. Value-based benefit design must allow clinicians to use their clinical judgement to practice patient-focused care while helping to meet cost and quality goals.
2:00 – 3:00pm: Lessons learned: Texas Medicaid Managed Care and its value-based care strategy
Texas’ pursuit of value-based purchasing within managed care has been nothing short of innovative. The state’s model achieves public sector objectives by leveraging private sector incentives. This strategy has encouraged collaboration among the state’s largest health plan and its provider network—and its resulting in improved outcomes. As states implement the new Medicaid managed care rules much can be learned from the Texas approach.
1:00-2:00pm: From volume to value: Realities for health systems
As a health system takes on more risk, they must be equipped to identify high-cost and at-risk patients, and identify opportunities to improve care. Often, this calls for closing gaps in care by going beyond the four walls of the hospital. Population health management is a way for providers to maintain or improve a group’s overall health, while controlling or improving their¬ total cost of care. It’s a practice that can prepare providers for the metrics, incentives and decisions indicative of value-based care programs.
2:00-3:00pm: On the front lines of value improvement: The role of primary care
Primary care providers (PCPs) play a key role in the success of value improvement initiatives. They’re in a unique position to engage patients in the self-management of their care and to understand the underlying socio-demographic factors that can impact overall health outcomes. Providing prompt access to care, developing long-term relationships and carefully coordinating services are key ways PCPs can be highly effective, but it requires fully integrated analytics that account for patient-reported data.
10:00-11:00am: How Medicaid plans are transforming care delivery—and what the rest of us can learn from it
Under CMS’ Delivery System Reform Incentive Program (DSRIP), Medicaid plans must meet specified performance metrics to receive funds to invest in care delivery transformation. It has spurred a slew of innovative care models, with each state model reflecting its unique challenges. This session will explore how states are working within DSRIP guidelines to balance quality, cost and access.
11:15-12:15pm: One size does not fit all: Special populations need a special strategy
Special needs populations require unique services that address mental health, substance abuse issues, certain comorbidities and more. But these services can be expensive, especially if care is not managed appropriately. Plans need a sound strategy for delivering care that is affordable, safe and accessible for this population, all the while optimizing clinical outcomes under value-based programs.
12:15-12:30: Closing remarks
12:30: Lunch and departure
Putting care before accounting (PDF, 381KB)
The Texas Medicaid managed care journey (PDF, 560KB)
From volume to value: Realities for health systems (PDF, 824KB)
Fresh findings on patient classification (PDF, 458KB)
The advantages of focusing on Medicare Advantage (PDF, 1.3MB)
How Medicaid plans are transforming care delivery (PDF, 1.4MB)