3M Value-based care conference

3M’s Value-based Care Conference: Data, decisions and driving results

Held September 25 – 27, 2016 | Chicago, IL

Nothing accelerates healthcare improvement like the right data.

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.


Agenda

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.

  • Day One: Gather and network

    September 25, 2016

    5:00-5:30pm: Registration

    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.

      In this session, you will:

    • Hear from plans and providers who are collaborating on value-based care contracts built for sustainability
    • Find out which types of incentives fairly reward providers at all performance levels
    • Learn how to design programs that maintain a high standard of care, even after performance improvements hit a plateau

    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.

      In this session, you will:

    • Learn how you can protect PHI by providing the right data only to those who need it—at the right time and in the right setting
    • Understand the challenges and implications for aggregating claims data from various sources and integrating clinical data
    • Hear how government agencies, plans and providers are operating from a single data repository

    12:15-1:00pm: Lunch

    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


    You may already what percentage of your population accounts for your total healthcare expenses. You may already know what percentage of prescriptions go unfilled among your population. And, you may already have a good handle on reducing readmissions. So what comes next? Predictive analytics let you pinpoint which patients are likely to consistently require substantial care year after year so you can proactively assign resources. We call these patients persistent high-need individuals. What’s more? You can even predict who is likely to become a persistent high-need patient, helping care managers intervene before these individuals contribute to excess costs.

      During this session, you will:

    • Learn how to apply predictive analytics for the greatest impact on cost and outcomes
    • Find out how reliable predictive models really are, compared to common screenings
    • Hear from health plans who have successfully used predictive analytics to change how they provide

    6:00-8:30pm: Take in the views during a Chicago architectural dinner cruise


    Breakout sessions


    Research track

    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.

      In this session, you will:

    • Learn how to best determine which services, providers and drugs are most valuable, letting you design benefits that encourage efficient care
    • Hear from plans on insurance products that encourage quality, cost-effective care

    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.

      In this session, you will:

    • Discover which medical care investments had the biggest returns
    • Find out which metrics were most instrumental to encouraging innovative approaches to care delivery
    • Learn how Texas’ success story is impacting how other states approach population health

    Provider track

    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.

      In this session, you will:

    • Learn how providers can identify and engage at-risk patients, navigating them through the care system
    • Understand the hallmarks of sustainable care delivery models that improve costs overall instead of shifting them
    • Hear from hospital systems that are successfully navigating risk-sharing arrangements

    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.

      In this session you will:

    • Understand the importance of linking data insights across the continuum of care.
    • Learn how to use health management and patient activation tools to reach high-risk patients and involve them in their own care management

  • 7:30-8:30am: Breakfast

    8:30-9:15am: Trends in Medicaid payment and delivery system reform by Health Management Associates

    Health Management Associates is a research and consulting firm nationally recognized for its policy expertise and leadership in state Medicaid programs. During this session, they will highlight major trends in Medicaid payment transformation and delivery system reform, with focus on managed care and managed long term care, DSRIPs and other ACO initiatives. Then, they will examine states’ role in enabling stakeholder access to actionable information derived from clinical and claims data. They will also chart the progress of federal Medicaid initiatives throughout this election year and beyond.

    Presenters: Barbara Edwards, managing principal, Health Management Associates; Jim Parker, principal, Health Management Associates>

    9:15am-10:00am: The advantages of focusing on Medicare Advantage

    It’s estimated that Medicare Advantage enrollees will increase from 18 million to 25 million by 2024. For health plans who do not yet have a Medicare Advantage (MA) line of business, this growth represents an opportunity to remain competitive and add to revenue streams. For plans who do offer MA options, there are unique areas you must focus on for success, especially under increasingly risk-based models.

      During this session, you will:

    • See how accurate coding can impact potential reimbursement and better inform care strategies
    • Learn how to use analytics that optimize risk-based reimbursement and quality ratings
    • Understand how MACRA will move delivery systems into risk and how you can stay ahead of changes

    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.

      During this session, you will:

    • Learn how DSRIP participants can reduce hospitalizations, a component of many programs
    • Hear from those at the forefront of key DSRIP programs as they discuss clinical management and population health
    • Find out which incentive structures are proving to be effective at encouraging change

    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.

      During this session, you will:

    • Learn how to uncover specific subgroups and individuals with the greatest health risk
    • Understand how to allocate resources to special needs populations within existing value-based care programs
    • Find out how to enable providers to encourage preventive care and reduce avoidable high-cost utilization

    12:15-12:30: Closing remarks

    12:30: Lunch and departure


Featured speakers

  •     Lisa Chan-Sawin       
    Lisa Chan-Sawin
    Health care consultant, Transform Health LLC
  •     Jamie Dudensing       
    Jamie Dudensing
    CEO, Texas Association of Health Plans
  • Billy Millwee           
    President and CEO, Billy Millwee & Associates

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