“Specialty Networks and Risk Sharing at Scale” – A Session at HCEG’s Annual Forum

By | Next Generation Payment Models, Annual Forum, Value-Based Payment/Care | No Comments

“Specialty Networks and Risk Sharing at Scale” – Monday, September 18th at 3:15PM – 4:30PM

At this year’s 29th Annual Forum in Nashville, TN, Dr. Richard Popiel, EVP & Chief Medical Officer at Cambia Health Solutions, moderates a panel presenting and discussing the current needs, opportunities, and challenges associated with improving the appropriateness, outcomes and affordability of specialty care services; specifically the clinical decision support mechanisms and other solutions that risk-sharing, value-based environments need to simplify, encode and utilize complex clinical content into a standardized, repeatable, evidence-based system for making decisions supporting an organization’s clinical programs.

Dr. Popiel and other healthcare industry experts will present how we as a healthcare system can improve healthcare outcomes and reduce costs by shifting to value and risk sharing arrangements. Insight into how disruptive analytics and analytical approaches to cost trend monitoring and containment will be shared and interactive opportunities to engage will be available.

Healthcare Thought Leaders Share Valuable Insight at HCEG Annual Forum

Panel Moderator – Richard Popiel MD MBA 

Dr. Richard Popiel, Cambia Health Solutions

Richard Popiel, M.D., MBA, Executive Vice President, Healthcare Services & Chief Medical Officer, Cambia Health Solutions & Regence Health Insurance Company

Dr. Richard Popiel leads medical strategy for Regence health insurance plans and provides executive leadership on care initiatives and cost management activities across the corporation. He came to Regence from Horizon Healthcare Innovations, where he was president and chief operating officer. Dr. Popiel earned a B.S. in biology and his M.D. at The George Washington University in Washington, D.C. He also holds an M.B.A. from Northwestern University Kellogg School of Management. He is board-certified in internal medicine.

Panelists include: (Additional panelists are pending confirmation)

Brandon Cady

Brandon Cady – President/CEO at AIM Specialty Health

Brandon Cady is the President and Chief Executive Officer of AIM Specialty Health® (AIM). Brandon joined AIM in 2002 and executed top line growth initiatives that expanded the business into one of the largest and most successful specialty benefits management companies in the United States.

Brandon has held a variety of leadership positions within hospital systems, health plans, and emerging technology companies. Brandon earned his master’s degree in Health Services Administration from the University of Michigan in Ann Arbor and a Bachelor of Business Management from the University of Iowa.

Dunston Almeida

Dunston Almeida – Executive VP of M&A Strategy and Business Development at Evicore

Dunston Almeida serves as an Executive Vice President of M&A Strategy and Business Development at eviCore healthcare, LLC. Dunston focuses on new strategic initiatives and partnerships, driving inorganic growth via mergers and acquisitions (M&A) and working with the Board and Executive Team on the company’s Strategy Council. He also supports the formulation of eviCore’s public policy and regulatory efforts. He has more than 20 years of experience in technology.

 

The 2017 HCEG Annual Forum

The HCEG Annual Forum provides the setting and platform for senior level executives from across the healthcare spectrum to come together for 2-3 days each year to discuss the continuous innovation, evolution and transformation of the industry. Attendees are granted direct access to approximately 100 peers, thought-leaders and solutions providers from around the country; all facing similar obstacles and providing opportunities, while engaging in real, relevant and productive dialog.

This year’s 29th Annual Forum takes place in Nashville, TN on September 18th -20th. For more information on this years annual forum, see this page.

2017 HCEG Annual Forum Speaker & Agenda Information

By | Member Posts, Annual Forum, HCEG Top 10, Sponsor | No Comments

Thompson Hotel Nashville (Image Thompson Hotels)

To succeed in today’s uncertain and tumultuous healthcare environment, health plans, health systems and provider organizations must develop a clear strategic identity supported by a distinctive portfolio of platforms, products, and services that transform their chosen strategy into a winning business model. Change, Innovation and Growth are imperative to survive in today’s healthcare environment.

This September 18th though the 20th, the 29th Annual Forum Healthcare Executive Forum takes place in Nashville, TN at the Thompson Hotel Nashville. Leading experts in health care policy, operations, reimbursement and digital health will examine the opportunities, challenges and issues healthcare executives must face in 2017 and beyond. This blog post provides some details on the speakers and presenters, more detail on the opportunities, challenges and issues that will be discussed, and more on what participants in our 2017 Annual Forum can expect to enjoy.

Keynote Speakers at 2017 Annual Forum

Karen DeSalvo Opening with Interactive Q & A

A great line-up of keynote speakers, moderators and panelists are on tap for the Annual Forum.  On Monday the 18th, Karen DeSalvo, Assistant Secretary for Health at U.S. Department of Health and Human Services, will provide the opening keynote address which will be immediately followed by an interactive Q & A session as lunch is served. The interactive Q & A format offers forum participants a unique opportunity to interact among themselves and with a leading healthcare policy executive.

Open discussion on important topics with a diverse set of peers all actively working to address healthcare outcomes and costs in the United States is a distinctive feature of all HCEG events – particularly the Annual Forum.

Donato Tramato, CEO of Tivity Health, Life’s Bulldozer Moments

During breakfast on Tuesday, Donato Tramato, CEO of Tivity Health (formerly Healthways), will provide a motivational keynote address: “Life’s Bulldozer Moments:”How Adversity Leads to Success in Life and Business.” Donato will recount business and life lessons learned and show that adversity can lead to success – how anyone bulldozed by life can pull themselves out of the rubble, dust themselves off and find meaning and purpose.

Later on Tuesday, another Nationally and Internationally recognized healthcare executive speaker will address forum participants as dinner is served.

As with all HCEG forums and executive leadership events, participants will be able to interact with speakers and other forum participants – asking questions and sharing viewpoints, with the objective to develop actionable strategies to each of their organizations.

Unparalleled Mix of Moderators & Panelists

In addition to the keynote speakers, a select group of healthcare industry leaders which includes some HCEG members will serve as moderators and panelists sharing their unique insight and perspective on a number of carefully selected topics.  Some of these individuals include:

A complete list of these moderators and panelists can be found here.

Certain Strategies for Uncertain Healthcare Times

The following are a sample of the sessions planned for the Annual Forum:

Payer Provider Operations – CMS Mandates & Provider Data Management Initiatives

Recent CMS call letters, proposed mandates and new state and federal level regulations regarding provider networks underscores the value and importance of addressing data quality via effective communication and collaboration between health plan payers and providers. Hear from panel members on approaches for ensuring network adequacy, complying with real-time provider directory updates and related impact of No Surprise Bill legislation sweeping the country.

Leading Edge Technology / Disease Management / Population Health

Disease management and Population Health has struggled in the past and now is giving way from identifying and matching people living longer with multiple chronic conditions to providing cost-effective, scalable mitigation and support services/products needed by this rapidly changing population. Panelists will discuss opportunities, challenges, and issues for improving clinical and costs via services and technologies addressing access to care, supporting interaction among constituents, and reducing costs via analytics, artificial intelligence and alternative/virtual reality services.

Pharmacy Costs / PBM and Rx Transparency

Prescription drugs are a fast-growing part of most large employers’ total medical spend and the increasing prevalence of high-deductible health plans have put on spotlight on the importance of Rx price transparency, benefit design and pharmacy benefit management practices. This panel will examine opportunities for managing the financial and non-financial/clinical aspects of prescription drugs, working in revolutionary ways with PBM’s, while ensuring optimal outcomes and member/patient satisfaction.

Specialty Networks and Risk Sharing at Scale

Value-based care programs and risk-sharing in accountable care organizations are core components for delivering and paying for care more effectively and efficiently. This panel will discuss and explore how opportunities and issues with specialty networks and support for risk-sharing at scale.

Precision Medicine and Behavioral Health Aspects of Substance Abuse/Opioids

As the use and abuse of opioids skyrockets, precision medicine technology that successfully stratifies patient risk by analyzing genetic and non-genetic (environmental & lifestyle) risk factors to accurately predict prescription opioid abuse show promise of helping physicians choose more effective treatments and reduce addiction risk while lowering cost. This panel will explore how health plans and providers can utilize precision medicine to achieve a new standard in healthcare delivery based on evidence-based insights and predictive analytics.

Digital Health & Consumer Engagement

Certain digital health technologies are rapidly becoming an integral way of connecting to and engaging with the healthcare consumer. Though still being decided, this panel will explore the digital technologies most likely to gain consumer acceptance, engagement and lead to real improvements in overall well-being, outcomes and cost-reductions.

Technology Innovation and Healthcare M & A Market Trends

Achieving scale via M & A deals and through dedicated ‘innovation programs” have been a popular way for health plans and health systems to create “quick-win” value.  And health plan/health system leaders must employ a smarter, more sophisticated scale equation to derive the most value from these approaches. This panel will review current trends in healthcare innovation and M & A activity and discuss risks and benefits of various value creation strategies.

Additional Forum Events and Opportunities

In addition to a knowledgeable group of healthcare visionaries and thought-leaders exchanging information, ideas and opinions with forum participants, participants at the 29th Annual Forum will enjoy other critical networking and perspective sharing events and opportunities including:

  • Meet and Greet at Thompson Hotel – Sunday night
  • Off-Site Reception with great Nashville music on Monday the 18th
  • Catered breakfasts, lunches and dinners each day of the forum
  • Nashville Late Night Party – Tuesday the 19th
  • Participate in identifying and selecting the 2017 HCEG Top 10*
  • Networking and open discussion with all speakers, moderators, panelists and forum attendees

For more information on the 2017 Annual Forum of the Healthcare Executive Group including registration, visit this page.

The HCEG 2016 Annual Forum

By | Annual Forum, Events

NYC_Venue-01

Healthcare Executive Group 2016 Annual Forum, Sep 12-14 in New York City

TheHealthCare Executive Group(HCEG) is a 26-year old national network comprised of select executives from across the entire healthcare spectrum health plans, health systems, providers and a handful of vendors that join together to learn, share and reshape the healthcare industry. HCEG was founded by healthcare organizations as a grassroots organization to serve healthcare executives by providing a forum for open discussions regarding the dynamic healthcare eco-system.

Thought Leadership, Education & Information

HCEG members benefit from a rich thought leadership, educational resources and information sharing opportunities throughout the year. In additional to enjoying access to an exclusive group of leading healthcare executives, HCEG members have continuous access to webinars, virtual panels, white papers and other content specific to their roles as high-ranking healthcare executives.

2016 Annual Forum – Sep 12 – 14 in New York City

HCEG’s Annual Forumbrings together 80-100 executives from across the healthcare spectrum for two days of transformative and compelling dialogue; focused on the continuous innovation in healthcare, as the marketplace becomes every day more and more dynamic with technology both leading and lagging what the patient consumer, the payers and the providers all demand. These topics and issues, which originate from the HCEG Top 10 (more below) will be extensively discussed throughout the Annual Forum, and are illustrated in the HCEG Integrated Strategy

This year’s theme HealthCare Innovation: The New Norm is not only timely and relevant, but promises to not only encourage, but deliver thought provoking group discussions.The close-knit networking environment the Annual Forum is widely known and appreciated for, provides HCEG members an ideal relationship building environment, with industry thought leaders presenting captivating sessions that effortlessly align on HCEG’s Top Ten Issues in Healthcare as voted by HCEG members during each Forum.

These Top 10 issues are:

unnamed1. The Consumer Experience: Omni-channel business, mHealth, HIX, social media and telehealth.

2. Payment reform: ACOs, P4P, value-based care and value-based reimbursement.

3. Population health: managing total health, including social and environmental determinants.

4. Provider/Plan integration: combining functions of care delivery and financing in a single organization.

5. Transparency: triple aim price, quality and service measures to support customer decisions.

6. Retail health care: established consumer companies disrupt traditional care providers (Tied).

7. Pharmacy: cost, compliance, convenience & specialty health (Tied).

8. Big data and advanced analytics: identifying patterns, opportunities in vastly detailed data sets.

9. Cybersecurity: protecting the privacy and security of customer information.

10. Genomics: customizing prevention and treatment to individual DNA.

HCEG is currently registering attendees for its Annual Forum in New York City on September 12-14th. HCEG leadership extends an invitation to join its organization and attend its Annual Forum in New York. See here for more information on the HCEG Annual Forum. To register, click here. Please contact Juliana Ruiz at[email protected]or 954.361.5236 for membership and/or information on the 2016 HCEG Annual Forum.