The National Healthcare Incentives Institute: Agenda: Preconference

AGENDA: DAY TWO Tuesday, October 21, 2008
7:30 a.m.	Institute Registration and Continental Breakfast
INCENTIVES INSTITUTE CONCURRENT SESSIONS
8:30 a.m.	Track I
	1.01 Perverse Incentives in Health Care John C. Goodman, PhD President, National Center for Policy Analysis, Author, Patient Power: Solving America's Health Care Crisis, Washington, DC
	1.02 Value-Driven Health Care Purchasing: Four States that Are Ahead of the Curve Tanya Alteras, MPP Associate Director, Consumer-Purchaser Disclosure Project, National Partnership for Women and Families, Washington, DC
	1.03 The Next Generation of Value: Aligning the Incentives in Rebate Contracting to Outcomes and the Patient Medical Home David Hom, MBA Chairman, Center for Health Value Innovation, Author, BeneFIT Design: Seven Steps to Value-Based Health Benefit Decisions, Former Vice President, Strategic Initiatives Department, Human Resources Department, Pitney Bowes, St. Louis, MO
	1.04 Basic Legal Issues in Implementing Healthcare Incentives and Pay for Performance William D. Darling, Esq. Partner, Strasburger & Price, Washington, DC Presentation Material (Acrobat) Presentation Material (Powerpoint)
	1.05 Case Study: WellPoint Inc./ Anthem Blue Cross PPO Physician Quality Incentive Program Michael Belman, MD, MPH, FACP Medical Director, Clinical Quality and Innovations, Anthem Blue Cross, Woodland Hills, CA
	1.06 An Evidence-Based Approach to Addressing Ethical Issues in Healthcare Incentive Arrangements David Satin, MD Center for Bioethics, Department of Family Medicine, University of Minnesota, Minneapolis, MN Presentation Material (Acrobat)
9:30 a.m.	Transition Break
9:45 a.m.	Track II
	2.01 Incentives in Healthcare: The System's Broke; Let's Fix It Selvoy M. Fillerup, MD Member, Board of Directors, The Center for Health Care Policy Research and Analysis, Author, Chronic Crisis: Critical Care for America's Collapsing Healthcare System, Gilbert, AZ Presentation Material (Acrobat) Presentation Material (Powerpoint) Handout Material (Acrobat)
	2.02 New Evidence from AHRQ on P4P: Does the Frequency of Physician Incentives Payment Matter? Laurel Trujillo, MD Co-Director of Regional Quality, Palo Alto Medical Foundation, Palo Alto, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.03 Advancing Primary Care through Changing Reimbursement: Provider Based Disease Management and the Advanced Medical Home David Hanekom, MD Medical Director, Medical Management Division, Blue Cross Blue Shield of North Dakota, Fargo, ND Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.04 Gainsharing and Incentives: Legal and Operational Issues Lani Berman Senior Director, Clinical Specialty Services, Goodroe Healthcare Solutions, a VHA Company, Norcross, GA Presentation Material (Acrobat) Presentation Material (Powerpoint) Mark E. Wynn, PhD Director, Division of Payment Policy Demonstrations, Centers for Medicare and Medicaid Services, Washington, DC Presentation Material (Acrobat) Presentation Material (Powerpoint) D. McCarty (Mac) Thornton, Esq. Partner, Sonnenschein, Nath and Rosenthal LLP, Former Chief Counsel to the Inspector General, Department of Health & Human Services, Washington, DC
	2.05 Premier's QUEST: High Performing Hospitals, a Program to Assist Hospitals in Driving Healthcare to New Levels of Performance Richard A. Norling, MA, MHA President and Chief Executive Officer, Premier, Inc., Former President and Chief Executive Officer, Fairview Hospital and Healthcare System, Minneapolis, MN
	2.06 American Academy of Family Physicians TransforMED Focus on Reformed Incentives Terry McGeeney, MD, MBA President and Chief Executive Officer, TransforMED, Former Medical Director, McFarland Clinic, Leawood, KS Presentation Material (Acrobat) Presentation Material (Powerpoint)
10:45 a.m.	Break
11:15 a.m.	Track III
	3.01 Challenges of Implementing Physician Incentives in a Charitable Organization Donald E. Lighter, MD, MBA, FAAP, FACHE Chief Quality Officer, Shriners Hospitals for Children, Tampa, FL Ron Vance, JD Partner, Ethos Partners, Suwanee, GA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.02 Getting What We Pay For: Innovations Lacking in Provider Payment Reform for Chronic Disease Care Debra A. Draper, PhD, MSHA Associate Director and Senior Fellow, Center for Studying Health System Change, Former Assistant Director, Health Care Team, Government Accountability Office, Washington, DC
	3.03 The Medical Home: Disruptive Innovation for a New Primary Care Model Paul Keckley, PhD Executive Director, Deloitte Center for Health Solutions, Washington, DC
	3.04 Medicare and Private Payor Nonpayment for Never Events Update Marie Dotseth, MHA Health Policy and Safety Consultant, Former Program Director, National Institute of Health Policy, Former Assistant to the Commissioner, Minnesota Department of Health, Former Director of Public Policy, Allina Health System, Minneapolis, MN Nancy Foster Vice President for Quality and Patient Safety Policy, American Hospital Association, Washington, DC Presentation Material (Acrobat) Presentation Material (Powerpoint) Catherine Sreckovich Managing Director, Navigant Consulting, Chicago, IL
	3.05 Case Study: ThedaCare, Appleton, WI John Toussaint, MD President, ThedaCare Center for Creating Value in Healthcare, Former President and Chief Executive Officer, ThedaCare, Appleton, WI
	3.06 Nurses Wrestle with the Pros and Cons of Pay-for-Performance Plans Ellen T. Kurtzman, RN, MPH Assistant Research Professor, George Washington University, Washington, DC Presentation Material (Acrobat) Presentation Material (Powerpoint)

JOINT KEYNOTE LUNCHEON FOR THE INCENTIVES INSTITUTE AND CONSUMER DRIVEN SUMMIT
12:15 p.m.	Luncheon and Presentations
12:45 p.m.	Price and Quality Transparency Initiatives: Aligning your Efforts with your Target Customer Paul Keckley, PhD Executive Director, Deloitte Center for Health Solutions, Washington, DC
1:15 p.m.	Employer Perspectives on Transparency in Health Care Helen Darling President, National Business Group on Health, Washington, DC Presentation Material (Acrobat) Presentation Material (Powerpoint)
1:45 p.m.	The Future of Value-Based Insurance Design Andrew Webber President and Chief Executive Officer, National Business Coalition on Health, Washington, DC Presentation Material (Acrobat) Presentation Material (Powerpoint)
2:15 p.m.	Transition Break
INCENTIVES INSTITUTE AFTERNOON PLENARY SESSION
2:30 p.m.	The Role of Employers in Implementing Healthcare Incentive Arrangements Leah Binder, MA, MGA Chief Executive Officer, The Leapfrog Group, Washington, DC
3:00 p.m.	Building a New Payment System: Stakeholder Perspectives on Principles and Elements Robert L. Broadway, FHFMA Vice President of Corporate Strategy at the Bethesda Healthcare System, Chairman, Healthcare Financial Management Association, Boynton Beach, FL Presentation Material (Acrobat) Presentation Material (Powerpoint)
3:30 p.m.	Transition Break
INCENTIVES INSTITUTE CONCURRENT SESSIONS
3:45 p.m.	Track IV
	4.01 BCBSA: Changing Payment Incentives 'Crucial Step' In Healthcare Reform, Featuring Highmark Quality Blue Pay for Performance Program Alissa Fox Vice President, Legislative and Regulatory Policy, Blue Cross and Blue Shield Association, Former Branch Chief, Assistant Secretary for Management and Budget, Department of Health and Human Services, Washington, DC Presentation Material (Acrobat) Presentation Material (Powerpoint) Robert J. Mandel, MD, MBA Vice President, Health Care Services, Blue Cross Blue Shield of Massachusetts, Boston, MA Presentation Material (Acrobat) Presentation Material (Powerpoint) Carey Vinson, MD Vice President, Quality and Medical Performance Management, Highmark Blue Cross Blue Shield, Pittsburgh, PA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	4.02 What Women Want: Microtargeting Healthcare Incentives to Alpha Moms Kendra Wyatt Strategist, Community Utilization, Cerner Corporation, Kansas City, MO Presentation Material (Acrobat) Presentation Material (Powerpoint)
	4.03 The Future of Pay-for-Performance in the Safety-Net Setting - New Evidence from AHRQ Bert White, MBA DMin, Project Director, Rewarding Results National Evaluation Team, Department of Health Policy and Management, School of Public Health, Boston University, Pembroke, MA Gary J. Young, JD, PhD Chair, Department of Health Policy and Management, School of Public Health, Boston University, Boston, MA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	4.04 Transparency in Healthcare - Making it Happen: Lessons Learned from the 100 Top Hospitals® Jean Chenoweth Senior Vice President, 100 Top Programs and Performance Improvement, Thomson Reuters
	4.05 Moving Forward: A Case Study of Pennsylvania's Medicaid Pay for Performance Programs David Kelley, MD Chief Medical Officer, Office of Medical Assistance Programs, Pennsylvania Department of Public Welfare, Harrisburg, PA Presentation Material (Acrobat) Presentation Material (Powerpoint) Hanford Lin Associate Director, Navigant Consulting, Inc., New York, NY

4:45 p.m.	Track V
	5.01 Maryland Acute Care Hospital Quality-Based Reimbursement: An All-Payer Initiative Dianne Feeney Associate Director, Quality Initiative, Maryland Health Services Cost Review Commission, Baltimore, MD Steve Ports Principal Deputy Director, Maryland Health Services Cost Review Commission, Baltimore, MD Presentation Material (Acrobat) Presentation Material (Powerpoint)
	5.02 Collaborating with Providers to Foster a Culture of Quality Deborah Donovan, MLLS, RHIA, CPHQ Director, Provider Quality Performance Management, Highmark Inc., Pittsburgh, PA Linda Weiland, MBA Vice President Provider Operations, Highmark Inc., Pittsburgh, PA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	5.03 Hospital Medicine (Hospitalist) as Mediator: Aligning Physician and Hospital Incentives Russell Holman, MD Chief Operating Officer, Cogent Healthcare, Brentwood, TN
	5.04 Innovations in the Use of Financial Incentives in Chronic Addiction Treatment Deni Carise, PhD Director, Treatment Research Institute, Philadelphia, PA Mady Chalk, PhD Director, Center for Performance Based Policy, Treatment Research Institute, Philadelphia, PA Presentation Material (Acrobat) Presentation Material (Powerpoint) Jack Kemp, MS Senior Policy Associate, Treatment Research Institute, Philadelphia, PA Presentation Material (Acrobat) Presentation Material (Powerpoint) A. Thomas McLellan, PhD Chief Executive Officer, Treatment Research Institute, Philadelphia, PA Presentation Material (Acrobat) Presentation Material (Powerpoint)
5:45 p.m.	Adjournment

Incentives Institute Postconference Banquet and Workshop:
The Leapfrog Hospital Rewards Program-Lessons Learned from the Nation's First Off-the-Shelf P4P Program for America's Hospitals
(Separate registration required; Dinner included.)

7:00 p.m.

As public and private health care purchasers focus on value, it is critical to align payment with quality. The Leapfrog Group, a national leader in measuring hospital quality, is updating its rewards program to better provide hospitals with financial incentives to provide health care that is high-quality and efficient.

At this workshop, you will learn about Leapfrog's experiences with the design and implementation of the first generation rewards program, and improvements being made for the second generation. You will hear about the results from the 2008 Leapfrog Survey, and how these results can be translated into meaningful incentives and rewards. The workshop will include case examples of how hospital rewards have been implemented, and the lessons learned for future success.

Leah Binder, MA, MGA Chief Executive Officer, The Leapfrog Group, Washington, DC
Guy D'Andrea Founder and President, Discern Consulting, Baltimore, MD

Agenda:

Leapfrog Overview, History and 1st Generation Hospital Rewards Program
Leapfrog Survey, Measures and 2008 Results
Case Studies
Second Generation Leapfrog Hospital Rewards Program: Scoring and Rewards Eligibility and Rewards Methodology

9:30 p.m.

Workshop Adjournment