WHCC21 | Conference Agenda

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  • Gain insight into efforts around accelerating the pace of change in the industry
  • Focus on scalable innovations regionally and nationally
  • Outlook on care redesign: Discuss new models such as community- and home-based, virtual, and mobile care
Christopher McFadden
Christopher McFadden
Managing Director
Kohlberg Kravis Roberts (KKR)

Jason Mitchell
Jason Mitchell, MD
Senior Vice President, Chief Medical and Clinical Transformation Officer,
Presbyterian Healthcare Services

Griffin Myers
Griffin Myers, MD
Co-Founder and Chief Medical Officer
Oak Street Health

Moderator:

Craig E. Samitt
Craig E. Samitt, MD
Former President and Chief Executive Officer
Blue Cross and Blue Shield of Minnesota

  • Consumers as partners in decision-making: Strategies to meet the end-user’s expectations
  • Digital tools to enable real-time engagement and better manage an individual’s health including chronic conditions and mental health
  • Advent of non-traditional players to disrupt the consumer experience
  • Role of pharmacies in addressing health disparities and increasing access to care for all individuals including the rural and underserved populations
John Moore
John Moore, MD, PhD
Medical Director
Fitbit Health Solutions

Anthony Nguyen
Anthony Nguyen, MD
Chief Clinical Officer
Anthem

Rich Tremonte
Rich Tremonte
Executive Vice President and President, Community and Specialty Pharmacy
AmerisourceBergen Corporation

Angela Yochem
Angela Yochem
Executive Vice President, Chief Transformation and Digital Officer
Novant Health

Moderator:

Leslie Small
Leslie Small
Senior Reporter
AIS Health

Sarah Krevans
Sarah Krevans
President and Chief Executive Officer
Sutter Health

Moderator:

Renee DeSilva
Renee DeSilva
Chief Executive Officer
The Health Management Academy

10:45 AM - 11:30 AM - Concurrent Tracks

  • Learn about value-based models in primary care and specialty care being implemented
  • Examine ways plans are supporting provider partners in the adoption and success of these models
  • Discuss ways to improve operational efficiency and reduce administrative burdens
Rebekah Couper-Noles
Rebekah Couper-Noles, MSN, MHA
Vice President/Chief Operating Officer, Community-Based Care
Intermountain Healthcare

Michael Pattwell
Michael Pattwell
Principal Consultant, Value-Based Care
Edifecs

Brian Wheeler
Brian Wheeler
Vice President, Provider Collaboration and Network Transformation
CareFirst BlueCross BlueShield

Moderator:

Jennifer Atkins
Jennifer Atkins
Vice President, Network Solutions
Blue Cross Blue Shield Association

  • Collect data and develop predictive models to identify individuals at high risk
  • Evaluate the effectiveness of new models that address unmet need including
    • Nurse-led, team-based care
    • Digitally delivered self-help or therapy
  • Leverage partnerships to boost behavioral health and primary care integration for both children and adults
Carol Cassell
Carol Cassell
Executive Director
Advanced Health Network, Recovery Health Solutions (AHN|RHS)

Brie Reimann
Brie Reimann
Assistant Vice President, Practice Improvement and Consulting
National Council for Mental Wellbeing

Kiran Taylor
Kiran Taylor, MD
Chief Medical Officer
Hope Network

Moderator:

Andrew C. Philip
Andrew C. Philip, PhD
Senior Director
Primary Care Development Corporation (PCDC)

  • Understand the value of SDoH work within the context of your organization
  • Examine challenges to demonstrate overall costs savings and justify spending
  • Determine approaches to address SDoH in your populations and communities
    • Engage in cross-sector multi-stakeholder partnerships and VBC arrangements
    • Identify social determinants at work in rural or urban areas
  • Discuss new or scalable initiatives on the horizon
Manik Bhat
Manik Bhat
Founder and Chief Executive Officer
Healthify

Allen J. Karp
Allen J. Karp
Executive Vice President, Healthcare Management and Transformation
Horizon Blue Cross Blue Shield of New Jersey

Andrew Renda
Andrew Renda, MD
Vice President Bold Goal and Population Health Strategy, Office of Health Affairs & Advocacy
Humana

Moderator:

Connie Hwang
Connie Hwang, MD
Chief Medical Officer, Director Clinical Innovation
Alliance for Community Health Plans (ACHP)

  • Customize benefits offerings to meet the needs of a diverse population
    • Discuss specialty insurance options
  • Leverage data to understand employee/member needs
  • Identify cost containment strategies that maximize savings while improving outcomes
Daniel Ludwig
Daniel Ludwig
Director, Benefits and Safety
Brakebush Brothers

Lucas Pauls
Lucas Pauls
Plan Sponsor Channel Lead
Mount Sinai

Michelle Zettergren
Michelle Zettergren
President Labor, Chief Sales and Marketing Officer
Brighton Health Plan Solutions

Moderator:

Jeffrey Hogan
Jeffrey Hogan
Northeast Regional Manager
Rogers Benefit Group

11:30 AM - 12:15 PM - Concurrent Tracks

  • Create a closed loop of clinically integrated, high- performance accountability
  • Amplify the ability to deliver the right care, to the right patient at the right time
  • Use the right technology to deliver humanized, personalized support
  • Overcome physician-specific obstacles, including working across multiple payers
  • Bridge gaps between visits for improved patient empowerment and education
  • Address at-risk patients earlier with continuous assessment and monitoring
  • Eliminate silos between payers and providers for true collaboration
  • Deliver VBC within existing provider workflows to maximize effectiveness and efficiency
Susan Gross
Susan Gross, MD
President and Chief Executive Officer
The ObG Project

Jeffrey Hogan
Jeffrey Hogan
Northeast Regional Manager
Rogers Benefit Group

Trina Jellison
Trina Jellison
Group Vice President, Women and Children’s Institute (W&C Institute)
Providence St. Joseph Health

Leah Sparks
Leah Sparks
Chief Executive Officer and Founder
Wildflower Health

Moderator:

Brian Klepper
Brian Klepper, PhD
Principal
Worksite Health Advisors

  • Examine a cross-sector, consensus-learning model that incentivizes risk-based provider integration
  • Gain insight into the payment structure of a model that spans from pre-recovery to community-based recovery management
  • Hear progress to date establishing a risk-bearing, clinically integrated network that syncs with the different phases of recovery
Eric Bailly
Eric Bailly, CM
Business Solutions Director, Behavioral Health Clinical Strategy
Anthem

Greg Williams
Greg Williams
Manager
Alliance for Addiction Payment Reform

  • Implement an organization-wide comprehensive strategy that extends and expands existing and new programs
  • Develop a culture that is culturally sensitive and understands the impact of social determinants
  • Discuss approaches to screen individuals including Medicaid and Medicare members for SDoH
  • Learn how to effectively work with non-profit provider partners
  • Decrease overall patient costs and improve outcomes through the use of non-medical services to:
    • Manage chronic disease
    • Drive medication adherence
    • Ease social isolation and loneliness
Paul Hain
Paul Hain, MD
Chief Medical Officer
GoHealth

Ashwini Lakshmanan
Ashwini Lakshmanan, MD
Assistant Clinical Professor of Pediatrics and Preventive Medicine, USC Keck School of Medicine;
Section Head, Epidemiology and Outcomes, Children’s Hospital Los Angeles

Karin VanZant
Karin VanZant
Vice President, National SDOH Strategy
CareSource

Ellie Zuehlke
Ellie Zuehlke
System Director, Community Benefit and Engagement
Allina Health

Moderator:

Ben Miller
Ben Miller
Senior Vice President, Strategic Partnerships
GoHealth

  • Understand the basics of plan design and evaluate the level of acceptable risk for your organization
    • Explore network design options such as Centers of Excellence, narrow networks, and carve-outs / bundled payments
  • Learn how employers can leverage direct contract arrangements to drive value and maximize care quality
  • Discuss the role of the TPA/broker and indicate what makes an ideal broker-employer relationship
    • Claims payment and administration
    • Care navigation
    • Provider network development
    • Provider-employer program alignment
  • Explore the importance of appropriate care (assuring plan members get the right amount of care) to optimize clinical and financial outcomes
Ray Bowman
Ray Bowman
Senior Vice President, Talent and Team Development
MarineMax

Doug Geinzer
Doug Geinzer
Founder and President
High Performance Providers

Megan Narrance
Megan Narrance
Founder and Chief Executive Officer
Adept Benefits

Moderator:

Steven Nelson
Steven Nelson
Chief Executive Officer
Contigo Health

12:15 PM - 1:00 PM - Concurrent Tracks

  • Gain insight into managing total cost of care in acute episodes
  • Hear lessons learned from managing over 400,000 episodes and over $10 billion of at-risk spend
  • Understand how hospitalists are positioned to impact the major drivers of episode spending and lead the way in payer-provider collaboration
John Dickey
John Dickey, MD
Chief Medical Officer, Population Health
Sound Physicians

  • Explore obstacles, risks, and opportunities in state Medicaid programs
  • Outlook on Medicaid transformation: Examine priorities to improve policy, care delivery, and lower costs through waivers
    • Efforts to integrate behavioral and physical health, and non-medical services
  • Discuss how states are expanding risk-based managed care linked to quality and outcomes measures
Melisa S. Byrd
Melisa S. Byrd
Senior Deputy Director / Medicaid Director
D.C. Department of Health Care Finance

Dave Richard
Dave Richard
Deputy Secretary, NC Medicaid
Department of Health and Human Services

DuAne L. Young
DuAne L. Young
Deputy Administrator
Nevada Division of Health Care Financing and Policy

Moderator:

Hemi Tewarson
Hemi Tewarson
Executive Director
National Academy for State Health Policy (NASHP)

  • Discuss efforts to navigate pharmacy benefits and identify opportunities to increase savings and value
  • Learn how one plan went from year-over-year double-digit trend increases to achieving a less than 3% average increase over six years.
  • Hear examples of drugs that you might be covering that are costing you
  • Understand the most important metric when comparing PBMs
  • Gain strategies to significantly reduce costs and improve member health
Byron Mickle
Byron Mickle
Chief Growth Officer
Navitus Health Solutions

John Stenerson
John Stenerson
Deputy Executive Officer
Self-Insured Schools of California (SISC)

  • Explore new and existing benefits offerings that help promote a culture of equality, diversity, and inclusion
  • Discuss the fertility care problem and identify opportunities for employers to implement cost-neutral solutions
  • Hear case studies from principals who represent providers, employer/brokers, and patients
David Adamson
David Adamson, MD
Chief Executive Officer
ARC Fertility

Barbara Collura
Barbara Collura
Barbara Collura, President and Chief Executive Officer
RESOLVE: The National Infertility Association

Elizabeth Maddick
Elizabeth Maddick
Director, People Operations
PicsArt

  • Lessons-learned from the pandemic: Where do we go from here to make health care affordable and accessible?
  • Commentary on innovations in care delivery including increased demand for virtual and home care accelerated by COVID-19
  • Fostering a culture of health and well-being and effectively taking care of members’ medical and non-medical needs
  • Health plan efforts to address social justice issues and health inequities
Patrick J. Geraghty
Patrick J. Geraghty
President and Chief Executive Officer
GuideWell Mutual Holding Corporation, Florida Blue, GuideWell Group, Inc.

Moderator:

Susan Dentzer
Susan Dentzer
Senior Policy Fellow
Duke-Margolis Center for Health Policy

2:00 PM - 2:45 PM - Concurrent Tracks

  • Discuss efforts to tailor communications and outreach initiatives to better understand member needs and improve member satisfaction
  • Leverage member profile data to modify engagement strategies and identify unmet needs
  • Understand the role technology to personalize experiences and maximize reach
  • Gain insight into population health initiatives to engage various types of members including high-risk individuals
Bartley Bryt
Bartley Bryt, MD
Chief Medical Officer
Brighton Health Plan Solutions

Catherine Hamilton
Catherine Hamilton
Vice President, Consumer Services and Strategic Planning
Blue Cross and Blue Shield of Vermont

Rajesh Razdan
Rajesh Razdan
Vice President, Products
Castlight Health

Sherri Zink
Sherri Zink
Senior Vice President, Chief Data and Engagement Officer
BlueCross BlueShield of Tennessee

Moderator:

Jeffrey D. Rivkin
Jeffrey D. Rivkin
Research Director
IDC Health Insights

  • Learn why Providence, one of the nation’s largest and most digitally forward health systems is leaning hard into digital solutions for behavioral health
  • Understand the business argument for digital + behavioral health solutions
  • Gain insight into which digital solutions to invest in and why
  • Assess what digital can bring to behavioral health care from a clinical perspective
Roger Dowdy
Roger Dowdy, LICSW
Vice President, Mental Health Strategy, Population Health Management
Providence St. Joseph Health System

Julie McComish
Julie McComish
Senior Digital Strategy Manager
Providence Digital Innovation Group

Arpan Waghray
Arpan Waghray, MD
Chief Medical Officer, Well Being Trust;
Co-Chair, Providence Behavioral Medicine Leadership Council

Moderator:

Daniel Galles
Daniel Galles
Partner
Providence Ventures

  • Provide whole person care by incorporating interventions for the social determinants of health that individuals face
  • Acknowledge community trauma and leverage community resiliency to build programs to address those issues the community continues to struggle with
  • Learn details of the FUSE program that identifies underlying issues that drive high ED use and addresses the connection between housing insecurity and health outcomes
  • Understand the underpinnings of the OHANA project
    • Create a community-developed solution to address community relevant barriers
    • Identify community-relevant practices to serve the whole person and the environment impacting their individual, community, or social trauma and protective factors
  • Discuss best practices to scale Community Resource Centers so that they become a one-stop-shop for community needs
    • Learn about the CHNA dashboards developed and impact community health advocates/connectors have on the success of the program
    • Discuss ways to create closed-loop/trauma-informed networks of care
  • Examine other efforts to address health equity and recover from community trauma, including COVID-19, Black Maternal Child Health, and the Spectrum of Care
Daniel Rivas
Daniel Rivas
Senior Manager, Community Health, Healthcare and Community Health Transformation
Blue Shield of California

  • Review survey findings on how consumers are making decisions on important health care matters
  • Explore lessons learned from other health care segments that were impacted by regulations
  • Gain insight into CMS 4190 and CMS 9915 regulations and the timeline to compliance for health plans and employers
  • Understand non-compliance penalties and who will be held responsible
  • Offer members the necessary tools to clearly see and understand the cost of their prescriptions
  • Identify early actions your company or plan can take to begin assessing your organizational readiness
Keith Gaetano
Keith Gaetano, PharmD
Director of Product
Rx Savings Solutions

Nikki Oakland
Nikki Oakland, PharmD
Director of Client Success
Rx Savings Solutions

Michael Rea
Michael Rea, PharmD
Founder & Chief Executive Officer
Rx Savings Solutions

2:45 PM - 3:30 PM - Concurrent Tracks

  • Examine how digital transformation impacts consumer expectations
  • Discuss payer and provider strategies to improve the consumer experience
  • Learn how to influence, educate, and support consumers to adapt to health care changes
Jonathan Burow
Jonathan Burow
Vice President, Customer Experience and Digital Transformation
Independent Health

Diana Cruz
Diana Cruz
Chief Operating Officer
BMC HealthNet Plan

Angela Perri
Angela Perri
Vice President, Strategic Alignment, Transformation and Consumer Innovation
UPMC Health Plan

Moderator:

Ferris Taylor
Ferris Taylor
Executive Director
HealthCare Executive Group (HCEG)

  • Gain strategies to integrate behavioral health services into current wellness offerings and benefit plan design
  • Understand the role of EAPs to identify and manage behavioral health conditions including SUDs
  • Consider alternative treatments to minimize opioid use
  • Leverage mobile apps to monitor and engage employees in addiction therapy
Smita Das
Smita Das, MD, PhD
Director of Psychiatry
Lyra Health

David Hines
David Hines
Benefits Director
Metro Nashville Public Schools

Moderator:

Sara Martin
Sara Martin
Chief Executive Officer
Wellness Council of America (WELCOA)

  • Learn how cross-sector partnerships can accelerate the path toward health equity
  • Understand the role of nutrition in addressing health disparities impacted by social determinants of health
  • Discuss long-term health and economic impact of malnutrition and its strain on the health care system
  • Increase clinician and patient access to effective nutrition screening tools and education
  • Explore ways to scale nutrition efforts beyond clinical settings to engage and positively impact hard-to-reach populations around the world
Susan Abdel-Rahman
Susan Abdel-Rahman, PharmD
Director, Innovation in Health Care Delivery
Children’s Mercy Research Institute

Hakim Bouzamondo
Hakim Bouzamondo, MD
Divisional Vice President, Nutrition Global Research and Development
Abbott

Kristen Mallory
Kristen Mallory
Senior Technical Officer
Children International Health Systems and Innovation

  • Discover innovative approaches to deliver high-value and -quality care
  • Learn how employers use price and quality data to make accurate health care decisions and eliminate overspending
  • Redesign benefits and incentivize employees to choose high-value care
  • Empower employees with tools that enable them to compare prices and make optimal decisions
Kim Davis
Kim Davis
Senior Director, Benefits and Compensation
Alex Lee

Bill Kampine
Bill Kampine
Co-Founder and Senior Vice President, Analytics and Innovation
Healthcare Bluebook

Moderator:

Todd Wilkinson
Regional Sales Director
Healthcare Bluebook

3:30 PM - 4:15 PM - Concurrent Tracks

  • Leverage VR applications to alleviate the stress of a complicated surgical procedure for patients
  • Learn which applications are currently in use or in development to support patients at home post-discharge
  • Address common challenges around adopting VR technology
Det Ansinn
Det Ansinn
President
BrickSimple

Adam Elsesser
Adam Elsesser
Chief Executive Officer
Penumbra

Fern Nibauer-Cohen
Fern Nibauer-Cohen
Director, Patient Engagement and Business Development
Penn Radiation Oncology, Penn Medicine

Moderator:

Jonathan Sherman
Jonathan Sherman, MD
Director, Surgical Neuro-Oncology
West Virginia University

  • Explore Medicare policy changes that impact coverage for telebehavioral health
  • Assess telebehavioral health outcomes to better position for value-based care success
  • Outline payers’ strategic efforts to improve access and equity to telebehavioral health services
  • Examine telebehavioral health services utilization, costs, quality, and safety guardrails, as they compare pre, during, and post the coronavirus pandemic.
Indira Paharia
Indira Paharia, PsyD, MBA, MS
Chief Operating Officer
Centene Advanced Behavioral Health

Amy Pearlman
Amy Pearlman, MSW, LICSW
Vice President, Clinical Provider Strategy
Beacon Health Options

Brendan Shane
Brendan Shane, MBA, MSW, LICSW
Behavioral Health
Blue Cross Blue Shield of Minnesota

Moderator:

Andrew C. Philip
Andrew C. Philip, PhD
Senior Director
Primary Care Development Corporation (PCDC)

  • Understand the rationale for hospital community investment, identify key best practices, and learn about concrete steps to get started
  • Gain insight into a case study from Bon Secours Mercy Health on prioritizing community investment across its footprint
  • Discuss strategies to develop a community investment initiative tailored to your institution and local conditions
  • Focus on sustainable investments with long-term impact to address social determinants of health
Robin Hacke
Robin Hacke
Executive Director and Co-Founder
Center for Community Investment

Kendra Smith
Kendra Smith
Vice President, Community Health
Bon Secours Mercy Health (BSMH)

David Contorno
David Contorno
Founder and Chief Executive Officer
E Powered Benefits

  • Explore novel partnerships among health care stakeholders including payers, providers, and employers/purchasers
  • Examine best practices that have been successful at overcoming challenges and supporting adoption at scale
  • Discuss the promise of biomarker detection to guide better treatment decisions and enable precision medicine to reduce costs and improve outcomes
Stephen Batuello
Stephen Batuello, MD
President and Chief Executive Officer
Precision Medicine Alliance, LLC at CommonSpirit Health

Matthias Kleinz
Matthias Kleinz, DVM, PhD
Vice President, Translational Programs
UPMC Enterprises

Roy Smythe
Roy Smythe, MD
Chief Executive Officer
SomaLogic

Moderator:

Ted Meisel
Ted Meisel
Executive Founder
AVIA

  • Discuss efforts to remove the stigma surrounding mental health and substance use disorders
  • Learn how payers, providers, employers, and other health care stakeholders are supporting individuals with their mental health and well-being, and addiction treatment and recovery
  • Identify work being done to address the increasing rates of suicidal ideation and accidental overdose, particularly in adolescents and young adults
  • Examine strategies to effectively integrate behavioral health with primary care and support whole-person care
  • Highlight the innovations, advancements, and role of technology, to increase access to behavioral health services and treatment
Bernadette Melnyk
Bernadette Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN
Vice President, Health Promotion, University Chief Wellness Officer, Professor and Dean, College of Nursing
The Ohio State University

Doug Nemecek
Doug Nemecek, MD
Chief Medical Officer, Behavioral Health
Cigna

Laura Veroneau
Laura Veroneau
Partner
Optum Ventures

Moderator:

Pamela Greenberg
Pamela Greenberg
President and Chief Executive Officer
Association for Behavioral Health and Wellness (ABHW)



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