Many effective forms of value-based care can trace their origins back to the Obama Administration where then-Vice President Biden helped spur innovation in the development of alternative payment models by HHS and CMS. With Biden now at the helm of his own administration, value is back on the menu.

The 2nd Payer+Provider Virtual Summit, hosted by Xtelligent Healthcare Media, focuses on strategies for payers and providers to succeed at improving the patient experience, population health, healthcare spending, and provider satisfaction. Hear how leading healthcare organizations are ensuring that the focus of healthcare innovation remains on positive outcomes.

Blurring the Line Between Payers and Providers
Tuesday, November 16 at 11:00 ET

In this session the NextGen Advisors will explore the concept of pay-vider with various examples of different ways that the distinction between payer and provider have been altered. They will examine risks and opportunities that stem from this trend, and invite audience participation augmented by survey questions.

Key takeaways:
  • Providers are already being impacted by the migration toward pay-viders
  • Becoming a pay-vider is challenging and risky
  • Commercial payers have been very aggressive in this space
Dr. Betty Rabinowitz, Chief Medical Officer, NextGen Healthcare
Dr. Martin Lustick, SVP and Principal, NextGen Advisors
Graham Brown, MPH, SVP and Principal, NextGen Advisors 

Keynote: Enabling Greater Access to Equitable, High-Value Care
Tuesday, November 16 at  3:30 ET

Value-based care cannot progress without addressing health equity. To move toward holistic, value-based care that supports health equity for all members, Mark Friedberg, Senior Vice President of Performance Measurement and Improvement at Blue Cross Blue Shield of Massachusetts (BCBSMA), and his team at BCBSMA partnered with the Institute for Healthcare Improvement (IHI) to integrate health equity metrics into the payer’s quality measures. Friedberg will share how his team is leveraging health equity quality measures—in conjunction with other strategies—to assess health equity at BCBSMA and incentivize equitable care.

Mark Friedberg, Senior Vice President, Performance Measurement & Improvement, Blue Cross Blue Shield of Massachusetts (BCBSMA)

Keynote Fireside Chat: Beyond a Payment Model: Value-Based Care Advances Access, Quality, Equity and Affordability
Wednesday, November 17 at 1:00 ET
To date, much of the work on implementing value-based care models has focused on convincing providers and health plans of the financial merits of rewarding value over volume of care. However, the pandemic has revealed that this care model moves beyond the payer-provider alignment around improved financial returns and health outcomes, to opening access, enhancing quality, increasing affordability and ultimately creating a more equitable healthcare delivery system for all. Join our fireside chat to hear from industry thought leaders on how value-based care has taken value to the next level.

Erica L. Savage-Jeter, MD, MBA, CRC, FAAFP, Market VP, Clinical, CenterWell Senior Primary Care
William Shrank, MD, MSHS, Chief Medical & Corporate Affairs Officer, Office of Health Affairs and Advocacy, Humana
Renee Buckingham Segment President, Primary Care Organization, Humana

Panel: Choosing the Right Value-Based Care Model
Wednesday, November 17 at  2:15 ET
Value-based care is not one-size-fits-all. There are many types of value-based care models depending on the patient population the organization serves, its risk appetite, and its infrastructure and population health capabilities. But selecting the right model is key to success. Panelists will discuss how they identified the appropriate value-based care model for their organization, what they implemented to operate under the model, and their strategies for ongoing success.

Richard P. Morel, MD, MMM, FACP, Chief Medical Officer, Optum Tri-State

Panel: Best Practices for Whole-Person Patient Care
Wednesday, November 17 at 3:30 ET
Comprehensive, whole-person care integrates primary and specialty care into a seamless patient experience. Data-driven care coordination is essential to promoting prevention and encouraging patients to take control over their health and well-being. Panelists will discuss the following:

  • Understanding risk stratification
  • Participating in data exchange for care coordination
  • Identifying social determinants of health
  • Integrating virtual health and connected care
Jeff Hertzberg, MD, MS, Medical Director, Enterprise Data Strategy and Data Science, OptumLabs
Jay Sultan, Vice President, Healthcare Strategy, LexisNexis Risk Solutions

Efficiently Coordinating Care and Appropriate Reimbursement in a Rapidly Changing Health Care Environment
Thursday, November 18 at 11:00 ET

Challenging the Status Quo for Diagnosing and Controlling Blood Pressure
Thursday, November 18 at 12:00 ET

High blood pressure costs the United States about $131 billion each year, yet healthcare providers have been slow to adopt the hypertension management guidelines published in 2017 by the American College of Cardiology (ACC) and the American Heart Association (AHA). In a recent study, two clinics sought to improve performance with CMS’ electronic clinical quality measure (eCQM) 165v9 (controlling high blood pressure) and analyze if close adherence to the ACC/AHA guidelines would be both clinically impactful and cost effective. They deployed at-home blood pressure monitoring for suspected hypertensive patients and, once the diagnosis was confirmed, delivered a series of digital educational messages, videos and tools to help patients control and improve their blood pressure. In this session, the clinical leader of the pilot will present the findings, including the significant impact this program had for patients with both suspected and confirmed hypertension.

Key Takeaways / Learning Objectives:
  • Why hypertension is a high impact quality improvement target
  • How to identify the most appropriate patients for your RPM program
  • Considerations for connected vs. manual home blood pressure monitors
  • RPM’s significant impact on the accurate diagnosis and effective management of hypertension
John Janas, MD, Medical Director, Twistle by Health Catalyst
Dr. Peter Barker, Family Doctors of Swampscott
To Register, Please Choose The Sessions You Would Like To Attend:
Tuesday, November 16 at 11:00 ET
Tuesday, November 16 at 12:30 ET
Tuesday, November 16 at 2:00 ET
Tuesday, November 16 at 3:30 ET
Wednesday, November 17 at 11:00 ET
Wednesday, November 17 at 1:00 ET
Wednesday, November 17 at 2:15 ET
Wednesday, November 17 at 3:30 ET
Thursday, November 18 at 11:00 ET
Thursday, November 18 at 12:00 ET
Thursday, November 18 at 1:30 ET
Thursday, November 18 at 2:30 ET

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The Payer+Provider Virtual Summit is part of the Xtelligent Healthcare Media Network