AGENDA: DAY III
FRIDAY, APRIL 7, 2017
CLOSING PLENARY SESSION
8:00 am
Welcome and Introductions
8:15 am
Provider-Patient-Payer Panel: Care Innovations in Medicare Advantage
T. Laurence Blosser, MD
Corporate Medical Director, Central Ohio Primary Care Physicians, Westerville, OH
Corporate Medical Director, Central Ohio Primary Care Physicians, Westerville, OH
Dr. Blosser practiced for 30 years as a board certified family physician and is currently the outpatient medical director for Central Ohio Primary Care Physicians.
Robert Mirsky, MD, MMM
Vice President, Medical Operations and Chief Medical Officer, Medicare, Aetna, New York, NY
Vice President, Medical Operations and Chief Medical Officer, Medicare, Aetna, New York, NY
Bob Mirsky, MD, MMM, FAAFP is Vice President Medical Operations and Chief Medical Officer for the Medicare organization. In this role, Dr. Mirsky drives operational excellence and best-in-class care management through our medical management, provider collaboration, network strategy, and medical economics disciplines.
Dr. Mirsky has extensive experience in quality improvement, medical management and accountable care across Commercial, Medicare and Medicaid lines of business. He held leadership roles at Tenet Health System of Florida, Blue Cross Blue Shield of Florida, Gateway Health Plan in Pittsburgh, Coventry Health Care, and North Shore-LIJ.
He completed residency and chief residency at St. Joseph’s Medical Center, and practiced family medicine for 10 years in New York and Florida.
Dr. Mirsky has extensive experience in quality improvement, medical management and accountable care across Commercial, Medicare and Medicaid lines of business. He held leadership roles at Tenet Health System of Florida, Blue Cross Blue Shield of Florida, Gateway Health Plan in Pittsburgh, Coventry Health Care, and North Shore-LIJ.
He completed residency and chief residency at St. Joseph’s Medical Center, and practiced family medicine for 10 years in New York and Florida.
Marc Munk, MD, MHCM
Chief Medical Officer, Iora Health, Boston, MA
Chief Medical Officer, Iora Health, Boston, MA
Dr. Marc-David Munk is the Chief Medical Officer at Iora Health, an investor-backed healthcare company that delivers team-based primary care in seven states. Iora believes that health can be improved through patient-focused, relationship-based primary care. It is financially accountable for all care delivered to its members.
Dr. Munk received his medical education at Jefferson Medical College in Philadelphia and completed residency and fellowship at the University of Pittsburgh. He earned a Master of Public Health degree in epidemiology from Boston University. He also earned a Master of Healthcare Management degree from Harvard University.
Dr. Munk received his medical education at Jefferson Medical College in Philadelphia and completed residency and fellowship at the University of Pittsburgh. He earned a Master of Public Health degree in epidemiology from Boston University. He also earned a Master of Healthcare Management degree from Harvard University.
Allyson Y. Schwartz
President and Chief Executive Officer, Better Medicare Alliance; Former Member (D/PA) US House of Representatives, Washington, DC (Moderator)
President and Chief Executive Officer, Better Medicare Alliance; Former Member (D/PA) US House of Representatives, Washington, DC (Moderator)
Allyson Y. Schwartz, President and CEO of the Better Medicare Alliance and a former member of the U.S. House of Representatives from Pennsylvania who served from 2005-2015, is a nationally recognized leader on health care issues. Better Medicare Alliance is the leading advocacy coalition supporting Medicare Advantage. Having worked as a health service executive, Schwartz was elected to the Pennsylvania State Senate in 1990, serving 14 years until her election to Congress. In the state Senate, Schwartz was the driving force behind Pennsylvania’s CHIP program, which was a model for the federal CHIP program five years later. In Congress, Schwartz was appointed to the Ways and Means Committee and served as a senior member of the Budget Committee. In both capacities, Schwartz was a strong advocate for Medicare. She was the leader in Congress on physician payment reform to encourage value over volume, supported research, innovation, and use of technology to improve quality, efficiency and contain costs. Schwartz is a Distinguished Policy Fellow at the University of Pennsylvania’s Leonard Davis Institute of Health Economics, Visiting Fellow at the Penn Wharton Public Policy Initiative and Co-Chair of the Bipartisan Policy Center Health and Housing Task Force.
9:00 am
The Experience of Physician Organizations Collaborating with Hospitals and Health Systems to Make Medicare Advantage Work
Amy Frankowski, MD
Physician Executive Leader and Senior Medical Director Population Health, Mercy Health (Formerly Catholic Health Partners), Cincinnati, OH
Physician Executive Leader and Senior Medical Director Population Health, Mercy Health (Formerly Catholic Health Partners), Cincinnati, OH
Amy Frankowski, MD, currently serves as the Senior Medical Director of Population Health-Health Select and Chief Medical Officer with Mercy Health Select based in Ohio.
Dr. Frankowski leads the strategic development of a high value network of providers and facilities for Mercy Health’s Clinically Integrated Network as well as the development of population health initiatives designed to produce higher quality health care at a lower cost. She serves as the clinical lead for value based contracts including the Medicare Shared Savings Program (MSSP), Medicare Advantage risk programs and commercial Accountable Care Organizations. She engages with physicians across the Mercy Health Network as well as with employers and payers in the markets to improve the quality of care provided. She partners with Information Technology to develop a strategy for maximizing patient engagement.
Dr. Frankowski leads the strategic development of a high value network of providers and facilities for Mercy Health’s Clinically Integrated Network as well as the development of population health initiatives designed to produce higher quality health care at a lower cost. She serves as the clinical lead for value based contracts including the Medicare Shared Savings Program (MSSP), Medicare Advantage risk programs and commercial Accountable Care Organizations. She engages with physicians across the Mercy Health Network as well as with employers and payers in the markets to improve the quality of care provided. She partners with Information Technology to develop a strategy for maximizing patient engagement.
Phil Oravetz, MD
Medical Director, Accountable Care, Ochsner Clinic Foundation; Former Chief Medical Officer, Palo Alto Medical Foundation, New Orleans, LA
Medical Director, Accountable Care, Ochsner Clinic Foundation; Former Chief Medical Officer, Palo Alto Medical Foundation, New Orleans, LA
Ashok Rai, MD
President and Chief Executive Officer, Prevea Health, Green Bay, WI
President and Chief Executive Officer, Prevea Health, Green Bay, WI
Ashok Rai, MD. As President and CEO of Prevea Health, one of the largest multi-specialty group practices in Northeast Wisconsin, Dr. Rai has a personal commitment to the wellness of this community and continues to inspire others to live healthy.
His association with Prevea Health began in 2001 when he joined Prevea’s partner hospital, St Mary’s Hospital Medical Center, as the Medical Director for Hospitalist Services. During the past 16 years, Dr Rai has also served as St. Mary’s Physician Quality Director and Prevea’s Associate Medical Director of Operations, Senior Vice President and Chief Medical Officer.
Dr. Rai’s passion to redesign healthcare has led Prevea to embrace the Patient Centered Medical Home model of care, and expand the concept of bringing patient centric care beyond the clinic and directly out into the community and workplace. Prevea’s customized care educates and empowers individuals to lead a healthy and fit lifestyle, thereby improving the total wellness of the region.
His association with Prevea Health began in 2001 when he joined Prevea’s partner hospital, St Mary’s Hospital Medical Center, as the Medical Director for Hospitalist Services. During the past 16 years, Dr Rai has also served as St. Mary’s Physician Quality Director and Prevea’s Associate Medical Director of Operations, Senior Vice President and Chief Medical Officer.
Dr. Rai’s passion to redesign healthcare has led Prevea to embrace the Patient Centered Medical Home model of care, and expand the concept of bringing patient centric care beyond the clinic and directly out into the community and workplace. Prevea’s customized care educates and empowers individuals to lead a healthy and fit lifestyle, thereby improving the total wellness of the region.
Chet Speed, JD
Vice President, Public Policy, American Medical Group Association; Former Executive Director, Federal Government Relations, The Cleveland Clinic; Former Senior Counsel, Office of Counsel to the Inspector General, US Department of Health and Human Services, Washington, DC
Vice President, Public Policy, American Medical Group Association; Former Executive Director, Federal Government Relations, The Cleveland Clinic; Former Senior Counsel, Office of Counsel to the Inspector General, US Department of Health and Human Services, Washington, DC
9:45 am
Integrating Medical Care with Community-Based Partnerships in Medicare Advantage and How Wellness Programs Can Increase Member Engagement
Timothy McNeill, RN, MPH
Director of Clinical Integration, YMCA, USA, Washington, DC
Director of Clinical Integration, YMCA, USA, Washington, DC
Donato Tramuto
Chief Executive Officer, Tivity Health (Silver Sneakers); Former Chief Executive Officer, Healthways, Nashville, TN
Chief Executive Officer, Tivity Health (Silver Sneakers); Former Chief Executive Officer, Healthways, Nashville, TN
Donato J. Tramuto is the CEO of Tivity Health, Inc. (formerly Healthways, a leading provider of fitness and health improvement programs, with strong capabilities in developing and managing network solutions. A recognized innovator and industry leader, he has more than 35 years of healthcare experience, with a deep commitment to global healthcare access, a steadfast focus on patient outcomes and a keen understanding of digital solutions.
Tramuto joined Tivity Health’s board in 2013 and became chairman in 2014. In 2008, he founded Physicians Interactive Holdings (now Aptus Health), a global provider of insight-driven digital engagement solutions for healthcare professionals and consumers, where he served as CEO and chairman prior to joining Tivity Health.
Tramuto joined Tivity Health’s board in 2013 and became chairman in 2014. In 2008, he founded Physicians Interactive Holdings (now Aptus Health), a global provider of insight-driven digital engagement solutions for healthcare professionals and consumers, where he served as CEO and chairman prior to joining Tivity Health.
Ellie Hollander
President and Chief Executive Officer, Meals on Wheels America; Former Chief Strategy Officer and Executive Vice President of Business Development, Good360; Former Executive Vice President and Chief People Officer, AARP, Washington, DC
President and Chief Executive Officer, Meals on Wheels America; Former Chief Strategy Officer and Executive Vice President of Business Development, Good360; Former Executive Vice President and Chief People Officer, AARP, Washington, DC
Ellie Hollander was named President and Chief Executive Officer of Meals on Wheels America in February 2013. Under Ellie’s leadership, the organization has experienced a 50% increase in revenue, grown in size by 66% and undergone many significant transformational changes. This includes redefining the organization’s vision and mission, initiating a full organizational rebrand, investing in infrastructure and systems, embarking on a multi-year Ad Council Campaign and pursuing ground-breaking research. These changes have all been designed to more comprehensively support a nationwide network of Meals on Wheels programs committed to assuring the health, safety and independence of America’s seniors.
Gordon Chen, MD
Chief Medical Officer, ChenMed, Fort Lauderdale, FL (Moderator)
Chief Medical Officer, ChenMed, Fort Lauderdale, FL (Moderator)
Gordon Chen, MD, is Chief Medical Officer of ChenMed, a physician-led, integrated medical practice providing affordable care and superior experience to seniors. ChenMed is a privately-owned medical, management, and technology company working to deliver concierge healthcare to over 40,000 full risk Medicare Advantage members across 6 states by operating 39 dedicated medical centers. ChenMed also provides operational and technological support to help hundreds of independent medical practices improve health outcomes and patient satisfaction levels. Dr. Chen leads all aspects of clinical quality, outcomes, costs, physician talent and culture for the innovative, patient-focused company. Prior to his CMO role, Dr. Chen was SVP of Clinical Affairs, and President of ChenMed’s high-performing Florida operations. He is board certified in Cardiovascular disease, Internal Medicine, and Echocardiography. He has an Economics degree from Brown University, and completed his medical school, residency, and fellowship training at University of Miami.
10:30 am
Break
10:45 am
Provider-Sponsored Medicare Advantage Plans, Managing Risk Assumption
Patricia M.C. Brown, JD
Senior Vice President, Managed Care and Population Health, Johns Hopkins Medicine; President, Johns Hopkins HealthCare LLC; Former Assistant Attorney General, Maryland Office of the Attorney General, Department of Health and Mental Hygiene; Former Counsel, Maryland Medical Assistance Program, Baltimore, MD
Senior Vice President, Managed Care and Population Health, Johns Hopkins Medicine; President, Johns Hopkins HealthCare LLC; Former Assistant Attorney General, Maryland Office of the Attorney General, Department of Health and Mental Hygiene; Former Counsel, Maryland Medical Assistance Program, Baltimore, MD
Joseph F. Damore, FACHE
Vice President, Population Health Management, Premier Inc. Washington, DC (Moderator)
Vice President, Population Health Management, Premier Inc. Washington, DC (Moderator)
Joseph F. Damore, FACHE leads a team of over 70 health care professionals in assisting health care organizations implement value based care and payment models. This team has been named “Best in KLAS” each of the past two years in value based care consulting by KLAS due to highest customer satisfaction in the industry. Mr. Damore has been recognized for his leadership and innovation including being named an Emerging Leader in Healthcare. He is recognized as a leader in population health management, clinical integration, and building new payer-provider models. He has previously served as a hospital and health system CEO for twenty years including nearly 15 years at Sparrow Hospital and Health System. He previously served as an executive at Mercy Health Services (Michigan) and the Greenville Health System (SC). He is frequently quoted by the national media and lectures regularly at major education institutions and national health care meetings.
11:30 am
Hill Legislative Action on Medicare and How Chronic Care Legislation is a Successful Model on Working with Health Community
Jennifer “Jen” Kuskowski (Invited)
Health Policy Advisor, Committee on Finance, Republican Staff, US Senate, Washington, DC
Health Policy Advisor, Committee on Finance, Republican Staff, US Senate, Washington, DC
Matt Kazan, MPP (Invited)
Senior Health Policy Advisor, Committee on Finance, Democratic Staff, US Senate, Washington, DC
Senior Health Policy Advisor, Committee on Finance, Democratic Staff, US Senate, Washington, DC
Molly T. Turco, MPH
Director, Policy and Research, Better Medicare Alliance, Washington, DC (Moderator)
Director, Policy and Research, Better Medicare Alliance, Washington, DC (Moderator)
12:00 pm
Co-chairs Closing Remarks
Allyson Y. Schwartz
President and Chief Executive Officer, Better Medicare Alliance; Former Member (D/PA), US House of Representatives, Washington, DC (Co chair)
President and Chief Executive Officer, Better Medicare Alliance; Former Member (D/PA), US House of Representatives, Washington, DC (Co chair)
Allyson Y. Schwartz, President and CEO of the Better Medicare Alliance and a former member of the U.S. House of Representatives from Pennsylvania who served from 2005-2015, is a nationally recognized leader on health care issues. Better Medicare Alliance is the leading advocacy coalition supporting Medicare Advantage. Having worked as a health service executive, Schwartz was elected to the Pennsylvania State Senate in 1990, serving 14 years until her election to Congress. In the state Senate, Schwartz was the driving force behind Pennsylvania’s CHIP program, which was a model for the federal CHIP program five years later. In Congress, Schwartz was appointed to the Ways and Means Committee and served as a senior member of the Budget Committee. In both capacities, Schwartz was a strong advocate for Medicare. She was the leader in Congress on physician payment reform to encourage value over volume, supported research, innovation, and use of technology to improve quality, efficiency and contain costs. Schwartz is a Distinguished Policy Fellow at the University of Pennsylvania’s Leonard Davis Institute of Health Economics, Visiting Fellow at the Penn Wharton Public Policy Initiative and Co-Chair of the Bipartisan Policy Center Health and Housing Task Force.
12:15 pm
Adjourn