Value-Based Delivery Models and Cross-Industry Data Collaboration

The shift away from fee-for-service toward value-based care, bundled payments and ACOs is the new reality. As healthcare information exchange amongst all players across the healthcare continuum becomes the key driver of value, there is an overwhelming need for collaboration—from provider to payer to pharma to lab to EMR vendors to pharmacy—on data collection, exchange and analysis. Data collaboration is essential for lowering costs and improving clinical outcomes and ultimately achieving the Triple Aim. Cambridge Healthtech Institute and Clinical Informatics News’ 4th Annual Value-Based Delivery Models and Cross-Industry Data Collaboration, taking place April 4-5, 2016 at the Seaport World Trade Center in Boston, MA, will bring together executives and thought leaders from the provider, payer, pharma and academic communities for engaging, innovative discussions.

Final Agenda

Monday, April 4

Day 1 | Day 2 | Download Brochure

7:00 am Registration and Morning Coffee

8:00 Keynote Session: Obtaining Insights and Improving Outcomes with IT Innovation

Chairperson: Gowtham Rao, M.D., Ph.D., Chief Medical Informatics Officer, BlueCross BlueShield of SC

Nicholas Marko, M.D., Chief Data Officer (CDO), Geisinger Health System

Adrienne Boissy, M.D., Chief Experience Officer, Director, Center for Excellence in Healthcare Communication, Cleveland Clinic; Editor in Chief, Journal of Patient Experience

Jason Burke, Senior Advisor, Innovation and Advanced Analytics, UNC Health Care and School of Medicine

John Halamka, M.D., MS, CIO, Beth Israel Deaconess Medical Center

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10:10 Coffee Break in the Exhibit Hall with Poster Viewing


10:55 Chairperson’s Remarks

Evon_HolladayEvon Holladay, Professor, Executive in Residence, Analytics, Denver University; former Vice President, Enterprise Intelligence, Catholic Health Initiatives


11:00 Leap Before You Look: Fee-for-Service to Value-Based Purchasing

Joel_ReichJoel Reich, M.D., CMO, Medical Affairs, Eastern Connecticut Health Network

What is the shape of the curve from FFS to Shared Savings to real risk? How does risk contracting improve quality? What are the types of risk: Commercial Insurance Shared Savings; Medicare Shared Savings (MSSP); Medicare Advantage; Medicaid Shared Savings. If we tried this once before in the 90’s why would it work now? Matching health information technology with care management/coordination. What is the infrastructure cost? What data do we need to succeed?

11:30 Rise and Rise of Healthcare Costs: Is the Shift from FFS to VBC the Answer?

Patrick_GetzenPatrick Getzen, Vice President and Chief Actuary, Blue Cross Blue Shield North Carolina

The switch to value-based reimbursement has turned the traditional model of healthcare reimbursement on its head. A lot of this change is long overdue and quite positive because it’s driving improvements to the delivery of care by mandating better care at a lower cost. But for those providers and health systems that can’t achieve the required scores, the financial penalties and lower reimbursements will create a significant financial burden. How do you navigate this and make sure you survive the transition?

12:00 pm Disruptive Analytics Part II: The Struggle with the Truth

Stephen_AllegrettoSteve Allegretto, Vice President, Strategic Analytics/Financial Planning, Yale New Haven Health System

The Heathcare Outcomes and Cost Story is being told by many organizations outside of providers. But organizations struggle with the truth. What do we do well and where do we need to improve? How do we use integrated EMR data, cost accounting data and patient outcomes data to tell our story? And as we tell our story how do we see ourselves improving as we try to identify, predict and provide transparency relating to specific patient outcomes and costs? This proposal will demonstrate a multi-year journey of partnership and collaboration between clinicians and finance as we celebrate what we do well while being honest with ourselves on areas of improvement.

12:30 Sponsored Presentation (Opportunity Available)

12:45 Luncheon Presentation (Sponsorship Opportunity Available) or Lunch on Your Own

1:30 Session Break


2:05 Chairperson’s Remarks

Jason_CooperJason Cooper, Vice President & Chief Analytics Officer, Horizon Blue Cross Blue Shield of New Jersey


2:10 Is it Time to Look at Health Assets Across the Community? Mapping Populations to Understand Access and Manage Chronic Disease

Evon_HolladayEvon Holladay, Professor, Executive in Residence, Analytics, Denver University; former Vice President, Enterprise Intelligence, Catholic Health Initiatives

Learn how community leaders from healthcare, civic and businesses are coming together to map their assets - health care and health maintenance. It will enable leaders to answer tough questions about: Health Insurance Access (map populations to provider based on insurance coverage); and Chronic Disease Management (map populations to medical and wellness services). This presentation will share a real world problem solving approach to using data beyond medical care to improve population health and to identifying a ‘common resource pool’.

2:40 Efficiency Networks: Linking the Doctor and Hospital

Simon_HendersonSimon Henderson, Healthcare Actuary, Risk Solutions, Metropolitan Health

We have developed a model to assess the efficiency gains that can be achieved by linking the performance and clinical metrics of a provider and associated hospital to ensure cost saving and good outcomes for the patient. This results in savings to the funder. Three main aspects of the behavior of the provider are taken into account which includes their admission practices, costs and outcomes. The audience will see the considerations and wins and fails that we have experienced in the development and implementation of the modeling.

3:10 Sponsored Presentation (Opportunity Available)

3:40 Refreshment Break in the Exhibit Hall with Poster Viewing


4:10 Interactive Breakout Discussion Groups

Concurrent breakout discussion groups are interactive, guided discussions hosted by a facilitator or set of co-facilitators to discuss some of the key issues presented earlier in the day’s sessions. Delegates will join a table of interest and become an active part of the discussion at hand. To get the most out of this interactive session and format please come prepared to share examples from your work, vet some ideas with your peers, be a part of group interrogation and problem solving, and, most importantly, participate in active idea sharing.
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5:10 Welcome Reception in the Exhibit Hall with Poster Viewing

6:10 Close of Day

6:15 - 8:45 Dinner Workshop: Root Cause Analysis in Healthcare Informatics and Analytics

Patricia Ingerick, MBA, MSHS, Director, The Geneia Institute

(Separate Registration Required)
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Day 1 | Day 2 | Download Brochure

Tuesday, April 5

7:30 am Morning Coffee



8:05 Chairperson’s Remarks

Blackford_MiddletonBlackford Middleton, M.D., Chairman of the Board of Directors, AMIA; CEO, Clinformatica


8:15 Establishing Comprehensive Best Practice Initiatives within Hospitals Combined with the Effective Costing of Clinical Pathways

Henry Glennie, M.D., CMO and Senior Medical Advisor, Business Intelligence, Medilink Australia

Hospitals often have difficulty getting their clinicians to combine best practice pathways with accurate costing information to provide statistically valid models so that every clinician in each department can be benchmarked against his/her colleagues in terms of quality of care and resource utilization. This case study will focus on a system and approach used for accurate costing of episodes involved in patient health care within participating hospitals over defined time periods. The goal is to ensure resource utilization does not exceed the revenue from their various allocations and other income streams.

8:45 Case Study: Enhanced Personal Health Care: Putting the Consumer First by Empowering Providers

Patrick_McIntyrePatrick McIntyre, Senior Vice President, Health Care Analytics, Anthem, Inc.

This session will demonstrate the power of collaborating with providers around value-based models to drive change in health care delivery, and the potential for this collaboration to lead to more patient-centered care, lower cost and increased flexibility. Ensuring providers have the tools necessary to transform their practices, including flexible contract options to assume risk over time, can drive innovation, transformation and tangible change for the industry. The shift from volume to value is driving better alignment of financial and clinical incentives with enhancements in quality and outcomes.

9:15 Sponsored Presentation (Opportunity Available)

9:45 Coffee Break in the Exhibit Hall with Poster Viewing

10:30 Big Bets on Value-Based Care: Building Confidence in Investments to Meet the Demands of an Evolving Market

Bruno_NardoneBruno Nardone, Vice President, Health Information Technology Practice, Health Advances

A lot is being invested on Value-Based Care (VBC) planning and readiness, but not all organizations need advanced capabilities to manage contracts today. By planning for maturing capabilities as the market matures, organizations can optimize resources for their most pressing needs, while laying a foundation for success in the future. With the hype around VBC, all stakeholders in healthcare need to be mindful of the opportunity cost of investments because it is easy to overextend finances and talent on capabilities that will not be needed in the near term.

11:00 Shifting to Value and Risk Sharing with Disruptive Analytics

Richard_PopielRichard Popiel, M.D., MBA, Executive Vice President, Healthcare Services & CMO, Cambia Health Solutions & Regence Health Insurance Company

How are we as a healthcare system going to improve healthcare outcomes and reduce cost by shifting to value and risk sharing? This presentation will share some ideas on how disruptive analytics and analytical approaches to cost trend monitoring and containment can be part of the solution.

11:30 Luncheon Presentation (Sponsorship Opportunity Available) or Lunch on Your Own

12:15 pm Session Break


Special Shared Session

12:55 Chairperson’s Remarks

Joel_ReichJoel Reich, M.D., CMO, Medical Affairs, Eastern Connecticut Health Network


1:00 Powering Collaborative and Value-Based Care through Integrated Data and Analyses

Jason_CooperJason Cooper, Vice President & Chief Analytics Officer, Horizon Blue Cross Blue Shield of New Jersey

The transformation of health care delivery from fee-for-service to fee-for-value is well underway. Health care payers and providers are continuing to work collaboratively to achieve the triple aim: improving quality of care and outcomes, improving the health care experience for patients and reducing the total cost of care. Information exchange and advanced analytics are cornerstones to collaborative success and execution of these goals.

1:30 Connected Care: From New England to England

Lawrence_GarberLarry Garber, M.D., Medical Director for Informatics, Reliant Medical Group

Reliant has created interfaces to automatically update their EHR with clinical information for patients wherever they receive care. This connected care has allowed Reliant to achieve high quality ratings and lower cost of care. The ability to convey actionable information for transitions of care and care coordination can help improve the quality, safety and efficiency of care. But patients don’t just stay within their country. People traveling between Europe and the US alone account for over a half million emergency department visits each year. Learn about the Trillium Bridge project which showed that it is possible to transform medical summaries between the languages and formats of various countries.

2:00 Achieving Value with Health IT: Crossing the Chasm of Clinical Knowledge Engineering

Blackford_MiddletonBlackford Middleton, M.D., Chairman of the Board of Directors, AMIA; CEO, Clinformatica

Why is it so hard to transform care with even the best health IT? Simply put: the chasm between published knowledge and clinical experience, and implemented knowledge artifacts in health IT is too wide for the average clinician or healthcare delivery organization to manage. This talk will describe current experience and future directions for both domestic and global sharing of knowledge and analytics to transform care. Attendees will learn the importance of clinical decision support and analytics in health IT at the point of care for decision-making, and the benefits of rapid knowledge engineering and sharing to achieve the value potential of health IT.

2:30 pm Closing Remarks

Day 1 | Day 2 | Download Brochure

Concurrent Conference Tracks:

Track 1: Value-Based Delivery Models and Cross-Industry Data Collaboration
Track 2: Coordinated Care, Patient Engagement and Connected Health
Track 3: Population Health Management, Risk Modeling, and Patient Stratification
Track 4: Achieving Global Interoperability in Healthcare Datasets and Systems
Track 5: Quantitative Imaging, Radiomics and Advanced Medical Image Analysis

For questions or suggestions about the meeting, please contact:

Micah Lieberman
Executive Director, Conferences
T: (+1) 541.482.4709

For media and association partnerships, please contact:

Jaime Hodges
Marketing Manager
T: 781.972.5429

Kaushik (KC) Chaudhuri
Director of Product Marketing
T: (+1) 781.972.5419

For partnering and sponsorship information, please contact:

Katelin Fitzgerald (Companies A-K)
Sr Business Development Manager
T: (+1) 781.972.5458, Mobile: (+1) 857.636.8188

Terry Manning (Companies L-Z)
Business Development Manager
T:  (+1) 781.972.1349

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