2018 Network Contracting Congress

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  • 7:15 Conference Registration & Morning Breakfast
    8:00 Chairperson’s Opening Remarks
    8:15

    Optimizing Network Contracting: Provider Payment Innovation Strategies as a Path to Provider Collaboration

    Georg Muller
    Director, Strategic Innovations
    The NYS Empire Plan
    UnitedHealthcare

    9:00

    Examining Strategies to Create and Manage High Performing Networks

    Sean Burns
    Vice President, Provider Payment & Network Infrastructure
    Highmark Blue Cross Blue Shield

    9:45

    Networking Break & Refreshments

    10:15

    Ensuring Network Adequacy for Medicare Managed Care Plans

    Jeff Heatherington
    President & Chief Executive Officer
    FamilyCare Health Plans

    11:00

    Creating and Implementing Innovative Pay-For-Performance Programs in Provider Contracting to Improve Quality and Manage Costs

    Chester “Chet” Tom
    Assistant Vice President, Strategic Market & National Contracting
    Cigna HealthCare

    11:45

    Optimizing Value-Based Network Contracting through Effective Shared Savings and Care Coordination Strategies

    Steven Peskin, MD, MBA, FACP
    Executive Medical Director, Population Health
    Horizon Blue Cross Blue Shield of New Jersey

    12:30 Luncheon for Speakers & Delegates
    1:30

    The Shell Game: Why Competitive Reimbursement is Elusive in Hospital Contracting

    Matthew Burke
    Director, Network Contract Management
    Independent Health

    2:15

    Panel Discussion: Implementing Effective Membership Growth Strategies for Network Contracting – Focusing on Innovation and Medical Cost Trend

    Georg Muller
    Director, Strategic Innovations
    The NYS Empire Plan
    UnitedHealthcare

    Carl Lund
    Vice President, Hospital Contracting & Value-Based Arrangements
    EmblemHealth

    Jonathan Van Etten
    Executive Director, National Provider Contracting
    Kaiser Permanente

    3:15 Networking & Refreshments Break
    3:45

    Innovative Network Contracting Strategies to Establish Effective Partnerships with Large Primary Care Practices and Multispecialty Groups

    Carl Lund
    Vice President, Hospital Contracting & Value-Based Arrangements
    EmblemHealth

    4:30

    Understanding and Solving the Complexities in Medicaid Provider Network Contracting

    Steve Smitherman
    Executive Director, Indiana
    CareSource

    5:15 End of Day One
  • 7:15 Morning Breakfast
    8:00 Recap of Day One
    8:15

    Optimizing Network Contracting/Management through Innovative Market Disrupting Payment Strategies for Ancillary Suppliers

    Jonathan Van Etten
    Executive Director, National Provider Contracting
    Kaiser Permanente

    9:00

    Ensuring Provider Network Adequacy and Directory Accuracy Through Effective Compliance Programs

    Michael Adelberg
    Principal
    FaegreBD Consulting
    Former Director, Insurance Programs Group
    Centers for Medicare & Medicaid Services (CMS)

    9:45 Networking Break & Refreshments
    10:15

    Behavioral Economics and Patient Engagement – Examining Network Contracting Applications for a New ACO model

    Bill Bradley
    Vice President, Product Management
    Cambia Health Solutions

    11:00

    The Evolution of Dental Networks: Examining the Evolution of Dental Network Management

    Daniel Croley, DMD
    Vice President, Network Development
    Delta Dental of California

    11:45

    Implementing Quality and Risk Assessment Programs: Optimizing Network Contracting through Innovative Pay-for-Performance Programs

    Chelsea Hammers, MBA
    Clinical Quality Improvement Strategist
    PacificSource Health Plans

    12:30 Conference Concludes