Agenda – Payer Partnership Forum

  • Conference Day One
  • Conference Day Two

Conference Day One

 Monday, June 12, 2017

8:00AM – 8:45AM

Continental Breakfast

8:45AM – 9:00AM

Chairperson’s Opening Remarks
Pritpal Virdee, Regional Vice President, ANTHEM

 BUILDING PAYER PARTNERSHIPS

9:00AM – 9:45AM

Enable and Incentivize Multi-Sector Collaboration to Drive Value-Focused Health System Transformation
Mary Grealy, President, HEALTHCARE LEADERSHIP COUNCIL

9:45AM – 10:30AM

Examine Why Payers and Providers Aren’t Further Along on the Path to Real Partnership and Collaboration
Jeffrey Gold, Senior Vice President and Special Counsel, HEALTH ASSOCIATION OF NEW YORK STATE

10:30AM – 11:00AM

Networking Break

11:00AM – 11:45AM

Improve Healthcare Through Payer and Community Partnerships
Denise Murray-Leitz, Chief Operating Officer and Executive Vice President, BAYLESS HEALTHCARE GROUP

11:45AM – 12:30PM

Managing Growth in Medicaid Pharmaceutical Spending
Rep. Jim Dunnigan (R), District 39, Health Reform Task Force, UTAH HOUSE OF REPRESENTATIVES

12:30PM – 1:30PM

Lunch

1:30PM – 2:15PM

The Myths and Realities of Provider Collaboration
Pritpal Virdee, Regional Vice President, ANTHEM

2:15PM – 3:00PM

Consider if Pharma-Payer and Pharma-Provider Network Partnerships Are a Bridge Too Far
Martin Vandenherik, Associate Director, Market Access T&D, FERRING PHARMACEUTICALS

3:00PM – 3:45PM

Case Studies of Collaboration in an Integrated Health System
Michelle Beozzo Anderson, Pharm.D., Director of Pharmacy Services, DENVER HEALTH MEDICAL PLAN, INC.

3:45PM – 4:15PM

Networking Break

4:15PM – 5:00PM

Examine Value, Access and Affordability to Determine if We Can Really Have It All
Melinda Hanisch, Director, Research Dissemination, Center for Observational and Real World Evidence, MERCK & CO., INC.

5:00PM – 5:45PM

Create Successful Partnerships Through Collaborative Contracting
Mary Stevens, Director, Network Contracts, Compliance, Audit, Provider Relations, BCBS OF MINNESOTA

5:45PM – 6:15PM

Innovations and Disruptions in Behavioral Health
Jonathan Stout, Vice President, Strategy and Business Development, ABLETO

6:15PM – 6:15PM

Day One Concludes


Conference Day Two

 Tuesday, June 13, 2017

8:00AM – 9:00AM

Continental Breakfast

 

LIFE SCIENCE-PAYER

9:00AM – 9:15AM

Chairperson’s Recap of Day One

Gina Guinasso, J.D., Senior Director of Policy and Government Accounts, TAKEDA ONCOLOGY

10:00AM – 10:45AM

PANEL: The Future of Biopharmaceutical Financing in the U.S.

Robert Popovian, Pharm.D., M.S., Vice President, US Government Relations, PFIZER
Gina Guinasso, J.D., Senior Director of Policy and Government Accounts, TAKEDA ONCOLOGY
Aria Cohen, Executive Director of Payer Strategy, INTARCIA THERAPEUTICS

10:45AM – 11:15AM

Networking Break

11:15AM – 12:00PM

CASE STUDY: Developing Evidence for Pharma-Payer Partnerships

Jesse Fishman, Scientific and Real World Data Alliances Lead Neurology Patient Value Unit, U.S. Medical Affairs, UCB

12:00PM – 12:45PM

PANEL: Define the Benefits of Limited Network Distribution for Manufacturers and the Requirements to Penetrate the Network as a Specialty Pharmacy

Andrew Capps, MBA, Director, Managed Care, AMBER PHARMACY
Michael Baldzicki, National Account Executive, BAYER HEALTHCARE
Rebecca Shanahan, J.D., Chief Executive Officer, AVELLA SPECIALTY PHARMACY; President, NATIONAL ASSOCIATION OF SPECIALTY PHARMACY
Anindita Sinha, Director of Business Insights and U.S. Managed Markets, BAYER HEALTHCARE

12:45PM – 1:45PM

Lunch

1:45PM – 2:30PM

Achieve Cost Management Through Care Management by Adopting Specialty Pharmacies as a Strategic Partner

Andrew Capps, MBA, Director, Managed Care, AMBER PHARMACY

2:30PM – 3:15PM

CASE STUDY: Examine Manufacturer Partnerships to Determine What Works and What Works Well

Anindita Sinha, Director of Business Insights and U.S. Managed Markets, BAYER HEALTHCARE

PAYER-PROVIDER

9:00AM – 9:15AM

Chairperson’s Recap of Day One

Denise Murray-Leitz, Chief Operating Officer and Executive Vice President, BAYLESS HEALTHCARE GROUP

9:15AM – 10:00AM

Post-Acute Value Baselining, Benchmarking, Transitioning and Collaborating

Curtis Stubblefield, Director of Value Based Care, NATIONAL HEALTHCARE CORPORATION

10:00AM – 10:45AM

Providers and Payers Working in the Reality of Risk Adjustment

Theresa A. Bissonnette, MBA/HCM, CPHQ, Director of Risk Adjustment and Quality, NORTH TEXAS SPECIALTY PHYSICIANS

10:45AM – 11:15AM

Networking Break

11:15AM – 12:00PM

Review Best Practices for Initiating Partnerships

Matt Staheli, Director of Value-Based Care and Contracting, HCA PHYSICIAN SERVICES GROUP

12:00PM – 12:45PM

Increasing Opportunity for Data Sharing, Transparency and Building Long-term Trust with Providers

Michael Ruiz, Vice President, Provider Relations, UCARE

12:45PM – 1:45PM

Lunch

1:45PM – 2:30PM

Analyze the Skilled Nursing Facility's Perspective in Managed and Accountable Care

George G. Sauers, Vice President of Managed Care, SAVASENIORCARE

2:30PM – 3:15PM

CASE STUDY: Overcome Past Obstacles to Work Together as Payers and Providers

Michael Kaminsky, Manager, Joint Venture Business Development, AETNA

 

3:30PM – 3:30PM

Conference Concludes