Our Annual National Meeting has gained a reputation for our tradition of timely and actionable education. This meeting provides invaluable insight for professionals leading and interacting with various forms of physician organizations. This year’s meeting will be held in New Orleans, LA, March 28 – 30, 2018 at the Harrahs Hotel & Casino. The meeting will highlight the evolution of physician entities, appropriately titled:

“The Future of the Independent Physician”

 

Celebrating Twenty Three Years of Health Education!

 Our Annual National Meeting is committed to helping Healthcare professionals, companies & organizations rub shoulders and network with IPA Leaders and Physicians from around the country. Our intensive educational strategy attracts a large percentage of physician attendees. Approximately 50% of annual meeting attendees are physicians, with the remainder of the participants comprised of IPA executives and administrators, health law and healthcare accountants, as well as organization and company leaders working with with IPAs. Because of the intensive educational agenda and the vast networking opportunities, our annual meetings are known to be the:

 

“The Best Value for Your Health Care Education Dollar.”

Register to ATTEND or EXHIBIT Today!

 
 

TIPAAA Annual National Meetings “Target Audience

  • Physicians, medical directors, and physicians working in organizational leadership positions.
  • Health plan professionals working in the areas of provider relations and member-benefit design.
  • IPA, PHO, and MSO administrators.
  • Professionals working in medical services risk management.
  • Executives in physician practice management companies.
  • Individuals responsible for clinical management, financial operations, network development, and provider contracting.
  • General Healthcare Professionals

 

23rd Annual National Meeting Registration Includes:

 A 23rd ANM Registration will give the attendee access to all keynotes, conference sessions, and networking opportunities for each day including:

  • The ANM23 Welcome Event
  • Continental breakfast, morning and afternoon snack breaks & two dinners.
  • Admission to Exhibit Hall and exhibitor networking opportunities
  • All available Speaker presentations in digital file format
  • Full attendee list in digital file format (distributed on day-3)
  • Meeting productivity materials in digital format
  • Meeting Syllabus and Note taking materials
  • TIPAAA Bag/Tote for Exhibitor/Meeting materials and handouts
  • Full Badge/Lanyard and Accessibility credentials
  • Executive Dinner access

 

 

Harrah’s Hotel & Casino, New Orleans

The AAA Four Diamond Award-winning Harrah’s New Orleans hotel is located in the heart of the world’s most exhilarating city. This 26-story marvel, with 450 oversized rooms and suites, provides an unparalleled escape.  These luxurious New Orleans accommodations feature deluxe beds with pillow-top mattresses, flat screen televisions and wireless Internet. With spectacular views of the Mississippi River and New Orleans skyline, just steps from the French Quarter and Convention Center helped make the hotel our choice for our 23rd Annual National Meeting in 2018!. Onsite room space is quickly filling up, don’t hesitate to take advantage of the unique advantages accompanied with staying onsite for our 23rd ANM. Book your stay today, by clicking the link below to make reservations online and or calling the Harrahs Hotel directly at the contact number provided below. 228 Poydras Street New Orleans, LA, USA, 70130

For Reservation Information Call 1.800.427.7247

Or

Click Here to Book Reservations Online

 

EXHIBIT HALL INFO

The 23rd Annual National Meeting Exhibit Hall will feature exhibits and displays from companies and organizations from multiple areas of the Healthcare Industry, allowing 23rd ANM attendees a firsthand look at the leading and upcoming platforms, equipment, software, hardware, network solutions, and services that will shape the healthcare industry in 2018 and beyond.

EXHIBIT HALL HOURS

Wednesday March 28th, 2018 5:45pm-7:15pm

Thursday (Morning) March 29th, 2018 9:00am-10:00am

Friday (Lunch) March 30th, 2018 12:30pm-2:00pm

Friday (Evening) March 30th, 2018 6:00pm-7:00pm

HARRAHS HOTEL ACCOMMODATIONS

Discounted guest room rates of $219.00/night (plus applicable taxes and fees) at the Harrahs Hotel have been arranged for TIPAAA 23rd ANM attendees who book through the Harrahs Hotel’s online reservation website via the link below. This lower rate is exclusive to 23rd ANM attendees and can not be used during two days pre and post the 23rd ANM 2018 dates. This booking rate will remain in effect until March 28th, 2018, subject to availability. Early booking is suggested; credit card information is required to confirm all reservations.

Make Your Hotel Reservations Today!

PHONE: 1.800.427.7247

ONLINE:

www.harrahsneworleans.com

 

Hotel Checkin/Checkout Times

CHECK-IN:      4:00PM CHECK-OUT:  12:00PM

We take pride in allowing our 23rd ANM attendees to engage with speakers who are leaders and models of success in the Healthcare industry.  Our Annual National meetings speakers are recognized, respected professionals and innovators within the healthcare community who are willing to impart their knowledge, insights, and personal stories to inspire and educate. This years lineup of speakers represent many of the leading companies and organizations innovating in healthcare today and are eager to share their expertise, experience, and leadership with attendees.

 

Ronald Bachman, FSA, MAAA

President & CEO, Healthcare Visions, Inc., Duluth, GA


Ron Bachman is the President and CEO of Healthcare Visions, a thought leadership firm dedicated to advancing ideas and policy initiatives that are impacting the U.S. health care market.   Ron...
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Andre Berger, MD

CEO, National ACO, LLC, Beverly Hill, CA


Dr. Andre Berger, a natural leader, is a renowned physician who has been practicing in Beverly Hills and Los Angeles California since 1978. Dr. Berger is at the helm of...
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Myles B. Conley

Vice President, Sales & Marketing, Private Practice Direct, Alpharetta, GA


  Myles has over 20 years of sales and marketing experience in the business banking and healthcare industries. He has extensive experience in business consulting, contract negotiations, and high level relationship management. Myles works closely...
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Frances Burton

Owner, Kaizen RCM Consulting, Louisville, KY


Frances Burton, owner of Kaizen RCM Consulting, has also served as operations manager of Pediatric Associates of Louisville for the past 22 years.  She has 30+ years of experience with...
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Mike Dendy, MBA/MHA

Founder/President/CEO, Advanced Medical Pricing Solutions, Inc. (AMPS), Atlanta, GA


Mike Dendy is Vice Chairman & CEO of Atlanta, GA based Advanced Medical Pricing Solutions (AMPS), a healthcare cost management company, serving the self-funded (ERISA) payer community.  Since joining the...
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Jay Enis

President, DCSS Innovations, LLC


Born in Brooklyn, N.Y. (1946), Jay Enis holds BS & Masters degrees from Long Island University from where He was named in Who’s Who of U.S. College students. Simultaneous with...
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Guy Feist

President Fifth Avenue Agency, Chief Marketing Officer Fifth Avenue Companies, Tulsa, OK


Guy Feist has been in the Medical Professional Liability Insurance (MPLI) field for over 25 years. He is the President of Fifth Avenue Agency which represents over $12 million in...
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Alex Foxman, MD, FACP

President/ Next Generation ACO Model Operations, National ACO, LLC, Beverly Hills, CA


Dr. Alex Foxman has been practicing Internal Medicine and Preventive Care since 2003. He is the President and Medical Director of the National ACO, LLC, a PCP owned and governed...
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Cliff Frank

Executive Director, ACO, Shore Quality Partners, Somers Point, NJ


Cliff Frank is the interim Executive Director of Shore Quality Partners, a clinically integrated network in Somers Point, New Jersey. Shore is an ACO that provides care under commercial and...
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Ajay Goyal, MD

Owner and CEO of outpatient Radiology Centers, Diagnostic Radiology Center of the Treasure Coast, Inc., dba DRCTC, in Florida since 2004


Graduated from medical school in 1992 University of Missouri-Kansas City SOM, 6-year BA-MD program Completed Radiology Residency at University of Pennsylvania Health System in 1997 Completed Interventional Radiology Fellowship at Temple University...
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Rick Hammer, MD

Interim CEO, SE Healthcare, Charleston, SC


Rick Hammer, M.D., is the Interim CEO of SE Healthcare. He also works with insurers on innovative patient safety initiatives in a consulting role for the Partners in Safety Program. Dr....
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Paul S. Harkaway, MD

Chief Accountable Care Development Officer, TRINITY HEALTH, Livonia, MI


Health Care Leader: Population Health Improving healthcare by leading transformation Broad and deep health care industry experience in clinical and accountable care settings spanning hospitals, multi-specialty group practices, networks and regional structures....
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Ben Isgur

Director, Health Research Institute, PricewaterhouseCoopers, Dallas, TX


Benjamin Isgur is the director of thought leadership at PwC's Health Research Institute where he leads HRI’s Regulatory Center.  HRI is a dedicated research group that provides new intelligence, perspective,...
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Laurie Jaccard, RN

President, Clinical Intelligence, LLC, Hilton Head, South Carolina


Clinical Intelligence (CI), a national care management consultancy and analytics firm was founded by Laurie Jaccard more than 20 years ago. Laurie is a visionary, passionate about improving our healthcare...
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Ken Johnson, FLMI, AIRC

President and CEO, AIMS, CEO of ABMS, and President and CEO of ARMS; Advance Risk Management Solutions, Charleston, SC


Ken has over four decades of experience in the insurance industry, with in-depth knowledge of the life, healthcare and the captive insurance risk management industries. In July 2011, he became part...
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Larry Jones

Chief Executive Officer, HPOF Holdings, LLC, DBA Independent Healthcare Partners, Maitland, Florida


Larry Jones is the Chief Executive Officer of HPOF Holdings, LLC, DBA Independent Healthcare Partners, located in Maitland, Florida. He oversees numerous IPAs, MSOs, Medicare ACOs and IPA Commercial Value-Based...
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Glen J Kvadus Jr.

Vice President, Optum Financial Services, Glastonbury, CT


Vice President Business Channel Development.  Glen focus at Optum Financial Services is delivering health and financial wellness solutions through new distribution channels and partnerships.  Glen has a diverse product development...
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Peter A. Leventis

CEO, Community Integrated Management Services, LLC, Columbia, South Carolina


Community Integrated Management Services (CIMS) is a private, for profit partnership owned equally by 14 Federally Qualified Health Centers (FQHC) in South Carolina.  CIMS started in response to a sudden...
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Sean McDonald, MD

Medical Director, IMAC Regeneration Centers, KY


Pioneering Neurosurgeon, Dr. Sean McDonald, began his career in the Western Kentucky area as a partner in a local neurosurgical practice and soon realized a void in the conservative treatment...
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Peter MacKoul

Senior Consultant, HIPAA Solutions, Sugar Land, TX


W. Cliff Oxford marked his initial entrepreneurial success as the founder and CEO of STI Knowledge, Inc. – a pioneering first market mover in developing knowledge-based systems and services for...
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Thomas E. Price


The Honorable Thomas E. Price
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Melissa Prichard, RD, LD, CDE

Business Development and Marketing Manager, Summit Strategic Solutions and Summit Medical Group, Knoxville, TN


In her current role, Ms. Prichard works with the executive team on process improvements related to business growth and organizational networking. Her responsibilities include executing business proposals with key decision...
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Richard D. Sanders, Esq.

Southern Health Lawyers, LLC (a Sanders & Mustari Law Firm), Atlanta, GA


Richard D. Sanders represents a variety of healthcare providers on a broad range of issues, including business transactions, fraud and abuse compliance (Anti-Kickback Statute and Stark), Certificate of Need (CON) issues,...
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Martin Santiago

Strategic Advisor, Summit Strategic Solutions and Summit Medical Group, Knoxville, TN


Chronic Care Provider Physician Risk Utilization Management Medicare Risk Adjustment consulting MSO Management Services Contracting Medicare Risk Provider ACO Care Management
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Joe D. Spann

CEO, Fifth Avenue Companies, Tulsa, OK


Joe Spann has been in the healthcare industry for 20 years and served in many different roles. He has overseen claims, authorizations, utilization management, eligibility and enrollment in the context...
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Joe D. Spann

CEO, Fifth Avenue Companies, Tulsa, OK


Joe Spann has been in the healthcare industry for 20 years and served in many different roles. He has overseen claims, authorizations, utilization management, eligibility and enrollment in the context...
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William Thornbury, MD

Inventor meVisit Application, Glasgow, KY


Dr. Thornbury is one of the nation’s leading family physicians and is considered by his peers an international thought leader in mobile telehealth delivery. He studied with Harvard Medical School...
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John Wiegand

Antitrust Attorney, Federal Trade Commission, San Francisco, CA


John P. Wiegand is an attorney in the San Francisco office of the Federal Trade Commission.  He practices antitrust law, primarily in the health care and telecommunications industries.  He has...
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Jonathan G. Wiik, MSHA, MBA

Principal, Healthcare Strategy, TransUnion Healthcare, Greenwood Village, CO


Jonathan Wiik brings over 20 years’ experience to healthcare, serving in acute care, insurance and business solutions settings. Jonathan is an officer on the Colorado HFMA Board, President of the...
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Janet Williams

Senior Manager Improving Health Outcomes, AMA


Janet Williams is senior program manager of systems & payer strategies in the Improving Health Outcomes group at the American Medical Association.  She has more than 30 years public health...
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Dawn Zito, MBA

Vice President of Business Development, Summit Strategic Solutions and Summit Medical Group, Knoxville, TN


Dawn Zito serves as Vice President of Development for Summit Strategic Solutions and pursues strategic business opportunities, attracts and secures new clients, cultivates relationships with partners and identifies new markets...
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Mike Dendy, MBA/MHA

Founder/President/CEO, Advanced Medical Pricing Solutions, Inc. (AMPS), Atlanta, GA


Mike Dendy is Vice Chairman & CEO of Atlanta, GA based Advanced Medical Pricing Solutions (AMPS), a healthcare cost management company, serving the self-funded (ERISA) payer community.  Since joining the...
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EXHIBITING COMPANIES & ORGANIZATIONS

 

 

 

 

 
 
 

 
 

Wednesday, March 28th, 2018

9:00AM – 9:15AM

Welcome Presentation & Agenda Overview

Speaker:        Al Holloway, MBA, MHAPresident/CEO TIPAAA, Milton, GA 

9:15AM – 10:00AM 

Washington and Wall Street Are Rapidly Transforming the Healthcare Industry: How Will This Impact IPAs?

This session will review the changing nature of the healthcare industry and update you on the latest news from a political and business perspective.  In particular, we will discuss the first year of the Trump Administration and the Republican-majority United States Senate and House of Representatives and their resulting impact on the healthcare systems at a national and state level.  In addition, we will review the major pending and completed transactions in healthcare that show surprising market consolidations.  Don’t miss this chance to catch up on the latest news from Washington and Wall Street!

Speaker:        Richard D. Sanders, Esq., Southern Health Lawyers, LLC (a Sanders & Mustari Law Firm), Atlanta, GA

Moderator:    Evelyn Jones, CEO, Allied Physician Services, LLC, Watkinsville, GA

10:00AM – 10:45AM      

SPONSORED BY AHSFL, LLC

21st Century Healthcare; How Health Insurers and Independent Physicians are coexisting & flourishing in the new world order of Value Based Shared Savings

The preservation and protection of the Independent Practitioner must be the cornerstone on which ALL healthcare reforms are implemented; the focus of maximizing revenues while reducing practice costs thru efficiency must be the common platform of the system. Through the use of connective software, Independent Physicians are meeting the challenges of time constraints in assessment of patient data and appropriate clinical diagnostics leading to better outcomes. Timely access and decision making is a universally accepted formula for qualitative patient longevity, mutually benefitting both physicians and Insurers seeking to reduce financial outflow. Through collaborative input and implementation, the resulting functionalities of mobile APPs, recommended re-positioning of existing staff reinforced by historical metrics, are formularies from which fair compensation incentives are being mutually embraced by both physicians and insurers; the healthcare landscape of tomorrow is here today.

Speaker:        Jay Enis, Managig Principal, AHSFL, LLC

                       Ajay Goyal, MD, Chairman, HPOF Holdings LLC, DBA Independent Healthcare Partners, Maitland, FL

                       Larry Jones, Chief Executive Officer, HPOF Holdings, LLC, DBA Independent Healthcare Partners, Maitland, FL

Moderator:     Evelyn Jones, CEO, Allied Physician Services, LLC, Watkinsville, GA

10:45PM – 11:30AM     

PwC Health Research Institute’s Top Health Industry Issues of 2018

Are you tired of hearing all about the promises that analytics companies’ keep making but nothing seems to really materialize? Are you beginning to feel that analytics is just more work for everybody without substantial benefits in return? This session will show you what real predictive analytics, when done in a thoughtful, personalized manner, can do to reduce your burden, to help your patients and employees, and to keep your institution well-rounded both clinically and financially.

Speaker:       Sriram VishwanathProfessor of Data Science, Cockrell School of Engineering at The University of Texas, Austin and former CEO of Accordion Health Inc.,                              Austin, TX

Moderator:   Evelyn Jones, CEO, Allied Physician Services, LLC, Watkinsville, GA

11:30AM – 12:30PM       

Lunch on your own

12:30PM – 1:00PM     

SPONSORED BY OPTUM and ADVANCE RISK MANAGEMENT SOLUTIONS, INC.

Welcome Reception for Thomas Price

1:00PM – 2:30PM

SPONSORED BY PRIVATE PRACTICE DIRECT

How health reform proposals could impact physicians, their patients, and their practice of medicine 

Speaker:      The Honorable Thomas E. Price

Moderator:  Tim Binkley, President, BINKLEY & Associates, Inc, Roswell, GA

                     Ronald Bachman, FSA, MAAA, President & CEO, Healthcare Visions, Inc., Duluth, GA

2:30PM – 3:00PM

Break 

3:00PM - 3:45PM 

The Future of Employer Based Healthcare Financing

For the last 30 years, since PPOs were first introduced, healthcare costs have continued to increase by 2x to 3x inflation rates.  During that time opacity has increased, out of pocket costs for members has skyrocketed, and the large health insurers profits have grown to astronomical levels.  U.S. healthcare costs are often 3x to 4x that of other developed countries…..countries that our corporations compete with every day.  This session will review the reasons for the disconnect over the past 30 years and the programs now being put into place to reverse the upward cost trend. 

Speaker:      Mike Dendy, MBA/MHA, Founder/President/CEO, Advanced Medical Pricing Solutions, Inc (AMPS), Atlanta, GA

Moderator:  Steve Grant, MD, Vice President, Physician Partnership, Detroit Medical Center, Detroit, MI

3:45PM – 4:30PM

How Healthcare Consumerism is impacting and will continue to affect the delivery of care and patient compliance

Healthcare Consumerism is empowering patients with choice, convenience and financial incentives to seek out the right care, in the right setting, at the right time, for the right price.  This session will explore developing consumer-oriented technologies, cost transparency initiatives, incentive based employer health plans, growing patient support services, and the movement to better coordinate providers, patients, and insurers to support compliance with treatment plans

Speaker:      Ronald Bachman, FSA, MAAA, President & CEO, Healthcare Visions, Inc., Duluth, GA

Moderator:  Steve Grant MD, Vice President, Physician Partnership, Detroit Medical Center, Detroit, MI

4:30PM – 5:15PM

Innovations in Healthcare: Driving Practice Growth Through Forward-Thinking Products and Services

Come hear from IPA CEOs on the positive and not so positive experiences that they have encountered.  These CEOs will outline what happened, how their organization overcame, and the lessons learned.  We all learn from others experiences.  Take advantage of these IPA leaders successes and challenges.

Speaker:        Alex Foxman, MD, FACP, President/ Next Generation ACO Model Operations, National ACO, LLC, Beverly Hills, CA

Moderator:    Steve Grant, MD, Vice President, Physician Partnership, Detroit Medical Center, Detroit, MI

5:15PM – 5:45PM

Understanding Why & Where the Hockey Puck Will Be: IPA Solvency and mTelehealth within the Medical Home

Healthcare delivery is undergoing a digital paradigm transformation. As value-based reimbursement models mature, an IPA’s fiscal success will be largely weighed by its ability to tether chronic care delivery (the largest cost-driver) to the virtual clinic (the most efficient delivery model). This presentation reviews evidence-based research of mTelehealth applications in care delivery, as well as, discusses the implications of efficient mobile platforms within Starfield’s medical home.  

Speaker:       William Thornbury, MD, Inventor meVisit Application, Glasgow, KY

Moderator:    Steve Grant,, MD, Vice President, Physician Partnership, Detroit Medical Center, Detroit, MI

5:45PM – 6:30PM

SPONSORED BY THE AMERICAN MEDICAL ASSOCIATION

Preventing Chronic Disease for Independent and Small Practices

The American Medical Association is working with physicians and practices around the nation to adopt evidence-based chronic disease prevention strategies in order to improve health outcomes, particularly targeting 103M American Adults with hypertension and 84M with prediabetes.  During this session, the AMA will introduce strategies, programs, tools and resources for your practice in order to prevent cardiovascular disease, stroke, and type 2 diabetes.

Speaker:        Janet Williams, Senior Program Manager, American Medical Association System and Payer Strategies, Improving Health Outcomes, Chicago, IL

Moderator:    Steve Grant,, MD, Vice President, Physician Partnership, Detroit Medical Center, Detroit, MI

6:30PM – 8:00PM

Exhibitor Network Reception - Dinner

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Thursday, March 29th, 2018

9:00AM – 10:00AM: 

Exhibitor Network Reception – Breakfast

10:00AM – 10:30AM

Session One: The Nuances of Population Health Management for IPA Primary Care Physicians in ACOs

          With a new administration in office, the political landscape in Washington DC looks nothing like the pundits predicted a few short months ago. The concepts of ACA repeal and replace are now in play. But, how will changes to the ACA repeal ultimately affect the health industry and consumers? What other trends will be influencing the health ecosystem? Join Ben Isgur, PwC Health Research Institute Leader, for a conversation on how a second round of healthcare reform will impact the industry.

Speaker:        Andre Berger, MD, CEO/COO, National ACO, LLC, Beverly Hills, CA

                       Alex Foxman, MD, FACP, President/ Next Generation ACO Model Operations, National ACO, LLC, Beverly Hills, CA

Moderator:    Hal Sadowy, PhD, President, Premier Healthcare Advisors, Carmel, IN

10:30AM – 11:00AM

An Integrated, Holistic Approach to Regenerative Medicine

In the 20 years since the FTC and the Department of Justice issued the Statements of Antitrust Enforcement Policy in Health Care, IPAs have come to know, understand and, for the most part, follow the applicable principles of the Statements.  But now, competing IPAs are affiliating with one another and with hospitals to form “super” organizations.  This session will explore how the antitrust principles of the government’s Statements apply to the Super IPA, PHO and ACO.

Speaker:       Sean McDonald, MD., Medical Director, IMAC Regeneration Centers, KY

Moderator:   Connie Richardson, Director of Operations, Arizona State Physician’s Association, Phoenix, AZ

11:00AM – 11:30AM

Impact Your Bottom Line With Proactive Annual Wellness Visits and Risk Stratification

Explain the impact that Medicare Annual Wellness Visit completion has on quality initiatives under MACRA.  Translate the relationship that Medicare Annual Wellness Visits have on the risk adjustment factor. Describe the three prong approach to a successful Risk Adjustment Program: provider education, pre-visit planning and coding support.

Speaker:       Melissa Prichard, Manager of Development for Valued Base Care, Summit Strategic Solutions and Summit Medical Group, Knoxville, TN

Moderator:   Connie Richardson, Director of Operations, Arizona State Physician’s Association, Phoenix, AZ

11:30AM – 12:00PM

SPONSORED BY OPTUM

Connecting Health and Financial Wellness

This session will cover on three core topics.  First, it will review overall trends in the Health Savings Market and the continued growth in participation and contribution.  Next, it will cover, “Simple is the new Smart”, and how Optum is leveraging technology to increase increased consumer engagement.  And last but not least, it will review how long term savings and investment goals are changing how consumers behave and their overall utilization of health care.

Speaker:        Glen J Kvadus Jr., Vice President, Optum Financial Services, Glastonbury, CT

Moderator:    Connie Richardson, Director of Operations, Arizona State Physician’s Association, Phoenix, AZ

12:00PM – 1:30PM   

Exhibitor Network Reception – Lunch

1:30PM – 2:00PM  

SPONSORED BY FIFTH AVENUE

The Changing Landscape of Professional Liability in an Integrated Care Setting

Does integrating care increase or decrease a physician’s professional liability risk? What about risk contracts with health plans? We will discuss the ways in which medical malpractice liability changes within an integrated care model. Additionally, we will discuss ways to best prepare for and mitigate the risk.

Speaker:        Guy Feist, President Fifth Avenue Agency, Chief Marketing Officer Fifth Avenue Companies, Tulsa, OK

                       Joe D. Spann, CEO, Fifth Avenue Companies, Tulsa, OK

Moderator:    Steven Grant, M.D., F.A.C.P., Detroit, MI

2:00PM – 2:45PM     

Developing Your Own Clinically Integrated Network

Speaker:        Paul S. Harkaway, MD, Chief Accountable Care Development Officer, TRINITY HEALTH, Livonia, MI

Moderator:    Steven Grant, M.D., F.A.C.P., Detroit, MI

2:45PM – 3:30PM

ANTITRIST UPDATE: Hard Questions in a Complicated World

When does integration make joint pricing reasonably necessary?  IPA leaders are now familiar with the concepts that financial or clinical integration among physicians in the IPA frequently make joint pricing of those physicians’ services reasonably necessary.   IPA leaders are also likely to have some sense of the magnitude of the financial risk or clinical collaboration that makes joint pricing reasonably necessary in the context of a traditional IPA.  This session will review the application of these concepts in the traditional context, and then explore their application in an environment vibrant with structural change and innovation.

Speaker:       John Wiegand, Antitrust Attorney, Federal Trade Commission, San Francisco, CA

Moderator:   Richard M. Tuten, JD, The Tuten Group, Greenwood Lake, NY

3:30PM – 4:15PM         

Provider Incentives-Move from Volume to Value

Discuss the four elements for consideration when establishing a provider incentive program: quality, expense, patient experience, and risk adjustment. Establish basic rules/tenets to guide which activities should be incentivized.  Provide financial rewards in close proximity to the desired behavior.  Implement changes in a way that emphasizes physician support rather than physician policing.  Use transparency and competition as a motivator in addition to financial rewards.

Speaker:       Melissa Prichard, Manager of Development for Valued Base Care, Summit Strategic Solutions and Summit Medical Group, Knoxville, TN

Moderator:   Richard M. Tuten, JD, The Tuten Group, Greenwood Lake, NY

4:15PM – 4:30PM

Break

4:30PM – 5:15PM

SPONSORED BY NATIONAL ACO

Interview with the Founders of National ACO on their ACO journey and the significance of participating in Next Generation ACO for IPA physicians

Drs. Andre Berger, CEO/COO and Alex Foxman, President and Medical Director of National ACO LLC discuss their unique collaboration and inspiration for starting physician-led National ACO as well as providing information on the Next Generation ACO Model with Dr. Hal Sadowy, PhD 

Speaker:       Andre Berger, MD, CEO, National ACO, LLC, Beverly Hills, CA  

                      Alex Foxman, MD, FACP, President/ Next Generation ACO Model Operations, National ACO, LLC, Beverly Hills, CA

Moderator:   Hal SadowyPhD, President, Premier Healthcare Advisors, Carmel, IN

5:15PM – 5:45PM

Addressing Social Determinants of Health to Thrive Under Value-based Care

Shore Quality Partners, a 240-provider clinically integrated network in NJ, has employed a holistic approach to improving population health, addressing both the physical and emotional needs of its membership. Analytics helped Shore’s medical staff identify high-risk, high-cost patients, and establish new clinical protocols and resources to better manage care. Under the direction of physicians, a multi-disciplinary team of care coordinators, social workers, health educators and pharmacists have had a remarkable impact on overall costs, helping the system migrate from reactive to proactive care. By investing in preventive measures, Shore has: reduced spending by high-ED utilization patients by $1,600 PMPM, decreased inpatient utilization rates 15%, increased primary care visits 3%, and maintained a 90th percentile ranking (nationwide) in patient satisfaction measures.

Speaker:       Cliff Frank, Executive Director, ACO, Shore Quality Partners, Somers Point, NJ

Moderator:   Barbara MasseyDirector, Provider Relations, Boulder Valley IPA, Boulder, CO

5:45PM – 6:30PM

SPONSORED BY CLINICAL INTELLIGENCE, LLC

Meaningful Analytics = Higher Quality, Increased Revenue & Less Stress

Community Health Centers (CHCs) represent the largest primary care system in the United States. The centers are continually challenged to be financially sound, deliver quality care to more patients, and prepare for the transition and evolution from a “Volume Based” to “Value Based” Reimbursement System. CHCs provide essential access to a primary care medical home for patients, especially in rural communities with no other primary care safety net.   This presentation will demonstrate how actionable analytics can provide clinical and financial performance insights that allow practice leaders and providers to improve patient outcomes, meet quality performance goals and achieve cost savings. Additionally, the presentation will include a CHC case study focused on leveraging a systems process approach as well as illustrate how the right data may empower providers to prove the benefits and savings to Health Plan Partners as well as provide a unified view to measure and identify opportunities for HEDIS-based performance and shared savings incentives.

Speaker:       Peter A. Leventis, Chief Executive Officer, Community Integrated Management Services, LLC (CIMS), Columbia, South Carolina

                      Laurie Jaccard, RN, Founder and President, Clinical Intelligence, LLC, Hilton Head, South Carolina

Moderator:    Barbara MasseyDirector, Provider Relations, Boulder Valley IPA, Boulder, CO

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6:30PM – 7:30PM

Exhibitor Network Reception – Light Dinner

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 Friday, March 30th, 2018

9:30AM – 10:15AM

Design – How physicians can cross the product chasm from start up to success with the 7S Chart

This session covers the WHO, WHAT, WHERE, WHEN and HOW of Value Based Payment (VBP): WHO is leading the charge for transformation to VBP; WHAT does VBP look like under the current, near-term and future healthcare reform models; WHERE will VBP most likely catch hold; WHEN is the healthcare system likely to transition to VBP (projected timetable) and HOW can IPA independent physicians get prepared for success under VBP.

Speaker:       Cliff Oxford, Founder, The Oxford Group, Atlanta, GA 

Moderator:   Christ Pavlatos, MD, CEO, PatientMD with Illinois Bone and Joint Institute (IBJI), Lake Forest, IL

10:15AM – 11:00AM

Membership Medicine, The Future of Primary Healthcare

Discuss the challenges with today’s healthcare landscape along with market driven solutions to improve business operations for independent physicians and enhance the quality of care for patients.

Speaker:      Myles B. Conley, Vice President, Sales & Marketing, Private Practice Direct, Alpharetta, GA 

                     Ken Johnson, FLMI, AIRC, President and CEO, Advanced Risk Management Solutions(A Division of The AIMS Group), Charleston, SC

Moderator:  Christ Pavlatos, MD, CEO, PatientMD with Illinois Bone and Joint Institute (IBJI), Lake Forest, IL

11:00AM – 11:30PM

Evolving Your Organization as Patient Responsibility Grows

Healthcare financing and delivery have changed significantly due to shifts in coverage, technology, payment patterns and the U.S. healthcare policy. As costs rise, stakeholders are drifting out of alignment. More costs are being shifted to patients, disrupting providers’ usual approaches to revenue cycle. Hidden in this disruption is an opportunity and a call to action: sending a paper bill in the mail on a mission of hope—after services have been provided—won’t work in the new patient-as-payer environment. Jonathan Wiik, author of Healthcare Revolution: The Patient Is the New Payer, outlines where the industry has traveled, the current state of revenue cycle, and what changes providers can expect as the healthcare market continues to evolve.

Speaker:        Jonathan G. WiikMSHA, MBA Principal, Healthcare Strategy, TransUnion Healthcare, Greenwood Village, CO

Moderator:    Christ Pavlatos, MD, CEO, PatientMD with Illinois Bone and Joint Institute (IBJI), Lake Forest, IL

11:30AM – 12:00PM

Critical HIPAA Compliance Tasks and Cyber Security

Speaker:        Peter MacKoul, Senior Consultant, HIPAA Solutions, Sugar Land, TX

Moderator:    Christ Pavlatos, MD, CEO, PatientMD with Illinois Bone and Joint Institute (IBJI), Lake Forest, IL

12:00AM - 12:30PM

Pathway to Quality Patient-centered Outcomes

Speaker:    Martin Santiago, Strategic Advisor, Summit Strategic Solutions and Summit Medical Group, Knoxville, TN

                  Dawn Zito, MBA, Vice President of Business Development, Summit Strategic Solutions and Summit Medical Group, Knoxville, TN

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12:30AM - 12:40PM

Closing Remarks

Speaker:    Al Holloway, MBA, MHA, President/CEO TIPAAA, Milton, GA

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www.CapstoneAssociated.com

 

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