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 JonesCEO, 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

 

Scroll to top
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

Scroll to top

6:30PM – 7:30PM

Exhibitor Network Reception – Light Dinner

Scroll to top
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

Scroll to top

12:30AM - 12:40PM

Closing Remarks

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

Scroll to top
 

 Click here to Download the AGENDA.pdf

 

[/highlight]