8:45AM - 9:35AM

The New CMS Interoperability and Patient Access Rule: What Does This Mean For You?

Interoperability means different things to different people. For physicians, it might mean more time to take care of their patients. For health plans, it means the ability to seamlessly integrate into everyday workflows of health care organizations. For patients, it means control over your own data. This presentation will discuss the requirements of the rule and practical considerations as you approach its implementation.

‍Speakers

• Bob Hoover, VP of Change Healthcare Consulting

Moderator

• John Wendling, President, Parkland Community Health Plan

Presentations

• Interoperability: Interpreting the Rule and Defining Requirements

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9:40AM - 10:25AM

How Data and Technology Can Reshape Health Care and Improve Patient Outcomes

As health care enters the digital age, health care will change for the better. It will move away from the clasp of largely reactive decision-making, which was inaccurate and expensive to say the least, and into the realm of evidence-based medicine, becoming more proactive, connected, and personalized. Many health care organizations struggle to provide the right data at the right time to the people who need it. Having seamless data aggregation, enrichment, refinement, and transparency is crucial to leveraging data to improve the overall health of the Texas community. Panelists will discuss how having a flexible analytics platform ensures health plans and providers have the data they need to change patient outcomes.

Speakers

• William Barrar, Client Engagement and Strategy Manager, 3M Health Information Systems
• Gordon Moore, Senior Medical Director of Clinical Strategy and Value Based Care, 3M Health Information Systems

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10:30AM - 11:15AM

Analyze That: Power of Data to Drive Better Health Care

COVID-19 has accelerated the adoption of digital health solutions and emerging technologies in an unprecedented way. Remote monitoring and telehealth platforms and AI-powered assessment apps and devices have all become the new norm. In this session, a panel of innovative thinkers will discuss ways health plans can leverage technology and data to continue advancing quality care  in a post-COVID-19 world.

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Speakers

• Stephen Sofoul, CEO, Benefits Science
• Faith Saporsantos, MSN, MHA, RN, CRRN, Director Health Care Consulting, Mazars USA
• Jonathan Murray, Sr. Vice President, Growth and Innovation for Seamless UM Solutions, Evicore

Moderator

• Dan Chambers, Plan President & Executive Director, Texas Medicaid, Cigna

Presentations

• Benefits Science: Data Science as a Service - Healthcare & Benefits
• Mazars: Health Plan Solutions

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11:20AM - 12: 05PM

Is it Time to Break Up With Fee-For-Service: One Health Plan’s Experience Moving Doctors to Capitated Payments and Value Based Care

The number of patients receiving care within value-based models and risk-based arrangements has trended upward in recent years. COVID-19 will likely accelerate the transition from traditional fee-for-service to value as the health care system grapples with change. Providers in value-based and capitated arrangement  are well-positioned to invest in people, innovation, and tools. These investments are driving improvements in patient engagement, provider engagement, care coordination, clinical outcomes, and the Quadruple Aim.

‍Speakers

• Dr. Daniel Frank, Chief Medical Officer, OptumCare

Moderator

• Don Langer, CEO, UnitedHealthcare Community Plan of Texas and Oklahoma

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12:10PM - 12:55PM⎪Click here to watch the livestream

Entering the Next Phase of Value-Based Care, Payment Reform

The healthcare industry has learned a lot from the past 10 years of payment reform for value-based care, but fee-for-service still dominates even a decade later. For most health care experts, the conversation has settled on the need to transition health care to a system based on value rather than volume — but it's not that easy. Experts explore what the future holds for alternative payment models and solutions to overcome its challenges.

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‍Speakers

• Anne Davis, Director of Quality Programs and Medicare Strategy, HMS
• Melissa Linder, Director, Product Management, VBPM Products, MedeAnalytics
• Dana Ruppel, Regional VP of Sales, Payspan

Moderator

• Lisa Wright, President and CEO, Community Health Choice Health Plan

Presentations

• HMS: Entering the Next Phase of Value Based Care, Payment Reform
• MedeAnalytics: Value-Based Performance Management
• Payspan: Entering the Next Phase of Value Based Care, Payment Reform