The Payer-Provider Collaboration

COMPLIMENTARY

At the Payer-Provider Collaboration Virtual Briefing, executives from hospitals, health systems and insurers will convene to discuss strategies for effective coordination in an industry that increasingly demands it.

Join us to learn about solutions that help providers and payers work together to achieve business goals, lower costs, streamline patient experiences and improve patient outcomes.

WATCH ON-DEMAND

DECEMBER 8

Healthcare leaders can attend this one-day virtual event at no cost. Registrants get the benefit of attending the “live” event as well as access to the recording for up to 90 days.

Agenda

All times are listed in Central Time Zone

Agenda subject to change

9:00 - 9:05 AM

Opening Comments from the Publisher

Fawn Lopez, Publisher, Modern Healthcare; Vice President, Crain Communications

9:05 - 9:25 AM

Opening Keynote: ChristianaCare and Highmark Health: Collaborating to Transform Healthcare

Ken L. Silverstein, MD, Chief Physician Executive, ChristianaCare

Despite nationwide efforts to advance value-based care, traditional fee-for-service models still have a firm grip on the healthcare industry. During this keynote presentation, we will hear how a health system and insurer are working toward a radical departure from transactional payer-provider relationships through a 10-year joint venture. Dr. Ken Silverstein, chief physician executive at ChristianaCare, will share how his system’s collaboration with Highmark Health is growing and evolving, and how it aims to move healthcare from volume to value.

9:25 - 9:50 AM

Embracing Value and Collaboration: The Case for Change in How We Care

Adam Myers, MD, Senior Vice President and Chief Clinical Transformation Officer, Blue Cross Blue Shield Association

Our healthcare system is expensive, rife with inequities and overloaded by tremendous need. Disruptive change is necessary, and payers and providers must collaborate to create the positive changes our patients deserve. This starts with redefining the traditional value equation and bringing a more comprehensive definition of value to patients through value-based care partnerships between payers and empowered primary care providers in every community.

Dr. Adam Myers, senior vice president and chief clinical transformation officer at the Blue Cross Blue Shield Association (BCBSA) will discuss how Blue Cross Blue Shield Plans are collaborating with primary care providers on value-based care models, as well as the work BCBSA is doing as a member of the Primary Care for America collaborative to educate policymakers on the value of comprehensive, continuous and coordinated primary care.

9:50 - 10:40 AM

Strategies and Solutions for Effective Payer-Provider Collaboration

Moderator

Steve Eck, Senior Content Strategist, Modern Healthcare

Panelists

Hamed Abbaszadegan, MD, Physician Executive, Stanson Health
Allison Hennessey, Director of Partnerships, Medallion

Craig Connors, Senior Director of Payor Relations, Virginia Hospital & Healthcare Association

Lynda Rowe, Senior Advisor for Value-Based Markets, InterSystems

Health plans and providers share the common goal of lowering healthcare costs and improving health outcomes—but navigating the path isn’t always clear due to misaligned incentives and competing priorities. This panel of healthcare industry experts will discuss solutions to align financial incentives, improve patient outcomes, bridge the gap in the care continuum and forecast the roadmap to value-based healthcare delivery.

Topics will include:

• Techniques and technologies to ensure strong working relationships to achieve success

• Identifying potential obstacles and creating plans to overcome them

• Improving and supporting communication, reporting and education to alleviate conflict between the parties

10:40 - 11:05 AM

A Fireside Chat: Bolstering Support for Providers, Payers and Patients Through the St. Luke’s Health Texas Health Network

Moderator

Angie Stewart, Content Strategist, Modern Healthcare

Speaker

Douglas Lawson, Chief Executive Officer, St. Luke’s Health; Senior Vice President of Operations, CommonSpirit Health

How can healthcare executives lead their systems into the next stage of payer-provider collaboration? The first step is to lean into data, value and existing relationships. During this session, Dr. Douglas Lawson, CEO of St. Luke’s Health, will delve into the Texas Health Network, a physician-led Clinically Integrated Network (CIN) that brings together primary care physicians, specialists, ancillary providers and hospitals. Through the use of data, supplemental physician support and best-use care techniques, this network provides a high-quality, high-value opportunity for payers and providers.

11:05 - 11:20 AM

Closing Keynote: The Payer Perspective on Collaboration With Providers and the Future of Value-Based Care

Brian Wheeler, Vice President, Provider Collaboration & Network Transformation, CareFirst BlueCross BlueShield

The future of value-based care depends on the combined efforts of all healthcare stakeholders as we navigate an industry ripe for disruption that is simultaneously difficult to disrupt. The ongoing alignment that emerges from these new models provides a path to create more value and improve outcomes within society’s existing investment in healthcare.

In this keynote address, Brian Wheeler, vice president of provider collaboration and network transformation for CareFirst BlueCross BlueShield, discusses the current performance of healthcare in the U.S. and the opportunity value-based care holds for the future. Wheeler will share CareFirst’s approach to collaborating with healthcare provider organizations to identify new ways to deliver care, improve quality for patients and slow the rate of rising healthcare costs.

11:20 - 11:25 AM

Closing Comments from the Publisher

Fawn Lopez, Publisher, Modern Healthcare; Vice President, Crain Communications

Session Sponsors