ACHP Financial Leaders & Clinical Meeting
ACHP is hosting its Clinical Collaborative Meeting in Portland, OR on October 23-24. On the first day of the meeting, all attendees will gather to learn, share and network through joint discussions about core elements of a sustainable health care system, a variety of perspectives on peer-led interventions, and organizational best practices on collaborations addressing cost of care. In breakout sessions, participants will join in an in-depth discussion of mental health parity, interact with Civica Rx’s CCO about ways ACHP members can engage with disruptive drug pricing innovations, and share best practices around using segmentation data and methods to understand populations.
The second day will begin with feature Dr. Molly’ Coye’s keynote presentation on how digital health is transforming consumer and provider interactions, followed by a panel discussion around creating shared value by addressing social needs. Then breakout participants will share their experiences with value-based payment models and ways to incentivize behavioral health integration.
Target Audience
Participants include ACHP Financial Leaders, Behavioral Health Directors, Pharmacy Directors, Quality Leaders, Medical Directors and Clinical Executives from ACHP member plans.
Learning Objectives
At the conclusion of the meeting:
- Medical Directors will be able to identify new opportunities and challenges that new technologies pose for non-profit, regionally-based health plans; more deeply understand innovative approaches to Coordinated Care Organizations and other multi-stakeholder collaboratives working to address health care costs; and analyze what impedes or accelerates value-based payment models to improve care and lower costs.
- Financial Leaders will be able to identify the specific barriers to challenging the status quo in health care and collaborative strategies for creating a sustainable health care system; utilize organizational best practices for clinical and financial leader collaboration at their respective companies; and effectively work with clinical leaders at their respective organizations on innovative approaches to address high-cost therapeutics such as esketamine and brexanolone.
- Pharmacy Directors will be able to effectively work with financial leaders at their respective organizations on innovative approaches to address high-cost therapeutics such as esketamine and brexanolone; apply effective strategies to optimize clinical outcomes, patient experience and affordability for health plan members; and more thoroughly understand new initiatives and approaches to biosimilar adoption and the lingering barriers to utilization
- Behavioral Health Leaders will be able to identify strategies for implementing peer-led interventions to improve the lives of individuals with serious mental illness; confidently respond to mental health parity regulations; and bring back to their respective organizations clinical and financial approaches to improve behavioral health integration.
- Clinical Executives and Quality Leaders will be able to apply best practices for success in value-based care arrangements; implement best practices for using a variety of data sources and segmentation methods to understand the needs of their populations ; and bring back to their respective organizations clinical and financial approaches to improve behavioral health integration.
Additional Information
Attachment | Size |
---|---|
ACHP Fall 2019 Clinical Meeting Agenda_for CME.4.pdf | 340.16 KB |
ACHP Final Handout October Meeting 2019 (002) APPROVED.pdf | 277.43 KB |
Fall 2019 Clinical & Financial Leaders Meeting: Draft Agenda
Partnering on High-Value Coverage & Care
October 23-24 | Portland, OR
* Denotes a plenary session, meaning all attendees are invited: Behavioral Health Leaders, Clinical Executives, Financial Leaders, Medical Directors, Pharmacy Directors, and Quality Leaders. Attendees typically have one of the following degrees: MD, RPh, RN, or MSW. The degrees of the staff comprising ACHP’s Clinical Innovation team mirror those of the attendees: two MSWs, one PharmD, and one MD. The team has devoted considerable thought to the design of the plenary sessions, ensuring that the majority of the sessions are valuable and relevant to all attendees.
| u DAY 1 • TUESDAY, OCTOBER 22 |
| ||||||||||||||||||||||
|
| |||||||||||||||||||||||
|
| |||||||||||||||||||||||
u DAY 3 • THURSDAY, OCTOBER 24 |
| |||||||||||||||||||||||
|
| |||||||||||||||||||||||
7:00 – 8:00 a.m. | Networking Breakfast |
| ||||||||||||||||||||||
|
|
| ||||||||||||||||||||||
8:00 – 8:30 a.m. | *Welcome / Regional Perspective Ken Provencher, PacificSource (invited) |
| ||||||||||||||||||||||
8:30 – 9:15 a.m. | *Keynote |
| ||||||||||||||||||||||
| Dr. Molly Coye will discuss digital health and how it is transforming both consumer and provider interactions and care delivery. What opportunities and challenges do these new technologies present to nonprofit, regionally-based community health plans? Coye is executive in residence at AVIA, the leading network for health systems advancing digital solutions, and she previously served as chief innovation officer for UCLA Health. Molly Coye, M.D., AVIA |
| ||||||||||||||||||||||
9:15 – 9:45 a.m. | *CEO Update Ceci Connolly, ACHP |
| ||||||||||||||||||||||
9:45 – 10:15 a.m. | Networking Break |
| ||||||||||||||||||||||
10:15 – 11:30 a.m.
11:30 a.m. – 12:00 p.m.
12:00 – 1:00 p.m.
| Creating Shared Value by Addressing Social Needs The current enthusiasm for addressing social determinants of health (SDOH) has fostered important discussions and has led many to ask what the role of health plans and providers should be in addressing pervasive, societal problems. The evolution of value-based care creates an opportunity to develop innovative business models that better serve the needs of patients and communities while delivering more competitive financial returns. Panelists will provide real-life examples of how they have seized this opportunity, the outcomes they’ve achieved and the work that lies ahead.
Panelists: Nicole Friedman, Kaiser Permanente Northwest Krista Hoglund, Security Health Plan Edward McEachern, M.D., PacificSource Sarita Mohanty, M.D., Kaiser Permanente Moderator: George Isham, M.D., ACHP Senior Advisor This session would be applicable to all attendees except for the pharmacists. Networking Break & Get Lunch
Collaborative Breakouts & Lunch The Behavioral Health Leaders, Clinical Executives & Quality Leaders, Financial Leaders, Medical Directors and Pharmacy Directors will each meet for one hour to dive deeper on topics of interest. Medical Directors
Pharmacy Directors
Clinical Executives & Quality Leaders, Behavioral Health Leaders, Financial Leaders
|
| ||||||||||||||||||||||
1:00 p.m. Early afternoon
| Meeting Concludes Winery Tour Stoller Family Estate 16161 NE McDougall Road (503) 864-3404 Take some time to relax with your colleagues on this low-key excursion to the Stoller Family Estate, which will include a tour of the winery, a wine tasting and light snacks at the vineyard. Please board the bus outside the lobby by 1:30 p.m. The activity is expected to take approximately three hours, including travel time. |
|
Faculty Listing
Sheila Albeke, Pharm.D Clinical Pharmacy Manager PacificSource Bend, OR |
| Kenneth Bischel, BS Lead Associate Actuary PacificSource Eugene, OR |
|
|
|
John Brekke, Ph.D Professor of Social Work University of Southern California (USC) Los Angeles, CA |
| Gray Clarke, MD Senior Medical Director for Centennial Care Presbyterian Health Plan Albuquerque, NM |
|
|
|
Tim Clement, MPH Director of Legislative Development American Psychiatric Association (APA) Washington, DC |
| Ceci Connolly, BA President and Chief Executive Officer Alliance of Community Health Plans Washington, DC |
|
|
|
Molly Coye, MD, MPH Executive in Residence AVIA Chicago, IL |
| Kelly Crowe, BBA, MA Vice President, Operations Alliance of Community Health Plans Washington, DC |
|
|
|
Nicole Friedman, MS Operational Lead, Thrive Local Kaiser Permanente NW Portland, OR |
| Jennifer Garber, LICSW Associate Vice President of Behavioral Health UCare Minneapolis, MN |
|
|
|
Krista Hoglund, BS Chief Actuary Select Health Plan of Wisconsin, Inc. Marshfield, WI |
| Heather Holladay, BA, MS Integrate Health Manager Pacific Gas & Electric (PG&E) San Francisco, CA |
Matt Hurford, MD Chief Medical Officer Community Care Behavioral Health Organization, UPMC Pittsburgh, PA |
| Connie Hwang, MD Chief Medical Officer and Director, Clinical Innovation Alliance of Community Health Plans Washington, DC |
|
|
|
George Isham, MD, MS Senior Fellow HealthPartners Institute Minneapolis, MN |
| Courtney Johnson, Pharm.D, RPh Clinical Innovations Program Manager Alliance of Community Health Plans Washington, DC |
|
|
|
John Kitzhaber, MD Former Governor of Oregon Portland Oregon |
| Megan Knauss, MSW Innovations Program Manager Alliance of Community Health Plans, DC |
Russ Kuzel, MD Vice President and Chief Medical Officer SelectHealth Salt Lake City, UT |
| Lauren Leeman, BS Marketplace Analytics Manager Alliance of Community Health Plans Washington, DC |
Alison Little, M.D., M.P.H. Medical Director for Medicaid Programs PacificSource Community Solutions Bend, OR |
| Edward McEachern, MD Chief Medical Officer PacificSource Springfield, OR |
Sarita Mohanty, MD, MPH, MBA Vice President, Care Coordination of Medicaid and Vulnerable Populations Kaiser Permanente Oakland, CA |
| Beth Monsrud, BA Senior Vice President and Chief Financial Officer UCare Minneapolis, MN |
Anthony Montoya, MPS Public Policy Associate Alliance of Community Health Plans Washington, DC |
| Kiana Moore, MS Director, Market Strategy and Analytics Alliance of Community Health Plans Washington, DC |
Eva Powell, MSW Senior Manager, Quality Programs Alliance of Community Health Plans Washington, DC |
| Ken Provencher, MBA President and CEO PacificSource Health Plans Springfield, OR |
Randy Ruplinger, BS Vice President and Chief Financial OfficerDean Health Plan Madison, WI |
| Bethany Smith, CPA Executive Vice President of Finance and Chief Financial Officer (CFO) CDPHP Albany, NY |
Maria Velasco, CMP Manager, Events and Business Development Alliance of Community Health Plans Washington, DC |
| Heather Wall, MBA Chief Commercial Officer Civica Riverton, UT |
Jay Godla, MBA, MS Vice President & Lead PartnerStrategy&, part of the PwC networkOak Brook, IL |
| Tricia Brooks, BA, MA Vice President, External Affairs Alliance of Community Health Plans Washington, DC |
Faculty Disclosure
All individuals in a position to control the content of this education activity including members of the planning committee, speakers, presenters, authors, and/or content reviewers have disclosed all relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients.
The following relevant financial relationships were disclosed:
- John Brekke, Ph.D, USC and Pacific Clinics, Joint Negotiated Proprietary Interest
- George Isham, MD, Center for Health Economics and Policy at FTI Consulting, Consultant and Member of the Advisory Board / ACHP, Senior Advisor and Consultant / Martin's Point Health Care, Member of the Board of Directors
- Russ Kuzel, MD, Rigel Pharmaceuticals, Inc., Member of Advisory Board / Ilumina, Site Visitor
- Sarita Mohanty, MD, MPH, MBA, COPE Health Solutions, Member of the Board of Directors
- Molly Coye, MD, MPH; AVIA, Executive Sponsor of Medicaid Transformation, Executive in Residence / 98point6, Member of the Medical Advisory Board / ConsejoSano, Member of the Board of Directors / Aetna, Member of the Board of Directors 2005-2018 / WiserCare, Member of Advisory Board / Babyscripts, Member of Advisory Board / Ginger, Member of the Board of Directors
No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.
In support of improving patient care, this activity has been planned and implemented by the Alliance of Community Health Plans and the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physicians
The University of Pittsburgh School of Medicine designates this live activity for a maximum of 9.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Pharmacists
This knowledge-based activity provides 9.5 contact hours of continuing pharmacy education credit.
Universal Activity Number List: JA4008223-9999-19-004-L04-P
Nurses and Nurse Practitioners
The maximum number of hours awarded for this Continuing Nursing Education activity is 9.5 contact hours.
Other health care professionals
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Available Credit
- 9.50 ACPE PharmacyThe UPMC Center for Continuing Education in the Health Sciences is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a Provider of continuing pharmacy education.
- 9.50 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 9.50 ANCCUPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
- 9.50 Attendance