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A HYBRID CONFERENCE AND INTERNET EVENT Second National MACRA MIPS/APM Summit GRAND HYATT WASHINGTON, DC OCTOBER 11 – 13, 2017 BRONZE GRANTORS: The Leading Forum on MACRA, MIPS, APMs and Other Emerging Value-Based Payment Arrangements TUITION SCHOLARSHIP PROGRAM SUPPORTED BY: Tweet using #MACRASummit www.MACRASummit.com CONTINUING EDUCATION CREDITS Accounting Professionals: Approved for up to 14.75 hours of NASBA credits. Physicians: Approved for up to 14.75 hours of AMA PRA Category 1 Credits™. See page 6 for more information. FEATURING PRECONFERENCES: How to Succeed Under MIPS Advanced Issues and Approaches in Develop- ing Alternative Payment Models (APMs) PLENARY SESSIONS: Overview of MACRA MIPS/APM Challenges and Opportunities Which Path to Follow: MIPS, CMS APMs or your own APM Model? Lessons Learned from Advanced APMs MACRA Implications for Health Plans APMs Outside of Medicare: Other Payer Advanced APMs MACRA and Quality Implementing Multiple Payment Models across Common Providers Hospital and Health System Strategies in Responding to MACRA The Politics of MACRA: Will There be Changes in the Future? The Role of MACRA in Public and Private Payment and Delivery Reform AND THE FOLLOWING MINI SUMMITS: Lessons Learned from the First Round of APM Proposals Reviewed by the PTAC Episode-Based Cost Measure Develop- ment for the Quality Payment Program Supporting Primary Care: CPC+ and other Primary Care Models What MACRA Means for Employers Transition of Critical Access Hospitals to Value-Based Care APM Models Supporting Specialty Medical Homes for Chronic Disease MACRA’s Impact on Patients The Evolving Role of BPCI in MACRA Patient-Centered: The Key to MACRA Success MACRA and Medicare Advantage Alternative Payment Models APM Models Supporting Surgical Care Lessons Learned from the Oncology Care Model Developing APMs to Align Specialty Physicians Donald H. Crane, JD, President and CEO, CAPG Barbara L. McAneny, MD, Co-Founder and Managing Partner, New Mexico Oncology Hematology Consultants Ltd., President-Elect, AMA Susan Dentzer, President and CEO, NEHI; Analyst on Health Policy, The NewsHour Kate Goodrich, MD, Chief Medical Officer and Director, Center for Clinical Standards and Quality, CMS Theodore Long, MD, MHS, Senior Medical Officer, Quality Measurement and Value- Based Incentives Group, CMS John S. O’Shea, MD, Senior Fellow, Center for Health Policy Studies, The Heritage Foundation Robert Pearl, MD, Author, Mistreated: Why We Think We’re Getting Good Health Care — and Why We’re Usually Wrong; Former CEO, The Permanente Medical Group Laura Sessums, MD, Director, Division of Advanced Primary Care, CMMI, CMS Andrew M. “Andy” Slavitt, MBA, Senior Advisor, AVIA, Senior Advisor, Bipartisan Policy Center; Former Acting Administrator, CMS; Former CEO, OptumInsight Grace Emerson Terrell, MD, MMM, FACP, FACPE, Chief Executive Officer, Envision Genomics; Member, PTAC Harold D. Miller, President and CEO, Center for Healthcare Quality and Payment Reform; Member, PTAC Kavita Patel, MD, Nonresident Senior Fellow, Brookings Insti- tution; Member, PTAC; Former Director of Policy, The White House; Former Senior Advisor, Senator Edward Kennedy CO CHAIRS: KEYNOTE SPEAKERS: REGISTER BY SEPTEMBER 1 FOR EARLY BIRD RATE

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Page 1: Second National MACRA MIPS/APM Summit · PDF fileSecond National MACRA MIPS/APM Summit GRAND HYATT WASHINGTON, DC ... travel to the conference city and attend in person. ... • Alternatives

A HYBRID CONFERENCE AND INTERNET EVENT

Second National MACRA MIPS/APM

SummitGRAND HYATT WASHINGTON, DC

OCTOBER 11 – 13, 2017

BRONZE GRANTORS:

The Leading Forum on MACRA, MIPS, APMs and Other Emerging

Value-Based Payment Arrangements

TUITION SCHOLARSHIP PROGRAM SUPPORTED BY:

Tweet using #MACRASummit

www.MACRASummit.com

CONTINUING EDUCATION CREDITSAccounting Professionals: Approved for up to 14.75 hours of NASBA credits.Physicians: Approved for up to 14.75 hours of AMA PRA Category 1 Credits™.

See page 6 for more information.

FEATURING PRECONFERENCES:How to Succeed Under MIPS

Advanced Issues and Approaches in Develop-ing Alternative Payment Models (APMs)

PLENARY SESSIONS:Overview of MACRA MIPS/APM Challenges and OpportunitiesWhich Path to Follow: MIPS, CMS APMs or your own APM Model?Lessons Learned from Advanced APMsMACRA Implications for Health PlansAPMs Outside of Medicare: Other Payer Advanced APMs MACRA and QualityImplementing Multiple Payment Models across Common ProvidersHospital and Health System Strategies in Responding to MACRAThe Politics of MACRA: Will There be Changes in the Future?The Role of MACRA in Public and Private Payment and Delivery Reform

AND THE FOLLOWING MINI SUMMITS:Lessons Learned from the First Round of APM Proposals Reviewed by the PTAC

Episode-Based Cost Measure Develop-ment for the Quality Payment Program

Supporting Primary Care: CPC+ and other Primary Care Models

What MACRA Means for Employers

Transition of Critical Access Hospitals to Value-Based Care

APM Models Supporting Specialty Medical Homes for Chronic Disease

MACRA’s Impact on Patients

The Evolving Role of BPCI in MACRA

Patient-Centered: The Key to MACRA Success

MACRA and Medicare Advantage Alternative Payment Models

APM Models Supporting Surgical Care

Lessons Learned from the Oncology Care Model

Developing APMs to Align Specialty Physicians

Donald H. Crane, JD, President and CEO, CAPG

Barbara L. McAneny, MD, Co-Founder and Managing Partner, New Mexico Oncology Hematology Consultants Ltd., President-Elect, AMA

Susan Dentzer, President and CEO, NEHI; Analyst on Health Policy, The NewsHour

Kate Goodrich, MD, Chief Medical Officer and Director, Center for Clinical Standards and Quality, CMS

Theodore Long, MD, MHS, Senior Medical Officer, Quality Measurement and Value-Based Incentives Group, CMS

John S. O’Shea, MD, Senior Fellow, Center for Health Policy Studies, The Heritage Foundation

Robert Pearl, MD, Author, Mistreated: Why We Think We’re Getting Good Health Care — and Why We’re Usually Wrong; Former CEO, The Permanente Medical Group

Laura Sessums, MD, Director, Division of Advanced Primary Care, CMMI, CMS

Andrew M. “Andy” Slavitt, MBA, Senior Advisor, AVIA, Senior Advisor, Bipartisan Policy Center; Former Acting Administrator, CMS; Former CEO, OptumInsight

Grace Emerson Terrell, MD, MMM, FACP, FACPE, Chief Executive Officer, Envision Genomics; Member, PTAC

Harold D. Miller, President and CEO, Center for Healthcare Quality and Payment Reform; Member, PTAC

Kavita Patel, MD, Nonresident Senior Fellow, Brookings Insti-tution; Member, PTAC; Former Director of Policy, The White House; Former Senior Advisor, Senator Edward Kennedy

CO CHAIRS:

KEYNOTE SPEAKERS:

REGISTER BY SEPTEMBER 1 FOR EARLY BIRD RATE

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WHO SHOULD ATTENDPhysiciansMedical DirectorsNurses, Nurse Practitioners and Other Allied Health ProfessionalsPharmacists and Pharmacy Benefit ManagersExecutives and Board Members of Physician Organizations, Health Systems, Hospitals, ACOs and Health PlansRepresentatives of Purchasers, including Private Employers and Public PurchasersConsumer Organization RepresentativesFederal and State Government OfficialsHealth Care Regulators and Policy MakersHealth Benefits ConsultantsHealth Services Researchers and AcademicsHealth Care Attorneys and In-house CounselChief Financial OfficersChief Innovation OfficersDirectors of Accountable CareDirectors of Quality Management and ImprovementDirectors of Government ProgramsDirectors of Medicare ProgramsDirectors of Medicaid ProgramsDirectors of Network ContractingDirectors of Provider RelationsDirectors of Finance and ReimbursementPharmaceutical ExecutivesPharmaceutical Consultants

OVERVIEW

For more than two decades Congress and the federal government have wrestled with how to pay physicians in the Medicare program. The primary challenge of physician

payment is determining fair fees and paying physicians in a way that promotes efficient, effective, and safe care. With these goals in mind the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 was passed and signed into law April 16, 2015. MACRA replaces to old Medicare Sustainable Growth Rate (SGR).

Under MACRA, between 2016 and 2019, physicians will receive a fee increase of 0.5 percent per year. From 2020 to 2025, no across-the-board fee increase will be granted because physi-cians treating Medicare beneficiaries will have been asked to choose between two newly designed payment paths which base payment on performance and quality metrics and par-ticipation in efforts to improve care and restrain cost growth. Initially, physicians can choose a program called the Merit-Based Incentive Payment System (MIPS) or join an alternative payment model such as an accountable care organization or patient-centered medical home. If they make no choice or are deemed to be ineligible for an alternative payment model incentive payment, they will be assigned to MIPS.

MACRA holds profound implications for the future of medical practice and is of great importance to hospitals and health sys-tems, especially those which employ physicians, and for health plans and employers which contract with providers.

The MACRA Summit seeks to provide an overview of MACRA for beginners and a series of in-depth, advanced sessions on all aspects of the new law and draft regulations.

HOTEL INFORMATION/RESERVATIONSThe MACRA MIPS/APM Summit does not contract with any third party organization to make hotel reserva-tions for attendees of the Summit. All attendees should make their hotel reservations directly with the hotel and not with a third party vendor.

The Grand Hyatt Washington is the official hotel for the Second National MACRA MIPS/APM Summit. A special group rate of $289.00 single/double per night (plus applicable taxes) has been arranged for Summit Attendees.

A dedicated website is now available for you to make or modify your group-rate reservations online. To make your hotel reservations, please go to www.macrasummit.com/travel.html and you will be directed to our reservations page where you may book, modify or cancel your hotel reservations at any time. You may also make your reservation by calling Central Reservations at 1-888-421-1442 and referring to the MACRA Summit. Reservations at the group rate will be accepted while rooms are available or until the cut-off date of Monday, September 18, 2017. After this date, reservations will be accepted on a space-available basis at the prevailing rate.

The Grand Hyatt Washington • 1000 H Street, NW • Washington, DC 20001

PARTICIPATION OPTIONS TRADITIONAL ONSITE ATTENDANCESimply register, travel to the conference city and attend in person.

PROS: subject matter immersion; professional networking opportunities; faculty interaction.

LIVE AND ARCHIVED INTERNET ATTENDANCEWatch the conference in live streaming video over the Internet and at your convenience at any time 24/7 for six months following the event.

The archived conference includes speaker videos and coordinated PowerPoint presentations.

PROS: Live digital feed and 24/7 Internet access for the next six months; acces-sible in the office, at home or anywhere worldwide with Internet access; avoid travel expense and hassle; no time away from the office.

At your office . . .

. . . or home

Onsite

SAVE THESE DATES! Hybrid Conference and Internet Events

NATIONAL HEALTH CARE RATINGS SUMMIT Sponsored by Leapfrog GroupDecember 6 – 7, 2017 • Hyatt Regency Crystal City, Arlington, VA www.HealthCareRatingsSummit.com

THIRTEENTH NATIONAL VALUE-BASED PAYMENT AND PAY FOR PERFORMANCE SUMMIT Cosponsors: CAPG and IHAFebruary 28 – March 2, 2018 • Grand Hyatt San Francisco, San Francisco, CA www.PFPSummit.com

EIGHTEENTH POPULATION HEALTH COLLOQUIUM Academic Partner: Jefferson College of Population HealthMarch 19 – 21, 2018 • Loews Philadelphia Hotel, Philadelphia, PA www.PopulationHealthColloquium.com

TWENTY SEVENTH NATIONAL HIPAA SUMMITMarch 27 – 29, 2018 • Hyatt Regency Crystal City, Arlington, VA www.HIPAASummit.com

HEALTH DATAPALOOZA 2018 Host: AcademyHealthApril 25 – 26, 2018 • Washington Hilton, Washington, DC www.HealthDatapalooza.org

SECOND NATIONAL MEDICARE ADVANTAGE SUMMIT Sponsor: Better Medicare AllianceMay 16 – 18, 2018 • Hyatt Regency on Capitol Hill, Washington, DC www.MedicareAdvantageSummit.com

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WEDNESDAY, OCTOBER 11, 201712:00 pm Summit Registration

DAY I: PRECONFERENCE SYMPOSIAPRECONFERENCE I: How to Succeed Under MIPS1:00 pm Introductions, Presentations and Q&AKavita Patel, MD, Nonresident Senior Fellow, Brookings Institution; Member, Physician-Focused Payment Model Technical Advisory Committee; Former Director of Policy, The White House; Former Senior Advisor, Senator Edward Kennedy, Washington, DCDeirdre Baggot, PhD, MBA, RN, Principal and Bundled Payments Practice Leader, ECG Management Consultants; Former Expert Reviewer, BPCI Program; Former Lead, ACE Program, Centers for Medicare and Medicaid Services, Washington, DC (Moderator)

5:00 pm Adjournment

PRECONFERENCE II: Advanced Issues and Approaches in Developing Alternative Payment Models (APMs)• Why would I want to be in an APM? Understanding the benefits and risks• Requirements to qualify as an Advanced APM• Lessons learned from CMS’ current APMs• A payer perspective: the nuts and bolts of implementing APMs• Designing appropriate physician incentives within APMs• Alternatives in structuring an APM• Best practices in managing risk• Case Studies1:00 pm Introductions, Presentations and Q&ADavid M. Glaser, JD, Shareholder, Fredrikson & Byron, Minneapolis, MN Katy Heneghan, Director, Enterprise Network Strategy, Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma, and Texas; Former Manager, Strategic Partnerships, Improving Health Outcomes, American Medical Association; Former Comprehensive Cancer Program Manager, Rhode Island Department of Health, Chicago, IL Deepak A. Kapoor, MD, Chairman and Chief Executive Officer, Integrated Medical Profes-sionals; Health Policy Chairman, LUGPA; Clinical Associate Professor of Urology, Mount Sinai Hospital, New York, NYL. Daniel Muldoon, MA, Healthcare Consultant, Milliman; Former Social Science Research Analyst/Health Insurance Specialist, Center for Medicare and Medicaid Innovation, Center for Medicare and Medicaid Services, New York, NYErin Smith, JD, Director, Public Policy, Cardinal Health; Former Director, Division of Technical Model Support, and Lead Bundled Payments for Care Improvement (BPCI) initiative, Center for Medicare and Medicaid Innovation, Center for Medicare and Medicaid Services, Washington, DCPamela M. Pelizzari, MPH, Healthcare Consultant, Milliman; Former Senior Technical Advisor and Program Lead, Patient Care Models Group, Centers for Medicare and Medicaid Services, New York, NY (Moderator)

5:00 pm Adjournment

THURSDAY, OCTOBER 12, 2017

DAY II: NATIONAL MACRA MIPS/APM SUMMIT OPENING PLENARY SESSION7:00 am Registration Opens in Exhibit Hall Continental Breakfast

MORNING PLENARY SESSION8:00 am Welcome and Introduction: Overview of MACRA MIPS/APM Challenges and Opportunities

Donald H. Crane, JD, President and Chief Executive Officer, CAPG, Los Angeles, CA (Co-chair)

Barbara L. McAneny, MD, Board-Certified Medical Oncologist/ Hematologist; Co-Founder and Managing Partner, New Mexico Oncology Hematology Consultants Ltd.; President-Elect, American Medical Association, Albuquerque, NM (Co-chair)

Harold D. Miller, President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Co-chair)

Kavita Patel, MD, Nonresident Senior Fellow Brookings Institution; Member, Physician-Focused Payment Model Technical Advisory Committee; Former Director of Policy, The White House; Former Senior Advisor, Senator Edward Kennedy, Washington, DC (Co-chair)

8:30 am Keynote: Update on MACRA Implementation

Thomas Price (Invited), Secretary of Health and Human Services; Former Congressman (R/GA), Washington, DC

9:00 am Which Path to Follow: MIPS, CMS APMs or your own APM Model?

Donald H. Crane, JD, President and Chief Executive Officer, CAPG, Los Angeles, CA

Shari M. Erickson, MPH, Vice President, Governmental Affairs and Medical Practice, American College of Physicians, Washington, DC

Anne Phelps, MPP, US Health Care Regulatory Leader, Deloitte LLP; Former Executive Director, National Platform Committee; Former Special Assistant to the President for Domestic Policy (Health) (Bush), Washington, DC

Grace Emerson Terrell, MD, MMM, FACP, FACPE, Chief Executive Officer, Envision Genomics; Former President and Chief Executive Officer, Cornerstone Health Care; Member, Physician-Focused Payment Model Technical Advisory Committee, Huntsville, AL

Harold D. Miller, President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Moderator)

10:00 am Break

10: 30 am Lessons Learned from Advanced APMs• ACOs: Medicare Shared Savings Program Tracks 2 and 3 and Next Generation Kate de Lisle, Value Based Payment Research Lead, Accountable Care Learning Collaborative, Salt Lake City, UT• Comprehensive End-Stage Renal Disease Care ModelEdward R. Jones, MD, Chairman, Kidney Care Partners; Medical Director, Fresenius Medical Care; Counselor, Renal Physician Association; Clinical Professor of Medicine, Temple University Hospital, Philadelphia, PA• Comprehensive Primary Care Plus (CPC+) ModelLaura Sessums, MD, Director, Division of Advanced Primary Care, Center for Medicare and Medicaid Innovation; Former Chief, General Medicine Section, Walter Reed Army Medical Center, Baltimore, MD• Oncology Care Model (two-sided risk)Barbara L. McAneny, MD, Board-Certified Medical Oncologist/ Hematologist; Co-Founder and Managing Partner, New Mexico Oncology Hematology Consultants Ltd.; President-Elect, American Medical Association, Albuquerque, NM

Kavita Patel, MD, Nonresident Senior Fellow, Brookings Institution; Member, Physician-Focused Payment Model Technical Advisory Committee; Former Director of Policy, The White House; Former Senior Advisor, Senator Edward Kennedy, Washington, DC (Moderator)

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11:30 am MACRA Implications for Health Plans and APMs Outside of Medicare: Participation Alternatives in Other Payer Advanced APMs

Justine Handelman, Vice President, Legislative and Regulatory Policy, Blue Cross Blue Shield Association, Washington, DC

Joseph O’Hara, MBA, Director, Accountable Care Organization Solutions, Horizon Blue Cross Blue Shield; Former Assistant Vice President, Health Services, Wellpoint, New York, NY

Earl P. Steinberg, MD, MPP, Chief Executive Officer, xG Health; Former Vice President, Innovation and Dissemination, Geisinger Health System; Former Senior Vice President, Clinical Strategy, Quality and Outcomes, WellPoint, Inc., Columbia, MD

Mary Vollkommer (Invited), Vice President and Actuary, Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas, Chicago, IL

Howard Shapiro, PhD, Director of Public Policy, Alliance of Community Health Plans; Former Vice President for Public Policy, American College of Physicians, Washington, DC (Moderator)

12:30 pm NETWORKING LUNCHEON AND MACRA TECHNOLOGY SOLUTIONS PRESENTATIONS

AFTERNOON MINI SUMMITSMINI SUMMITS GROUP I 2:00 pm – 3:00 pm

Mini Summit I: APM Models Supporting Specialty Medical Homes for Chronic DiseaseJanet Bull, MD, FAAHPM, Chief Medical Officer, Four Seasons Compassion for Life, Flat Rock, NC

Colin C. Edgerton, MD, FACP, Rheumatologist, Low Country Rheumatology, Articularis Healthcare Group, Inc., Charleston, SC

Lawrence Kosinski, MD, MBA, AGAF, FACG, Managing Partner, Illinois Gastroenterology Group; President, SonarMD, LLC; Community Private Practice Councillor, AGA Governing Board, Elgin, IL

Adam Weinstein, MD, Vice President Medical Affairs, DaVita Inc.; Nephrologist, Kidney Health Center of Maryland, Easton, MD

Harold D. Miller, President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee; Adjunct Professor, Carnegie Mellon University. Pittsburgh, PA (Moderator)

Mini Summit II: Episode-Based Cost Measure Development for the Quality Payment ProgramTheodore Long, MD, MHS, Senior Medical Officer, Quality Measurement and Value-Based Incentives Group, Centers for Medicare and Medicaid Services; Former Medical Director, Rhode Island State Department of Health, Baltimore, MD

Kavita Patel, MD, Nonresident Senior Fellow, Brookings Institution; Member, Physician-Focused Payment Model Technical Advisory Committee; Former Director of Policy, The White House; Former Senior Advisor, Senator Edward Kennedy, Washington, DC (Moderator)

Mini Summit III: Lessons Learned from the Oncology Care ModelKerin Bess Adelson, MD, Assistant Professor of Medicine (Medical Oncology), Yale Cancer Center; Chief Quality Officer and Deputy Chief Medical Officer, Smilow Cancer Hospital at Yale-New Haven, New Haven, CT

Blase N. Polite, MD, MPP (Invited), Associate Professor of Medicine, Chief Quality Office, Section of Hematology Oncology, School of Medicine, University of Chicago; Past Chair, ASCO Government Relations Committee, Chicago, IL

Gabrielle B. Rocque, MD, Assistant Professor, Hematology and Oncology, School of Medicine, University of Alabama at Birmingham; Medical Director, Cancer Community Network, UAB Health System, Birmingham, AL

Barbara L. McAneny, MD, Board-Certified Medical Oncologist/Hematologist; Co-Founder and Managing Partner, New Mexico Oncology Hematology Consultants Ltd.; President-Elect, American Medical Association, Albuquerque, NM (Moderator)

Mini Summit IV: No One Left Behind: Ensuring the Transition of Critical Access Hospitals to Value-Based CareTaylor Hittle, Health Policy Advisor, Congressman Markwayne Mullin; Former Senior Legislative Assistant, Congresswoman Mimi Walters; Former Legislative Assistant, Congressman John R. Carter; Former Staff Assistant, Congressman Michael Burgess, MD, Washington, DC

Brock Slabach, MPH, Senior Vice President, Member Services, National Rural Health Association; Former Administrator and Chief Executive Officer, Field Memorial Community Hospital, Washington, DC

Danielle Lloyd, MPH, Vice President of Policy and Advocacy, Premier Inc.; Former Senior Associate Director, American Hospital Association; Former Vice President, California Hospital Association, Washington, DC (Moderator)

3:00 pm Transition Break

MINI SUMMITS GROUP II 3:15 pm – 4:15 pm

Mini Summit V: Supporting Primary Care: Comprehensive Primary Care Plus (CPC+) and other Primary Care ModelsKaren Johnson, MHA, PhD, Vice President, Healthcare Insights and Partnerships, Blue Cross and Blue Shield of Kansas City, Kansas City, MO

R. Shawn Martin, Senior Vice President, Advocacy, Practice Advancement and Policy, American Academy of Family Physicians (AAFP), Washington, DC

Laura Sessums, MD, Director, Division of Advanced Primary Care, Center for Medicare and Medicaid Innovation; Former Chief, General Medicine Section, Walter Reed Army Medical Center, Baltimore, MD

Fahad Tahir, MBA (Invited), Chief Executive Officer, Saint Thomas Medical Partners; Former Vice President, Physician Enterprise, Providence Health System, Nashville, TN

Edith Coakley Stowe, MPA, Senior Manager, Manatt Health; Former Team Lead, Comprehensive Primary Care (CPC) Initiative, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Washington, DC (Moderator)

Mini Summit VI: Lessons Learned from the First Round of Alternative Payment Model (APM) Proposals Reviewed by the Physician-Focused Payment Model Technical Advisory Committee (PTAC)• Regarding Project SonarLawrence Kosinski, MD, MBA, AGAF, FACG, Managing Partner, Illinois Gastroenterology Group; President, SonarMD, LLC; Community Private Practice Councillor, AGA Governing Board, Elgin, IL • Regarding ACS-Brandeis Advanced APMChristopher P. Tompkins, PhD, Director, Institute on Healthcare Systems, Associate Professor, Heller School for Social Policy and Management, Brandeis University, Waltham, MA

Mini Summit VII: The Evolving Role of BPCI in MACRANick Bluhm, MA, JD, Director, Strategy and Government Policy, Remedy Partners; Litigation Attorney/Health Insurance Specialist, US Department of Health and Human Services, New York, NY

Danielle Lloyd, MPH, Vice President of Policy and Advocacy, Premier Inc.; Former Senior Associate Director, American Hospital Association; Former Vice President, California Hospital Association, Washington, DC

Erin Smith, JD, Director, Public Policy, Cardinal Health; Former Director, Division of Techni-cal Model Support and Lead Bundled Payments for Care Improvement (BPCI) Initiative, CMMI, Center for Medicare and Medicaid Services, Washington, DC

Grace Emerson Terrell, MD, MMM, FACP, FACPE, Chief Executive Officer, Envision Genomics; Former President and Chief Executive Officer, Cornerstone Health Care; Member, Physician-Focused Payment Model Technical Advisory Committee, Huntsville, AL

Valinda Rutledge, MBA, Vice President, Public Payor Health Strategy, Care Coordination Institute, Greenville Health System; Former Group Director of Patient Care Model Group and BPCI Lead, Centers for Medicare and Medicaid Services, Greenville, SC (Moderator)

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Mini Summit VIII: How Patient-Centered Care is the Key to MACRA SuccessRobert McCleave, JD, Law Office of Robert W. McCleave, LLC, Rock Hill, SC Kashyap Patel, MD, Managing Partner and Chief Executive Officer, Carolina Blood and Cancer Care; President, South Carolina Oncology Society, Charlotte, NCMichael S. Barr, MD, MBA, MACP, Executive Vice President, NCQA; Former Senior Vice President, Division of Medical Practice, American College of Physicians; Chief Medical Officer, Baltimore Medical System, Inc., Washington, DC (Moderator)

4:15 pm Transition Break

MINI SUMMITS GROUP III 4:30 pm – 5:30 pm

Mini Summit IX: MACRA and Medicare Advantage Alternative Payment ModelsLynn Dong, FSA, MAAA, Principal and Consulting Actuary, Milliman, Inc., Seattle, WAChristopher Kunkel, FSA, MAAA, PhD, Consulting Actuary, Milliman, Inc., Seattle, WAMolly T. Turco, MPH, Director of Policy and Research, Better Medicare Alliance, Washington, DCMara McDermott, JD, Vice President, Federal Affairs, CAPG, Washington, DC (Moderator)

Mini Summit X: APM Models Supporting Surgical CareWin Whitcomb, MD, MHM, Chief Medical Officer, Remedy Partners; Assistant Professor of Medicine, University of Massachusetts Medical School; Co-Founder and Past President, Society of Hospital Medicine, Darien, CTHarold D. Miller, President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, Physician-Focused Payment Model Technical Advisory Committee; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Moderator)

Mini Summit XI: What MACRA Means for Employers: Purchaser Priorities and Alignment with the Quality Payment ProgramStephanie Glier, MPH, Senior Manager, National Health Policy, Pacific Business Group on Health; Former Program Analyst, US Department of Health and Human Services; Former Associate Policy Officer, Commonwealth Fund, San Francisco, CA

Mini Summit XII: Developing Alternative Payment Models to Align Specialty Physicians and Payers in Value-Based Care DeliveryLance Luria, MD, FACP, Chief Medical Officer, Mercy Care Management, Mercy Health, Springfield, MO

Paul Marchetti, MBA, Chief Growth Officer, New Century Health; Vice President, National Care Management Team, Healthagen LLC; Former Head, National Care Management, Aetna Inc.; Former Senior Vice President, Network and Medical Cost Management, UnitedHealth Group, Wellesley, MA

5:30 pm NETWORKING RECEPTION

FRIDAY, OCTOBER 13, 20177:30 am Continental Breakfast in the Exhibit Hall

CLOSING PLENARY SESSION8:00 am Welcome and Introductions

8:15 am Why We Think We’re Getting Good Health Care — and Why We’re Usually Wrong

Robert Pearl, MD, Author, Mistreated: Why We Think We’re Getting Good Health Care — and Why We’re Usually Wrong; Former Chief Executive Officer, The Permanente Medical Group, Oakland, CA

8:45 am MACRA and Quality Kate Goodrich, MD, Chief Medical Officer and Director, Center for Clinical Standards and Quality, Centers for Medicare and Medicaid Services, Washington, DC

9:15 am Implementing Multiple Payment Models across Common Providers: Practical Approaches to Synchronizing the Payment Models

Allison Brennan, MPP, Vice President of Policy, National Association of ACOs; Former Senior Advocacy Advisor, MGMA; Former Director of Eastern US Initiatives, National Patient Advocate Foundation, Washington, DC

Thomas Kloos, MD, President, Atlantic Health System ACO, LLC; Executive Director, Atlantic Management Services Organization, Vice President, Atlantic Health System, Summit, NJ

Danielle Lloyd, MPH, Vice President of Policy and Advocacy, Premier Inc.; Former Senior Associate Director, American Hospital Association; Former Vice President, California Hospital Association, Washington, DC

Robert E. Mechanic, MBA, Senior Fellow, Heller School of Social Policy and Management, Brandeis University; Executive Director, Health Industry Forum, Waltham, MA

Deirdre Baggot, PhD, MBA, RN, Principal and Bundled Payments Practice Leader, ECG Management Consultants; Former Expert Reviewer, BPCI Program; Former Lead, ACE Program, Centers for Medicare and Medicaid Services, Washington, DC (Moderator)

10:15 am Break

10:30 am Hospital and Health System Strategies in Responding to MACRA

Akin Demehin, MPH, Director, Policy, American Hospital Association; Former Administrative Director, Performance Measures, National Quality Forum; Former Administrative Director, Center for Quality and Safety, Massachusetts General Hospital, Washington, DC

Trista Johnson, PhD, MPH, Vice President Ambulatory Quality and Clinical Services, Physician Services, Providence Health & Services; Former Director of Measurement and Analysis, Allina Hospitals & Clinics, Renton, WA

David B. Muhlestein, PhD, JD, Vice President, Research, Leavitt Partners, LLC, Salt Lake City, UT

Brock Slabach, MPH, Senior Vice President, Member Services, National Rural Health Association; Former Administrator and Chief Executive Officer, Field Memorial Community Hospital, Washington, DC

Jay Sultan, MA, Vice President, Product Management, TranZform at TriZetto Corporation, Watkinsville, GA (Moderator)

11:30 am The Politics of MACRA: Will There be Changes in the Future?

John S. O’Shea, MD, Senior Fellow, Center for Health Policy Studies, The Heritage Foundation; Former Senior Health Policy Advisor, Committee on Energy and Commerce, US House of Representatives, Washington, DC

Andrew M. “Andy” Slavitt, MBA, Senior Advisor, AVIA; Senior Advisor, Bipartisan Policy Center; Former Acting Administrator, Centers for Medicare and Medicaid Services; Former Chief Executive Officer, OptumInsight and Group Executive Vice President, Optum, Washington, DC

Susan Dentzer, President and Chief Executive Officer, NEHI (The Network for Excellence in Health Innovation); Analyst on Health Policy, The NewsHour; Former Editor, Health Affairs, Washington, DC (Moderator)

12:30 pm SUMMIT ADJOURNMENT

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THE FOLLOWING REGISTRATION TERMS AND CONDITIONS APPLY

SECOND NATIONAL MACRA SUMMIT CONTINUING EDUCATION CREDITSNASBA

Health Care Conference Administrators, LLC (dba GHC, LLC Healthcare) is regis-tered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit.

Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.learningmarket.org. A recom-mended maximum of 14.75 credits based on a 50-minute hour will be granted for the entire learning activity.

This program addresses topics that are of a current concern in the healthcare quality and patient safety environment. This is an update, group-live activity. For more information regarding administrative policies such as complaints or refunds, call 206-757-8053 or email [email protected].

AMA PRA CATEGORY 1 CREDITSTM

Accreditation Statement

This activity has been planned and implemented in accordance with the accredita-tion requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Amedco and the Health Care Conference Administrators (HCCA). Amedco is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation Statement

Amedco designates this live activity for a maximum of 14.75 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CERTIFICATE OF ATTENDANCE

Onsite attendees can also request a Certificate of Attendance which they can file with appropriate entities for credit, and webcast attendees can request a Webcast Certificate of Attendance on which they can certify the number of hours they watched and can file with appropriate entities for credit.

REGARDING WEBCAST REGISTRATIONS1. Individuals or groups may register for webcast access. Organizations may register for group access without presenting specific registrant names. In such instances the registering organization will be presented a series of user names and passwords to distribute to participants.2. Each registrant will receive a user name and password for access. Registrants will be able to change their user names and passwords and manage their accounts.3. Webcast registrants will enjoy six (6) months access from date of issuance of user name and password.4. Only one user (per user name and password) may view or access archived confer-ence. It is not permissible to share user name and password with third parties. Should Webcast registrants choose to access post conference content via Flash Drive, this individual use limitation applies. It is not permissible to share alternative media with third parties.5. User name and password use will be monitored to assure compliance.6. Each webcast registration is subject to a “bandwidth” or capacity use cap of 5 gb per user per month. When this capacity use cap is hit, the registration lapses. Said registra-tion will be again made available at the start of the next month so long as the registration period has not lapsed and is subject to the same capacity cap.7. For webcast registrants there will be no refunds for cancellations. Please call the Conference Office at 800-503-7452 or 206-452-2022 for further information.

REGARDING ONSITE REGISTRATION, CANCELLATIONS AND SUBSTITUTIONS1. For onsite group registrations, full registration and credit card information is required for each registrant. List all members of groups registering concurrently on fax or scanned cover sheet.2. For onsite registrants there will be no refunds for “no-shows” or for cancellations. You may send a substitute or switch to the online option. Please call the Conference Office at 800-503-7452 or 206-452-2022 for further information.

METHOD OF PAYMENT FOR TUITIONMake payment to Health Care Conference Administrators, LLC by check, MasterCard, Visa or American Express. Credit card charges will be listed on your statement as pay-ment to HealthCare (HC) Conf LLC. Checks or money orders should be made payable to Health Care Conference Administrators, LLC. A $30 fee will be charged on any returned checks.

REGISTRATION OPTIONSRegistration may be made online or via mail, fax or scan.You may register through either of the following: • Online at www.MACRASummit.com.• Fax/Mail/Email using this printed registration form. Mail the completed form with payment to the Conference Registrar at 12330 N.E. 8th Street, Suite 101, Bellevue, WA 98005-3187, or fax the completed form to 206-319-5303, or scan and email the completed form to [email protected]. Checks or money orders should be made payable to Health Care Conference Administrators, LLC.

The following credit cards are accepted: American Express, Visa or MasterCard. Credit card charges will be listed on your statement as payment to HealthCare (HC) Conf LLC.

For registrants awaiting company check or money order, a credit card number must be given to hold registration. If payment is not received by seven days prior to the Conference, credit card payment will be processed.

TAX DEDUCTIBILITYExpenses of training including tuition, travel, lodging and meals, incurred to maintain or improve skills in your profession may be tax deductible. Consult your tax advisor. Federal Tax ID: 91-1892021.

CANCELLATIONS/SUBSTITUTIONSNo refunds will be given for “no-shows” or for cancellations of either online or onsite registrations. You may send a substitute or transfer your onsite registration to an online registration. For more information, please call the Conference Office at 800-503-7452 or 206-452-2022.

INTELLECTUAL PROPERTY POLICYUnauthorized sharing of Conference content via Webcast access through the shar-ing of user names and passwords or via alternative media (Flash Drive) through the sharing of said media is restricted by law and may subject the copyright infringer to substantial civil damages. The Conference aggressively pursues copyright infringers. If a registrant needs the ability to share Conference content within his or her organiza-tion, multiple Conference registrations are available at discounted rates.

The Conference will pay a reward for information regarding unauthorized sharing of Conference content. The reward will be one quarter (25%) of any recovery resulting from a copyright infringement (less legal fees and other expenses related to the recovery) up to a maximum reward payment of $25,000. The payment will be made to the individual or individuals who in the opinion of our legal counsel first provided the factual information, which was necessary for the recovery. If you have knowledge regarding the unauthorized Conference content sharing, contact the Conference registration office.

HOW TO REGISTER: Fully complete the form on page 7 (one form per registrant, photocopies acceptable). Payment must accompany each registra-tion (U.S. funds, payable to Health Care Conference Administrators, LLC).

ONLINE: Secure online registration at www.MACRASummit.com.

FAX: 206-319-5303 (include credit card information with registration)

MAIL: Conference Office, 12330 N.E. 8th Street, Suite 101, Bellevue, WA 98005-3187

FOR REGISTRATION QUESTIONS:

PHONE: 800-503-7452 (Continental US, Alaska and Hawaii only) or 206-452-2022, Monday-Friday, 7 AM - 5 PM PST

E-MAIL: [email protected]

REGISTRATION BINDING AGREEMENTRegistration (whether online or by this form) constitutes a contract and all of these terms and conditions are binding on the parties. In particular, these terms and condi-tions shall apply in the case of any credit/debit card dispute.

GENERAL TERMS AND CONDITIONSProgram subject to cancellation or change. If the program is cancelled the only liability of the Conference will be to refund the registration fee paid. The Conference shall have no liability regarding travel or other costs. Registration form submitted via fax, mail, email or online constitutes binding agreement between the parties.

FOR FURTHER INFORMATIONCall 800-503-7452 (Continental US, Alaska and Hawaii only) or 206-452-2022, send e-mail to [email protected], or visit our website at www.MACRASummit.com.

6

TUITION SCHOLARSHIPSThe MACRA MIPS/APM Summit is now offering partial and full Tuition Scholarships to qualifying representatives of local, state and federal government, consumer advocate organizations, safety net providers, academics, students and health services research organizations.

Supported by

EXHIBIT AND SPONSORSHIP OPPORTUNITIES: Take advantage of this unique opportunity to expand your reach! The Summit is attended by highly influential and experienced professionals. Sponsorship offers you strategic positioning as an industry leader. For more information call 206-673-4815 or email [email protected].

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7

NATIONAL MACRA MIPS/APM SUMMITCOMPLETE THE FOLLOWING. PLEASE PRINT CLEARLY:

NAME

SIGNATURE OF REGISTRANT - REQUIRED

JOB TITLE

ORGANIZATION

PRECONFERENCES (Optional, choose one):

❏ I: How to Succeed Under MIPS $ 495❏ II: Advanced Issues and Approaches . . . $ 495

CONFERENCE (Does not include Preconference):

Standard Rate: ❏ Through Friday, September 1, 2017* $1,195 ❏ Through Friday, September 22, 2017** $1,595 ❏ After Friday, September 22, 2017 $1,995

Special Provider Rate***: ❏ Through Friday, September 1, 2017* $ 995 ❏ Through Friday, September 22, 2017** $1,295 ❏ After Friday, September 22, 2017 $1,595

Special Academic/Government/ Clinic Rate****: ❏ Through Friday, September 1, 2017* $ 595 ❏ Through Friday, September 22, 2017** $ 795 ❏ After Friday, September 22, 2017 $ 995

WEBCAST CONFERENCE ATTENDANCEAll webcast registrants are automatically registered for the preconference and the conference.

Webcast conference registration includes the live Internet feed from the Summit, plus six months of continued archived Internet access, available 24/7.

CONFERENCE (Includes Preconference and Summit):

Standard Rate: ❏ Through Friday, September 1, 2017* $ 795 ❏ Through Friday, September 22, 2017** $1,095 ❏ After Friday, September 22, 2017 $1,395

Special Provider Rate***: ❏ Through Friday, September 1, 2017* $ 695 ❏ Through Friday, September 22, 2017** $ 895 ❏ After Friday, September 22, 2017 $1,095

Special Academic/Government/Clinic Rate****: ❏ Through Friday, September 1, 2017* $ 495 ❏ Through Friday, September 22, 2017** $ 595 ❏ After Friday, September 22, 2017 $ 695

GROUP REGISTRATION:Group registration offers the substantial volume discounts set forth below.

All group registrants are enrolled in the Preconference and Summit.

Group registration offers the possibility of implementing an online training program. Group registration permits the organizational knowledge coordinator either to share conference access with colleagues or to assign and track employee conference participation. Certificate of successful completion of online post conference examination evidences mastery of conference body of knowledge. Rates are per person.

Conference Access: ❏ 5 or more $595 each ❏ 20 or more $395 each ❏ 10 or more $495 each ❏ 40 or more $295 each See INTELLECTUAL PROPERTY POLICY, page 6.

CONFERENCE ELECTRONIC MEDIA:Webcast attendees — Following the Summit, the video and presentations are made available on a flash drive. To take advantage of the discounted price below, you must reserve media WITH your Summit registration: ❏ Flash Drive ($129 + $15 shipping) $ 144

(All webcast attendees automatically receive 6 months access on web.)

REGISTRATION BINDING AGREEMENTRegistration (whether online or by this form) constitutes a contract and all of these terms and conditions are binding on the parties. In particular, these terms and conditions shall apply in the case of any credit/debit card dispute. For online and onsite registrants there will be no refunds for “no-shows” or cancellations.

ACCOUNT #

EXPIRATION DATE SECURITY CODE

NAME OF CARDHOLDER

SIGNATURE OF CARDHOLDER

PAYMENT Discount Code:

TOTAL FOR ALL OPTIONS, ONSITE OR WEBCAST:Please enclose payment with your registration and return it to the Registrar at MACRA MIPS/APM Summit, 12330 N.E. 8th Street, Suite 101, Bellevue, WA 98005-3187, or fax your credit card payment to 206-319-5303.

You may also register online at www.MACRASummit.com.

❏ Check/money order enclosed (payable to Health Care Conference Administrators, LLC)

❏ Payment by credit card: ❏ American Express ❏ Visa ❏ MastercardIf a credit card number is being given to hold registration only until such time as a check is received it must be so noted. If payment is not received by seven days prior to the Summit, the credit card payment will be processed. Credit card charges will be listed on your statement as payment to HealthCare (HC) Conf LLC.

* This price reflects a discount for registration and payment received through Friday, September 1, 2017.** This price reflects a discount for registration and payment received through Friday, September 22, 2017.*** Provider is a hospital, Long Term Care, home health, physician, or hospice organization or its association.**** For the purpose of qualifying for a discounted rate: (1) “academic” shall apply to individuals who are full time teaching staff or full time students at an academic institution (i.e., a faculty member at a medical school or hospital residency program who also sees patients is a provider, not an academic; (2) “government” shall apply to individuals who are full time employees of federal, state or local regulatory agencies (i.e., a State university health system or local public hospital is a provider, not government); and (3) “clinic” shall apply to individu-als who are full time employees of a Federally Qualified Health Center or safety net clinic. This rate does not include the Preconference for onsite attendees.

SPECIAL SUBSCRIPTION OFFER FOR BOTH ONSITE AND WEBCAST ATTENDEES:You can purchase an annual subscription to Accountable Care News, Medical Home News, Population Health News, Predictive Modeling News or Readmissions News for only $295 (regular rate $468) and an annual subscription to Value Based Payment News or Healthcare Innovation News for only $195 (regular rate $295) when ordered with your conference registration. ❏ Accountable Care News $ 295 ❏ Predictive Modeling News $ 295❏ Medical Home News $ 295 ❏ Readmissions News $ 295❏ Population Health News $ 295

❏ Healthcare Innovation News $ 195 ❏ Value Based Payment News $ 195

ADDRESS

CITY/STATE/ZIP

TELEPHONE

E-MAIL

❏ Special Needs (Dietary or Physical)

ONSITE CONFERENCE ATTENDANCEOnsite conference registration includes onsite attendance, professional networking, and live interaction with the faculty.

CONFERENCE ELECTRONIC MEDIA:Onsite Attendees — Following the Summit, the video and presentations are made available in the following formats. To take advantage of the discounted prices below, you must reserve media WITH your Summit registration:

❏ Flash Drive ($129 + $15 shipping) $ 144 ❏ 6 months’ access on Web $ 129Note that conference electronic media may be used by the individual purchaser only. Terms and Conditions apply (see page 6).

GROUP REGISTRATION DISCOUNT (Does not include Preconference. Rates per person.):Three or more registrations submitted from the same organization at the same time receive the following discounted rates for conference registration only. To qualify, all registrations must be submitted simultaneously:

Standard Group Rate (For each registrant):❏ Through Friday, September 1, 2017* $ 895 ❏ Through Friday, September 22, 2017** $1,195 ❏ After Friday, September 22, 2017 $1,495

SELECT YOUR MINI SUMMITS – Thursday, October 12 (One from each group):

GROUP I, 2:00 pm❏ MS I: APM Models Supporting Specialty Med Homes . . .❏ MS II: Episode-Based Cost . . .

❏ MS III: Lessons Learned: Oncology Care Model

❏ MS IV: No One Left Behind . . .

GROUP III, 4:30 pm❏ MS IX: MACRA and Medicare Advantage . . .

❏ MS X: APM Models Supporting Surgical Care

❏ MS XI: What MACRA Means for Employers . . .

❏ MS XII: Developing Alternative Payment Models . . .

GROUP II, 3:15 pm❏ MS V: Supporting Primary Care . . .

❏ MS VI: Lessons Learned from the First Round . . .

❏ MS VII: The Evolving Role of BPCI . . .

❏ MS VIII: How Patient-Centered Care is the Key. . .

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PRESORTEDFIRST CLASS

U.S. POSTAGEPAID

PERMIT # 1PALM DESERT, CA

National MACRA MIPS/APM SummitPublications Printing Dept. 41651 Corporate Way Palm Desert, CA 92260 USA

(Address for Return Mail Only)

www.MACRASummit.com

MEDIA PARTNERS:

A HYBRID CONFERENCE AND INTERNET EVENT

Second National MACRA MIPS/APM

SummitGRAND HYATT WASHINGTON, DC

OCTOBER 11 – 13, 2017

The Leading Forum on MACRA, MIPS, APMs and Other Emerging

Value-Based Payment Arrangements www.MACRASummit.com

REGISTER BY SEPTEMBER 1 FOR EARLY BIRD RATE