$1,785 – $5,375

Payer Partnership Forum (EXL)

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Location

The Westin Boston Waterfront

425 Summer Street

Boston, MA 02210

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Description

With the onset of payment reforms, drug pricing and a new presidential administration, there is an increasing need for better alignment between hospitals, payers and life science organizations to facilitate better care, improve health outcomes and lower costs for patients. While many industry professionals can agree that these partnerships are mutually beneficial, the structure and creation of one is foreign, difficult and may seem precarious to many. Establishing trust, organizational discipline, and shared metrics of successes and failures is difficult to accomplish in payer partnerships.

At the Payer Partnership Forum, key industry leaders from payers, providers and other life science organizations convene to discuss the creation and execution of successful and worthwhile partnerships. This event will help professionals eager to engage in payer partnerships build trust and goals in pharma-payer partnerships and provider-payer partnerships alike. Attendees will walk away from the Payer Partnership Forum armed with the knowledge and skills needed to navigate emerging health system affordability challenges; balance value, access and affordability; and encourage medical innovation while still achieving greater cost-efficiency through payer partnerships.



Chair
Gina Guinasso, J.D.
Senior Director of Policy and Government Accounts
TAKEDA ONCOLOGY

Chair
Pritpal Virdee
Regional Vice President
ANTHEM

Chair
Denise Murray-Leitz
Chief Operating Officer and Executive Vice President
BAYLESS HEALTHCARE GROUP

Top Five Reasons to Attend

  1. Uncover best practices to align hospitals and payers to facilitate better care, improve health outcomes and lower costs
  2. Define strategies and resources to share data information from which partnerships create meaningful patient profiles
  3. Address the obstacles and risks of entering into partnerships to initiate safe, successful and mutually beneficial agreements
  4. Compare and contrast the different values that concern payers depending on the type of partnership while defining the metrics used to measure the success of the partnership
  5. Understand the incentives, benefits and goals of entering into payer partnerships

Who Should Attend

This conference is designed for representatives from life science organizations, health systems and payers with responsibilities in the following areas:

  • Payer Strategy and Contracting
  • Value-Based Reimbursement Strategies
  • Payer and Channel Access
  • Patient Services and Pricing
  • Value-Based Payment Initiatives
  • Payer Engagement and Collaboration
  • Physician Alignment and Recruitment
  • Managed Care
  • Patient Access
  • Utilization Management
  • Account Management
  • Patient Support and Assistance
  • HEOR

This conference is also of interest to:

  • Data Management Solution Providers
  • Population Health Management Organizations
  • Rebate and Claims Processing Vendors
  • Product Reimbursement/Market Access Solution Providers

Agenda

Conference Day One

Monday, June 12, 2017

8:00AM – 8:45AM

Continental Breakfast

8:45AM – 9:00AM

Chairperson’s Opening Remarks
Pritpal Virdee, Regional Vice President, ANTHEM

BUILDING PAYER PARTNERSHIPS

9:00AM – 9:45AM

Enable and Incentivize Multi-Sector Collaboration to Drive Value-Focused Health System Transformation
Mary Grealy, President, HEALTHCARE LEADERSHIP COUNCIL

9:45AM – 10:30AM

Examine Why Payers and Providers Aren’t Further Along on the Path to Real Partnership and Collaboration
Jeffrey Gold, Senior Vice President and Special Counsel, HEALTH ASSOCIATION OF NEW YORK STATE

10:30AM – 11:00AM

Networking Break

11:00AM – 11:45AM

Improve Healthcare Through Payer and Community Partnerships
Denise Murray-Leitz, Chief Operating Officer and Executive Vice President, BAYLESS HEALTHCARE GROUP

11:45AM – 12:30PM

Managing Growth in Medicaid Pharmaceutical Spending
Rep. Jim Dunnigan (R), District 39, Health Reform Task Force, UTAH HOUSE OF REPRESENTATIVES

12:30PM – 1:30PM

Lunch

1:30PM – 2:15PM

The Myths and Realities of Provider Collaboration
Pritpal Virdee, Regional Vice President, ANTHEM

2:15PM – 3:00PM

Consider if Pharma-Payer and Pharma-Provider Network Partnerships Are a Bridge Too Far
Martin Vandenherik, Associate Director, Market Access T&D, FERRING PHARMACEUTICALS

3:00PM – 3:45PM

Case Studies of Collaboration in an Integrated Health System
Michelle Beozzo Anderson, Pharm.D., Director of Pharmacy Services, DENVER HEALTH MEDICAL PLAN, INC.

3:45PM – 4:15PM

Networking Break

4:15PM – 5:00PM

Examine Value, Access and Affordability to Determine if We Can Really Have It All
Melinda Hanisch, Director, Research Dissemination, Center for Observational and Real World Evidence, MERCK & CO., INC.

5:00PM – 5:45PM

Create Successful Partnerships Through Collaborative Contracting
Mary Stevens, Director, Network Contracts, Compliance, Audit, Provider Relations, BCBS OF MINNESOTA

5:45PM – 6:15PM

Innovations and Disruptions in Behavioral Health
Jonathan Stout, Vice President, Strategy and Business Development, ABLETO

6:15PM – 6:15PM

Day One Concludes



Conference Day Two

Tuesday, June 13, 2017

8:00AM – 9:00AM

Continental Breakfast

LIFE SCIENCE-PAYER

9:00AM – 9:15AM

Chairperson’s Recap of Day One

Gina Guinasso, J.D., Senior Director of Policy and Government Accounts, TAKEDA ONCOLOGY

9:15AM – 10:00AM

Assess How to Develop Collaborative Services as a Specialty Pharmacy to Create a Value Proposition for Payers and Manufacturers

Michael Baldzicki, National Account Executive, BAYER HEALTHCARE

10:00AM – 10:45AM

PANEL: The Future of Biopharmaceutical Financing in the U.S.

Robert Popovian, Pharm.D., M.S., Vice President, US Government Relations, PFIZER
Gina Guinasso, J.D., Senior Director of Policy and Government Accounts, TAKEDA ONCOLOGY
Aria Cohen, Executive Director of Payer Strategy, INTARCIA THERAPEUTICS

10:45AM – 11:15AM

Networking Break

11:15AM – 12:00PM

CASE STUDY: Developing Evidence for Pharma-Payer Partnerships

Jesse Fishman, Scientific and Real World Data Alliances Lead Neurology Patient Value Unit, U.S. Medical Affairs, UCB

12:00PM – 12:45PM

PANEL: Define the Benefits of Limited Network Distribution for Manufacturers and the Requirements to Penetrate the Network as a Specialty Pharmacy

Andrew Capps, MBA, Director, Managed Care, AMBER PHARMACY
Michael Baldzicki, National Account Executive, BAYER HEALTHCARE
Rebecca Shanahan, J.D., Chief Executive Officer, AVELLA SPECIALTY PHARMACY; President, NATIONAL ASSOCIATION OF SPECIALTY PHARMACY
Anindita Sinha, Director of Business Insights and U.S. Managed Markets, BAYER HEALTHCARE

12:45PM – 1:45PM

Lunch

1:45PM – 2:30PM

Achieve Cost Management Through Care Management by Adopting Specialty Pharmacies as a Strategic Partner

Andrew Capps, MBA, Director, Managed Care, AMBER PHARMACY

2:30PM – 3:15PM

CASE STUDY: Examine Manufacturer Partnerships to Determine What Works and What Works Well

Anindita Sinha, Director of Business Insights and U.S. Managed Markets, BAYER HEALTHCARE

PAYER-PROVIDER

9:00AM – 9:15AM

Chairperson’s Recap of Day One

Denise Murray-Leitz, Chief Operating Officer and Executive Vice President, BAYLESS HEALTHCARE GROUP

9:15AM – 10:00AM

Post-Acute Value Baselining, Benchmarking, Transitioning and Collaborating

Curtis Stubblefield, Director of Value Based Care, NATIONAL HEALTHCARE CORPORATION

10:00AM – 10:45AM

Providers and Payers Working in the Reality of Risk Adjustment

Theresa A. Bissonnette, MBA/HCM, CPHQ, Director of Risk Adjustment and Quality, NORTH TEXAS SPECIALTY PHYSICIANS

10:45AM – 11:15AM

Networking Break

11:15AM – 12:00PM

Review Best Practices for Initiating Partnerships

Matt Staheli, Director of Value-Based Care and Contracting, HCA PHYSICIAN SERVICES GROUP

12:00PM – 12:45PM

Increasing Opportunity for Data Sharing, Transparency and Building Long-term Trust with Providers

Michael Ruiz, Vice President, Provider Relations, UCARE

12:45PM – 1:45PM

Lunch

1:45PM – 2:30PM

Analyze the Skilled Nursing Facility's Perspective in Managed and Accountable Care

George G. Sauers, Vice President of Managed Care, SAVASENIORCARE

2:30PM – 3:15PM

CASE STUDY: Overcome Past Obstacles to Work Together as Payers and Providers

Michael Kaminsky, Manager, Joint Venture Business Development, AETNA



Faculty


Michael Baldzicki
National Account Executive, BAYER HEALTHCARE PHARMACEUTICALS



Michelle Beozzo Anderson, Pharm.D.
Director of Pharmacy Services, DENVER HEALTH MEDICAL PLAN INC.



Theresa A. Bissonnette, MBA/HCM, CPHQ
Director of Risk Adjustment and Quality, NORTH TEXAS SPECIALTY PHYSICIANS



Andrew Capps, MBA
Director of Managed Care, AMBER PHARMACY



Aria Cohen
Executive Director of Payer Strategy, INTARCIA THERAPEUTICS



Representative James Dunnigan (R)
District 39, Health Reform Task Force, UTAH HOUSE OF REPRESENTATIVES



Jesse Fishman
Scientific and Real World Data Alliances Lead, UCB



Lori H. Fox, BSN, MBA, CCM
Director of Ambulatory Care Coordination, GREENVILLE HEALTH SYSTEM


Jeffrey Gold
Senior Vice President and Special Counsel, HEALTH ASSOCIATION OF NEW YORK STATE


Mary Grealy
President, HEALTHCARE LEADERSHIP COUNCIL



Gina Guinasso, J.D.
Senior Director of Policy and Government Accounts, TAKEDA ONCOLOGY



Melinda Hanisch
Director, Research Dissemination, Center for Observational and Real World Evidence, MERCK & CO., INC.


Stephen Hull
Principal and Founder, HULL ASSOCIATES LLC



Michael Kaminsky
Manager of Joint Venture Business Development, AETNA



Molly MacHarris, Program Lead, Merit-Based Incentive Payment System (MIPS), Centers for Medicare and Medicaid

Molly MacHarris
Program Lead, Merit-Based Incentive Payment System (MIPS), CENTERS FOR MEDICARE AND MEDICAID


Denise Murray-Leitz
Chief Operating Officer and Executive Vice President, BAYLESS HEALTHCARE GROUP


Robert Popovian, Pharm.D., M.S.
Vice President, US Government Relations, PFIZER



Michael Ruiz
Vice President, Provider Relations, UCARE


George G. Sauers
Vice President of Managed Care, SAVASENIORCARE



Rebecca Shanahan, J.D.
Chief Executive Officer, AVELLA SPECIALTY PHARMACY

President, NATIONAL ASSOCIATION OF SPECIALTY PHARMACY



Anindita Sinha
Director, Market Intelligence, Business Insights, Corporate and Government Customers, BAYER HEALTHCARE



Mary Stevens
Director, Network Contracts, Compliance, Audit, Provider Relations, BCBS OF MINNESOTA



Jonathan Stout
Vice President, Strategy and Business Development, ABLETO


Curtis Stubblefield
Director of Value-Based Care, NATIONAL HEALTHCARE CORPORATION



Martin VandenHerik
Associate Director of Market Access T&D, FERRING PHARMACEUTICALS


Pritpal Virdee
Regional Vice President, ANTHEM/ WELL POINT



Please contact the event manager Marilyn below for the following:
- Discounts for registering 5 or more participants.
- If you company requires a price quotation.
Event Manager Contact: marilyn.b.turner(at)nyeventslist.com
You can also contact us if you require a visa invitation letter, after ticket purchase.
We can also provide a certificate of completion for this event if required.

NO REFUNDS OR TRANSFER ALLOWED ON REGISTRATIONS
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425 Summer Street

Boston, MA 02210

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