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Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25071.
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Appendix B

Workshop Agenda

Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: A Workshop

Keck Center of the National Academies
500 Fifth Street, NW, Room 100
Washington, DC 20001

November 29, 2017

Workshop Objectives

  • Explore innovative financing and payment strategies across a range of settings for people of all ages facing serious illness.
  • Identify existing barriers to scale and spread of financing and payment innovations.
  • Examine potential policy actions to address barriers to innovation.

Wednesday, November 29, 2017

8:00 am Registration and Breakfast
8:30 am Welcome from the Roundtable on Quality Care for People with Serious Illness
Leonard D. Schaeffer (Chair) and James A. Tulsky (Vice Chair)
Overview of the Workshop
Mark Ganz and Haiden Huskamp, Planning Committee Co-Chairs
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25071.
×
8:40 am Session 1: Financing High-Quality Care for People with Serious Illness
Moderator: Haiden Huskamp, Ph.D., 30th Anniversary Professor of Health Care Policy, Harvard Medical School
Session 1A: Patient–Caregiver–Clinician Perspective
Interview with a patient/family caregiver and his clinician.
Interviewer: Patricia Bomba, M.D., Vice President and Medical Director, Geriatrics, Excellus BlueCross BlueShield
Speakers:
  • Ralph Bencivenga, Patient/Family Caregiver Perspective
  • Bethann Scarborough, M.D., Associate Director of Ambulatory Services and Assistant Professor of Palliative Medicine, Icahn School of Medicine at Mount Sinai, Clinician Perspective
9:20 am Session 1B: Framing the Challenges and Opportunities for Financing and Payment Innovation
Overview of the current financing landscape for care for people with serious illness, including the gaps, challenges, and opportunities; overarching framework of different payment models for people of all ages, all stages of serious illness.
Moderator: Haiden Huskamp
Speakers:
  • David Stevenson, Ph.D., Associate Professor of Health Policy, Vanderbilt University School of Medicine
  • Diane Meier, M.D., Director, Center to Advance Palliative Care
Audience Q & A
10:15 am Break
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25071.
×
10:30 am Session 2: Financing and Payment Innovations: Challenges, Impact, and Lessons Learned from Fee-for-Service and Value-Based Payment Arrangements
This session will explore examples of challenges and opportunities for innovation in fee-for-service and value-based payment systems across a range of settings and patient populations. Speakers will discuss lessons learned from their efforts to implement innovative financing and payment arrangements and identify the key barriers to such innovation.
Moderator: Harold L. Paz, M.D., Executive Vice President and Chief Medical Officer, Aetna
Speakers:
  • Richard Popiel, M.D., Executive Vice President and Chief Medical Officer, Cambia Health Solutions
  • Jeanne Chirico, M.P.A., Vice President of Community Services for Lifetime Care and Director, Excellus BlueCross BlueShield CompassionNet Program
  • David Debono, M.D., Medical Director, Oncology, Anthem, Inc.
  • Shari Ling, M.D., Deputy Chief Medical Officer, Center for Clinical Standards and Quality, Centers for Medicare & Medicaid Services
  • Robert L. Fine, M.D., Clinical Director, Office of Clinical Ethics and Palliative Care, Baylor Scott & White Health
Panel Discussion/Audience Q & A
12:00 pm Luncheon Keynote Speakers
12:00–12:45 pm
Members of Congress have been invited to discuss the legislative and policy environment related to care for people with serious illness.
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25071.
×
U.S. Senator Ron Wyden (D-OR), Ranking Member, Senate Committee on Finance
U.S. Representative Phil Roe (R-TN), Chair, House Committee on Veterans’ Affairs
Buffet Lunch
12:45–1:40 pm
1:45 pm Session 3: Financing and Payment Innovations: Challenges, Impact, and Lessons Learned in Global Budgeting Arrangements
This session will explore examples of challenges and opportunities for innovation in global budgeting arrangements across a range of settings and patient populations. Speakers will discuss lessons learned from their efforts to implement innovative financing and payment arrangements and identify the key barriers to such innovation.
Moderator: Cheryl Phillips, M.D., President and CEO, SNP Alliance
Speakers:
  • Susan E. Wang, M.D., Regional Lead, Shared Decision-Making, Southern California Permanente Medical Group, Kaiser Permanente, and Annet Arakelian, Pharm.D., FCSHP, CPHQ, Executive Director, Medicare Strategy and Care Delivery, Kaiser Permanente
  • Anna Gosline, M.P.H., Senior Director of Health Policy and Strategic Initiatives, Blue Cross Blue Shield of Massachusetts
  • Vicki Jackson, M.D., Chief, Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital
  • Gregory James, D.O., Senior Medical Director, OptumCare
Panel Discussion/Audience Q & A
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25071.
×
3:15 pm Break
3:30 pm Session 4A: Regulatory and Policy Changes to Ensure High-Quality Care for People of All Ages with Serious Illness
Dr. Conway will share his insights and perspectives on policy and regulatory changes to ensure high-quality care for people with serious illness.
Moderator: Mark Ganz, President and CEO, Cambia Health Solutions
Keynote Presentation:
  • Patrick Conway, M.D., President and CEO-Elect, Blue Cross Blue Shield of North Carolina
3:50 pm Session 4B: Next Steps
This session will focus on policy changes necessary at the federal and state levels to address barriers to financing and payment innovation to support high-quality care for people with serious illness.
Moderator and Discussant: Patrick Conway
Speakers:
  • Edo Banach, J.D., President and CEO, National Hospice and Palliative Care Organization
  • Julian Harris, M.D., M.B.A., President, CareAllies
  • Rodney L. Whitlock, Ph.D., Vice President, Health Policy, ML Strategies
Panel Discussion/Audience Q & A
5:15 pm Wrap-Up and Adjourn
Mark Ganz and Haiden Huskamp
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25071.
×

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Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25071.
×
Page 69
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25071.
×
Page 70
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25071.
×
Page 71
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25071.
×
Page 72
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25071.
×
Page 73
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25071.
×
Page 74
Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop Get This Book
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 Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop
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Millions of people in the United States live with serious illnesses such as cancer, heart disease, chronic obstructive pulmonary disorder (COPD), amyotrophic lateral sclerosis, Parkinson's disease, and dementia—often for many years. Those facing serious illness have a range of interconnected medical and non-medical needs, and the way their care is financed has a large impact on the care they receive. Medicare is the predominant payer, but both Medicaid and private payers also play significant roles in financing care for serious illness. In an effort to address the complex needs of people with serious illness, public and private health care payers are testing innovative financing strategies and alternative payment models. These innovative approaches signal a gradual transition from the traditional-fee-for-service system that pays providers based on the quantity of services to a system based on the value of care provided and a heightened focus on improved quality of care at lower cost.

To explore this evolving financing and payment landscape for serious illness care within public- and private-sector programs, the Roundtable on Quality Care for People with Serious Illness developed a workshop, Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness. The workshop convened clinicians, researchers, policy analysts, and patient advocates, as well as representatives from academia, government and private health care plans, and insurers to discuss challenges and opportunities in financing high-quality care for people with serious illness. This publication summarizes the presentations and discussions from the workshop.

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