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National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Sciences Policy; Board on Health Care Services; Roundtable on Quality Care for People with Serious Illness. Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop. Washington (DC): National Academies Press (US); 2018 May 16.

Cover of Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness

Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: Proceedings of a Workshop.

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Appendix BWorkshop 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 amRegistration and Breakfast
8:30 amWelcome 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
8:40 amSession 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 amSession 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 amBreak
10:30 amSession 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 pmLuncheon 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.
  • 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 pmSession 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
3:15 pmBreak
3:30 pmSession 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 pmSession 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 pmWrap-Up and Adjourn
  • Mark Ganz and Haiden Huskamp
Copyright 2018 by the National Academy of Sciences. All rights reserved.
Bookshelf ID: NBK513701
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