CCOs & BEYOND:
Health Care Payment Innovation
7:30
REGISTRATION/CONTINENTAL BREAKFAST Governor Ballroom, Fourth Floor
8:00
WELCOME
John McConnell, PhD
Director, Center for Health Systems Effectiveness and Associate Professor, OHSU
8:15
INTRODUCTION
“The Promise of New Payment Models”
Michael Chernew, PhD
Leonard D. Schaeffer Professor of Health Care Policy, Harvard Medical School
It’s not often you see “funny” and “health economist” in the same sentence. Mike Chernew,
however, is the exception. Dr. Chernew is not only at the forefront of research into payment
reform initiatives, including Massachusetts’ Alternative Contract for Quality global-payment model and
value-based insurance design; he’s also really entertaining.
Dr. Chernew will explain why payment reform matters and review the evidence on promising new models and their implications for Oregon’s public and private purchasers.
9:00
Break
9:15
SESSION 1: DIRECTIONS FOR INNOVATION IN COMMERCIAL PURCHASING
1. Intel’s New Purchasing Model
Brian DeVore
Director of Healthcare Ecosystem & Strategy, Intel
Intel is a large employer using its clout to forge innovative purchasing models across several states, including models that bypass traditional health plans to contract directly with
providers. Brian DeVore will describe Intel’s approach and its experiences to date.
2. The New PEBB Contracts: Coordinated Care for the Masses?
Jeanene Smith, MD, MPH
Administrator, Oregon Office of Health Policy Research
Chief Medical Officer, Oregon Health Authority
The 2015 Public Employees Benefit Board contracts aim to spread the coordinated care model
from Medicaid clients to the state’s approximately 131,000 commercially ensured employees and
dependents. Jeanene Smith will describe the new PEBB contracts and what they portend for care
delivery in Oregon.
AUDIENCE Q & A
TUESDAY
SEPTEMBER 23, 2014
P O R T L A N D, O R E G O N
OUR THANKS TO THE SILVER FAMILY FOUNDATION FOR PROVIDING SPONSORSHIP FOR THIS EVENT
10:30
Break
10:45
SESSION 2
Taking the Reins: Provider-Led Payment Innovation in Oregon
Craig Hostetler, MHA
Executive Director, Oregon Primary Care Association
Karen Shepard, MBA, CPA
Chief Financial Officer, St. Charles Health System
Douglas Walta, MD
Chief Executive, Clinical Programs, Outreach & Strategy
Providence Health & Services
Rather than wait for external mandates, some Oregon providers are pioneering their own payment reforms. These arrangements realign incentives and expand providers’ freedom to reorganize care delivery.
We’ll hear about a primary care pilot that completely eliminates fee-for-service billing, a capitated payment arrangement for hospital care, and clinician-designed specialty bundles – and how these models are
restructuring care.
AUDIENCE Q & A
Noon
LUNCH
“State Innovations: A View from Washington (DC)”
Sarah Kliff
Senior Editor, Vox.com
Journalist Sarah Kliff reports on how she’s seen other states grappling with health care
reform while traveling the nation for Vox.com and (formerly) The Washington Post’s Wonkblog team.
1:30
SESSION 3
Oregon’s Coordinated Care Organization Model
1. Views from the Field: Reports from the Qualitative CCO Research Teams
Deborah Cohen, PhD
Associate Professor, Department of Family Medicine, OHSU
2. Early Data on Cost, Utilization, and Quality Pre- and Post-Transformation
John McConnell, PhD
Director, Center for Health Systems Effectiveness and Associate Professor, OHSU
Two teams of OHSU researchers have closely followed the implementation of Oregon’s new Medicaid
delivery model. Our qualitative team, led by Debbie Cohen, used site visits in combination with qualitative
interviews to assess factors that promoted and hindered delivery transformation. The quantative team, led
by health economist John McConnell, analyzed cost and utilization data from the Oregon Medicaid and All
Payer All Claims databases.
AUDIENCE Q & A
2:30
Break
2:45
SESSION 4: LOOKING FORWARD
Payment Reform and Research in the Next Five Years
What kinds of payment questions are coming down the ‘pike in the balance of the decade?
This august panel will assess developments both in Oregon and on the national scene.
Michael Chernew, PhD
Leonard D. Schaeffer Professor of Health Care Policy, Harvard Medical School
Pam Curtis, MS
Director, OHSU Center for Evidence-Based Policy
Richard Lindrooth, PhD
Associate Professor, Colorado School of Public Health, University of Colorado Denver
Mitch Greenlick, PhD
Representative, Oregon House District 33
Professor Emeritus and past Chair, Department of Public Health & Preventive Medicine,
OHSU
AUDIENCE Q & A
3:45
POSTER SESSION AND RECEPTION
In Billard Room on second floor
EVENT INFORMATION
Location
Sentinel Hotel
614 SW 11th Avenue (between Alder & Morrison)
Portland, OR 97205
www.sentinelhotel.com
Cost
$65 General ($75 after 9/15)
$40 OHSU faculty/student/staff ($50 after 9/15)
Registration & information
www.ohsu.edu/chse/conference