The HMA Spring Workshop: Getting Real About Transforming Healthcare Quality and Value

International Ballroom

Dr. Kaney will discuss her work developing the “Whole Person Index” and her experience integrating population health into hospital systems. This engaging discussion will shed light on the levels of change needed to progressively advance value-based care, the key drivers for achieving change, and the decision-makers who need to be on board. 

Guest Speaker:
Katie Kaney, DrPH, MBA, FACHE, CEO, LovEvolve

Chuck Milligan, COO, Health Management Associates (HMA), will introduce Dr. Kaney

International Ballroom

The 40 Year Value Journey

Utah Gov. Mike Leavitt will reflect on the progress that has been in the nation’s 40-year journey to achieve value-based care and the road ahead as the need to transform the U.S. healthcare delivery system becomes increasingly urgent.

International Ballroom

Speaker:
Gov. Mike Leavitt, HMA Board member and Founder of Leavitt Partners, an HMA Company

The Purchaser’s Dilemma: Why Employers Should Demand Value, Why They Don’t, and Why That Is Changing

From the intricacies of employee health benefits to the conflicting needs of individual purchasers, this session will address the formidable challenge of a demand-side solution to transform the healthcare landscape.

International Ballroom

Speaker:
Elizabeth Mitchell, CEO, Purchaser Business Group on Health

Moderator:
Gov. Mike Leavitt, HMA Board member and Founder of Leavitt Partners, an HMA Company

Value at a Crossroads

Kate de Lisle and Amy Bassano will discuss their recent publication, Analyzing the Expanded Landscape of Value-Based Entities: Implications and Opportunities of Enablers for the CMS Innovation Center and the Broader Value Movement. The conversation will focus on insights from their interviews with more than 60 senior healthcare entity leaders, providers, and policymakers. Participants will gain an understanding of the current accountable care landscape and a framework for assessing the role of and market share for innovative partners in advancing value-based care.

International Ballroom

Speakers:
Amy Bassano, Managing Director, Medicare, HMA
Kate de Lisle, Associate Principal, Leavitt Partners, an HMA Company

A. Payment and Risk Management

Making Risk Manageable: Exploring Key Contractual Elements and Operational Capabilities Providers Need to Comfortably Take on More Risk

Ambassador Ballroom

Participants will explore the key contractual elements and operational capabilities providers need to comfortably take on more risk. Moderators will engage participants in identifying effective practices for constructing a glide path to successful risk management and strengthening collaboration between providers and payers in this process. They also will discuss the key considerations for and the potential impact of attribution methodologies, among other topics.

Discussion Leaders:
Kelsey Stevens, FSA, MAAA, MBA, Principal, Wakely Consulting Group, an HMA Company
Scott Malan, JD, MHA, Consultant, Wakely Consulting Group, an HMA Company

B. Care Delivery Measures

Clinical Measures That Matter: Engaging Providers Around Consistent Approaches to Enhance Patient Outcomes, Optimize Treatment Plans, and Ensure the Delivery of Evidence-Based, High-Quality Care

International Ballroom

This breakout will home in on strategies for engaging providers around consistent approaches to enhance patient outcomes, optimize treatment plans, and ensure the delivery of evidence-based, high-quality care. Participants will examine best practices that can be employed in different types of care and settings, including primary care, specialty care, and behavioral health. They also will discuss tailoring of engagement strategies and the implications for value-based care arrangements.

Discussion leaders:
Elizabeth Wolff, MD, MPA, Principal, HMA
Anika Alvanzo, MD, MS, DFASAM, FACP, Principal, HMA

C. Data and Technology

Making Data More Patient-Centric: Opportunities to Leverage National Interoperability Policies and Frameworks to Support a Tangible Return on Investment

Gold Room

This session will focus on the new opportunities in the early days of implementing the Centers for Medicare & Medicaid Services’ (CMS) and Office of the National Coordinator’s (ONC) interoperability rules, along with the Trusted Exchange Framework and Common Agreement (TEFCA) going live. A key topic of discussion will be how Fast Healthcare Interoperability Resources (FHIR) application programming interfaces (APIs) are creating a more patient-centered data ecosystem that achieves a tangible return on investment. The group will discuss in more detail the national policies that support value-based care, current progress toward a national data exchange leveraging TEFCA, and how provider participation can support care teams and strengthen provider-patient relationships.

Discussion Leaders:
Ryan Howells, Principal, Leavitt Partners, an HMA Company
David Lee, Principal, Leavitt Partners, an HMA Company

D. Policy and Strategy Frameworks

The Road Less Traveled: How Changes in Local Market and Policy Conditions Are Shaping Value-Based Care Adoption and Innovation

State Room

What challenges are healthcare stakeholders—including states, providers, hospitals, and delivery systems, insurers, and employers—facing because of recent economic, market, and policy shifts? How are some players taking the “road less traveled” by responding to these challenges with value-oriented solutions—and what are the promising paths forward? This session will answer these questions and explore post-public health emergency realities and the potential of various payment and value-oriented innovations as a highway to sustainability.

Discussion Leaders:
Caprice Knapp, PhD, Principal, HMA
Rebecca Nielsen, MBA, Managing Director, Strategy and Transformation, Leavitt Partners, an HMA Company

International Ballroom

Hot Takes from the Morning Breakouts

Aneesh Chopra will synthesize key themes and novel strategies from the morning breakouts to allow for shared learning with the wider group. As participants prepare for an afternoon of strategy and action-orientated discussions, Chopra will inspire participants to carry forward and build on these learnings during the afternoon discussions.

International Ballroom

Speaker:
Aneesh Chopra, CEO of CareJourney and former US Chief Technology Officer

A. Payment and Risk Management

Measuring Success Realistically: What Is the Appropriate Lens through Which to View Success at Each Milestone—Contract Signing, One Year Out, Three Years Out?

Ambassador Ballroom

During this follow-up to the morning payment and risk management breakout, participants will dig into expectations for success with value-based care and how to define success at key milestones–contract signing, one year out, three years out, etc. The group will examine some of the strategies and policies applied to ensure accountability for performance and potential changes to support higher quality and value.

Discussion Leaders:
Hunter Schouweiler, MS, HSM, Senior Consultant, Wakely Consulting Group, an HMA Company
Kate de Lisle, Associate Principal, Leavitt Partners, an HMA Company

B. Care Delivery Measures

Engaging Patients in Quality: A Discussion of Approaches That Improve Care Delivery and Foster Active Involvement and Collaboration Between Patients and Healthcare Providers and Engagement of Non-Traditional Community Providers

International Ballroom

Addressing diverse health challenges requires collaboration among healthcare providers, payers, facilitators, and non-traditional community providers. The session’s core focus is an equity-centered, data-driven approach to quality improvement, which not only translates disparity analyses into actionable strategies for unique patient needs, but also outlines using data to engage non-traditional community providers. Emphasizing their critical role, the session integrates expectations related to quality within contract language, covering measurement, reporting, and improvement efforts. The goal is a structured, accountable environment fostering effective measurement, transparent reporting, and continuous improvement for equitable, patient-centric care.

Discussion leaders:
Rachel Bembas, Principal, HMA
Jean Glossa, MD, MBA, FACP, Managing Director, HMA

C. Data and Technology

Making Data More Patient-Centric: Developing a Data and Data Governance Strategy and Technology Roadmap That Will Support Both Current and Future Business Priorities

Gold Room

Participants will discuss the data necessary to achieve higher quality and improved patient experiences, while also ensuring a better return on investment. This session will help participants reframe the discussion about data to ensure it is a core component and driver for their organization’s value-based care strategy.

Discussion leaders:
Ryan Howells, Principal, Leavitt Partners, an HMA Company
Stuart Venzke, Managing Director, IT Advisory Services, HMA

D. Policy and Strategy Frameworks

Strengthening the Federal Case for Value: In Addition to CMMI Models, What Federal Policy Initiatives Can—and Should—Be Promoted to Align Incentives for Value-Based Care?

State Room

This session will focus on the strategies and levers that federal policymakers are using to accelerate adoption of accountable care that improves health outcomes and value. Participants will examine key issues for entities considering recently announced CMS Innovation Center (CMMI) models as well as other federal level initiatives that could affect quality and improve value in local markets.

Discussion leaders:
Amy Bassano, Managing Director, Medicare, HMA
Anne Marie Lauterbach, Principal, Leavitt Partners, an HMA Company

Hot Takes from the Afternoon Breakouts

Aneesh Chopra will amplify takeaways from the afternoon breakout sessions and bring a global perspective that ties together learnings from the morning and afternoon sessions. He will energize participants by emphasizing the urgent need for solutions and systems to support value-based care that is focused on people and patients.

International Ballroom

Speaker:
Aneesh Chopra, CEO of CareJourney and former US Chief Technology Officer

Prescription for Change: Turning Shared Pain into Progress

How do we accelerate change? The panel will discuss the paths forward to implement new solutions, including the role of government actors, private purchasers, patients, and industry stakeholders in advancing the changes needed to transform healthcare delivery.

International Ballroom

Speakers:
Theresa Eagleson, Executive Director, Healthcare Strategy, Office of Population Health Sciences; Associate Chief Strategy Officer, University of Illinois Hospital & Clinics, and recently retired Director of the Illinois Department of Healthcare and Family Services
Cheryl Larson, President and CEO, Midwest Business Group on Health
Congresswoman Allyson Y. Schwartz (retired)

Moderated by Jen Colamonico, Director of Thought Leadership, HMA