How To Improve Health Care

Transcription

1 The Health Care Forum 2013 Reinventing an industry November 12, 2013 Synopsis The Economist's Health Care Forum 2013 will explore the opportunities and challenges ahead for the American health care system from health care providers to insurers, pharmaceuticals to technology companies, and employers across industries. How will key provisions of the Affordable Care Act affect employers, care providers and insurers? How can the industry deliver better value to patients? Which innovations will help transform the delivery of care? Chaired by The Economist s health care correspondent, Charlotte Howard, and additionally moderated by Elizabeth Bramson-Boudreau, director of EIU Health Care, and Dr. Vivek Muthu, cofounder and chief executive of Bazian, this day-long conference, one in a series of Economist health care events around the globe, will feature leading voices in the field and help health care stakeholders plan for the years ahead. Reinventing an industry January 2014 will bring the individual mandate, new insurance rules and a massive expansion of Medicaid. Additional changes are already underway, as patients shop on new health exchanges, millions qualify for Medicare, employers adjust their insurance models, and pressure grows to pay doctors and hospitals for value rather than volume. The 2013 Health Care Forum will explore the monumental transitions underway and give an understanding of the road ahead. The conference will feature sharp thinking, rich debates, and new angles on a transformation that is widely analyzed, but little understood. With help from today s top thinkers and executives, we will mine for the best innovations in a fast-changing industry. Key issues include: Innovations in health care delivery How to balance cost and quality Strategies to take advantage of the big data revolution An evaluation of the impact of public exchanges The new competitors in primary care Join The Economist for a day of stimulating discussion and debate. The Economist s Health Care Forum is designed for C-level and senior executives from the health care industry, as well as leaders from the wider business community who are responsible for managing health-related processes. Together with editors from The Economist and featured guests, this event offers a full day of stimulating, interactive discussion and debate, focused on the reinvention of the American health care industry. Speakers: August Calhoun, Vice president, Dell Healthcare & Life Sciences Services David Cordani, Chief executive, Cigna

2 William H. Crown, Chief Scientific Officer, Optum Labs Ralph de la Torre, M.D., Chairman and chief executive, Steward Health Care System Keith Dunleavy, M.D., President and chief executive, Inovalon Elliott Fisher, M.D., M.P.H., Director of Dartmouth Institute for Health Policy & Clinical Practice Meghan Fitzgerald, President, Cardinal Health Specialty Solutions Hooman C. Hakami, President and chief executive, Detection and Guidance Solutions, GE Healthcare Systems John Halamka, Chief information officer, Beth Israel Deaconess Medical Center C. Martin Harris, Chief information officer, Cleveland Clinic John Haslinger, Vice president of benefits outsourcing consulting, ADP Dora Hughes, Senior policy advisor, Sidley Austin LLP Iya Khalil, Co-founder and executive vice president, GNS Healthcare Richard Liebowitz, M.D., Chief medical officer, New York-Presbyterian Hospital Stefan Linn, Senior vice president of strategy & global pharma solutions, IMS Health Alan London, M.D., Chief Medical Officer, Take Care Health Systems, Walgreens Rishi Manchanda M.D., President and founder, HealthBegins Peter Neumann, Professor of medicine, Tufts University Kevin Patrick, M.D., M.S., Professor of family and preventive medicine, University of California, San Diego Clay Richards, President, navihealth Joan Saba, Partner, NBBJ Brent Sanders, Vice president of Payer Markets, Allscripts Charlie Schick, Director of Big Data, Healthcare and Life Sciences, IBM Sati Sian, Senior vice president of global technology services & operations, IMS Health Elizabeth Teisberg, Professor, The Dartmouth Center for Health Care Delivery Science Ben Wanamaker, Executive director of health care, Clayton Christenson Institute Patricia Wang, President and chief executive, Healthfirst Jean Yang, Executive director, Commonwealth Health Insurance Connector Authority Sheikh Usman Iqbal MD, MPH, MBA, Head of oncology, global evidence & value development medical affairs, Sanofi- Aventis Programme: 8.00 am Registration 9.15 am Opening Remarks An overview of reforms ahead Charlotte Howard, Health care correspondent, The Economist 9.30 am Payment reform Cheap, good, accessible health care The Affordable Care Act includes a massive expansion of insurance, yet it remains unclear how America s health system can provide high quality, less expensive care. The industry is teeming with experiments, from bundled payments to Accountable Care Organisations. How are new payment models transforming the way providers deliver care? Which models are most promising? Which carry the greatest risk? What are obstacles to innovation? Elliott Fisher, M.D., M.P.H, Director of Dartmouth Institute for Health Policy & Clinical Practice Ralph de la Torre, M.D., Chairman and chief executive, Steward Health Care System

3 10.00 am Exchanges and beyond Lessons so far American health insurance is being transformed, thanks to the arrival of the individual mandate, the end of medical underwriting and the opening of the new insurance exchanges. What can be learned from the reforms in Massachusetts? Are the new exchanges poised for success? Are patients ready to become shoppers for insurance? How are insurers engaging individual consumers in new ways? How can the exchanges spur broader changes to encourage value-based health care? This session will take a 360- degree view of the public exchanges, and, more broadly, examine how changes in the individual market will ripple through the health care system. David Cordani, Chief executive, Cigna Dora Hughes, Senior policy advisor, Sidley Austin LLP Jean Yang, Executive director, Commonwealth Health Insurance Connector Authority am Morning break am Evidence-based medicine Calculating risk and reward More care is not always better care. Now, there is new attention to comparing treatments efficacy. Evidence-based medicine holds the promise to streamline care and keep costs down by creating a systematic, data-driven approach to delivery. In what ways should the public and private sector drive the adoption of evidence-based medicine? William H. Crown, Chief Scientific Officer, Optum Labs Peter Neumann, Professor of medicine, Tufts University Elizabeth Teisberg, Professor, The Dartmouth Center for Health Care Delivery Science am Retail Rx Corner store care pm Lunch Blood samples and bar soap? Retail outlets are poised to become the new venue for primary care. What are big-box retailers doing to get in the game? How do retail clinics fit within the broader health system, particularly in an era of coordinated care? How do retail clinics complement the rise of mobile health technologies? Is there a limit to the decentralization of care? Alan London, M.D., Chief Medical Officer, Take Care Health Systems, Walgreens Ben Wanamaker, Executive director of health care, Clayton Christenson Institute Innovation through connected health care Health care is still highly fragmented, despite investments in technology, structural reforms and regulatory initiatives. Payers, physicians and hospitals often work in silos, leading to higher costs and suboptimal outcomes. For a step change in health care performance, information needs to be connected to drive insights and technology must connect processes across care settings to lower costs. This session, sponsored by IMS Health, will address how all health care stakeholders must be more aligned to put the patient at the center of care. What must payers, providers, pharmaceutical manufacturers and public policymakers do to move health care towards a more connected model?

4 Introduction: Sati Sian, Senior vice president of global technology services & operations, IMS Health Sheikh Usman Iqbal MD, MPH, MBA, Head of oncology, global evidence & value development medical affairs, Sanofi-Aventis Richard Liebowitz, M.D., Chief medical officer, New York-Presbyterian Hospital Stefan Linn, Senior vice president of strategy & global pharma solutions, IMS Health Kevin Patrick, M.D., M.S., Professor of family and preventive medicine, University of California, San Diego 1.30 pm Using big data Healthier performance Big data is all the rage. In theory, big data will improve the efficiency and quality of care. From analysing health trends to mining data for best practices, which technologies and strategies will help modernise the health industry? What is the effect of recent investments in health information technology? Can big data truly save patients and save billions? Charlie Schick, Director, IBM Iya Khalil, Co-founder and executive vice president, GNS Healthcare C. Martin Harris, MD, Chief information officer, Cleveland Clinic 2.00 pm Working groups Data-driven health care We are in the midst of the most transformative time for health care in our nation s history. In the setting of an expanding Medicare Advantage and managed Medicaid marketplace, the implementation of the ACA is also now upon us. Within this environment of challenge and opportunity, health care stakeholders are focused on rising legislative and regulatory pressures, MLR utilization efficiency, risk score accuracy, quality outcomes, and a rising role of consumerism. The success of health care businesses now depend on highly granular, actionable business intelligence and advanced analytics empowering informed interventions to successfully compete. In this working group, brought to you by Inovalon, learn how the health insurance industry and managed care organizations are responding to the need for comprehensive member-level data and advanced analytics revolutionizing their business models driving dramatic, objective improvement in clinical and quality outcomes, care management, and financial performance. Keith Dunleavy, M.D., President and chief executive, Inovalon Brent Sanders, Vice president of Payer Markets, Allscripts Patricia Wang, President and chief executive, Healthfirst Transforming health care with information Doing more with less, and becoming ever-more nimble and agile, has become vital to success in health care. New information technology solutions are the key to achieving this. This working group, sponsored by Dell, will ask: What tools are health care providers adopting to transform once rigid institutions? Cloud computing is just one example that's allowing companies to shed the weight of decades-old IT infrastructure. But how can health care services manage the costs and risks of this technology transformation, including monetary, regulatory and security? Furthermore, how might the implementation of new technologies, which can empower stakeholders from the bottom-up, push health care organizations to change the ways in which they are managed and operate? August Calhoun, Vice president, Dell Healthcare & Life Sciences Services

5 John Halamka, Chief information officer, Beth Israel Deaconess Medical Center 3.30 pm Networking break 4.00 pm The employer picture How organizations are responding to ACA Employer-sponsored insurance is in the midst of a dramatic transformation. Companies are testing new ways to keep workers healthy and costs down. Value-based insurance and private exchanges are transforming the way patients consume care. Some changes are in direct response to the Affordable Care Act. Others are independent of it. But employers' actions have enormous implications for the rest of the health system. The experts on this session will analyse how employers' decisions affect insurers, doctors and, of course, patients themselves. John Haslinger, Vice president of benefits outsourcing consulting, ADP Tracy Watts, National leader for health care reform, Mercer 4.30 pm The patient's journey The reimagination of care The way patients interact with doctors and manage their health is in the midst of a transformation. What will the new era of patient-centred care look like? While changes come incrementally, it is possible to see what the outcome of all this could be. This session will explore companies ideas for a new, improved patient experience--from admission to discharge to the home. Rishi Manchanda M.D., President and founder, HealthBegins Clay Richards, President, navihealth Joan Saba, Partner, NBBJ 5.00 pm The future The reimagination of the business American health care is evolving quickly. Some changes are driven by the Affordable Care Act, others were set in motion before the law was passed. But every health company is being forced to reexamine how it does business. As the sector continues to transform, how are companies innovating for the long-term? Here is a look inside the disruptions happening inside hospital administrations, pharmaceutical companies, insurance firms and medical device makers. Meghan Fitzgerald, President, Cardinal Health Specialty Solutions Hooman C. Hakami, President and chief executive, Detection and Guidance Solutions, GE Healthcare Systems 5:30 pm Closing remarks and networking reception