Value-Based Payment and Pay for Performance Summit



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THE ELEVENTH NATIONAL Value-Based Payment and Pay for Performance Summit February 17 19, 2016 Hyatt Regency San Francisco The Leading Forum on Pay for Performance, Transparency and Value-Driven Healthcare www.pfpsummit.com A Hybrid Conference & Internet Event See page 2 CO CHAIRS: Francois de Brantes, MS, MBA, Executive Director, Health Care Incentives Improvement Institute Harold D. Miller, President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform Elizabeth Mitchell, President and Chief Executive Officer, Network for Regional Healthcare Improvement Jeffrey A. Rideout, MD, President and Chief Executive Officer, Integrated Healthcare Association FEATURING KEYNOTE SPEAKERS: Niall Brennan, MPP, Chief Data Officer and Director, Office of Enterprise Data and Analytics, Centers for Medicare and Medicaid Services, US Department of Health and Human Services Susan Dentzer, Senior Policy Adviser, Robert Wood Johnson Foundation; Health Policy Analyst, The PBS News Hour John Gorman, Founder and Executive Chairman, Gorman Health Group; Former Assistant to the Director, Office of Managed Care, Health Care Financing Administration; Former Press Secretary and Staff Director, US Representative John Conyers, Jr. (D-MI) Sam Ho, MD, Executive Vice President, Chief Medical Officer, UnitedHealthcare; Chief Medical Officer, UnitedHealthcare Medicare and Retirement Charles Kennedy, MD, MBA, Chief Population Health Officer, Healthagen David Lansky, PhD, President and Chief Executive Officer, Pacific Business Group on Health Russ Mohawk, Chief Executive Officer, Inova Health Plans and Population Health Services, Inova Health Systems Samuel R. Nussbaum, MD, Executive Vice President, Clinical Health Policy and Chief Medical Officer, Anthem, Inc. Peggy O Kane, President, National Committee for Quality Assurance Hoangmai H. Pham, MD, MPH, Acting Chief Innovation Officer, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, US Department of Health and Human Services Stephen M. Shortell, PhD, MBA, MPH, Blue Cross of California Distinguished Professor of Health Policy and Management, Dean Emeritus, School of Public Health, Professor of Organization Behavior, Haas School of Business, University of California, Berkeley FEATURING A PRE-CONFERENCE SYMPOSIUM: Value-Based Payments 101: A Primer CONTINUING EDUCATION CREDITS: Accounting Professionals: Approved for up to 16.0 NASBA CPE credits. Physicians: Approval for 15.25 AMA PRA Category 1 Credits. SILVER GRANTOR: BRONZE GRANTORS: CO SPONSORS: Northern California Chapter

VALUE-BASED PAYMENT AND PAY FOR PERFORMANCE SUMMIT 2 For 2016 the Eleventh National Pay for Performance Summit has been renamed the National Value- Based Payment and Pay for Performance Summit in recognition of the increasing importance of more robust approaches to paying for value. On the up side, measurement has proliferated beyond all expectations. In January 2015, HHS announced a plan to tie 30 percent of traditional fee-for-service, Medicare payments to quality or value through alternative payment models such as ACOs and bundled payments by 2016. By 2018, 90 percent of payments will reflect VBC and other alternative models such as hospital readmissions. Physicians, hospitals and other healthcare providers are routinely seeing their performance compared to peers, national benchmarks and their own past performance. On the down side, the explosion of measurement has become too much of a good thing. As a result, attention has shifted to discovering ways to better automate the measurement process and narrow its focus. In addition, despite tremendous progress, our payment system is still predominantly based on fee for service. We re still far from a health care system that consistently delivers best care at lowest cost, and our ability to truly measure and reward outcomes is at an early stage. This year s conference will provide an opportunity to engage with colleagues from across the country on the issues, opportunities, and challenges facing the health care system in 2016. Leaders from industry, government and the non-profit sector will share best practices and lessons learned from grappling with real-world implementation issues as they strive to improve quality while reducing costs. We will hear about Performance Measures and Data to Implement Alternative Payment Models, Encounter Data and the Future of the Delegated Model, Innovative Approaches to Involving Specialists in Value-Based Payment and National Best Practices in Value-Based Payment Innovation and Implementation. Leading health plans and provider organizations will share observations from the front lines of product development and care delivery, while researchers will reveal what they have learned through studying success. Throughout the conference, practitioners actively engaged in the challenging work of improving our healthcare system will learn from each other, and accelerate our progress toward creating a higher-value system. In addition, the conference has become a great opportunity to reconnect on an annual basis we will be delighted if you can join us. PARTICIPATION OPTIONS TRADITIONAL ONSITE ATTENDANCE Simply register, travel to the conference city and attend in person. PROS: Subject matter immersion; professional networking opportunities; faculty interaction. LIVE AND ARCHIVED INTERNET ATTENDANCE Watch the conference in live streaming video over the Internet and at your convenience at any time 24/7 for six months following the event. The archived conference includes speaker videos and coordinated PowerPoint presentations. PROS: Live digital feed and 24/7 Internet access for the next six months; accessible in the office, at home or anywhere worldwide with Internet access; avoid travel expense and hassle; no time away from the office. Onsite At your office...... or home WEDNESDAY, FEBRUARY 17, 2016 11:00 am Summit Registration PRECONFERENCE SYMPOSIUM VALUE-BASED PAYMENTS 101: A PRIMER A soup-to-nuts look at moving to value-based payments. A starting primer for newbies and refresher course for those in the know. 1:00 pm Introduction, Presentation and Q&A Tawnya Bosko, DHA, MS, MHA, MSHL, Vice President, The Camden Group, El Segundo, CA Megan Calhoun, MS, MSW, Senior Consultant, The Camden Group, El Segundo, CA Laura P. Jacobs, MPH, Executive Vice President, The Camden Group, El Segundo, CA 5:00 pm Adjournment THURSDAY, FEBRUARY 18, 2016 7:00 am Registration Opens; Continental Breakfast in Exhibit Hall MORNING PLENARY SESSION 8:00 am Welcome and Introduction to Day II Morning Plenary Session Harold D. Miller, President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, US Department of Health and Human Services Advisory Committee on Physician Payment Models; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Co chair) Elizabeth Mitchell, President and Chief Executive Officer, Network for Regional Healthcare Improvement; Member, US Department of Health and Human Services Advisory Committee on Physician Payment Models, Portland, ME (Co chair) 8:15 am Federal Initiatives in Value-Based Payments Hoangmai H. Pham, MD, MPH, Acting Chief Innovation Officer, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Washington, DC 8:45 am Information for Value: Performance Measures and Data to Implement Alternative Payment Models Niall Brennan, MPP, Chief Data Officer and Director, Office of Enterprise Data and Analytics; Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Washington, DC Carmella Bocchino, RN, MBA, Executive Vice President, Clinical Affairs and Strategic Planning, America s Health Insurance Plans (AHIP), Washington, DC David Kendrick, MD, MPH, Chief Executive Officer and Founder, MyHealth Access Network; Senior Counsel for Interoperability, Office of the National Coordinator for Health Information Technology; Associate Professor of Internal Medicine and Pediatrics; Kaiser Chair of Community Medicine, Provost for Community Planning; Chief, Division of Community Medical Informatics, Health Sciences Center, University of Oklahoma, Tulsa, Tulsa, OK Plenary Session Continued Next Page Cover: istock Photo 2014 dell640

David Lansky, PhD, President and Chief Executive Officer, Pacific Business Group on Health (PBGH); Former Senior Director of the Health Program, Markle Foundation; Former Founding President, Foundation for Accountability (FACCT), San Francisco, CA Elizabeth Mitchell, President and Chief Executive Officer, Network for Regional Healthcare Improvement; Member, US Department of Health and Human Services Advisory Committee on Physician Payment Models, Portland, ME (Moderator) 9:45 am Encounter Data and the Future of the Delegated Model 10:30 am Break Jeffrey Burnich, MD, Senior Vice President of Medical and Market Networks, Sutter Health Network; Former Chief Medical Officer and Senior Vice President of System Care Management, Mount Carmel Health System, Sacramento, CA Stacey Hrountas, Chief Executive Officer, Sharp Rees-Stealy; Former Chief Executive Officer, Sharp HealthCare ACO; Former Vice President of Managed Care Contracts and Managed Care Finance, Sharp HealthCare, San Diego, CA Martha Smith, Vice President of Health Plan Network Management, Health Net of California, Inc., San Francisco, CA Jeffrey A. Rideout, MD, President and Chief Executive Officer, Integrated Healthcare Association, Oakland, CA (Moderator) 11:00 am Innovative Approaches to Involving Specialists in Value-Based Payment Steve Calvin, MD, Medical Director, Minnesota Birth Center, Allina Integrated Medical Network, Minneapolis, MN Barbara McAneny, MD, Board-Certified Medical Oncologist/Hematologist, Chief Executive Officer, New Mexico Cancer Center; Board Member, American Medical Association, Albuquerque, NM Stephen J. Zabinski, MD, Board-Certified Orthopedic Surgeon, Director, Division of Orthopedic Surgery, Shore Medical Center; President and Director of Joint Replacement Services, Jersey Shore Ambulatory Surgical Center, Somers Point, NJ Harold D. Miller, President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, US Department of Health and Human Services Advisory Committee on Physician Payment Models; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Moderator) 11:45 am National Best Practices in Value-Based Payment Innovation and Implementation Linda Bahrke, ACO/PHM Administrator, Mosaic Life Care, St. Joseph, MO Russ Mohawk, Chief Executive Officer, Inova Health Plans and Population Health Services, Inova Health Systems, Washington, DC Joseph F. Damore, FACHE, Vice President, Population Health Management, Premier Inc., Washington, DC (Moderator) 12:30 pm NETWORKING LUNCHEON AFTERNOON MINI SUMMITS MINI SUMMITS GROUP I Mini Summit I: CMS Update on Delivery and Payment System Reform: Advanced Issues and Q&A David Sayen, MBA, Regional Administrator, Region IX, Centers for Medicare and Medicaid Services (CMS), US Department of Health and Human Services, San Francisco, CA Ashby Wolfe, MD, MPP, MPH, Chief Medical Officer, Region IX, Centers for Medicare and Medicaid Services (CMS), US Department of Health and Human Services, San Francisco, CA Mini Summit II: Premier, Inc. Presents Advanced Case Studies in Successful Hospital Value-Based Payment Initiatives Linda Bahrke, ACO/PHM Administrator at Mosaic Life Care, St. Joseph, MO Russ Mohawk, Chief Executive Officer, Inova Health Plans and Population Health Services, Inova Health Systems, Washington, DC Joseph F. Damore, FACHE, Vice President, Population Health Management, Premier Inc., Washington, DC (Moderator) Mini Summit III: The Role of Regional Collaboratives in Payment Reform Craig Brammer, MA, Chief Executive Officer, The Health Collaborative; Former Senior Leadership Team, Office of the National Coordinator for Health Information Technology, Cincinnati, OH Mylia Christensen, Executive Director, Oregon Health Care Quality Corporation; Former Project Director, Medicaid Evidence-based Decisions Project, OHSU Center for Evidence-based Policy, Portland, OR Lindsay Erickson, MSPH, Manager, Value Based P4P Program, Integrated Healthcare Association, Oakland, CA Louise Y. Probst, Executive Director, St. Louis Area Business Health Coalition; Executive Director, Midwest Health Initiative, St. Louis, MO Elizabeth Mitchell, President and Chief Executive Officer, Network for Regional Healthcare Improvement; Member, HHS Advisory Committee on Physician Payment Models, Portland, ME (Moderator) Mini Summit IV: Healthcare Hot Spotting: Variation in Quality and Resource Use by Product Line and Geography Richard Fish, MBA, Chief Executive Officer, Brown & Toland Physicians, San Francisco, CA Lance Lang, MD, Chief Medical Officer, Covered California; Former National Vice President, Medical Integration and Quality Officer, Health Net Inc.; Former Vice President and National Director, Clinical Processes and Computing, Kaiser Permanente, Sacramento, CA Jill Yegian, PhD, Senior Vice President, Programs and Policy, Integrated Healthcare Association; Former Director, Research and Evaluation, California HealthCare Foundation, Oakland, CA (Moderator) Mini Summit V: Are ACOs Ready to Manage Medications to Achieve Clinical and Financial Success? Results of a Recent National Study Hae Mi Choe, PharmD, Director of Pharmacy Innovations and Clinical Practices, Clinical Associate Professor of Pharmacy, Director of Ambulatory Pharmacy Care Transformation, University of Michigan Health System, Ann Arbor, MI David B. Muhlestein, PhD, JD, Senior Director of Research and Development, Leavitt Partners, LLC, Salt Lake City, UT Robert W. Dubois, MD, PhD, Chief Science Officer, National Pharmaceutical Council, Washington, DC (Moderator) Mini Summits Continued Next Page 3

Mini Summit VI: Case Studies in Innovative Specialist Value-Based Payment Initiatives: Specialty Payment Reforms that Avoid Expensive Procedures Steve Calvin, MD, Board Certified in OB/GYN and Maternal-Fetal Medicine; Medical Director, Minnesota Birth Center, Minneapolis, MN Anthony DeFranco, MD, Medical Director, Cardiovascular Quality and Coronary Intensive Care, Aurora Medical Group and Aurora Health Care; Chairman, State Implementation Committee, SMARTCare Demonstration Project, Milwaukee, WI Andrew John Haig, MD, Professor, Physical Medicine and Rehabilitation, University of Michigan Health System; President, The International Rehabilitation Forum, Ann Arbor, MI Harold D. Miller, President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, US Department of Health and Human Services Advisory Committee on Physician Payment Models; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Moderator) 2:45 pm Transition Break MINI SUMMITS GROUP II Mini Summit VII: Clinical Data Sharing Scott Afzal, Program Director, Chesapeake Regional Information System for our Patients; Partner, Audacious Inquiry, LLC, Baltimore, MD David Kendrick, MD, Chief Executive Officer and Founder, MyHealth Access Network; Senior Counsel for Interoperability, Office of the National Coordinator for Health Information Technology; Associate Professor of Internal Medicine and Pediatrics; Kaiser Chair of Community Medicine, Provost for Community Planning; Chief, Division of Community Medical Informatics, Health Sciences Center, University of Oklahoma, Tulsa, Tulsa, Oklahoma Cindy Munn, MHA, Chief Executive Officer, Louisiana Health Care Quality Forum, Baton Rouge, LA Elizabeth Mitchell, President and Chief Executive Officer, Network for Regional Healthcare Improvement; Member, US Department of Health and Human Services Advisory Committee on Physician Payment Models, Portland, ME (Moderator) Mini Summit VIII: Managing Pharmaceutical Costs in a Value-Based Payment Environment Nancy Djordjevic, Senior Consultant, Gorman Health Group; Former Director, Health Care Economics, United Healthcare, Severna Park, MD Wayne Miller, MBA, Senior Director, Pharmacy Solutions, Gorman Health Group; Former Medicare Pharmacy Operations Manager, Geisinger Health Plan, Williamsport, PA Deb Devereaux, MBA, Senior Vice President, Pharmacy and Clinical Solutions, Gorman Health Group; Past President, American Society of Health-System Pharmacists, Washington, DC (Moderator) Mini Summit IX: Finding the Sweet Spot in New Value-Based Contracts for Managing Population Kevin Sears, MPH-HSMP, Senior Vice President, Payer Strategy and Product Innovation, Trinity Health System, Livonia, MI William T. Eggbeer, MBA, Managing Director, BDC Advisors, LLC; Former Vice President, American WholeHealth, Inc.; Former Vice President Marketing and Strategy, Manor Care, Inc., Washington, DC (Moderator) Mini Summit X: The Role of Post-Acute Care in Value-Based Payment Arrangements Kelsey Mellard, MPA, Executive Director, Honor, Inc., San Francisco, CA David B. Muhlestein, PhD, JD, Senior Director of Research and Development, Leavitt Partners, LLC, Salt Lake City, UT Julianne Williams, MPH, President, Golden Livingcenters, Golden Living, LLC, Plano, TX Michelle L. Templin, MBA, Vice President, Strategic Business Development, MHA ACO Network, Managed Health Care Associates, Inc., Florham Park, NJ, (Moderator) Mini Summit XI: Case Studies in Innovative Specialist Value- Based Payment Initiatives: Specialty Payment Reforms that Reduce ER Visits and Avoidable Hospitalizations Lawrence Kosinski, MD, MBA, AGAF, FACG, Managing Partner, Illinois Gastroenterology Group; President, SonarMD, LLC; Community Private Practice Councillor, AGA Governing Board, Elgin, IL Barbara McAneny, MD, Board-Certified Medical Oncologist/Hematologist, Chief Executive Officer, New Mexico Cancer Center; Board Member, American Medical Association, Albuquerque, NM Jennifer Wiler, MD, MBA, FACEP, Associate Professor and Vice-Chair, Emergency Medicine, School of Medicine, University of Colorado, Aurora, CO Harold D. Miller, President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, HHS Advisory Committee on Physician Payment Models; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Moderator) 4:15 pm Transition Break MINI SUMMITS GROUP III Mini Summit XII: Accountable Care: Where are my Shared Savings? David Kendrick, MD, Chief Executive Officer and Founder, MyHealth Access Network; Senior Counsel for Interoperability, National Coordinator for Health IT; Associate Professor of Internal Medicine and Pediatrics and Kaiser Chair of Community Medicine, Provost for Strategic Planning and Chief, Division of Community Medical Informatics, Health Sciences Center, University of Oklahoma Tulsa, Tulsa, OK William E. Kramer, MBA, Executive Director for National Health Policy, Pacific Business Group on Health, San Francisco, CA David B. Muhlestein, PhD, JD, Senior Director of Research and Development, Leavitt Partners, LLC, Salt Lake City, UT Elizabeth Mitchell, President and Chief Executive Officer, Network for Regional Healthcare Improvement; Member, HHS Advisory Committee on Physician Payment Models, Portland, ME (Moderator) Mini Summit XIII: Risky Business: How Providers Can Transition Successfully to Risk Megan Greenfield, PhD, Associate Partner, McKinsey & Company, Rochester, NY Gunjan Khanna, PhD, Partner, McKinsey & Company, Pittsburg, PA SAVE THE DATES FOR THE FOLLOWING CO-LOCATED EVENTS DURING NATIONAL HEALTHCARE DELIVERY SYSTEM AND PAYMENT REFORM WEEK JUNE 6 10, 2016 AT THE GRAND HYATT IN WASHINGTON, DC Eighth National Medical Home: June 6 7, 2016 www.medicalhomesummit.com Sixth Bundled Payment Summit: June 7 9, 2016 www.bundledpaymentsummit.com First Pharma Managed Markets Summit: June 8 9, 2016 www.pharmamanagedmarketssummit.com Seventh National ACO Summit: June 9 10, 2016 www.acosummit.com Hybrid Conferences & Internet Events 4

Mini Summit XIV: Rewarding Care Management at the Point of Care Mary Cooley, RN, BSN, MS, Associate Vice President of Care Management and Operations, Priority Health, Grand Rapids, MI Todd Osbeck, Director, Provider Improvement Intelligence, Priority Health, Grand Rapids, MI Mini Summit XV: Actuarial Issues in Value-Based Contracting John Bertko, FSA, MAAA, Chief Actuary, Covered California; Former Director, Office of Special Initiatives and Pricing, Center for Consumer Information and Insurance Oversight (CCIIO), CMS, Sacramento, CA James Whisler, Principal, Life Sciences & Health Care and National Leader, Health Actuarial Practice, Deloitte Consulting LLP, Minneapolis, MN FRIDAY, FEBRUARY 19, 2016 CLOSING PLENARY SESSION 8:00 am Welcome and Introductions Francois de Brantes, MS, MBA, Executive Director, Health Care Incentives Improvement Institute, Newtown, CT (Co chair) Jeffrey A. Rideout, MD, President and Chief Executive Officer, Integrated Healthcare Association, Oakland, CA (Co chair) 8:15 am The Politics of Value-Based Payment Susan Dentzer, Senior Policy Adviser, Robert Wood Johnson Foundation; Health Policy Analyst, The PBS News Hour, Washington, DC 8:45 am Bundled Payments Update Francois de Brantes, MS, MBA, Executive Director, Health Care Incentives Improvement Institute, Newtown, CT 9:15 am Forward on Quality: How Do We Get to Breakthrough? Peggy O Kane, President, National Committee for Quality Assurance, Washington, DC 9:45 am Value-Based Payment, Star Ratings and The Lessons of Medicare Advantage John Gorman, Founder and Executive Chairman, Gorman Health Group; Former Assistant to the Director, Office of Managed Care, HCFA; Former Press Secretary and Staff Director, US Representative John Conyers, Jr. (D-MI), Washington, DC 10:15 am Break Mini Summit XVI: Case Studies in Innovative Specialist Value-Based Payment Initiatives: Specialty Payment Reforms that Reduce the Costs of Procedures Charles A. Accurso, MD, Medical Director, Digestive Healthcare Center and Central Jersey Ambulatory Surgery Center, Hillsborough, NJ Constantine A. Mantz, MD, Board-Certified Radiation Oncologist, Chief Medical Officer, 21st Century Oncology, Lehigh Acres, FL Harold D. Miller, President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Member, HHS Advisory Committee on Physician Payment Models; Adjunct Professor, Carnegie Mellon University, Pittsburgh, PA (Moderator) 5:45 pm ADJOURNMENT AND NETWORKING RECEPTION 10:30 am Employer Initiatives in Value- Based Payment Arrangements William E. Kramer, MBA, Executive Director for National Health Policy, Pacific Business Group on Health, San Francisco, CA Robert S. Mecklenburg, MD, Medical Director, Center for Health Care Solutions, Virginia Mason Medical Center, Seattle, WA David Pryor, MPH, MD (Invited), Corporate Medical Director, Comcast/NBC Universal; Former Medical Director, Aetna, Los Angeles, CA Elizabeth Mitchell, President and Chief Executive Officer, Network for Regional Healthcare Improvement; Member, HHS Advisory Committee on Physician Payment Models, Portland, ME (Moderator) 11:15 am Health Plan Initiatives in Value- Based Payment Arrangements Sam Ho, MD, Executive Vice President, Chief Medical Officer, UnitedHealthcare; Chief Medical Officer, UnitedHealthcare Medicare and Retirement, Cypress, CA Charles Kennedy, MD, MBA, Chief Population Health Officer, Healthagen; Former Chief Executive Officer, Accountable Care Solutions, Aetna; Former Vice President, Health Information Technology, WellPoint, Simi Valley, CA Samuel R. Nussbaum, MD, Executive Vice President, Clinical Health Policy and Chief Medical Officer, Anthem, Inc., Indianapolis, IN Donald H. Crane, JD, President and Chief Executive Officer, CAPG, Los Angeles, CA (Moderator) Noon Closing Comments and Observations Stephen M. Shortell, PhD, MBA, MPH, Blue Cross of California Distinguished Professor of Health Policy and Management, Dean Emeritus, School of Public Health, Professor of Organization Behavior, Haas School of Business, University of California Berkeley, Berkeley, CA 12:30 pm ADJOURNMENT HOTEL INFORMATION/RESERVATIONS The 11th National Value-Based Payment and Pay for Performance Summit does not contract with any third party organization to make hotel reservations for attendees of the Summit. All attendees should make their hotel reservations directly with the hotel and not with a third party vendor. The Hyatt Regency San Francisco is the official hotel for the 11th National Value-Based Payment and Pay for Performance Summit. A special group-rate of $309.00 single/double per night (plus taxes) has been arranged for Summit attendees. When making your reservation please ask for the National Pay for Performance Summit rate. To make a reservation by phone please call 1-888-421-1442 for central reservations or 402-592-6464. Reservations can be made online at www.pfpsummit.com/travel.html. Reservations at the group rate will be accepted until the cutoff date of January 26, 2016. After this date the group rate will be offered while rooms are available. The Hyatt Regency San Francisco 5 Embarcadero Center San Francisco, CA 94111 Phone: 415-788-1234 5

THE FOLLOWING REGISTRATION TERMS AND CONDITIONS APPLY REGARDING WEBCAST REGISTRATIONS 1. Individuals or groups may register for Internet access. Organizations may register for group access without presenting specific registrant names. In such instances the registering organization will be presented a series of user names and passwords to distribute to participants. 2. Each registrant will receive a user name and password for access. Registrants will be able to change their user names and passwords and manage their accounts. 3. Internet registrants will enjoy six (6) months of access from the date of issuance of a user name and password. 4. Only one user (per user name and password) may access the archived conference. It is not permissible to share the user name and password with third parties. Should Internet registrants choose to access post conference content via alternative media (Flash Drive), this individual use limitation applies. It is not permissible to share alternative media with third parties. 5. User name and password use will be monitored to assure compliance. 6. Each Internet registration is subject to a bandwidth or capacity use cap of 5 gb per user per month. When this capacity use cap is hit, the registration lapses. Said registration will be again made available at the start of the next month so long as the registration period has not lapsed and is subject to the same capacity cap. 7. For webcast registrants there will be no refunds for cancellations. Please call the Conference Office at 800-503-7382 or 206-452-5499 for further information. REGARDING ONSITE REGISTRATION, CANCELLATIONS AND SUBSTITUTIONS 1. For onsite group registrations, full registration and credit card information is required for each registrant. List all members of groups registering concurrently on fax or scanned cover sheet. 2. For onsite registrants there will be no refunds for no-shows or for cancellations. You may send a substitute or switch to the webcast option. Please call the Conference Office at 800-503-7382 or 206-452-5499 for further information. METHOD OF PAYMENT FOR TUITION Make payment to Health Care Conference Administrators LLC by check, MasterCard, Visa or American Express. Credit card charges will be listed on your statement as payment to HealthCare (HC) Conf LLC. Checks or money orders should be made payable to Health Care Conference Administrators LLC. A $30 fee will be charged on any returned checks. REGISTRATION OPTIONS Registration may be made online or via mail, fax or scan. You may register through either of the following: Online at www.pfpsummit.com. Fax/Mail/Email using this printed registration form. Mail the completed form with payment to the Conference registrar at 22529 39th Ave. SE, Bothell, WA 98021, or fax the completed form to 206-319-5303, or scan and email the completed form to registration@hcconferences.com. Checks or money orders should be made payable to Health Care Conference Administrators LLC. The following credit cards are accepted: American Express, Visa or MasterCard. Credit card charges will be listed on your statement as payment to HealthCare (HC) Conf LLC. For registrants awaiting company check or money order, a credit card number must be given to hold registration. If payment is not received by seven days prior to the Summit, credit card payment will be processed. TAX DEDUCTIBILITY Expenses of training including tuition, travel, lodging and meals, incurred to maintain or improve skills in your profession may be tax deductible. Consult your tax advisor. Federal Tax ID: 91-1892021. CANCELLATIONS/SUBSTITUTIONS No refunds will be given for no-shows or for cancellations of either webcast or onsite registrations. You may send a substitute or transfer your onsite registration to a webcast registration. For more information, please call the Conference Office at 800-503-7382 or 206-452-5499. INTELLECTUAL PROPERTY POLICY Unauthorized sharing of Summit content via Internet access through the sharing of user names and passwords or via alternative media (Flash Drive) through the sharing of said media is restricted by law and may subject the copyright infringer to substantial civil damages. The Summit aggressively pursues copyright infringers. If a registrant needs the ability to share Summit content within his or her organization, multiple Summit registrations are available at discounted rates. The Summit will pay a reward for information regarding unauthorized sharing of Summit content. The reward will be one quarter (25%) of any recovery resulting from a copyright ELEVENTH NATIONAL VALUE-BASED PAYMENT AND PAY FOR PERFORMANCE SUMMIT CONTINUING EDUCATION CREDITS NASBA Health Care Conference Administrators, LLC (dba GHC, LLC Healthcare) is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.learningmarket.org. A recommended maximum of 16.0 credits based on a 50-minute hour will be granted for the entire learning activity. This program addresses topics that are of a current concern in the healthcare quality and patient safety environment. This is an update, group-live activity. For more information regarding administrative policies such as complaints or refunds, call 206-757-8053 or email petergrant@ehcca.com. AMA PRA CATEGORY 1 CREDITS Accreditation Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Institute for the Advancement of Human Behavior (IAHB) and the Health Care Conference Administrators (HCCA). IAHB is accredited by the ACCME to provide continuing medical education for physicians. Credit Designation Statement IAHB designates this live activity for a maximum of 15.25 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CERTIFICATE OF ATTENDANCE Onsite attendees can also request a Certificate of Attendance which they can file with appropriate entities for credit, and webcast attendees can request a Webcast Certificate of Attendance on which they can certify the number of hours they watched and can file with appropriate entities for credit. infringement (less legal fees and other expenses related to the recovery) up to a maximum reward payment of $25,000. The payment will be made to the individual or individuals who in the opinion of our legal counsel first provided the factual information, which was necessary for the recovery. If you have knowledge regarding the unauthorized Summit content sharing, contact the Summit registration office. REGISTRATION BINDING AGREEMENT Registration (whether online or by this form) constitutes a contract and all of these terms and conditions are binding on the parties. In particular, these terms and conditions shall apply in the case of any credit/debit card dispute. GENERAL TERMS AND CONDITIONS Program subject to cancellation or change. If the program is cancelled the only liability of the Summit will be to refund the registration fee paid. The Summit shall have no liability regarding travel or other costs. Registration form submitted via fax, mail, email or online constitutes binding agreement between the parties. FOR FURTHER INFORMATION Call 800-503-7382 (Continental US, Alaska and Hawaii only) or 206-452-5499, send e-mail to registration@hcconferences.com, or visit our website at www.pfpsummit.com. TUITION SCHOLARSHIPS The Value-Based Payment and Pay for Performance Summit is now offering partial and full Tuition Scholarships to qualifying representatives of local, state and federal government, consumer advocate organizations, safety net providers, academics, students and health services research organizations. To apply for a tuition scholarship go to the Summit website, www.pfpsummit.com, click on Tuition Scholarship link in navigation bar. There you can download and complete the tuition scholarship application. Supported by EXHIBIT AND SPONSORSHIP OPPORTUNITIES Take advantage of this unique opportunity to expand your reach! The Summit is attended by highly influential and experienced professionals. Sponsorship offers you strategic positioning as an industry leader. For more information call 206-673-4815 or email exhibits@hcconferences.com. 6

VALUE-BASED PAYMENT AND PAY FOR PERFORMANCE SUMMIT HOW TO REGISTER: Fully complete the form (one form per registrant, photocopies acceptable). Payment must accompany each registration (U.S. funds, payable to Health Care Conference Administrators, LLC). ONLINE: Secure online registration at www.pfpsummit.com. FAX: 206-319-5303 (include credit card information with registration) MAIL: P4P Conference Office, 22529 39th Ave SE, Bothell, WA 98021 FOR REGISTRATION QUESTIONS: PHONE: 800-503-7382 (Continental US, Alaska and Hawaii only) or 206-452-5499, Monday-Friday, 7 AM - 5 PM PST E-MAIL: registration@hcconferences.com COMPLETE THE FOLLOWING. PLEASE PRINT CLEARLY: NAME SIGNATURE OF REGISTRANT - REQUIRED JOB TITLE ORGANIZATION ADDRESS CITY/STATE/ZIP TELEPHONE E-MAIL Special Needs (Dietary or Physical) ONSITE CONFERENCE ATTENDANCE PRECONFERENCE Wednesday, February 17: Value-Based Payments 101: A Primer $ 495 CONFERENCE REGISTRATION (Does not include Pre-Conference): Through Friday, December 18, 2015* $1,095 Through Friday, January 15, 2016** $1,495 After Friday, January 15, 2016 $1,795 GROUP REGISTRATION DISCOUNT (Does not include Preconference; Rates are per person): Three or more registrations submitted from the same organization at the same time receive the following discounted rates for conference registration only. To qualify, all registrations must be submitted simultaneously: Conference: Through Friday, December 18, 2015* $ 895 Through Friday, January 15, 2016** $1,295 After Friday, January 15, 2016 $1,595 SELECT YOUR MINI SUMMITS Thursday, February 18 (One from each group): GROUP I 1:30 pm MS I: CMS Update on Delivery and Payment System Reform... MS II: Premier, Inc. Presents Advanced Case Studies... MS III: The Role of Regional Collaboratives... MS IV: Healthcare Hot Spotting... MS V: Are ACOs Ready to Manage Medications... MS VI: Case Studies... Avoid Expensive Procedures GROUP II 3:00 pm MS VII: Clinical Data Sharing MS VIII: Managing Pharmaceutical Costs... MS IX: Finding the Sweet Spot... MS X: The Role of Post-Acute Care... MS XI: Case Studies... ER Visits and Avoidable Hospitalizations GROUP III 4:30 pm MS XII: Accountable Care: Where are my Shared Savings? MS XIII: Risky Business: How Providers can Transition... MS XIV: Rewarding Care Management at the Point of Care MS XV: Actuarial Issues in Value-Based Contracting MS XVI: Case Studies... Costs of Procedures CONFERENCE ELECTRONIC MEDIA: Onsite Attendees Following the Summit, the video and presentations are made available in the following formats. To take advantage of the discounted prices below, you must reserve media WITH your Summit registration: Flash Drive ($129 + $15 shipping) $ 144 6 months access on Web $129 SPECIAL SUBSCRIPTION OFFER FOR BOTH ONSITE AND WEBCAST ATTENDEES: You can purchase an annual subscription to Accountable Care News, Medical Home News, Population Health News, Predictive Modeling News or Readmissions News for only $295 (regular rate $468) and an annual subscription to Health Insurance Marketplace News or Healthcare Innovation News, for only $195 (regular rate $295) when ordered with your conference registration. Accountable Care News $ 295 Readmissions News $ 295 Medical Home News $ 295 Population Health News $ 295 Health Insurance Marketplace News $ 195 Predictive Modeling News $ 295 Healthcare Innovation News $ 195 WEBCAST CONFERENCE ATTENDANCE Webcast conference registration includes the live Internet feed from the Summit, plus six months of continued archived Internet access, available 24/7. INDIVIDUAL REGISTRATION (Includes Pre-Conference): Through Friday, December 18, 2015* $ 795 Through Friday, January 15, 2016** $1,195 After Friday, January 15, 2016 $1,495 GROUP REGISTRATION (Includes Pre-Conference): Group registration offers the substantial volume discounts set forth below. Group registration permits the organizational knowledge coordinator either to share conference access with colleagues or to assign and track employee conference participation. Conference Access: 5 or more $595 each 20 or more $395 each 10 or more $495 each 40 or more $295 each See INTELLECTUAL PROPERTY POLICY, page 6. CONFERENCE ELECTRONIC MEDIA: Webcast attendees Following the Summit, the video and presentations are made available on a flash drive. To take advantage of the discounted price below, you must reserve media WITH your Summit registration: Flash Drive ($129 + $15 shipping) $144 (All Webcast attendees automatically receive 6 months access on web.) * This price reflects a discount for registration and payment received through Friday, December 18, 2015. ** This price reflects a discount for registration and payment received through Friday, January 15, 2016. PAYMENT Discount Code: The use of a registration discount code cannot be the basis of requesting a partial refund of fees already paid. TOTAL FOR ALL OPTIONS, ONSITE OR WEBCAST: Please enclose payment with your registration and return it to the Registrar at Pay for Performance Summit, 22529 39th Ave SE, Bothell, WA 98021, or fax your credit card payment to 206-319-5303. You may also register online at www.pfpsummit.com. Check/money order enclosed (payable to Health Care Conference Administrators LLC) Payment by credit card: American Express Visa Mastercard If a credit card number is being given to hold registration only until such time as a check is received it must be so noted. If payment is not received by seven days prior to the Summit, the credit card payment will be processed. Credit card charges will be listed on your statement as payment to HealthCare (HC) Conf LLC. REGISTRATION BINDING AGREEMENT Registration (whether online or by this form) constitutes a contract and all of these terms and conditions are binding on the parties. In particular, these terms and conditions shall apply in the case of any credit/debit card dispute. For webcast and onsite registrants there will be no refunds for no-shows or cancellations. ACCOUNT # EXPIRATION DATE NAME OF CARDHOLDER SIGNATURE OF CARDHOLDER SECURITY CODE 7

Value-Based Payment and Pay for Performance Summit Publications Printing Dept. PO Box 12827 Palm Desert, CA 92255 USA (Address for Return Mail Only) A Hybrid Conference & Internet Event See page 2 www.pfpsummit.com THE ELEVENTH NATIONAL Value-Based Payment and Pay for Performance Summit The Leading Forum on Pay for Performance, Transparency and Value-Driven Healthcare istock Photo 2014 dell640 February 17 19, 2016 Hyatt Regency San Francisco www.pfpsummit.com MEDIA PARTNERS: A Hybrid Conference & Internet Event See page 2