SPEAKERS AND TOPICS
Hospital Performance Improvement Roundtable
Tuesday, September 12th
Handel Conference Room
Hospital Performance Improvement: Keys to Optimizing Hospital Revenue and Cost Reduction
Hospitals are facing unprecedented financial challenges driven by many factors, including:
- Post-COVID impacts on patient behavior, volume, and workforce
- Payer mix erosion and reimbursement challenges
- Reduction of government subsidies
- Rising costs
- General difficulties for organizations in navigating financial headwinds (i.e., change management)
This session will discuss approaches and case studies related to implementing a financial turnaround in a proactive manner where the hospital organization can control the process and make changes before ending up in an emergent situation (e.g., bankruptcy, “fire sale,” or closure).
Specific themes in this interactive session will include:
- Considerations in pursuing a formal financial turnaround.
- Lessons learned from actual case studies – both successful and unsuccessful (dos and don’ts)
- How to re-educate your management team to run the organization more effectively.
- Areas of opportunity beyond the usual suspects (e.g., labor, supplies, and cutting programs), including automated revenue cycle solutions, non-labor costs such as equipment maintenance and support services, pharmacy/PBM, and benefits.
- Tackling cost reduction opportunities on the employed medical group side.
Panel includes a former hospital CEO, CFO, and multiple experienced advisors who have overseen hospital turnarounds.
Moderator
Eric Themm
President
Zephyr Healthcare Advisors
Panel
Stephanie Dorwart
Chief Executive Officer
Altius Healthcare Consulting Group
Wade Eckman
Senior Vice President, B2B Business
Repay
Kevin Murphy
CFO Extender
KGM Health Ventures
Chad Wable
President
Aspiresults
Private Speaker & Sponsor Dinner
Conference
Wednesday, September 13th
General Sessions in Beethoven 2 Conference Room
Networking Breakfast
Welcome & Introductions
Eric Themm
President
Zephyr Healthcare Advisors
UCSF Health: Transforming Health Care Delivery Through Growth, Partnerships, and Innovation
This session utilizes a case study to highlight how a world-renowned health system has approached clinical, geographic, and diversified growth to address market challenges, cost constraints, consumer demands, and community needs. This case study will serve as a jumping-off point for a broader discussion regarding lessons learned, the importance of flexibility and pivoting, and the pros and cons of collaborations.
Shelby Decosta
President
UCSF Health and
UCSF Health Care Network
Jill Gordon
Partner
Nixon Peabody
Addressing Industry Challenges Through Emerging Partnerships, Innovative Models of Healthcare Delivery, and Acquisitions
Hear from the US’s largest health plan and two prominent providers on how doing business is changing with rapidly evolving expectations among provider, payer, and purchaser stakeholders. As the focus is on total cost of care and meaningful member service value, the session will offer a beneficial discussion involving a panel of payer, physician, and hospital representatives.
Stacey Hrountas
Chief Executive Officer
Sharp Rees-Stealy Medical Centers
Ernie Schwefler
Chief Contracting, Managed Care and Payer Relations Officer
Keck Medicine of USC
Greg Siebert
SVP, Network Management
UnitedHealthcare
Break
How Health Systems Are Accessing Venture Investing and Innovation- Current and Future Trends
Health systems are facing disruptive changes from many directions requiring new approaches to the business model. What is driving the rise of innovation investing in healthcare and what are some of the different models available to hospitals and health systems? Hear from 2 key leading experts on how strategic approaches to private investment can provide access to innovative technology and service businesses while generating positive balance sheet returns. Multiple models for innovative partnerships exist including de novo start-ups, direct investments and limited partner stakes in venture capital or growth equity funds. As each of these options presents opportunity and risk for health system executives and their organizations, we will present a framework for evaluating and pursuing these kinds of initiatives.
Ken Downey
Operating Partner
Claritas Capital
Jonathan Phillips
Managing Director, Head of Private Equity
First Trust Capital Partners
Networking Lunch
How to Leverage Big Data to Optimize Value-Based Strategies
“Alternative Payment Models (APMs) differ from the traditional fee-for-service (FFS) approach, in which healthcare providers are paid primarily based on the volume of services they deliver, regardless of patient outcomes. The transition from FFS to value-based care is critical to ensure continued delivery of high-quality, cost-effective care and has become one of the largest drivers of change within the healthcare industry. The combination of front-end strategy and data-based analysis to inform program participation, with ongoing real-time analytics and risk management are some of the tools needed within the healthcare ecosystem to succeed in this rapidly changing reimbursement landscape.”
Jerry Frye
EVP, Data Analytics
Alliant Insurance Services
Vince Micucci
National Director, Value-Based Solutions
Alliant Insurance Services
Ventegra and Mosaic Life Care: Lowering a Health System’s Employee Health Plan Drug Costs through Full Control of the Pharmacy Benefit
The traditional PBM industry is riddled with conflicts of interest, misaligned goals, and perverse incentives. A differentiated business model that focuses on giving back control to Plan Sponsors through true transparency, integrity, and decision-making authority is needed to stop the seemingly never-ending increases in drug costs. Hear the transition story from Dr. Ed Kammerer at Mosaic Life Care who went from little control and high spend with a traditional PBM to a Ventegra partnership that has enabled them to overcome the typical PBM inertia, gain control of all aspects of their pharmacy plan, and reduce their plan spend by over 60%.
Edward Kammerer, M.D.
340B Administrator and Internal Medicine Physician
Mosaic Health Systems
Brian Vossler
VP, Strategic Business Development
Ventegra
Adjourn
Hosted Reception
Thursday, September 14th
General Sessions in Beethoven 2 Conference Room
Networking Breakfast
Trends and Innovations in Cancer: Best-Practices and Models of Care from Two Industry Leading Organizations
Hear from two leading organizations in Cancer care that are constantly innovating to boost their performance and stay ahead in the competitive landscape. In addition to their regular operational improvements, they are exploring exciting avenues to capitalize on the value generated by pharmaceutical, diagnostic, and medical device companies. This pursuit involves tackling intricate challenges, but it’s a thrilling endeavor that cancer centers are increasingly spearheading, shaping the future of cancer solutions.
Annette Morgan
Chief Administrative Officer
City of Hope Orange County
Chris McKee
SVP, Strategy & Business Development
MD Anderson Cancer Center
Solving the Behavioral Health Crisis: Emerging Partnerships and Delivery Models
The nationwide behavioral health crisis has put a burden on emergency departments, health workers, and systems as one in seven cases seen in US hospital emergency departments (EDs) are becoming stuck ‘boarding’ for long hours, even days, in EDs, untreated, waiting for an elusive inpatient psychiatric bed. Hear from two behavioral health experts who have addressed these challenges and discuss helpful and impactful solutions for hospitals and health systems. One model discussed will be the EmPath unit (Emergency Psychiatric Assessment, Treatment and Healing unit which has stellar peer-reviewed outcomes and can be implemented in any size hospital, whether urban or rural.
Larry Blitz
Chairman
Santa Clara County Behavioral Health Board
Scott Zeller, M.D.
Vice President for Acute Psychiatry
Vituity
Health System Evolution - Direct to Employer Programs
As most health systems struggle financially, post COVID, many are looking for new revenue sources and ways to control their commercial patient flow. Direct to Employer programs provide many competitive advantages and are a natural next step in health system delivery and growth. In this session we will explore all the facets of these exciting new programs.
Larry Thompson
Chief Executive Officer
Benefit Systems Inc.
