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Envisioning an Integrated Health Care Delivery and Financing System

Workshop Date and Time:  May 25, 2021 | 2:00 pm Р5:30 pm ET

Where: Via webinar

In this workshop series, the National Academy of Medicine (NAM) will explore how to transform fee-for-service health financing approaches into integrated payment approaches designed to drive attention and incentives toward delivery models that are person-centered and holistic. The delivery models will focus on the advancement of individual, community, and population health by examining the advantages and complexities of effective and efficient financing through the lens of access, quality, coverage, and equity, as experienced during the COVID-19 pandemic.

The discussion will look to address five objectives:

  1. Describe the deficiencies in our current health delivery and financing systems for creating health and sustaining health care delivery in light of the COVID-19 pandemic.
  2. Identify and describe alternative payment models demonstrating major transformations in health care delivery and financing, address those deficiencies, and summarize their characteristics and designs.
  3. Describe how integrated financing approaches can be used to redirect payment for individual services that may be unnecessary or even harmful toward payment for care of the whole person, equitable population health outcomes, improved patient and provider experience, and reduced per capita costs.
  4. Evaluate how care models using integrated financing have adapted to the COVID-19 pandemic to create whole person-population health and remain financially viable.
  5. Identify practical strategies and financing approaches that effectively reward whole person-population health.

Day 1 of the workshop series will focus on envisioning an integrated health care delivery and financing system.

Agenda

2:00 pm ET | Welcome, Introductions, and Meeting Overview

  • Michael McGinnis, National Academy of Medicine
  • Kisha Davis, Aledade (co-chair)
  • Hoangmai Pham, Institute for Exceptional Care (co-chair)

2:20 pm ET | Opening Discourse: The Future of Health Financing for Achievable Health Outcomes

This opening discussion will address the vision, opportunities, impact, and barriers for an integrated health and health care delivery and financing system that rewards whole person/population health and well-being.

Moderator: Andy Bindman, Kaiser Foundation Health Plan, Inc. and Hospitals

  • Mandy Cohen, North Carolina Department of Health and Human Services
  • Timothy Ferris, National Health Service

3:05 pm ET | Panel 1: Financing, Payment, and Whole Person/Population Health

This session will identify the financing and payment transformations that must occur to enable resilient, efficient, and effective health and health care services that improve the health of people and populations.

Moderator: Hoangmai Pham, Institute for Exceptional Care

  • Dawn Alley, Center for Medicare and Medicaid Services

  • Len Nichols, Urban Institute

  • Benjamin Kligler, Veterans Health Administration

4:00 pm ET | Innovation Spotlight

This spotlight on Bread for the City will feature innovative, whole person-centered strategies to improving care for individuals with complex health and social needs.

  • Randi Abramson, Bread for the City

4:10 pm ET | Panel 2: Payment Models for Advancing Health Equity and Community Health

This session will discuss payment models that incentivize services tailored to address social needs and the social determinants of health with the aim of achieving health equity for individuals, families, and communities.

Moderator: Christopher Koller, Milbank Memorial Fund

  • Nathan Chomilo, Minnesota Department of Human Services

  • Asaf Bitton, Harvard Medical School

  • Kara Walker, Nemours

5:05 pm | Concluding Remarks

This concluding session will summarize key points from Day 1, and provide an overview of Day 2 of the workshop series.

  • Michael McGinnis, National Academy of Medicine
  • Kisha Davis, Aledade (co-chair)

5:30 pm | Adjourn

Questions? Email leadershipconsortium@nas.edu.

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