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Levers Underscored during the COVID-19 Pandemic

Workshop Date and Time:  May 28, 2021 | 1:00 pm – 4:30 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 2 of the workshop series will focus on examining innovative models and levers underscored during the COVID-19 pandemic.

Agenda

1:00 pm ET | Welcome and Meeting Overview

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

 1:20 pm ET | Panel 1: Elements of Financing and Payment Models that Effectively Reward Health and Well-Being

This session will provide a brief description of current barriers, followed by a discussion of successful strategies and core elements of scalable integrated financing approaches that incentivize positive health outcomes for individuals and communities.

Moderator: Peter Long, Blue Shield of California

  • Sharon Lewis, Health Management Associates

  • Patrick Conway, Care Solutions at Optum

  • Piyush Gupta, Cityblock Health

2:15 pm ET | Innovation Spotlight

This spotlight on the Petaluma Health Center will feature innovative, whole-person approaches to keeping individuals healthy and providing comprehensive primary care in a team-based, patient-centered system.

  • Fasih Hameed, Petaluma Health Center

2:25 pm ET | Panel 2: Innovative Federal andState Models for Financing Whole Person/Population Health

This session will discuss innovative federal and state models for financing—through the lens of COVID-19—that improve whole person and population health.

Moderator: Josh Sharfstein, Johns Hopkins University

  • Donna Kinzer, DK Healthcare Consulting
  • Cindy Mann, Manatt Health
  • Ena Backus, State of Vermont Agency of Human Services

3:20 pm ET | Panel 3: Innovative Private Models for Financing Whole Person/Population Health

This session will discuss innovative private models for financing—through the lens of COVID-19—that improve whole person and population health, emphasizing behavioral health, integrative medicine, and primary care.

Moderator: Margaret Chesney, University of California San Francisco

  • David Fogel, CHI Healthcare
  • Cheryl Pegus, Walmart
  • Dexter Shurney, Adventist Health

4:15 pm ET | Concluding Remarks

This concluding session will summarize key points from Day 2, and provide an overview of Day 3 of the workshop series.

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

4:30 pm | Adjourn

Questions? Email leadershipconsortium@nas.edu.

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