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Annual Conference Marriott Hotel | Albany, New York THE Next Wave OF HEALTH CARE REFORM Delivery System Transformation NEW YORK HEALTH PLAN ASSOCIATION ANNUAL CONFERENCE MARRIOTT HOTEL | ALBANY, NEW YORK 2014 NOVEMBER 20 Welcome to the New York Health Plan Association’s (HPA) 2014 Annual Conference, “The Next Wave of Health Care Reform—Delivery System Transformation.” In April 2014, New York State and the Centers for Medicare and Medicaid Services (CMS) signed a new Delivery System Reform Incentive Payment (DSRIP) waiver. The chief goal of the waiver is to transform the state’s health care delivery system by creating platforms for developing an integrated delivery system. The waiver puts an emphasis on restructuring the health care safety-net and improving quality outcomes. While we all agree with these goals, concerns exist about implementation of this ambitious program. The success of this program will depend upon collaborations among a broad array of providers and others working together to achieve these goals. We have invited speakers to join us today to talk with us about the challenges and opportunities involved in implementing DSRIP in New York State. We will learn what is happening here in New York and how other states are approaching this challenge. Over the years HPA’s conferences have brought together health care policy leaders from across the state and the country to discuss current health care topics of the day. We hope you find today’s discussions useful, thought provoking and helpful to you and your organization as we all work together to navigate this next wave of health care transformation. Please take time during the conference breaks to visit our exhibitors and sponsors. We thank them for their generous support of this conference. And thank you to all of the conference attendees for your continued interest and participation. Sincerely, Paul F. Macielak, Esq. President & CEO New York Health Plan Association 2014 NYHPA Annual Conference 1 THE Next Wave OF HEALTH CARE REFORM Delivery System Transformation Annual Conference Schedule Wednesday, November 19, 2014 5:30-8:00 pm Pre-Conference Reception and Dinner Reception Sponsored by Beacon Health Strategies (For NYHPA members and Gold/Platinum/Diamond-level Sponsors) Thursday, November 20, 2014 7:30-8:15 am Medical and Pharmacy Directors’ Breakfast Sponsored by NIA Magellan (For NYHPA members) Topic: Evaluating Provider Performance and Quality in an Era of Payment Reform Presenter: William Henderson | SVP Data Analysis and Research | NIA Magellan 8:15 am — Registration, Continental Breakfast & Exhibitor Hall After registering, please take time to visit the Exhibitor tables! 9:00 am — Welcome Paul F. Macielak, Esq. | President & CEO | New York Health Plan Association Robert Hinckley | Board Chairperson | New York Health Plan Association and SVP, Strategy and Communications | Chief Strategy Officer | Capital District Physicians’ Health Plan 9:15 am — Opening Remarks Courtney Burke | Deputy Secretary for Health | Office of Governor Andrew M. Cuomo 9:45 am — Keynote Address—“Quality Care and the Empire State” Margaret E. O’Kane | President | National Committee for Quality Assurance (NCQA) 10:30 am — Coffee Break & Exhibitor Hall Please take time to visit the Exhibitor tables! In your conference folder you will find an Exhibitor “passport” to enter the NYHPA Annual Conference Raffle! Make sure to take it to each of our exhibitors today and you will be eligible to win a grand prize of a Bose QuietComfort 25 Acoustic Noise Cancelling Headphones or one of two runner-up prizes.* *To be eligible to win, your passport must be stamped by ALL of the exhibitors and you must be present for the drawing. 2014 NYHPA Annual Conference 3 11:00 am — From SHIP to DSRIP—Reforming New York’s Delivery System This panel discussion will focus on how the state is responding to delivery system reform. Hear what is happening in New York as well as in other states. Moderator: Michelle Marto | Vice President for Government Affairs | UnitedHealth Group Speakers: Melinda K. Abrams, M.S. | Vice President | Commonwealth Fund Health Care Delivery System Reform Program Jason A. Helgerson | Medicaid Director, New York State | Deputy Commissioner, New York State Office of Health Insurance Programs 12:15 pm — Lunch & Exhibitor Hall Please take time to visit the Exhibitor tables! 1:00 pm — Lunch Speaker Donna Frescatore | Executive Director | NY State of Health, The Official Health Plan Marketplace 1:30 pm — Collaborating Without Crossing the Line The panelists will discuss how the market is responding to the changing health care landscape and how antitrust laws may help or hinder reform. Moderator: Harold N. Iselin, Esq. | Managing Shareholder |Greenberg Traurig Speakers: Michelle Yost Hale, Esq. | Mergers IV Division, Bureau of Competition | Federal Trade Commission Elinor R. Hoffmann, Esq. | Deputy Bureau Chief, Antitrust Bureau | Office of the New York State Attorney General Mark Thomas, Esq. | General Counsel | Healthcare Association of New York State (HANYS) 2:30 pm — Red State, Blue State—How Health Care Played from Potsdam to Peoria What role did health care play in the outcome of the 2014 state and national elections? How could these results shape the political/policy landscape for the upcoming legislative session? This panel of political experts will address these important questions. Moderator: Elizabeth Benjamin | Reporter—NY1 and Time Warner Cable News; Editor-in- Chief—“State of Politics” (a blog covering the politics of the state of New York); Host—Daily Political News and Interview Show Capital Tonight Speakers: Steven A. Greenberg | Greenberg Public Relations Robert Bellafiore | Stanhope Partners 3:15 pm — Closing Remarks Paul F. Macielak, Esq. | President & CEO | New York Health Plan Association 4 2014 NYHPA Annual Conference 2014 NYHPA Annual Conference 5 Next Wave 6 2014 NYHPA Annual Conference GUEST SPEAKERS Opening Remarks Courtney Burke | Deputy Secretary for Health | Office of Governor Andrew M. Cuomo Courtney Burke was appointed deputy secretary for health by New York State Governor Andrew M. Cuomo on July 1, 2013. In this role, Ms. Burke provides oversight for the state’s health and mental hygiene agencies including: the Department of Health, the Office of Alcoholism and Substance Abuse Services; the Office for the Aging; the Office of the Medicaid Inspector General, the Office of Mental Health, the Office for People with Developmental Disabilities; the Developmental Disabilities Planning Council; and the newly formed Justice Center. Ms. Burke has a long career in health and disability policy. From March 2011 through June 2013, she served as commissioner of the New York State Office for People with Developmental Disabilities. From 2007 to 2011, she was director of the Nelson A. Rockefeller Institute of Government’s New York State Health Policy Research Center. She previously worked for six years as the senior research scientist in the Rockefeller Institute’s Health and Medicaid studies program. Prior to joining the Institute, Ms. Burke worked at the New York State Department of Health and as the senior policy analyst at the New York State Office of Advocate for Persons with Disabilities. Ms. Burke has a master’s degree in health policy and management from the School of Public Health, University at Albany, and a bachelor’s degree in political science and journalism from the University of Connecticut. Keynote Address Margaret E. O’Kane | President | National Committee for Quality Assurance (NCQA) Margaret E. O’Kane is the founder and current president of the National Committee for Quality Assurance (NCQA), an independent, nonprofit organization that improves health care quality through measurement, transparency and accountability. Ms. O’Kane has served as co-chair of the National Priorities Partnership and is a board member of the Foundation for Informed Decision Making and the American Board of Medical Specialties. She was elected a member of the Institute of Medicine in 1999 and received the 2009 Picker Institute Individual Award for Excellence in the Advancement of Patient-Centered Care. She received the Gail L. Warden Leadership Excellence Award from the National Center for Healthcare Leadership in 2012. Modern Healthcare has named Ms. O’Kane one of the Top 25 Women in Healthcare three times, most recently in 2013. A master’s degree holder in health administration and planning from Johns Hopkins University, Ms. O’Kane is a recipient of that university’s Distinguished Alumnus Award. Luncheon Speaker Donna Frescatore | Executive Director | NY State of Health, The Official Health Plan Marketplace Donna Frescatore is executive director of NY State of Health, the Official Health Plan Marketplace, created under the Affordable Care Act. Ms. Frescatore has more than 25 years experience designing and administering public and private health insurance programs. Prior to being executive director of NY State of Health, Ms. Frescatore was assistant deputy secretary of health in Governor Andrew Cuomo’s Office. She has also served as the state’s Medicaid director and deputy commissioner of the Office of Health Insurance Programs at the New York State Department of Health. She began her state career in the New York State Department of Civil Service where she was responsible for purchasing benefits for the more than one million employees and retirees of state and local governments enrolled in the New York State Health Insurance Program. 2014 NYHPA Annual Conference 7 8 2014 NYHPA Annual Conference MODERATORS AND PANELISTS From SHIP to DSRIP—Reforming New York’s Delivery System Moderator Michelle Marto | Vice President for Government Affairs | UnitedHealth Group Michelle Marto, vice president for Government Affairs with UnitedHealth Group, has more than 20 years experience in public policy and advocacy in New York. Her areas of focus are health insurance, public health and mass transportation. Ms. Marto holds a B.A. from Purdue University and a M.A. from the Nelson A. Rockefeller College of Public Policy and Public Affairs. Speakers Melinda K. Abrams, M.S. | Vice President | Commonwealth Fund Health Care Delivery System Reform Program Melinda K.
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