Fall Managed Care Forum

This year's Fall Managed Care Forum keynote sessions and four breakout tracks will provide crucial information for preparing one's organization for the industry changes to come as we move forward with healthcare reform. Presentations will consist of classroom type lectures and interactive sessions, providing both informative and collaborative educational offerings.

The Bellagio's Convention Center is easily accessible from the main hotel area and has a variety of meeting room sizes to accomodate the more intimate sessions and the larger general lecture sessions. The exhibit hall (Grand Ballroom) will be the center of the Fall Forum's activities, as breakfasts, lunches, breaks, the reception and vendor networking will all be focused here. Below is the Convention Center layout for our attendees to get an idea of where the Fall Forum activities will be held.

New to the Fall Forum this year is a provider based pre-conference workshop that will take place on November 3, 2010 from 1:30pm - 5:30pm, which is the day before the conference begins. This half day pre-conference, entitled "Preparing Your Organization for an Era of Accountability," will focus on Payor/Provider Negotiations, Hospital/Physician Integration and Physician Engagement, and P4P Development and Implementation (Payor & Provider Perspective).

This interactive, classroom-style workshop will be presented and facilitated by Doug Chaet, who is an accomplished managed care executive and a noted expert on provider integration. Mr. Chaet is currently the Senior Vice President of Contracting & Provider Networks at Independence Blue Cross in Philadelphia, PA, where he is responsible for provider contracting, reimbursement pay-for-performance programs, and overall provider engagement.

If you are interested in learning more about this pre-conference, or the Fall Forum in general, please contact Katie Eads at 804-527-1905.

This year's Fall Managed Care Forum will be held at the Bellagio Hotel - that's right, you know the one in the famous last scene from Oceans Eleven with everyone staring at the gracefulness of the awe-inspiring fountain and light show in the lake! But, that's not the reason the Bellagio has received world-renowned recognition and distinguished luxury. Splendor and extravagance are captured around every corner and the attention to detail complements the unparalleled dramatic features that characterize this AAA Five Diamond Award-Winning hotel! Such attributes include the breath-taking Conservatory and Botanical Gardens, the guest room views of the serene courtyards and pools, an award-winning spa oasis, a bustling, yet stylish casino, designer boutiques, a variety of both casual and traditional fine dining options and of course, let's not forget the nightly entertainment, which includes the famous Cirque du Soleil!

In such an amazing destination resort, Fall Managed Care Forum attendees will not only receive the highest caliber education that provides solutions for today's changing health care challenges, but they have the evenings to experience a state of the art retreat filled with luxury and sophistication. I know I sure don't want to miss this conference...and I'll bet you won't want to miss it either! So, register now!

We are very excited about this year’s exhibit program as it is our largest to date! There is no better time to make the decision to take part in what is geared up to be two days of intense networking and socializing with managed care executives that will impact your your business for many years to come.

Perhaps some of you are unaware of the huge opportunity awaiting vendors at The Fall Managed Care Forum. A large section of the attendees will be medical directors and senior level managed care executives who are looking for creative options on how to lower their healthcare costs while improving patient outcomes. They will also be looking for solution providers and vendors. The really proactive companies have realized this and are sponsoring the conference or exhibiting.

You’ll hear from health care and business leaders in keynote and concurrent sessions. Plenty of networking opportunities are built into the program as well as time to learn about some of the most innovative products and services available helping managed care executives meet the needs of our evolving healthcare system. The companies that offer innovative solutions and cost savings will be the true winners of the conference, as will their newfound clients. This is an exhibitor and sponsor dream come true!

We wouldn't want you to miss this opportunity to take part in the upcoming Fall Managed Care Forum. The conference will prove to be an invaluable resource for all in attendance. You won't want to miss your opportunity to participate in the Fall Managed Care Forum. For information on exhibit and sponsorship opportunities, contact Sloane Reed or Patti Hulcher at 804.527.1905.

The Business track at the Fall Managed Care Forum will feature 8 talks on November 4-5, 2010 at the Bellagio in Las Vegas! The track begins at 9:30am on Thursday, and runs until 11:30am on Friday morning. Featuring speakers from across the industry, the business track is for attendees that want to be kept up to date on the changes that healthcare reform is creating in the industry. From contracting to ACOs, the business track features 8 well known speakers in the healthcare industry.

Sessions Include:

Review and Update of the State of the Art of Value Based Healthcare
- Robert Kritzler, MD, Deputy Chief Medical Officer, John Hopkins Health Care

The Predictive Power of Healthcare Data
- Jack Newsom, ScD, Vice President, Analytics, Silverlink Communications

Managed Care Contracting: Understanding Key Legal Provisions & Impact of ERISA
- Mary Emma Karam, Healthcare Attorney, Jackson Walker LLP

Emerging Business Models for Hospital and Physician Integration: Clinical integration as a Business Strategy for Accelerated Growth
- Christopher Kalkof, MHA, FACHE, Director, & Frank LaMorte, MD, Director, Alvarez & Marsal Healthcare Industry Group

Hospitals and Physicians: High Performance Integration Strategies
- Neil Pressman, President, Presscott Associates, Ltd

How a Provider Can Successfully Partner with a Medicare Advantage Plan
- Catherine VonRueden, VP of Payor Contracting & Strategy, Essentia Health

Preparing for the Future: CMS Initiatives: A Two Part Session

1. Running the Numbers on ACOs
- John Harris, Partner, DGA Partners

2. The Medicare Bundled Payment Demonstration Project-Should You Participate?
- Jon Pearce, Director, DGA Partners

There will be 4 total tracks at the Fall Forum, with 3 running concurrently throughout the 2 days. Be Sure to check out the full conference brochure: http://www.namcp.org/journals/Fall Managed Care Forum Agenda.pdf. Or, for general conference information, check out our homepage: http://www.namcp.org/conferences/fmcf/10/index.htm. Please contact Jeremy Williams @ jwilliams@namcp.org with any questions!

We'll see you in Las Vegas!

The AAMCN pre-conference will offer six additional CEU opportunities focusing on topics relevant to managed care nursing. Opening remarks will begin at 10:45 the morning of November 3rd, and the sessions will last from 11:00 am to 5:15 pm. There will be a 15 minute afternoon break, but remember to pick up breakfast before the sessions begin!

Sessions Include:

Complex Case and Medical Management Program
Do you work with members that have complex focused diagnostic conditions such as diabetes, congestive heart failure, high-risk pregnancy, hypertension, etc? Then you won't want to miss this session! This presentation will provide an overview and the process for implementation of a successful complex case and medical management program through proactive identification of at-risk members with multiple complex conditions.
Presented by: Pam Tropiano, VP, Health Services at CareSource & Cheryl Slagle, RN, CMCN, CCM, CCP, Director of Medical Management at CareSource

Continuum of Care: Providing Pathways to Optimal Outcomes
Are you starting to see a focused effort on the patient discharge process at your hospital? If so, that's because readmission reduction and prevention have been identified as high priority goals this year, as "potentially preventable readmissions" have been connected with several chronic diseases, such as congestive heart failure, diabetes and chronic obstructive pulmonary disease. Learn about a successful way to decrease readmissions while increasing the quality of life/outcomes through utilizing a cost-effective, disease-specific continuum of care.
Presented by: Colleen Morley-Wines, RN, MSN, CMCN, Manager Care Management Department at Provena Mercy Medical Center

Embedding a Care Manager in the Physician Office
This presentation will show a successful health plan and health system partnership that was established to develop mechanisms to enhance the coordination of care in an integrated delivery system. Understand how, through enhanced coordination of care, both organizations can benefit through optimizing efficiency and improving quality of care to individuals served by both populations.
Presented by: Karen Michael, RN, MSN, MBA, VP, Clinical Services at Keystone Mercy Health Plan

Nursing Leadership and Advocacy
Have you been actively involved in the health policy arena? As the largest sector of the healthcare profession, nurses play a critical role in impacting healthcare design and delivery, particularly in the current healthcare reform environment. There is a significant need for nurses collectively to be more versed in policy competency, demonstrate the capacity to educate, skillfully advocate and enhance nursing leadership and provide venues to link practice, research and health policy.
Presented by: Diane Hogan, DNP, RN, MA, Director of Clinical Innovations at Humana Cares

Medical Management Nursing Clinical Ladder
Have you tried implementing a certification into a nursing clinical ladder at your organization? This is a process that is a lot more involved than it may seem! One organization has developed a clinical ladder to promote and reward a commitment to the practice of managed care nursing, using the Certification in Managed Care Nursing (CMCN) as a cornerstone in advancing experienced managed care nurses into supervisory roles. Don't miss the chance to learn how to implement this type of process into your organization!
Presented by: Cheryl Slagle, RN, CMCN, CCM, CCP, Director of Medical Management at CareSource

Chief Nursing Officer Meets Managed Care
Does your plan have a Chief Nursing Officer position? Not many health plans do...but, one has created and implemented the role of Chief Nursing Officer in the managed care environment. Learn about obstacles, insights and a reorganized set of priorities that have been set forth in the journey and process of implementing this type of new position in a health plan. Who knows, you might be the next CNO at your organization!
Presented by: Susan Kosman, Chief Nursing Officer at Aetna

AAMCN nurses will not want to miss this full day of insightful education that is applicable in your daily working environment! But, remember, there are two more full days packed with education about the clinical side of healthcare, business aspects, emerging biotechnology and genomics information and advancements in oncology! Check out the full conference brochure: http://www.namcp.org/conferences/fmcf/10/Brochure%206242010.pdf. Or, for general conference information visit: http://www.namcp.org/conferences/fmcf/10/index.htm

We look forward to seeing you in Vegas!

The Future of Health Care Delivery
presented by Jacque Sokolov, MD, Chairman and Senior Partner of SSB Solutions

The healthcare industry is taking steps to implement the provisions of the new health reform law. What are the operational changes necessary for health care reform implementation? What's your roadmap for the future?

Dr. Sokolov will provide a forum for solutions-focused discussions on critical implementation deadlines and how stakeholders can work together to build a more modernized health care system.

Dr. Jacque Sokolov is Chairman and Senior Partner of SSB Solutions, a national healthcare management, development, and investment firm. Dr. Sokolov currently serves as Director of Hospira, MedCath Corporation, the National Health Foundation (NHF), and the White House Health Project. He previously served as Vice President of Healthcare for Southern California Edison Corporation, Chairman of the Board of Directors for Coastal Physician Group, Inc., Director of the American College of Medical Quality, and the National Business Group on Health (formerly WBGH).

The Last Mile in Healthcare
presented by Stan Nowak, CEO & Co-Founder, Silverlink Communications

All industries have a last mile. In healthcare, the last mile is where things break down. It’s where science tells us one thing; yet individuals do another. It is where disconnects between patients, physicians and personal barriers prevent us, collectively as a country, from making the most effective and efficient health decisions. This presentation explores some of the common behavioral disconnects in health and how we can overcome them by bridging the last mile in healthcare. It explores the barriers of cost, access, beliefs, and understanding. Ultimately this presentation presents a process for health behavior change leveraged from the disciplines in other consumer industries so we can begin to create a true culture of health in this country.

Mr. Nowak is the founder and CEO of Silverlink Communications, where he is delivering on his vision to measurably improve health outcomes and significantly reduce healthcare costs through effective communications. Under his leadership, Silverlink has developed flexible communications technology and proprietary analytics capabilities to deliver highly personalized and interactive communications — all with a single focus — to better understand and drive healthcare consumer behaviors. Mr. Nowak's background includes over 20 years of general and executive management in technology services and he has held previous executive roles with StorageNetworks, GTE and InterGen (Bechtel). He is frequently quoted within both the healthcare industry and business press on topics such as healthcare communications, consumerism in healthcare and the strategic use of analytics to drive health behaviors.

The Annual Fall Managed Care Forum is a highly specialized event that enables healthcare professionals to learn of the latest trends, updates and issues impacting the managed care industry through intensive lecture and case studies. Most importantly, the Forum provides the appropriate tools, resources and information to healthcare executives so that they are better able to improve patient outcomes.

The Forum is a two-day educational and networking opportunity that opens with a general session addressing managed care topics. Additionally, throughout conference, managed care experts will share their views on the state of the industry today and offer their predictions for the future.

The program features four track sessions, including a Business track, a Health Management track, an Oncology track, and a Genomics and Biotech track. Attendees will have the opportunity to attend sessions in all four tracks throughout the two day program.

Some of the presentations include: Review and Update of the State of the Art of Value Based Healthcare; The Predictive Power of Healthcare Data; Managed Care Contracting: Understanding Key Legal Provisions & Impact of ERISA; Emerging Business Models for Hospital and Physician Integration: Clinical integration as a Business Strategy for Accelerated Growth; Hospitals and Physicians: High Performance Integration Strategies; How Can a Provider Successfully Partner with a Medicare Advantage Plan?; The Medicare Bundled Payment Demonstration Project - Should You Participate? Navigating the Age of Genetic Medicine; Managing Lifetime Cost While Improving Outcomes in Bipolar Disorder; Parkinson’s Disease: How to Maintain Positive Patient Outcomes and Decrease Lifetime Costs; Emerging Trends and Strategies in the Treatment of Breast Cancer

For more information about the Fall Managed Care Forum:
http://www.namcp.org/conferences/fmcf/10/agenda.htm

Back by popular demand! The National Comprehensive Cancer Network (NCCN), will present during a two hour session on Clinical Practice Guidelines in Oncology, Compendia and Off Label Use. NCCN, a not-for-profit alliance of 21 of the world’s leading cancer centers, develops programs to facilitate fulfillment of member institution missions in education, research and patient care. NCCN develops resources that present valuable information to the numerous stakeholders in the health care delivery system. Accordingly, the NCCN will discuss their process in determining treatment guidelines, compendia and potential off label use. A must see presentation.

For updates, go to http://www.namcp.org/conferences/fmcf/10/agenda.htm

Over 200 registrations in the first week of open registration! And - the exhibit hall is over half sold. I am really excited about this year's Fall conference. It is shaping up to be our biggest show to date!

We invite you to submit your presentation for our Annual Fall Managed Care Forum. We are interested in your activities, initiatives, and partnerships that are shaping the future of managed care. Don't miss this unique opportunity to discuss your solutions for optimizing the delivery of cost-efficient and quality-driven healthcare.

To be considered for the Fall Managed Care Forum, your application and outline must be submitted by June 11, 2010. Applications received after this date will only be considered for future conferences. You must fill out the speaker application in full and enclose a presentation outline to be considered. For more information or to request an application, contact Katie Eads at 804.527.1905 or email her at keads@namcp.org

About the Fall Managed Care Forum

You won't want to miss this enticing program featuring dynamic speakers and thought provoking topics. Attend this conference and gain expert insight that will directly impact the success of your organization! At the Fall Managed Care Forum, we will provide the best networking opportunities and present innovative solutions to today's healthcare challenges.

Who Attends the Fall Managed Care Forum?
The Managed Care Forum attracts senior level managed healthcare executives including Medical Directors, Vice Presidents of Managed Care, Directors of Managed Care, Contracting and Provider Relations Managers, Hospital and Health System Chief Executive Officers, Case Managers, Utilization Managers, Medical Managers, Quality Managers and senior management teams, governing board members, managed care organizations, group practice organization executives, and Integrated Delivery Systems such as Physician Hospital Organizations and Independent Practice Associations.