Regional Learning Session December 9, 2016 Agenda 8:30 – 11:30am
... catalyzing healthcare value improvement
Topic: Moving From Volume to Value: A Multi-Stakeholder Perspective Learning Objectives: What is value-based payment and what can we expect from the shift from volume to value?
8:30am
Welcome & Regional Updates
Krista Stock, Healthcare Collaborative of Greater Columbus
8:45am
2017 HCGC Overview
Mike Stull, Healthcare Collaborative of Greater Columbus, Board Chair
8:55am Keynote #1
Moving from Volume to Value: A Multi-Stakeholder Perspective
Dianne Hasselman, Network for Regional Healthcare Improvement (NHRI), Executive Director, Federal and New Programs
9:35am Keynote #2
Waking the Sleeping Giant: One Employers Collaborative Effort in Shifting to Value-Based Payment
Dr. Diana Han, GE Appliances, Chief Medical Officer and Global Medical Director
10:10am Panel Discussion
Panelist Reaction and Audience Discussion
10:40am Audience Discussion
What do we expect from the region shifting from volume to value-based healthcare?
Moderated by: Dianne Hasselman, NHRI
• Larry Blosser M.D., Central Ohio Primary Care, Corporate Medical Director • Michelle Mathieu, Aetna, Vice President Network Management • Kendell Sherrer, Cardinal Health, Vice President Benefits • Ernest Smith, AK Steel, Director, Employee Benefits • King Stumpp, Netcare Access, President and CEO
John Leite, Healthcare Collaborative of Greater Columbus
Thank you!
Thank you to the Robert Wood Johnson Foundation and the Network for Regional Healthcare Improvement (NRHI) for their financial and technical support of this Regional Learning Session.
Quality Transparency Providers Sharing Quality Data PURPOSE: Based on nationally endorsed Berger Health Partners measures, compile and share all-payer quality data from electronic medical records Central Ohio Primary Care Physicians to: CompDrug • Help health care professionals see where they can improve, enable consumers to make more informed choices about their health and healthcare, and allow purchasers to know the value of the healthcare that they are buying. • Align work with existing national, state, and regional quality improvement efforts. • Share and apply learning to catalyze the adoption and spread of best practices.
Concord Counseling Services Heart of Ohio Family Health Centers Lower Lights Christian Health Center Mount Carmel Medical Group OhioHealth Physician Group The Ohio State University Wexner Medical Center Primary Care PrimaryOne Health Southeast, Inc.
Syntero www.hcgc.org
Quality Transparency Quality Measures • Controlling High Blood Pressure • Tobacco Use and Cessation • Colorectal Cancer Screening
• Diabetes Care: Hemoglobin Control • Diabetes Care: Nephropathy Care
• Depression Utilization of PHQ-9 • Depression Remission at 12 months • Depression Response at 12 months www.hcgc.org
Medical Neighborhood
Purpose: Advancing accountable care coordination across clinical and social service organizations • Relationships: Strengthening the relationships between clinical and social service organizations • Reduce Variation: Adopt and spread resultsbased practices focused on diabetes and/or depression
• Align Shared Infrastructure: Adopt and spread the utilization of shared infrastructure www.hcgc.org
Medical Neighborhood Referral System
• Alliance Healthcare Partners • Central Ohio Area Agency on Aging • Central Ohio Diabetes Association • Central Ohio Primary Care • Charitable Pharmacy of Central Ohio • Clintonville-Beechwold Community Resource Center • Equitas Health (formerly ARC Ohio) • Helping Hands Health and Wellness Center www.hcgc.org
Organizations Exchanging Referrals
• Kroger Pharmacy • LifeCare Alliance • Lower Lights Christian Health Center • Metropolitan Family Care • Mount Carmel Health Partners • Physicians CareConnection • PrimaryOne Health • Ripple Life Care Planning • Southeast, Inc. • Syntero • The Breathing Association • YMCA of Central Ohio
Medical Neighborhood Impact on Chronic Conditions
PURPOSE: Improve chronic condition management by advancing results-based practices with clinical and social service organizations. •
•
•
Adopt and spread utilization of PHQ-9 to screen for depression in patients who self-identify as diabetic Strengthen relationships among project participants to raise awareness of resources available in Greater Columbus Share learning and best practices to improve care coordination among the medical neighborhood participants
www.hcgc.org
Pilot Organizations
Central Ohio Primary Care Physicians CompDrug Mental Health America of Franklin County
Ohio Department of Health Syntero
Regional Learning Session December 9, 2016 Agenda 8:30 – 11:30am
... catalyzing healthcare value improvement
Topic: Moving From Volume to Value: A Multi-Stakeholder Perspective Learning Objectives: What is value-based payment and what can we expect from the shift from volume to value?
8:30am
Welcome & Regional Updates
Krista Stock, Healthcare Collaborative of Greater Columbus
8:45am
2017 HCGC Overview
Mike Stull, Healthcare Collaborative of Greater Columbus, Board Chair
8:55am Keynote #1
Moving from Volume to Value: A Multi-Stakeholder Perspective
Dianne Hasselman, Network for Regional Healthcare Improvement (NHRI), Executive Director, Federal and New Programs
9:35am Keynote #2
Waking the Sleeping Giant: One Employers Collaborative Effort in Shifting to Value-Based Payment
Dr. Diana Han, GE Appliances, Chief Medical Officer and Global Medical Director
10:10am Panel Discussion
Panelist Reaction and Audience Discussion
10:40am Audience Discussion
What do we expect from the region shifting from volume to value-based healthcare?
Moderated by: Dianne Hasselman, NHRI
• Larry Blosser M.D., Central Ohio Primary Care, Corporate Medical Director • Michelle Mathieu, Aetna, Vice President Network Management • Kendell Sherrer, Cardinal Health, Vice President Benefits • Ernest Smith, AK Steel, Director, Employee Benefits • King Stumpp, Netcare Access, President and CEO
John Leite, Healthcare Collaborative of Greater Columbus
Our Public-Private Funding Partners Lead Supporter
Major Supporters
Clarity Consultancy our social enterprise subsidiary
Supporters
Additional Supporters • OhioHealth • 100% of our Board of Directors & Staff • Individual & Corporate Donations
www.hcgc.org
Our Public-Private Board of Directors • Mike Stull (Board Chair) Employers Health, Business Representative • Dianne Radigan (Board Vice Chair) Cardinal Health, Franklin County Representative • Doug Anderson (Board Treasurer) Bailey Cavalieri, City of Columbus Representative • Bill Wulf, M.D. (Board Secretary) Central Ohio Primary Care, Columbus Medical Association Representative • Dianne Biggs Labor Representative • Tara Britton The Center for Community Solutions, United Way of Central Ohio Representative • Sarah Durfee, RN Ohio Public Employees Retirement System, Purchaser Representative • Rick Forrest, M.D. The Ohio State University Wexner Medical Center, Health System Representative • Jeff Geppert Battelle, Health Care Representative • Thomas Hadley Wells Fargo Insurance Services, Chamber of Commerce Representative • Kevin Hinkle Anthem Blue Cross & Blue Shield, Health Plan Representative
www.hcgc.org
• Isi Ikharebha Physicians CareConnection, Consumer Representative • Karen King, M.D. Northwest Ob/Gyn, Columbus Medical Association Foundation Representative • Teresa Long, M.D. Columbus Public Health, Health Department Representative • Tani Mann The Dispatch Printing Company, Employer Representative • Julie Erwin Rinaldi Syntero, Behavioral Health Representative • Valerie Ruddock Nationwide Children’s Hospital, Health System Representative • Greg Sawchyn, M.D. OhioHealth, Health System Representative • Benjamin Shaker Mount Carmel Health System, Health System Representative • Bruce Wall, M.D. Aetna, Columbus Medical Association Representative • Todd Weihl, D.O. OhioHealth, Columbus Osteopathic Association Representative
Thanks for participating in regional healthcare quality improvement! • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
Aetna Alliance Healthcare Partners American Cancer Society Anthem Blue Cross and Blue Shield Arthur J. Gallagher & Co. Asian American Community Services Bailey Cavalieri, LLC Battelle Berger Health Systems Buckeye Health Plan Caliber Patient Care Cardinal Health CareSource Cbiz, Inc. Central Ohio Area Agency on Aging Central Ohio Diabetes Association Central Ohio Primary Care Central Ohio Transit Authority Charitable Pharmacy of Central Ohio City of Columbus CliniSync Clintonville-Beechwold Community Resource Center Cognosante Columbus Area Integrated Health Services Columbus Public Health Community Refugee and Immigrant Services Community Shelter Board CompDrug Concord Counseling Services County Employee Benefits Consortium of Ohio Directions For Youth and Families Duet Health Employers Health Enroll America Ethiopian Tewahedo Social Services Equitas Health
• • • • •
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
Evi-Base Fairfield Community Health Center Findley Davies Franklin County Board of Commissioners Franklin County Cooperative Health Benefits Program Franklin County Department of Job & Family Services Franklin County Pathways Community HUB Franklin County Public Health Godman Guild Association HandsOn Central Ohio Health Action Council Health Policy Institute of Ohio Heart of Ohio Family Health Centers Helping Hands Health and Wellness Center House of Hope InHealth Mutual Legal Aid Society of Columbus LifeCare Alliance Lower Lights Christian Health Center Maryhaven Medical Group of Ohio Medical Mutual of Ohio Mental Health America of Franklin County Mercer Mid-Ohio Foodbank Milestone Benefits Molina Healthcare Mount Carmel Health Partners Mount Carmel Health System Mount Carmel Medical Group Muskingum Valley Health Center National Alliance on Mental Illness National Church Residences Nationwide Children’s Hospital Nationwide Insurance Netcare Access
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
North Central Mental Health Services North Community Counseling Centers Northwest Ob/Gyn Ohio Aids Coalition Ohio Asian American Health Coalition Ohio Association of Community Health Centers Ohio Association of Foodbanks Ohio Bureau of Workers' Compensation Ohio Department of Health Ohio Department of Medicaid Ohio Public Employees Retirement System OhioHealth OhioHealth Physician Group OSU Health Plan Physicians CareConnection Preferred Benefits PrimaryOne Health Ripple Life Care Planning School Employees Retirement System of Ohio Small Business Majority Southeast, Inc. State Teachers Retirement System of Ohio Sunrise Senior Living Syntero The Breathing Association The Center for Community Solutions The Dispatch Printing Company The Ohio State University The Ohio State University Wexner Medical Center UHCAN Ohio United Way of Central Ohio UnitedHealthcare Wells Fargo Insurance Services Willis YMCA of Central Ohio
2017 Overview
... catalyzing healthcare value* improvement The Healthcare Collaborative of Greater Columbus is a non-profit, public-private partnership. Our mission is to improve the value of health care for all people in Greater Columbus by catalyzing collaboration among public and private partners. The value of our current healthcare situation is not acceptable in terms of quality, cost, and the consumer experience. We strive for win-win solutions recognizing that change is required by all. We believe the best solutions come from a collaborative approach – we seek no authority in our role as a catalyst/convener/coordinator We work with our public-private partners to address a useful need and avoid duplicating the collaborative work of others in the region.
www.hcgc.org
*value = (quality + consumer experience) ÷ cost
Strategic Areas of Focus
Medical Neighborhood (2014+) …advancing accountable care coordination across clinical and social service organizations Quality Transparency (2014+) …advancing the measurement and sharing of data to improve quality Patient-Centered Medical Homes (2009 – 2015) …advancing high-value primary care to improve access, care coordination, and patient engagement
…strong adoption of Patient-Centered Medical Homes as a foundation of value-based healthcare in policy, delivery & payment systems
Collaborative Learning (2009+) …hosting safe space with regional partners to explore results-based practices and apply learning www.hcgc.org
*value = (quality + consumer experience) ÷ cost
To improve the value* of health care for all people in Greater Columbus by catalyzing collaboration among public and private partners.
Value-based Behavior (2017+) …aligning value-based decision making among providers, purchasers, social services and their consumers
2017– Value-Based Behavior
Purpose: aligning value-based decision making among providers, purchasers, social services and their consumers
Objectives: • What do we expect from the shift from volume to value-based healthcare in the region? • What are our opportunities and challenges for shifting to value based behaviors. • What pilots should we catalyze to advance value-based decision making in the region?
www.hcgc.org
Our Collaborative Process
Build collaborations with providers, purchasers, social services
~trust~ Apply collaborative learning ~spread knowledge~
Catalyze best practices
catalyzing healthcare value improvement
Measure actionable results
Convene diverse stakeholders
~collective impact~
~exploration~ Coordinate activities that transform healthcare delivery and value
www.hcgc.org
~awareness~
~commitment~
Regional Learning Session December 9, 2016 Agenda 8:30 – 11:30am
... catalyzing healthcare value improvement
Topic: Moving From Volume to Value: A Multi-Stakeholder Perspective Learning Objectives: What is value-based payment and what can we expect from the shift from volume to value?
8:30am
Welcome & Regional Updates
Krista Stock, Healthcare Collaborative of Greater Columbus
8:45am
2017 HCGC Overview
Mike Stull, Healthcare Collaborative of Greater Columbus, Board Chair
8:55am Keynote #1
Moving from Volume to Value: A Multi-Stakeholder Perspective
Dianne Hasselman, Network for Regional Healthcare Improvement (NHRI), Executive Director, Federal and New Programs
9:35am Keynote #2
Waking the Sleeping Giant: One Employers Collaborative Effort in Shifting to Value-Based Payment
Dr. Diana Han, GE Appliances, Chief Medical Officer and Global Medical Director
10:10am Panel Discussion
Panelist Reaction and Audience Discussion
10:40am Audience Discussion
What do we expect from the region shifting from volume to value-based healthcare?
Moderated by: Dianne Hasselman, NHRI
• Larry Blosser M.D., Central Ohio Primary Care, Corporate Medical Director • Michelle Mathieu, Aetna, Vice President Network Management • Kendell Sherrer, Cardinal Health, Vice President Benefits • Ernest Smith, AK Steel, Director, Employee Benefits • King Stumpp, Netcare Access, President and CEO
John Leite, Healthcare Collaborative of Greater Columbus
Moving from Volume to Value: A Multi-Stakeholder Perspective
Dianne Hasselman
Executive Director, Federal Programs, NRHI
December 9, 2016
Š 2016
We have a problem.
Health Spending as a Share of GDP United States, 1962 to 2022
file:///.file/id=657136 7.45249208
NRHI
“Even people who are insured are having problems paying medical bills.” – Larry Levitt, Kaiser Foundation
“Deductible rates
67% in last 5 years …”
“Patient cost-sharing 77% 2004-2014, driven by a 256% jump in deductible payments…” Source: Kaiser Family Foundation
NRHI
Percent change in middle-income households’ spending on basic needs (2007-2014)
Source: Brookings Institution, Wall Street Journal NRHI
If food prices had risen at medical inflation rates since the 1930s‌ 2009 1 dozen eggs
$85.08
1 pound apples
$12.97
1 pound sugar
$14.53
1 roll toilet paper
$25.67
1 dozen oranges
$114.47
1 pound butter
$108.29
1 pound bananas
1 pound bacon
$17.02
$129.94
1 pound beef shoulder
$46.22
1 pound coffee
$68.08
10 Item Total
$622.27
Source: American Institute for Preventive medicine
NRHI
We get what we pay for. Employers Want: Informed Employees Improved Outcomes Care Coordination Prevention Functional Status Return to Work
Employers Pay For: Tests Visits Procedures Prescriptions Errors & Complications
22
NRHI
We know the reason(s).
Lack of Data Access
Medical Error Rates
Fragmented Delivery System
Wrong Incentives
Poor Health Outcomes Lack of Cost Transparency NRHI
We have a force for change.
NRHI
MACRA is part of a broader push towards value and quality. In January 2015, the Department of Health and Human Services announced new goals for value-based payments and APMs in Medicare
25
NRHI
Over time, the desire is to influence a shift in payment models to Categories 3 and 4. Conceptual diagram of the desired shift in payment model application given the current state of the commercial market*
Note: • •
Size of “bubble” indicates overall investment in each category of APM Over time, APMs will move up the Y-axis and there will be more investment in the higher categories
*Source: CPR 2014 National Scorecard on Payment Reform, based on the National commercial market using 2013 data.
NRHI
27
NRHI
Moving from volume to value requires some changes. • • • • • • • •
New measures – quality and cost New shared data infrastructure New incentives Transparency Alignment across payers New care models New community partners New relationships
NRHI
No single stakeholder can do this alone. Providers: - Can change care but not payment - Don’t control patient incentives for utilization - Don’t have needed data Employers: - Can change payment but not care - Don’t make care decisions Plans: - Only influence a portion of providers’ patients - Don’t have multi-payer population data Patients: - Have limited information or influence State Governments: - Limited time horizon - Political environment and regulatory role
29
December 12, 2016
NRHI
Success will require multi-payer solutions. • • • •
Common incentives Common measures Shared data All payer measurement Quality Outcomes Total cost of care
30
NRHI
Participants must collectively meet the participation threshold. 75%
Payments through Advanced APMs
75%
Patients in Advanced APMs Partial threshold 50%
50%
35%
25%
50%
50%
35%
25% 20%
2019
20%
2020
2021
2022
2023
2024+
Non-Medicare risk-bearing contracts considered 31
NRHI
Payers need to align to allow focus on better care. Even if every payer’s system is better than it was, if they’re all different, providers will spend too much time and money on administration rather than care improvement Payer
Better Payment System A
Payer Better Payment System B
Payer
Better Payment System C
Provider Patient Patient Patient
NRHI
How are innovative communities responding to payment reform? • Bringing all stakeholders to a common table to develop multi-payer solutions • Leveraging Medicare’s leadership to bring private sector into the game Raising consciousness of employers/purchasers
• Creating new conversations between employers and providers; between specialists and primary care • Increasing pressure to eliminate siloes around data, create alignment across measures • Increasing transparency of quality and total cost of care information
33
December 12, 2016
NRHI
How are innovative communities responding to payment reform? (cont’d) • Oregon • Oklahoma • Kentucky
34
December 12, 2016
NRHI
Oregon Overall Summary by Service Category Clinic Raw Adj PMPM PMPM $203.02 $183.18 $69.00 $62.25 $71.08 $64.13 $73.92 $66.70 $417.03 $376.26
PMPM $167.12 $115.53 $72.21 $69.20 $424.06
Hi gh 1.15 Pri ce
Price Index
Professional Outpatient Facility Inpatient Facility Pharmacy Overall
OR Average
Clinic scores are risk adjusted to account for variations in illness burden.
Price TCI = RUI x Index 1.10 0.99 1.11 0.54 0.60 0.90 0.89 0.78 1.13 0.96 0.98 0.98 0.89 0.85 1.05
Clinic Risk Score 1.11 1.00
Hi gh Pri ce Hi gh Use
Hi gh Pri ce Low Us e
0.85 , 1.05
1.05
0.95 Low Pri ce Hi gh Use
Low Pri ce Low Us e
Low Pri ce
Clinic OR Average
0.85 0.65
0.75 Low Us e
0.85
0.95
1.05
1.15
Resource Use Index (RUI) Other Oregon Clinics
1.25
1.35
Hi gh Us e
Clinic
35
NRHI
Oklahoma • CMS, BCBS of Oklahoma, CommunityCare of Oklahoma (PPO), and Medicaid created a multi-payer collaboration with 68 primary care practices (200,000 Oklahomans) • Used clinical data and claims to risk-stratify patients and identify care gaps • Engaged employers, insurers, and providers to review the quality and cost of care data together • All practices shared their individual cost and performance data, creating a culture of collaboration and a focus on outcomes • Outcomes: o All-cause hospital admissions dropped significantly o Cost of care for Medicare patients dropped 7% in Year 1, 5% in Year 2 ($10.8 million in savings to Medicare over 2 years)
o Medicare Advantage plan saved 15% over 2 years o Savings triggered incentive payments to providers who met quality targets 36
December 12, 2016
NRHI
Kentucky • Launched The MACRA Playbook • Bringing all stakeholders together to understand their role in advancing payment reform • Ongoing community conversation: how can we collectively leverage what Medicare is doing for a greater purpose? • Engaging local employers • http://www.khcollaborative.org/macra/
37
December 12, 2016
NRHI
Thank you. www.nrhi.org dhasselman@nrhi.org #healthdoers twitter: @RegHealthImp NRHI
Regional Learning Session December 9, 2016 Agenda 8:30 – 11:30am
... catalyzing healthcare value improvement
Topic: Moving From Volume to Value: A Multi-Stakeholder Perspective Learning Objectives: What is value-based payment and what can we expect from the shift from volume to value?
8:30am
Welcome & Regional Updates
Krista Stock, Healthcare Collaborative of Greater Columbus
8:45am
2017 HCGC Overview
Mike Stull, Healthcare Collaborative of Greater Columbus, Board Chair
8:55am Keynote #1
Moving from Volume to Value: A Multi-Stakeholder Perspective
Dianne Hasselman, Network for Regional Healthcare Improvement (NHRI), Executive Director, Federal and New Programs
9:35am Keynote #2
Waking the Sleeping Giant: One Employers Collaborative Effort in Shifting to Value-Based Payment
Dr. Diana Han, GE Appliances, Chief Medical Officer and Global Medical Director
10:10am Panel Discussion
Panelist Reaction and Audience Discussion
10:40am Audience Discussion
What do we expect from the region shifting from volume to value-based healthcare?
Moderated by: Dianne Hasselman, NHRI
• Larry Blosser M.D., Central Ohio Primary Care, Corporate Medical Director • Michelle Mathieu, Aetna, Vice President Network Management • Kendell Sherrer, Cardinal Health, Vice President Benefits • Ernest Smith, AK Steel, Director, Employee Benefits • King Stumpp, Netcare Access, President and CEO
John Leite, Healthcare Collaborative of Greater Columbus
THE APM JOURNEY:
STOP HITTING THE SNOOZE BUTTON
Diana Han, MD Chief Medical Officer, GE Appliances December 9, 2016 Attorney Client Privileged – Prepared at the request of counsel
QUESTIONS? DIANA.HAN@GE.COM
Regional Learning Session December 9, 2016 Agenda 8:30 – 11:30am
... catalyzing healthcare value improvement
Topic: Moving From Volume to Value: A Multi-Stakeholder Perspective Learning Objectives: What is value-based payment and what can we expect from the shift from volume to value?
8:30am
Welcome & Regional Updates
Krista Stock, Healthcare Collaborative of Greater Columbus
8:45am
2017 HCGC Overview
Mike Stull, Healthcare Collaborative of Greater Columbus, Board Chair
8:55am Keynote #1
Moving from Volume to Value: A Multi-Stakeholder Perspective
Dianne Hasselman, Network for Regional Healthcare Improvement (NHRI), Executive Director, Federal and New Programs
9:35am Keynote #2
Waking the Sleeping Giant: One Employers Collaborative Effort in Shifting to Value-Based Payment
Dr. Diana Han, GE Appliances, Chief Medical Officer and Global Medical Director
10:10am Panel Discussion
Panelist Reaction and Audience Discussion
10:40am Audience Discussion
What do we expect from the region shifting from volume to value-based healthcare?
Moderated by: Dianne Hasselman, NHRI
• Larry Blosser M.D., Central Ohio Primary Care, Corporate Medical Director • Michelle Mathieu, Aetna, Vice President Network Management • Kendell Sherrer, Cardinal Health, Vice President Benefits • Ernest Smith, AK Steel, Director, Employee Benefits • King Stumpp, Netcare Access, President and CEO
John Leite, Healthcare Collaborative of Greater Columbus
Regional Learning Session December 9, 2016 Agenda 8:30 – 11:30am
... catalyzing healthcare value improvement
Topic: Moving From Volume to Value: A Multi-Stakeholder Perspective Learning Objectives: What is value-based payment and what can we expect from the shift from volume to value?
8:30am
Welcome & Regional Updates
Krista Stock, Healthcare Collaborative of Greater Columbus
8:45am
2017 HCGC Overview
Mike Stull, Healthcare Collaborative of Greater Columbus, Board Chair
8:55am Keynote #1
Moving from Volume to Value: A Multi-Stakeholder Perspective
Dianne Hasselman, Network for Regional Healthcare Improvement (NHRI), Executive Director, Federal and New Programs
9:35am Keynote #2
Waking the Sleeping Giant: One Employers Collaborative Effort in Shifting to Value-Based Payment
Dr. Diana Han, GE Appliances, Chief Medical Officer and Global Medical Director
10:10am Panel Discussion
Panelist Reaction and Audience Discussion
10:40am Audience Discussion
What do we expect from the region shifting from volume to value-based healthcare?
Moderated by: Dianne Hasselman, NHRI
• Larry Blosser M.D., Central Ohio Primary Care, Corporate Medical Director • Michelle Mathieu, Aetna, Vice President Network Management • Kendell Sherrer, Cardinal Health, Vice President Benefits • Ernest Smith, AK Steel, Director, Employee Benefits • King Stumpp, Netcare Access, President and CEO
John Leite, Healthcare Collaborative of Greater Columbus
Small Group Discussion
What does value-based healthcare mean to you, your organization?
What are the opportunities and challenges the region may experience shifting to value-based healthcare?
Thank you
Thank you for your participation! Please save the dates for 2017 Learning Sessions 8:30-11:30 am • April 14 • August 25 • December 8
Thank you!
Thank you to the Robert Wood Johnson Foundation and the Network for Regional Healthcare Improvement (NRHI) for their financial and technical support of this Regional Learning Session.