Health Care Leaders Summit: The Convergence of Health Reform and Managed Care

October 26, 2011 6:00pm – October 28, 2011 12:00pm

W New Orleans
333 Poydras Street
New Orleans, Louisiana

Revive is pleased to present the 2011 Health Care Leaders Summit. Come meet, listen to and network with a variety of industry experts and senior leaders in health care, including health system executives and strategists to analysts, health care attorneys, and contract negotiators.

The Health Care Leaders Summit is a unique opportunity to gain insight on how organizations are preparing for the future of care delivery, their near- and long-term strategies for accountable care, strategies for taking risk or bundled payments, and insight into the contracting, financial, regulatory, and physician implications of health care reform.

We’ll hear about the early returns from organizations pursuing medical homes and ACOs and the thought process behind the approaches they’re taking. We’ll also hear from those organizations that are holding back, and why they’re avoiding near-term moves to adopt new models of care and the accompanying payment models.

Scheduled Presenters
Speakers at the summit will include:

	Kerri Balbone SVP of Provider Relations, United HealthcareUnder Kerri’s direction, Provider Relations has piloted and successfully implemented advocacy programs targeted at improving relationships with United Healthcare’s network of over 500,000 physicians and 5,000 hospitals. She leads a team of over 350 locally based employees charged with improving communication, increasing administrative simplification, and providing critical education and outreach regarding United Healthcare’s products, policies, and services.Kerri has a long history of supporting a variety of health plan functions. Her initial role within United Healthcare involved leading the Access and Healthcare cost functional areas for commercial integrations. Between 2006 and 2008, Kerri led the clinical, network, pharmacy, and specialty health teams supporting eight integrations each completing 20-25 discreet projects. As a result of these efforts, the company achieved synergies of over $43 million in 2006 and $74 million in 2007.
	Jim Boswell Partner, King & SpaldingJim is a litigation partner practicing in King & Spalding’s Healthcare Practice Group. Mr. Boswell has also handled jury trials, administrative hearings, arbitrations, and appellate arguments involving specialized health care issues on behalf of health care industry clients. He is the Chair of the Healthcare Liability and Litigation Practice Group of the American Health Lawyers Association. In 2008, Nightingale’s Healthcare News recognized him as one of twelve “Outstanding Healthcare Litigators” nationally.
	Gary Davis Partner and Attorney, McDermott Will & EmeryGary focuses his legal practice on managed care, emerging health benefit plans, strategic restructurings and reorganizations, joint ventures arrangements, and related transactional, regulatory and reimbursement issues. He has been involved in the formation, acquisition, disposition, restructuring, and reorganization of HMOs, third party administrators, hospitals, independent physician associations, ambulatory surgical centers, physician-hospital organizations, home health agencies, and durable medical equipment companies.Mr. Davis has authored many writings in the area of managed care, is a frequent speaker on organizational and reimbursement issues relating to managed health care, health care contracting, and joint ventures, and has lectured at more than 130 seminars sponsored by numerous trade, educational and professional organizations.
	Franke Elliott Senior Vice President, Business Development at HealthSpringFranke has more than 18 years of experience in the health care industry, having held various management positions in both the hospital and health insurance sectors.Mr. Elliott joined HealthSpring in May 2011 and is responsible for the business development functions related to new market expansion, strategic partnerships, Medicaid initiatives, and strategic planning. Prior to joining HealthSpring, he spent 10 years with HCA, the nation’s leading provider of health care services, most recently as Regional Vice President of Strategic Pricing and Analytics, where he developed, planned, and executed managed care strategy on behalf of multiple operating divisions of the company.
	Robert Gamble Senior Managing Director, FTI ConsultingRob is a senior managing director in the FTI Corporate Finance/Restructuring practice and is based in Philadelphia. He is the national leader for revenue cycle services at FTI Consulting. Mr. Gamble is a member of the FTI Healthcare group and has more than 20 years of health care experience, including revenue cycle performance improvement, operations integration, operations analysis and improvement, process reengineering, organizational redesign, management systems design, strategic planning, and clinical information management. Prior to joining FTI Consulting, Rob held roles at Navigant Consulting, Arthur Andersen, Teaching Hospital Operations, and Community Hospital Operations.
	Shelley Gast System Director of Managed Care, Norton HealthcareShelley serves as the System Director of Managed Care for Norton Healthcare. In her role, Shelley is responsible for negotiating and monitoring the contracts for all entities of Norton, including hospitals, employed physicians, NCI, diagnostic centers, and Just for Kids Transportation. She joined Norton Healthcare in February 2006 as the Director of Contracting, and was promoted to System Director of Managed Care in November 2010.
	Neil Godbey President, The Godbey GroupNeil has extensive experience in the health care industry. As a seasoned executive who has managed and been a consultant on the development and operations of some the largest health care organizations in the nation, Neil brings an “outside of the box” perspective to help transform firms that are adverse to change. Being a strategic advisor and developer to executive management, he has negotiated mergers, acquisitions, and dispositions of over 75 of health care companies, including health plans, tertiary care centers, physician group practices, and other health care companies. Neil has also negotiated consolidated managed care payor contracts and developed strategic planning for health care ventures ranging in scope from small, stand-alone hospitals and clinics to national health care companies and business lines.
	Dianne Grussendorf VP of Managed Care, Baylor Health Care System and Health Texas Provider Network A 23-year veteran of Baylor Health System, Dianne oversees all contract negotiations, financial analysis, and compliance for the $5.9 billion health system. The Office of Managed Care negotiates contracts for 21 hospitals, 453 physicians, and a diverse portfolio of ancillary businesses. She has strategic and operational responsibility from a corporate office perspective.
	Steve Johnson Vice President of Payer Relations and Performance Assessment, Erlanger Health SystemSteve is the Vice President of Payer Relations and Performance Assessment for the Erlanger Health System, based in Chattanooga, TN. Mr. Johnson’s primary role is securing and maintaining effective relationships with insurers and other payors, which includes responsibility for payer contracting. He is also responsible for Erlanger’s Revenue Integrity Program, which is charged with timely and effective responses to Medicare Recovery Audit Contractor requests, other program integrity audit requests, and audit requests from non-governmental payers. He also has primary oversight of Decision Support, third party cost reporting, and operational performance improvement using Six Sigma methodology. Mr. Johnson is a member of the Tennessee Hospital Association Insurance Reform Task Force and previously worked for Blue Cross Blue Shield.
	Paul Kusserow SVP and Chief Strategy Officer, HumanaPaul joined Humana in February 2009 with responsibility for the company’s strategic planning function as well as its corporate development, merger and acquisition, and venture-capital activities. He is one of six direct reports to the President and Chief Executive Officer and a member of the Corporate Executive Committee, which sets strategic direction for the company.Prior to joining Humana, Mr. Kusserow served as Managing Director of Private Equity at the Chicago-based investment firm B.C. Ziegler and Company. He also served as Managing Director and Chief Investment Officer of the Ziegler HealthVest Fund, where he focused on early-stage investments in health care services and health care IT.
	Eric Logue Director, Navigant ConsultingMr. Logue is a Director with Navigant’s Healthcare provider and payor practice and is based out of the Atlanta office. Eric specializes in strategic and capital planning, managed care negotiations, and process improvement. He has 15 years of experience working within hospitals and, externally, as a management consultant for academic medical centers, multi-hospital health care systems, and ambulatory care clinics.
	Gerry Meklaus Senior Managing Director, FTI HealthcareGerry is a Senior Managing Director in FTI’s Healthcare practice, where he leads the Physician Enterprise consulting practice. He has over 12 years of consulting experience and 25 years of diversified health care management profit and loss experience. He has led the delivery of highly successful projects for large group practices, prominent faculty practice plans, academic medical centers, community hospitals and for-profit entities, and overseen the successful design and development of new ventures, from integrating acquired medical groups, through new ambulatory facility development, through the introduction of new medical devices to US users.Mr. Meklaus is recognized as a thought leader in the area of physician-hospital affiliation strategies and business arrangements. He has assisted health systems with a variety of strategic and tactical challenges, from integrating and optimizing medical group acquisitions to the development of Accountable Care Organizations. Prior to working with FTI Healthcare, Mr. Meklaus was a Partner with Accenture, where he led the Physician Services practice.
	Carl McDonald Director and Senior Analyst, Citi GroupCarl joined Citi Investment Research in June 2010, having followed the managed care industry for more than a decade. He has previously held positions at Oppenheimer & Co., CIBC World Markets, Morgan Stanley, Bank of America, and Credit Suisse First Boston.He was named the runner-up analyst in the managed care sector in Alpha Magazine’s ranking of top analysts by hedge funds in 2007, and was honored as the Up and Coming Managed Care analyst in Institutional Investor‘s 2005 and 2006 All America Research survey. In 2006, Forbes.com/StarMine selected Mr. McDonald as the number two earnings estimator in the country and the top earnings estimator in the Health Care Providers & Services industry.
	Michael McMillan Executive Director of Market and Network Services, Cleveland ClinicMichael is the Executive Director of Market and Network Services for the Cleveland Clinic, a $5 billion health care system with operations in Ohio, Florida, Nevada, and around the globe. He is accountable for all aspects of the business relationship with health plans and employers, including managed care business development, network management, contracting, and direct sales for the Cleveland Clinic’s world class products and services. Mr. McMillan is also the President of the Cleveland Clinic Community Physician Partnership, a network of independent community-based physicians.
	Myra Miller Chief Operating Officer, Piedmont Medical Care Corporation Myra is a Vice President at Piedmont Healthcare and serves as Chief Operating Officer of Piedmont Medical Care Corporation (PMCC), a multi-specialty physician group with over 250 physicians in 50 locations across metro Atlanta. Myra is responsible for day-to-day operations, including practice management, information technology, human resources, and marketing. Serving as COO since 2004, Ms. Miller has played a critical role in the rollout of the ambulatory EMR across the Piedmont Healthcare system. PMCC has earned many accolades under Myra’s leadership and has been recognized as a Better Performer by the Medical Group Management Association since 2004.
	Glen Reed Partner/Chair, King & SpaldingMr. Reed chairs King & Spalding’s Healthcare Industry Group and is a member of the firm’s Healthcare Reform Task Force. His practice concentrates on the general representation of health care systems and on specialized projects involving health care industry restructuring, managed care, health care policy, and new service development. His practice has also helped clients with payor/provider contracts, compliance self-assessments and remedial actions, clinical and business integration, physician compensation compliance assessments, and the addition of existing hospitals to nonprofit systems.Glen has served on the Healthcare Economic Development task force of the Metro Atlanta Chamber of Commerce, and was the legal consultant to Governor Miller’s Commission on Health Care. He is a member of the Dean’s Council of the Emory University School of Public Health and has lectured extensively on health care industry legal matters.
	Jim Sams, M.D. Medical Director, Piedmont Primary Care GroupDr. Sams has served as Medical Director of Piedmont Physicians Group (PPG), a subsidiary of Piedmont Healthcare, since 2009. He was instrumental in PPG earning Bridges to Excellence Recognition as a patient-centered medical home in May 2011, making it the first multi-site physician group in the nation to receive this designation. He has developed Georgia’s first accountable care organization pilot, conceived by PPG and CIGNA Healthcare.Dr. Sams practices at Piedmont Physicians at Yorktown in Fayetteville, Georgia, is currently in his second term on the Piedmont Clinic Board of Directors and Executive Committee, and is Chairman of the Board of Piedmont Fayette Hospital.
	Sheryl Skolnick, Ph.D. Managing Director, CRT Capital Group LLCSheryl first joined CRT in 2006 to provide equity and credit coverage of health care services companies. She re-joined in 2010 after a short tenure at Pali Capital. With 22 years on Wall Street, Dr. Skolnick has been named WSJ Best on the Street in 2009 in Healthcare Providers, her fifth appearance on the roster, and has provided health care services investment research at Robertson Stephens and Fulcrum Partners, a top independent research boutique, among other sell- and buy-side firms.
	Glenn Solomon Partner, Hooper, Lundy & Bookman, PCGlenn concentrates his practice on complex business and corporate litigation, arbitration, and dispute resolution, with a particular focus on the health care industry on behalf of providers, and expertise in the managed care field. He strongly believes in seeking creative solutions, thinking outside the box, looking for ways to navigate difficult matters, and employing methods most likely to meet his clients’ goals. Mr. Solomon has litigated, arbitrated, and resolved a broad range of cases for health care companies. His experience includes disputes involving managed care, contracting, management services, real estate, fraud and abuse, business relations, reimbursement, trade secrets, misappropriation, employment, and discrimination.
	Bob Stone Executive Vice President, HealthwaysBob co-founded Healthways in 1981 as American Healthcorp and has since served on the company’s executive team in a variety of roles. Stone is a recognized pioneer in the industry, having been a charter board member and former president of DMAA: The Care Continuum Alliance, an active advocate for industry accreditation standards, a standardized industry outcomes methodology, and assuring access to care management programs for Traditional Medicare Beneficiaries. In addition to his tenure with Healthways, he has held leadership positions at Kings County Hospital Center, Rancocas Valley Hospital in New Jersey, and New York Medical College before serving as the Director of the Determination of Need program in Massachusetts. Bob is a prolific author, speaker and commentator on issues facing the industry and health care in general.
	Juan Vallarino SVP of Strategic Pricing and Analytics, HCAMr. Vallarino has more than 28 years of experience in the health care industry. He has held key management roles in various health care sectors, which include physician practice management, institutional providers, and health care insurance companies, as well as his own consulting practice.Juan has been with HCA since 1993. As Senior Vice President of Strategic Pricing & Analytics, he has responsibility over $18 billion in net revenues. During his tenure with HCA, he has held positions in Government Programs Compliance, Home Health Services, and Physician Management Services. Prior to HCA, Mr. Vallarino served as Senior Vice President of Development for FPA Medical Management.
	Ken Wilson, M.D., M.S. Vice President, Clinical Effectiveness and Quality at Norton HealthcareDr. Wilson has been the System Vice President for Clinical Effectiveness and Quality since 2010. In this role, he has overall management responsibility for the Quality and Safety Programs of Norton Healthcare. He is a member of the system leadership team, guiding the organization’s participation in the Brookings-Dartmouth Accountable Care Organization pilot. Ken also leads the Technology Assessment Committee, a physician-centric group that evaluates all new and emerging technologies as well as existing technologies for use within the organization. In collaboration with the Chief Medical Officer of Norton Healthcare he envisions, creates, and supports programs that identify and develop physician leaders within the organization. Previously, Ken served as the System Associate Vice President of Clinical Affairs beginning in 2004. He also spent 18 years practicing Family Medicine in Indiana.

Breakfast, lunch, and refreshments will be provided. Review the complete conference schedule.

Frequently Asked Questions

When is the Summit?

The conference begins with a hosted cocktail reception on Wednesday evening, October 26 at 6 p.m. at the W Hotel. The program officially begins at 8 a.m. on Thursday, Oct. 27, and will conclude around lunchtime (noon) on Friday, Oct. 28. Breakfast, lunch, and dinner sessions will be included in the Summit program.

Is there a fee to attend the Summit?

Revive Summit events are offered free of charge. Revive covers the cost of the event, supported by generous sponsors in the health care industry.

When should we arrive?

If possible, we would like for you to plan on arriving in New Orleans mid- to late-afternoon on Wednesday, Oct. 26. You may join us for a cocktail reception on-site at the W Hotel the evening before the Summit program begins on Thursday morning. The cocktail reception is scheduled for 6 p.m. on Wednesday, Oct. 26.

Where is the Summit?

The Summit will be held at the W Hotel in New Orleans, Louisiana.

W New Orleans
333 Poydras Street
New Orleans, LA 70130
Phone: (504) 525-9444
Map

Where should we stay?

We have made arrangements with the W Hotel to offer our guests discounted rooms for their stay during the Summit. The discounted rate is $209/night. To reserve your room, call the W Hotel at 1-877-WHOTELS. (Mention that you are attending the “Revive Health Care Summit.”)

What is the format of the Summit?

There will be a few casual networking sessions, keynote speeches, small group breakout presentations, panel discussions, and social dining events.

How many people will be attending?

Summit attendance will be limited to 50 guests. Space fills up quickly, so register today!

What is Revive?

Revive is a national public relations firm specializing in Health Services and Healthy Living. The firm has developed a strong reputation for its work in crisis communications, mergers and acquisitions, payor contracting disputes, union issues, and reputation management issues of all stripes. Named “New Agency of the Year” in 2010 by The Holmes Report, Revive is among the 15 largest health care PR firms in the country. Revive’s clients include major hospitals and health care systems, academic medical centers, physician organizations, health care industry associations, health care I.T., and health & wellness companies. With 17 professionals on staff, Revive has offices in Santa Barbara, California, and Nashville, Tennessee. To learn more, visit www.revivepr.com.