The Payer/Provider Engagement & Contracting Summit

May 20, 2021 ‐ May 21, 2021

As the only conference in the market that joins together payers and providers in the same setting, The RISE Payer/Provider Engagement & Contracting Summit bridges the gap in the care continuum and reveals the roadmap to value-based health care delivery. Our 2021 virtual conference is a dual tracked event that brings together mid- to senior-level professionals from health plans, health care providers, medical groups, Accountable Care Organizations (ACOs), employer groups, and service providers, to uncover new strategies to align financial incentives, improve patient outcomes, and better navigate the value-based care space.

Standard: $500.00


Chairperson Welcome & Opening Remarks and Keynote Panel: The Pandemic Impact on Value-Based Contracting & Delivery

May 20, 2021 9:00am ‐ May 20, 2021 10:00am

Identification: THURS001

Analyze Alternative Contracting Models Options to Determine Your Approach

May 20, 2021 10:15am ‐ May 20, 2021 11:00am

Identification: THURS03

•    Execute an attractive and sustainable value-based contract using a primary care physician network
•    Discover the lucrative benefits of the Medicare direct contracting model and important considerations for this trend
•    Drive down costs and improve patient outcomes with employer direct contracting
•    Learn unique approaches to provider incentives through performance-based contracts


Payer Provider Partnerships: Brilliant Basics and Innovation

May 20, 2021 11:15am ‐ May 20, 2021 12:00pm

Identification: THURS04

• Learn effective partnership strategies for employers, payers and providers to flatten the cost curve and deliver quality value and care
•    Develop a collaborative member centric approach to improve quality outcomes post pandemic
•    Incorporate prevention and post-acute strategies into your partnership strategy for patient engagement success


Lunch & Virtual Networking Lobby

May 20, 2021 12:00pm ‐ May 20, 2021 1:00pm

Identification: THURS05

Turn on your camera and join us in the Virtual Lobby for that face-to-face networking experience we’ve all been missing. Connecting with your peers and vendors has never been easier - click on an open seat, say hello to familiar faces, and take part in discussions on industry hot topics. We’ll see you in the lobby!

CMS Value Based Care Programs: Current and Future Opportunities for Provider Organizations Looking to Take on Risk

May 20, 2021 1:00pm ‐ May 20, 2021 1:45pm

Identification: THURS06

• Discuss the history and success of previous CMS and CMMI programs and the current state of offerings for ACOs looking to take on risk
•    Receive an overview of the contractual components that successful value based contracts have, and considerations for how CMS could include this within any future program offerings
•    Assess historic performance of MSSP and the specific qualities that have led to shared savings for participating organizations

  • Dani Cronick, FSA MAAA, Senior Consulting Actuary, Wakely Consulting Group, LLC
  • Brad Heywood, ASA MAAA, Associate Actuary, Wakely Consulting Group, LLC
  • Daniel J. Elliot, MD MSCE FACP FAAP, Executive Director, eBright Health ACO/ChristianaCare

Concurrent Sessions iconConcurrent Sessions

Preview Available

Concurrent Sessions

May 20, 2021 2:00pm ‐ May 20, 2021 2:45pm

Identification: THURS002

Challenges & Opportunities for ACO’s

May 20, 2021 2:00pm ‐ May 20, 2021 2:45pm

Identification: THURS07A

•    Assess how the ACO model has thrived from the pandemic and exposed the need for better communication between primary care and the patient
•    Learn strategies for ACO’s to maintain their independence despite the acquisition of primary care and specialists by private equity, corporate medicine and large health systems
•    Learn the pros and cons of the direct primary care model and what organizations can do to prepare


Engaging Providers Post Pandemic

May 20, 2021 2:00pm ‐ May 20, 2021 2:45pm

Identification: THURS07B

• Engage and effectively incentivize providers post pandemic
•    Learn best practices for a successful incentive strategy for hospitals and understand where specialists fit in
•    Understand the critical role of clinical integrated networks
•    Gain insight into which physician models and partnership strategies are most effective


Concurrent Sessions iconConcurrent Sessions

Preview Available

Concurrent Sessions

May 20, 2021 3:00pm ‐ May 20, 2021 3:45pm

Identification: THURS003

The Evolution of Value-Based Health Care

May 20, 2021 3:00pm ‐ May 20, 2021 3:45pm

Identification: THURS08B

• Capitalize on the payer shift to new models of value-based contracting
•    Discuss the impact of COVID on the evolution of payer care and future predictions
•    Understand the financial impact on hospitals and how to collaborate most effectively
•    Align the metrics/operations of value-based contracts across payers

  • Troy Smith, Vice President, Healthcare Strategy & Payment Transformation, Blue Cross Blue Shield of North Carolina (BCBSNC)
  • Kelly Fernandez, MBA, Director, Managed Care & Value Based Contracting, RWJBarnabas Health
  • Melissa Gerdes, MD FAAFP CHCQM, System Vice President Value Based Clinical Strategy, Population Health, CommonSpirit Health®
  • Michael Pattwell, Principal Solution Consultant, Edifecs