How To Improve Health Care

The Health Care Forum 2013

Reinventing an industry

November 12, 2013

Synopsis

The Economist

's Health Care Forum 2013 will explore the opportunities and challenges ahead for the American

health care system—from health care providers to insurers, pharmaceuticals to technology companies, and

employers across industries.

How will key provisions of the Affordable Care Act affect employers, care providers and insurers?

How can the industry deliver better value to patients?

Which innovations will help transform the delivery of care?

Chaired by

The Economist

’s health care correspondent, Charlotte Howard, and additionally moderated by Elizabeth

Bramson-Boudreau, director of EIU Health Care, and Dr. Vivek Muthu, cofounder and chief executive of Bazian, this

day-long conference, one in a series of

Economist

health care events around the globe, will feature leading voices in

the field and help health care stakeholders plan for the years ahead.

Reinventing an industry

January 2014 will bring the individual mandate, new insurance rules and a massive expansion of Medicaid. Additional

changes are already underway, as patients shop on new health exchanges, millions qualify for Medicare, employers

adjust their insurance models, and pressure grows to pay doctors and hospitals for value rather than volume. The

2013 Health Care Forum will explore the monumental transitions underway and give an understanding of the road

ahead.

The conference will feature sharp thinking, rich debates, and new angles on a transformation that is widely analyzed,

but little understood. With help from today’s top thinkers and executives, we will mine for the best innovations in a

fast-changing industry.

Key issues include:

Innovations in health care delivery

How to balance cost and quality

Strategies to take advantage of the big data revolution

An evaluation of the impact of public exchanges

The new competitors in primary care

Join

The Economist

for a day of stimulating discussion and debate.

The Economist

’s Health Care Forum is designed for C-level and senior executives from the health care industry, as

well as leaders from the wider business community who are responsible for managing health-related processes.

Together with editors from

The Economist

and featured guests, this event offers a full day of stimulating, interactive

discussion and debate, focused on the reinvention of the American health care industry.

Speakers:

August Calhoun, Vice president, Dell Healthcare & Life Sciences Services

David Cordani, Chief executive, Cigna

William H. Crown, Chief Scientific Officer, Optum Labs

Ralph de la Torre, M.D., Chairman and chief executive, Steward Health Care System

Keith Dunleavy, M.D., President and chief executive, Inovalon

Elliott Fisher, M.D., M.P.H., Director of Dartmouth Institute for Health Policy & Clinical Practice

Meghan Fitzgerald, President, Cardinal Health Specialty Solutions

Hooman C. Hakami, President and chief executive, Detection and Guidance Solutions, GE Healthcare Systems

John Halamka, Chief information officer, Beth Israel Deaconess Medical Center

C. Martin Harris, Chief information officer, Cleveland Clinic

John Haslinger, Vice president of benefits outsourcing consulting, ADP

Dora Hughes, Senior policy advisor, Sidley Austin LLP

Iya Khalil, Co-founder and executive vice president, GNS Healthcare

Richard Liebowitz, M.D., Chief medical officer, New York-Presbyterian Hospital

Stefan Linn, Senior vice president of strategy & global pharma solutions, IMS Health

Alan London, M.D., Chief Medical Officer, Take Care Health Systems, Walgreens

Rishi Manchanda M.D., President and founder, HealthBegins

Peter Neumann, Professor of medicine, Tufts University

Kevin Patrick, M.D., M.S., Professor of family and preventive medicine, University of California, San Diego

Clay Richards, President, naviHealth

Joan Saba, Partner, NBBJ

Brent Sanders, Vice president of Payer Markets, Allscripts

Charlie Schick, Director of Big Data, Healthcare and Life Sciences, IBM

Sati Sian, Senior vice president of global technology services & operations, IMS Health

Barbara Spurrier, Administrative Director, Mayo Clinic Center for Innovation

Elizabeth Teisberg, Professor, The Dartmouth Center for Health Care Delivery Science

Ben Wanamaker, Executive director of health care, Clayton Christenson Institute

Patricia Wang, President and chief executive, Healthfirst

Jean Yang, Executive director, Commonwealth Health Insurance Connector Authority

Sheikh Usman Iqbal MD, MPH, MBA, Head of oncology, global evidence & value development medical affairs,

Sanofi-Aventis

Programme

:

8.00 am

Registration

9.15 am

Opening Remarks

An overview of reforms ahead

Charlotte Howard, Health care correspondent,

The Economist

9.30 am

Payment reform

Cheap, good, accessible health care

The Affordable Care Act includes a massive expansion of insurance, yet it remains unclear how America’s

health system can provide high quality, less expensive care. The industry is teeming with experiments, from

bundled payments to Accountable Care Organisations. How are new payment models transforming the way

providers deliver care? Which models are most promising? Which carry the greatest risk? What are

obstacles to innovation?

Elliott Fisher, M.D. , M.P.H, Director of Dartmouth Institute for Health Policy & Clinical Practice

Ralph de la Torre, M.D., Chairman and chief executive, Steward Health Care System

10.00 am

_{Exchanges and beyond}

Lessons so far

American health insurance is being transformed, thanks to the arrival of the individual mandate, the end of

medical underwriting and the opening of the new insurance exchanges. What can be learned from the

reforms in Massachusetts? Are the new exchanges poised for success? Are patients ready to become

shoppers for insurance? How are insurers engaging individual consumers in new ways? How can the

exchanges spur broader changes to encourage value-based health care? This session will take a

360-degree view of the public exchanges, and, more broadly, examine how changes in the individual market will

ripple through the health care system.

David Cordani, Chief executive, Cigna

Dora Hughes, Senior policy advisor, Sidley Austin LLP

Jean Yang, Executive director, Commonwealth Health Insurance Connector Authority

10.30 am

Morning break

11.00 am

Evidence-based medicine

Calculating risk and reward

More care is not always better care. Now, there is new attention to comparing treatments’

efficacy. Evidence-based medicine holds the promise to streamline care and keep costs down by creating a

systematic, data-driven approach to delivery. In what ways should the public and private sector drive the

adoption of evidence-based medicine?

William H. Crown, Chief Scientific Officer, Optum Labs

Peter Neumann, Professor of medicine, Tufts University

Elizabeth Teisberg, Professor, The Dartmouth Center for Health Care Delivery Science

11.30 am Retail Rx

Corner store care

Blood samples and bar soap? Retail outlets are poised to become the new venue for primary care. What are

big-box retailers doing to get in the game? How do retail clinics fit within the broader health system,

particularly in an era of coordinated care? How do retail clinics complement the rise of mobile health

technologies? Is there a limit to the decentralization of care?

Alan London, M.D., Chief Medical Officer, Take Care Health Systems, Walgreens

Barbara Spurrier, Administrative Director, Mayo Clinic Center for Innovation

Ben Wanamaker, Executive director of health care, Clayton Christenson Institute

12.00 pm

Lunch

Innovation through connected health care

Health care is still highly fragmented, despite investments in technology, structural reforms and regulatory

initiatives. Payers, physicians and hospitals often work in silos, leading to higher costs and suboptimal

outcomes. For a step change in health care performance, information needs to be connected to drive

insights and technology must connect processes across care settings to lower costs. This session,

sponsored by IMS Health, will address how all health care stakeholders must be more aligned to put the

patient at the center of care. What must payers, providers, pharmaceutical manufacturers and public

policymakers do to move health care towards a more connected model?

Introduction: Sati Sian, Senior vice president of global technology services & operations, IMS Health

Sheikh Usman Iqbal MD, MPH, MBA, Head of oncology, global evidence & value development medical

affairs, Sanofi-Aventis

Richard Liebowitz, M.D., Chief medical officer, New York-Presbyterian Hospital

Stefan Linn, Senior vice president of strategy & global pharma solutions, IMS Health

Kevin Patrick, M.D., M.S., Professor of family and preventive medicine, University of California, San Diego

1.30 pm

Using big data

Healthier performance

“Big data” is all the rage. In theory, big data will improve the efficiency and quality of care. From analysing

health trends to mining data for best practices, which technologies and strategies will help modernise the

health industry? What is the effect of recent investments in health information technology? Can big data truly

save patients and save billions?

Charlie Schick, Director, IBM

Iya Khalil, Co-founder and executive vice president, GNS Healthcare

C. Martin Harris, MD, Chief information officer, Cleveland Clinic

2.00 pm

Working groups

Data-driven health care

We are in the midst of the most transformative time for health care in our nation’s history. In the setting of an

expanding Medicare Advantage and managed Medicaid marketplace, the implementation of the ACA is also

now upon us. Within this environment of challenge and opportunity, health care stakeholders are focused on

rising legislative and regulatory pressures, MLR utilization efficiency, risk score accuracy, quality outcomes,

and a rising role of consumerism. The success of health care businesses now depend on highly granular,

actionable business intelligence and advanced analytics empowering informed interventions to successfully

compete. In this working group, brought to you by Inovalon, learn how the health insurance industry and

managed care organizations are responding to the need for comprehensive member-level data and

advanced analytics—revolutionizing their business models driving dramatic, objective improvement in

clinical and quality outcomes, care management, and financial performance.

Keith Dunleavy, M.D., President and chief executive, Inovalon

Brent Sanders, Vice president of Payer Markets, Allscripts

Patricia Wang, President and chief executive, Healthfirst

Transforming health care with information

Doing more with less, and becoming ever-more nimble and agile, has become vital to success in health

care. New information technology solutions are the key to achieving this. This working group, sponsored by

Dell, will ask: What tools are health care providers adopting to transform once rigid institutions? Cloud

computing is just one example that's allowing companies to shed the weight of decades-old IT infrastructure.

But how can health care services manage the costs and risks of this technology transformation, including

monetary, regulatory and security? Furthermore, how might the implementation of new technologies, which

can empower stakeholders from the bottom-up, push health care organizations to change the ways in which

they are managed and operate?

John Halamka, Chief information officer, Beth Israel Deaconess Medical Center

Barbara Spurrier, Administrative Director, Mayo Clinic Center for Innovation

3.30 pm

Networking break

4.00 pm

The employer picture

How organizations are responding to ACA

Employer-sponsored insurance is in the midst of a dramatic transformation. Companies are testing new

ways to keep workers healthy and costs down. Value-based insurance and private exchanges are

transforming the way patients consume care. Some changes are in direct response to the Affordable Care

Act. Others are independent of it. But employers' actions have enormous implications for the rest of the

health system. The experts on this session will analyse how employers' decisions affect insurers, doctors

and, of course, patients themselves.

John Haslinger, Vice president of benefits outsourcing consulting, ADP

Tracy Watts, National leader for health care reform, Mercer

4.30 pm

The patient's journey

The reimagination of care

The way patients interact with doctors and manage their health is in the midst of a transformation. What will

the new era of patient-centred care look like? While changes come incrementally, it is possible to see what

the outcome of all this could be. This session will explore companies’ ideas for a new, improved patient

experience--from admission to discharge to the home.

Rishi Manchanda M.D., President and founder, HealthBegins

Clay Richards, President, naviHealth

Joan Saba, Partner, NBBJ

5.00 pm

The future

The reimagination of the business

American health care is evolving quickly. Some changes are driven by the Affordable Care Act, others were

set in motion before the law was passed. But every health company is being forced to reexamine how it

does business. As the sector continues to transform, how are companies innovating for the long-term? Here

is a look inside the disruptions happening inside hospital administrations, pharmaceutical companies,

insurance firms and medical device makers.

Meghan Fitzgerald, President, Cardinal Health Specialty Solutions

Hooman C. Hakami, President and chief executive, Detection and Guidance Solutions, GE Healthcare

Systems