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Healthcare Executive Roundtable: Maintaining Financial Stability & Finding New Revenue Sources in a Rapidly Changing Payer Environment

  • Winstead PC 2728 N. Harwood Street, Suite 500 Dallas, Texas 75201 United States (map)
 

Healthcare Executive Roundtable: Maintaining Financial Stability & Finding New Revenue Sources in a Rapidly Changing Payer Environment

Thursday, September 26, 2019 | 9:00 AM – 12:00 PM CT
Winstead PC | 2728 N. Harwood Street I Suite 500 | Dallas, Texas 75201


About the roundtable

This executive roundtable brings together healthcare executives, key opinion leaders, and patient groups from the provider, payer, technology, pharmaceutical, and other sectors for an intimate and collaborative discussion on value-based contracting. The exclusive, limited-attendance roundtable is designed to provide the top thought leaders with the latest insights and ideas on how to develop successful value-based contracting strategies and facilitate revenue growth. The half-day roundtable brings these leaders together for a morning of collaboration and co-learning.


Key Discussion Points:

  • Value based contracts: What data is necessary to facilitate revenue growth?

  • Where can you get more support or leveling of the playing field for value based contracting?

  • Reviewing and taking inventory of hundreds of different value based contracts: analyzing the variations and investing in refined areas to be successful

  • What has worked well in negotiations with health plans?

  • Having the right data / transparency and preparing for alternative payment models

  • Analyzing new types of data supporting revenue growth in value based contracting (i.e. rates and rate increases)

  • Predictive analytics and reducing issues

Event Co-Chair & Distinguished Closing Remarks

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Dr. Joseph S. Barcie, MD, MBA

Accomplished C-level Physician Executive

Dr. Barcie has recently joined the prestigious University of Chicago, Medicine as their Strategy and International Programs leader with responsibilities in Spain, Canada and Latin America.

Before this new appointment, Dr. Barcie has served as Corporate Senior Vice President of International Operations for Christus Health. In this position, he led day-to-day operations for Christus Health’s international division, which includes the third largest healthcare system in Mexico, the most prestigious academic medical center in Chile and the largest integrated health system in Colombia and a variety of charity clinics, cancer centers reference labs, pharmacy services, call center and Shared Services Division with a total of almost 17,000 employees, 2,100 employed physicians serving over 6.5 million patients per year. Dr. Barcie has P&L responsibilities for over $875 million in revenues and leads the system’s international M&A expansion in Latin America.

Dr. Barcie has 25 years of experience in the healthcare field, including significant senior level experience in hospital administration in both the U.S. with HCA, Tenet and Mount Sinai Medical Center and in Latin America, and is fluent in Spanish and Portuguese. Over the course of the last decade, Dr. Barcie has led the value creation of over $ 3 billion USD in M&A, Rollups and new facility construction projects.

He previously served as Corporate Vice President at Baptist Health International and Baptist Health South Florida, the largest not-for-profit health care organization in the South Florida region, comprised of ten hospitals and more than two dozen medical plazas and outpatient facilities. Its International Center is one of the largest hospital-based international programs in America and over 16,000 of people traveling to Baptist Health each year from around the world to receive care from their physicians and medical facilities.

Prior to this he served as Corporate President of Operations for International Hospital Corporation [IHC], a Dallas-based company. IHC owned and operated acute care hospitals in Brazil, Mexico and Costa Rica, which are accredited by either The Joint Commission International or the Canadian Council on Hospital Accreditation.

He earned his undergraduate degree in chemistry from Florida Atlantic University, a master’s degree in business administration in healthcare from The Paul Merage School of Business at the University of California, Irvine, and his Doctor of Medicine from the UACJ School of Medicine in Chihuahua, Mexico, followed by Internal Medicine training at White Plains Medical Center-Albert Einstein College of Medicine in New York, Corporate Finance from Cornell University SC Johnson College of Business and Patient Safety Certificate from John’s Hopkins University.

Although Dr. Barcie has traveled to over 20 countries in Latin America and The Caribbean and lived in Brazil, Spain, Costa Rica, Chile, Mexico and Colombia he now resides in Dallas Texas with wife and son.

Event Co-Chair

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Dr. James Gillespie, PhD, JD, MPA

President of the Center for Healthcare Innovation

Dr. James J. Gillespie, PhD, JD, MPA, is a consultant, researcher, and scholar in the application of advanced analytics, business intelligence, and big data to address challenges and opportunities for healthcare, biopharmaceutical, medical, and technology companies. His research has appeared in numerous peer-reviewed academic outlets and top industry/trade journals, and he is the lead author of the book: "Patient-Centric Analytics in Health Care: Driving Value in Clinical Settings and Psychological Practice” published by Lexington Books. With two MD physician colleagues, he is working on a new book: "AI and Machine Learning: Revolutionizing the Future of Healthcare and Medicine." Dr. Gillespie’s research has appeared in Academy of Management Review, American Behavioral Scientist, European Journal of Social Psychology, Federal Reserve Bank, Harvard Business Review, and Strategic Management Journal. His education includes Northwestern University Kellogg School of Management, M.A., Ph.D.; Harvard University School of Law, J.D.; Princeton University Woodrow Wilson School of Public Policy, M.P.A.; Massachusetts Institute of Technology, B.S.; Carnegie Mellon University Heinz School; and Rand Graduate School.

Roundtable Co-Moderators

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Dr. Tom Summerfelt, PhD

Vice Chair of the Board of Directors at CHI
President, North American at Convergence CT

Dr. Thomas Summerfelt, Ph.D., is the President, North America at Convergence CT, which works collaboratively with health care providers and life science companies to leverage real-world data within their Global Healthcare Data NetworkTM to improve outcomes for stakeholders across the healthcare ecosystem, especially patients. Prior to this role, Dr. Summerfelt was the Vice President of Research & Innovation at Advocate Health Care. Dr. Summerfelt earned his Ph.D. from Vanderbilt University and focused his doctoral and post-doctoral training on Health Services Research. He has held faculty appointments at Vanderbilt, Michigan State, and University of Chicago. His scholarly work focuses on effectiveness research, program evaluation, and value-based analysis.

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Paul Ceverha

Managing Director at AArete

Paul Ceverha is a managing director with AArete’s healthcare strategy team. He has an extensive track record of developing new and innovative approaches to complex clinical, IT, operational, and market opportunities. Paul has served in various roles as a senior executive, program manager, CTO, industry subject matter specialist, and technical architect. He has extensive experience in, and broad knowledge of, clinical and business intelligence, and regularly advises hospital systems on the enablers required for bearing risk and improving outcomes on populations.

Distinguished Speakers

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Paul Schuhmacher

Managing Director at AArete

Paul Schuhmacher is a Managing Director in AArete’s Strategy & Operations practice and is based out of AArete’s Los Angeles office. He has nearly 10 years of consulting experience across a variety of industries including extensive experience with Healthcare payers. Paul specializes in using data analytics to drive strategic decisions and operational improvements with minimal disruption throughout organizations. Prior to joining AArete, Paul began his career at Huron Consulting Group where he worked on corporate disputes and fraud investigations. He holds a Bachelor of Business Administration from Indiana University’s Kelley School of Business and is a Certified Fraud Examiner.

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Scott Rees

Director at AArete

Scott has over 15 years of healthcare industry experience in consulting with extensive expertise in implementation projects for large health systems and complex consulting projects. He specializes in advanced analytics and modeling, regulatory requirements, pricing services, strategic planning and health systems revenue cycle. Scott has experience with multiple predictive modeling techniques as well as operational research / management science analytics such as time series forecasting, queuing theory, simulations and probability distributions. Prior to joining AArete, Scott worked in the healthcare practices of Ernst & Young, Deloitte and Crowe. Scott holds a Bachelor of Business Administration degree from Indiana University’s Kelley School of Business, a Masters of Health Administration degree in Hospital & Healthcare Facilities Administration from Indiana University’s Richard M. Fairbanks School of Public Health and a Masters of Business Analytics degree from the Mendoza College of Business at the University of Notre Dame.


 

CHI Key Contacts & Executive Team

Dr. Tom Summerfelt

Dr. James Gillespie

Joseph Gaspero

 

Sponsors

 

Agenda

9:00 AM
Registration & Networking

9:25 AM
Opening Comments: Ananya Stoller, Senior Project Manager at CHI; John Kincade, Shareholder at Winstead PC

9:30 AM
Distinguished Welcoming Remarks: Paul Schuhmacher, Managing Director at AArete

9:35 AM

Introductory Overview: Scott Rees, Director at AArete

9:45 AM
1st Module: Co-Moderated by Paul Ceverha, Managing Director at AArete and Dr. Tom Summerfelt, PhD, President, North America at Convergence CT; Vice Chair of CHI Board

10:45 AM
Coffee Break

11:00 AM
2nd Module: Co-Moderated by Paul Ceverha, Managing Director at AArete and Dr. Tom Summerfelt, PhD, President, North America at Convergence CT; Vice Chair of CHI Board

11:50 AM
Distinguished Closing Remarks: Dr. Joseph Barcie, University of Chicago Medicine; Bhavesh Modi, Attorney & Member, Healthcare Industry Group at Winstead PC