| 6:45–8:00 am PT |
Outlook on Future-Ready Consumer Experiences: How Health Care Organizations Can Transform to Win* – Ritz-Carlton, Pacific Promenade 1
Hosted by CitiusTech
Co-chairs:
- William Winkenwerder, MD, Chairman, CitiusTech
- Aalpen Patel, MD, Medical Director for AI & Chair, Department of Radiology, Geisinger
- Michael Vennera, EVP, Chief Strategy, Corporate Development, and Information Officer, Independence Blue Cross
*This is an invitation-only discussion hosted by CitiusTech. You must be invited to attend this discussion. If you’re interested in joining, contact team@healthevolution.com. |
| 7:00 am–7:00 pm PT |
Summit Registration – Ritz-Carlton, Salon Foyer |
| 7:00–8:30 am PT |
Breakfast – Ritz-Carlton, Pacific Promenade Lawn and Monarch Bay Courtyard |
| 8:30–11:00 am PT |
Welcome + Big Discussions – Ritz-Carlton, Salons 3 & 4
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| 8:30–8:40 am PT |
Welcome with Richard Schwartz, CEO, Health Evolution – Ritz-Carlton, Salons 3 & 4
Emcee: Rushika Fernandopulle, MD, Co-founder & former CEO, Iora Health |
| 8:40–9:20 am PT |
Health Policy Spotlight – Major Implications of the Inflation Reduction Act (and Beyond) – Ritz-Carlton, Salons 3 & 4
Affordability concerns also remain in the forefront in the public sector. The Inflation Reduction Act’s initial prescription drug pricing provisions went live in January, and the high-profile Medicare drug negotiations begin in 2026. In the meantime, CMMI recently announced three new models for lowering prescription drug costs in Medicare and Medicaid. And at the same time, Medicare Advantage remains in the spotlight, with CMS finalizing rules to claw back past overpayments and proposing changes to the risk-adjustment model moving forward. Which all makes for a timely moment to pull up on the health policy landscape.
Mark McClellan, MD, PhD, Director, Duke-Margolis Center for Health Policy; former Commissioner, FDA, in discussion with Meena Seshamani, MD, PhD, Deputy Administrator & Director of Center for Medicare, Centers for Medicare & Medicaid Services
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| 9:20–10:10 am PT |
The New Medicare Advantage Majority – Where Do We Go from Here? – Ritz-Carlton, Salons 3 & 4
Some twenty years in, Medicare Advantage plans have proven unquestionably popular and profitable, but they are not yet an indisputable source of savings for taxpayers. With MA plans poised to eclipse traditional Medicare in enrollees, questions loom about the right longer-term compact between CMS and “outsourced” private plans. Meanwhile, flashpoints are mounting over annual rate increases, risk adjustment, star ratings, audit rules, and the like. Despite these open questions, leaders across the industry continue to make bold bets on the Medicare Advantage market. But what does the future hold?
Moderator: Andy Slavitt, General Partner, Town Hall Ventures; Former Senior Advisor to the Biden Administration COVID Response; Former Acting Administrator, Centers for Medicare and Medicaid Services; Host, In the Bubble with Andy Slavitt
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| 10:10–11:00 am PT |
The Personalization Paradox – Balancing Data-Powered Innovation with Consumer Privacy – Ritz-Carlton, Salons 3 & 4
Health care is entering a new era of personalization at scale. Cross-industry partnerships and advances in technology are allowing organizations to harness a wealth of data from patients and consumers—but they also must navigate the fine line between personalization versus intrusiveness. How do leaders advance data-powered innovation while meeting intensifying standards for data security in health care and remaining attuned to patients’ and consumers’ evolving attitudes around data privacy? How do organizations enfranchise patients and consumers to ensure trust, agency, and truly person-centered health care?
Moderator: LaShonda Anderson-Williams, EVP & CRO, Salesforce Global Health & Life SciencesDiscussion Leaders:
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| 11:00 am–1:00 pm PT |
Lunch + Networking – Ritz-Carlton, Pacific Promenade Lawn, Dana Lawn & Monarch Bay Courtyard
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| 11:45 am–12:45 pm PT |
Fellowship Breakouts* – Ritz-Carlton, Pacific Promenade Ballrooms
Invitation-only breakout discussions for Health Evolution Fellows
Medicaid at a Crossroads: Leveraging Lessons of the Past to Redetermine Our Path Forward – Ritz-Carlton, Pacific Promenade Ballroom 1
The Medicaid market is in a state of flux. Up to 18 million Americans could lose their health care coverage as Medicaid redeterminations begin in April, threatening access to care for our most vulnerable populations and placing further strain on health care organizations. Yet at the same time, CMS has been creating flexibilities for more robust benefits in the Medicaid program, especially to address drivers of health. How can leaders successfully navigate these changes to balance the tension between coverage losses for some while seizing the opportunity to provide needed benefits to others? And how can leaders across the industry come together to leverage past learnings and innovate on solutions to ensure a less volatile path forward?
Moderator: Tim Spilker, CEO, UnitedHealthcare Community & State
Discussion leaders:
The Digital Mental Health Boom: Can New Solutions Improve Access and Ensure Quality? – Ritz-Carlton, Pacific Promenade Ballroom 3
An array of innovators are designing new models of digital and virtual care for mental health during a time of strain on the health care ecosystem. While there is excitement about the promise of these new solutions, questions also remain about long-term sustainability, especially as health plans, employers, and investors are now paying much closer attention to the impact on access and quality. How are innovators ensuring and evaluating the impact of these new digital and virtual models of care for mental health? And what is the role of incumbent health care organizations in this digital mental health boom?
Moderator: Steve Klasko, MD, Executive in Residence, General Catalyst; former President & CEO, Thomas Jefferson University and Jefferson Health
Discussion leaders:
Better Together: Harnessing the Power of Peer-to-Peer Problem Solving – Ritz-Carlton, Pacific Promenade Ballroom 2
The Health Evolution Fellowship convenes a vibrant and carefully curated community of cross-industry CEOs and innovative executives. Gather with Fellows from across the Forum Roundtables to identify the most-pressing challenges facing executives in today’s health care environment and participate in interactive peer-to-peer dialogues to share ideas and solutions.
Discussion Leader: Aneesh Chopra, President, CareJourney; former U.S. Chief Technology Officer |
| 1:00–2:00 pm PT |
Brass Tacks Discussions – Ritz-Carlton
Go beyond the Big Discussions…Brass Tacks Discussions take a fresh approach to engage participants in an interactive discussion with industry peers and experts by exploring implementation challenges and solutions on the most critical issues.
AI in Health Care: Maximizing Reward While Mitigating Risk – Ritz-Carlton, Pacific Promenade 1
Hosted by Optum
AI’s continued rapid advances in health care seem inevitable, promising improved diagnostic accuracy, enriched predictability of disease and outcomes, and optimized administrative processes. Yet, health care’s use of AI may create new risks and strategic considerations, including bias, transparency, cost, privacy, and regulatory oversight. Reconciling the reward and risk of AI has suddenly become a key strategic topic for all health care leaders. Learn how payer and provider organizations can safely use AI to drive high-impact outcomes.
Moderator: Kris Joshi, PhD, CEO, Software, Network, and Data Solutions, Optum Insight
Industry Leaders:
Realizing the Promise of Data Liberation – Ritz-Carlton, Pacific Promenade 2
Hosted by WellSky
October 6, 2022, or “Data Liberation” Day, marks a turning point in information blocking: health care organizations are now required to provide patients with full access to their data in a digital format upon request. This revolutionary milestone brings patients closer to their care with the hope of improving transparency, strengthening relationships with providers, and helping patients better understand their care. During this discussion, health care leaders and experts will share perspectives on realizing the promise of this data liberation and what it means to all stakeholders within the health care ecosystem thinking around how patients and providers can come together to collaborate on care, and as well as what this means for payers in supporting their members.
Moderator: Lissy Hu, MD, President, Connected Networks, WellSky
Industry Leaders:
- Frank Ingari, CEO, Tandigm Health
- Rebecca Kaul, MD, SVP, Chief Digital Innovation and Transformation, Northwell Health
- Greg Sweat, MD, SVP & Chief Medical Officer, Blue Cross and Blue Shield of Kansas City (Blue KC)
- Paul Wilder, Executive Director, CommonWell Health Alliance
Advancing Health Equity through the Combined Powers of Retail, Pharmacy, Home, and Primary Care – Ritz-Carlton, Pacific Promenade 3
Hosted by Walgreens Boots Alliance
As care delivery evolves to become less fragmented and more personalized, health equity cannot be left behind; addressing and solving for it at every step of the health care journey is required. The ability to do this effectively relies on more than just technology or occasional doctor visits. Health care is inherently local, and delivering care within the community domain opens up endless opportunities to combat access challenges, advance health equity, unlock the ability to deliver the proper care at the right time, and keep patients engaged.
Moderator: Steve Wogen, VP & Chief Growth Officer, Walgreens Boots Alliance
Industry Leaders:
Building the High-Functioning Ecosystem that Unlocks Real Value – Ritz-Carlton, Pavilions 1 & 2
Hosted by McKinsey & Company
Amid an evolving and regulated healthcare environment, we examine profit pools for each stakeholder across the value chain and discuss the enablers that could help us build an integrated ecosystem of care, which improves outcomes and delivers a more seamless and connected patient experience. The discussion will explore opportunities to accelerate collaboration between innovators and strategics, reframe our understanding of the system, technology, and data challenges that abound today, and help participants align on practical takeaways for how to transform the future of healthcare, together.
Moderator: Monisha Machado-Pereira, Senior Partner, McKinsey & Company
Industry Leaders:
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| 2:15–3:15 pm PT |
Brass Tacks Discussions – Ritz-Carlton
Go beyond the Big Discussions…Brass Tacks Discussions take a fresh approach to engage participants in an interactive discussion with industry peers and experts by exploring implementation challenges and solutions on the most critical issues.
Raising Capital and Spending Money in the New Normal – Ritz-Carlton, Pacific Promenade 1
Hosted by SVB Securities
The whipsaw in the financing environment in 2022 has led innovative companies to re-think the path of growth. This has been felt acutely in private financings as the total capital raised in 2022 was half of the amount in 2021. In this environment, companies are being more prudent with managing expenses and capital expenditures. Our industry leaders will discuss how they are adapting to the New Normal.
Moderator: Jon Swope, Senior Managing Director, HealthTech and Digital Health, SVB Securities
Industry Leaders:
The Future of Home-Based Care: An Integrated, Whole-Person Approach – Ritz-Carlton, Pacific Promenade 2
Hosted by Ziegler
As we are now over ten years since the introduction of the Affordable Cares Act increasing access to managed care and having experienced the challenges of the Covid-19 pandemic, has the U.S. Healthcare System improved opportunities to receive “whole-person” care and have payors/providers been encouraged through payment means or otherwise to efficiently drive such solutions.
Whole Person Health is an approach that considers the entirety of an individual’s physical, emotional, mental, and spiritual well-being. Rather than treating each symptom or condition as an isolation, this approach emphasizes the interconnectedness of various aspects of an individual’s health and seeks to address them in a holistic manner. The goal is to achieve better care coordination, well-being, and health outcomes, all while incorporating the patient’s preferences and choices.
This panel will discuss the state of our current healthcare ecosystem where things are working or failing along the path to deliver cost-effective, organized approaches to managing the needs of individuals in the home environment. Topics around social determinants of health, the fragmented nature of “post-acute” care, definition of an integrated delivery system and payment/reimbursement models will be put on the table.
Moderator: Neil Borg, Senior Managing Director, Ziegler
Industry Leader:
Who Will be the First Trillion Dollar Health Care Company? – Ritz-Carlton, Pacific Promenade 3
Hosted by League
In late 2022, Andreessen Horowitz (a16z) made a bold prediction: a consumer health technology company will one day be the largest organization in the world. With health care’s nearly infinite surface area, two distinct paths exist to enable such astronomical growth – a vertically integrated payvider with a highly-engaged population or a horizontal infrastructure marketplace. As health care consolidation continues and a small number of organizations become increasingly powerful, the overarching question is how would such a large company impact the rest of the industry?
Moderator: Mike Serbinis, CEO & Founder, League
Industry Leaders:
What Drives Disparities in Maternal Care? – Ritz-Carlton, Pavilions 1 & 2
Hosted by Carrot Fertility
Poor maternal health outcomes are on the rise, and disparities continue to worsen. Health plans and employers increasingly recognize the need to address this challenge through comprehensive benefits and improved access to care. Equitable fertility and family-forming benefits such as affordable and diverse fertility health options are critical to ensuring high-quality healthcare and improved outcomes for women and birthing people. While we’ve made progress toward increasing access to fertility and family-forming benefits, this essential healthcare is still out of reach for many – and the solution is not one-size-fits-all. Join industry leaders from health plans and employer organizations in an interactive discussion about what we can do differently to eliminate maternal disparities and improve outcomes.
Moderator: Asima Ahmad, MD, Chief Medical Officer & Co-founder, Carrot Fertility
Industry Leaders:
The Trouble With Trust: How Can Consumers Trust Us If We Don’t Trust Them? – Ritz-Carlton, Pavilions 4 & 5
Hosted by Oliver Wyman
Trust underpins everything in health care. Addressing chronic disease requires behavior change, which requires trust. Treating mental health challenges requires therapeutic alliance, which requires trust. Taking medication requires a willingness to ingest chemicals you can’t even pronounce, which requires trust. And, yet, we’ve built a system that questions people at every turn and erodes consumer trust. We use words like “non-compliant” to describe the people we serve. We make them fight to receive care. And, for the past three years, we confused and frustrated them with our public health response. Where do we go from here?
Moderator: Sam Glick, Global Leader, Health and Life Sciences, Oliver Wyman
Industry Leader:
- Jan Berger, MD, CEO, Health Intelligence Partners
- Michael Howell, MD, Chief Clinical Officer & Deputy Chief Health Officer, Google
- Ricardo Johnson, EVP of Strategy and Emerging Business; Head of Healthworx, CareFirst BlueCross BlueShield
- Rina Shah, Group Vice President, Pharmacy of the Future and Healthcare Segments, Walgreens
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| 3:15–5:30 pm PT |
Networking Break – Ritz-Carlton, Monarch Bay Courtyard
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| 3:30–4:30 pm PT |
Fellowship Breakouts* – Ritz-Carlton, Pacific Promenade Ballrooms
Invitation-only breakout discussion for Health Evolution Fellows
Value for Whom: How Do We Center Patients in Value-Based Care?
Ritz-Carlton, Pacific Promenade Ballroom 1
Despite recent slowdowns during the COVID era, U.S. health care spending is projected to reach nearly 20% of Gross Domestic Product by the end of the decade—without better outcomes to show for it. Many patients continue to struggle with accessing affordable, quality health care. Value-based care has long been touted as the solution. As health care leaders continue to reshape how care is paid for and provided, how can cross-industry leaders demonstrate the meaning and impact of value-based care to patients? How do we construct and explain a model that ensures quality care is accessible and affordable for patients?
Moderator: Mark Smith, MD, Founding President & former CEO, California Health Care Foundation
Discussion Leaders:
Advancing Research and Equity: Demystifying, Diversifying & Decentralizing Clinical Trials – Ritz-Carlton, Pacific Promenade Ballroom 3
Clinical trials have become the next frontier for advancing health equity. New cross-sector opportunities are emerging to more quickly diversify and decentralize clinical trials, especially as life sciences organizations, health plans, and health systems—plus newer players including retail and community-based organizations—collaborate more closely. But how do these strategies intersect and diverge? And more importantly, how do cross-industry leaders maximize opportunities for engaging and benefitting underserved communities in clinical trial participation, recognizing the legacy of discrimination and mistrust?
Moderator: Carolyn Starrett, CEO, Flatiron Health
Discussion Leaders:
- Amy Abernethy, MD, PhD, President of Product Development & Chief Medical Officer, Verily; former Principal Deputy Commissioner, FDA
- Nimesh Jhaveri, EVP & Chief Impact Officer, McKesson
- Edmondo Robinson, MD, Chief Digital Officer, Moffit Cancer Center
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| 5:00–6:00 pm PT |
Sponsored Cocktail Reception* – Ritz-Carlton, 180blu
Powered by Ziegler
This is an invitation-only cocktail reception sponsored by Ziegler. You must be invited to attend this reception. If you’re interested in joining, contact team@healthevolution.com. |
| 5:30–7:00 pm PT |
Cocktails – Ritz-Carlton, Dana Lawn
Powered by a16z |
| 7:00–9:00 pm PT |
Dinner + Evening Entertainment – Ritz-Carlton, Dana Lawn
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