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Virtual Event

Summit Series

Vital conversations about the business of healthcare delivery

Summit Virtual Series

Due to significant demand from our clients and partners we will be hosting a virtual Summit to bring together top managed care executives, legal experts, and renowned thought leaders to discuss the state of our industry and how we can chart a successful path through our challenges.

The virtual event will consist of a series of several webinars over the coming months. Each session will hit on the same theme: unprecedented challenges in the managed care space. This includes discussions around the contracting climate, constraints over how and where to deliver care, difficulty collecting on claims, rising labor and supply costs, and more.

Our next virtual session will take place on Wednesday, January 31st from 12 pm – 1pm CT. Jeff Leibach, Partner at Guidehouse, will share comprehensive insights into managed care contract denials, including an exploration of the underlying factors, effective strategies for addressing denials, and the implications associated with these challenges.

2023 Summit Session Speakers

Clint Hailey, SVP, Chief Managed Care Officer, Tenet Healthcare
See session details

Shawn Fitzgibbon, Managing Director, BDC Advisors
See session details

Nick Stefanizzi, CEO, Northwell Direct

See session details

John Poziemski, Managing Director, Kaufman Hall
See session details

Meri Gordon, Shareholder, Polsinelli

See full session details

Adam Dietrich, Shareholder, Polsinelli

See session details

Stuart Kilpinen, SVP, Payer Strategy and Product Development, Trinity Health
See session details

Bob Beverwyk, Vice President, National Payer Contracting, Trinity Health
See session details

Jarrett Lewis, Partner, Public Opinion Strategies

See session details

Daniel Hoemke, Western Region President, Village Medical

See session details

Nate Kaufman, Managing Director, Kaufman Strategies
See session details

Jeff Leibach, Partner, Guidehouse

See session details

More speaker announcements coming soon.


All Virtual Summit Sessions

Clint Hailey – Tenet Healthcare

May 7th, 2024 at 12 pm CT

Session Title Coming Soon

Description coming soon.

Register for the session here.

Clint Hailey
Clint Hailey
SVP, Chief Managed Care Officer

Nate Kaufman – Kaufman Strategic Advisors

June 11th, 2024 at 12 pm CT

Session Title Coming Soon

Description coming soon.

Register for the session here.

Nate Kaufman
Nate Kaufman
Managing Director

Shawn Fitzgibbon – BDC Advisors

July 17th, 2024 at 12 pm CT

Contract Portfolio Alignment: Addressing and avoiding payer market share advantage resulting from reimbursement rate disparities

There is no time to soon to pursue a multi-year rate parity strategy to address the unintended consequences of an imbalance in payor reimbursement rates. Whether you’ve arrived at this point from historically low rates that have not trended in pace with the portfolio or have faced a entrenched dominant payer, you’re now contending with single payer marketplace advantage, consolidation of market share and a perpetuating uncompetitive market characterized by untenable payor leverage and challenging corrective actions.

Shawn Fitzgibbon, Managing Director and Payer – Provider Practice Leader, BDC Advisors, will discuss payer engagement and negotiation strategies to “level the playing field” without unnecessarily disadvantaging an individual payer but rather enabling a competitive marketplace for employers and individuals, while maintaining access and establishing fair reimbursement.

Your market position, early engagement, the magnitude of rate change, current portfolio trend, and payer selling cycles need to be recognized in relation to how and when you’ll achieve your objective. This is a long game approach that will position you for success well into the future.

Register for the session here.

Shawn Fitzgibbon
Shawn Fitzgibbon
Managing Director

Jarrett Lewis – Public Opinion Strategies

Session Completed

In-Depth Look: How Americans Perceive the U.S. Healthcare System

Healthcare touches every single American, regardless of gender, race, age, education, or political party affiliation. And it is one of the most complex economic, social and policy issues. It is also an industry that has undergone a significant transformation over the last few years, precipitated by the COVID-19 pandemic and an industry that continues to face changes to financing models, acceleration of consumerism, new entrants, a redesign of care delivery and a proliferation of data. Alongside these changes is a constant stream of new policies and regulations at the federal and state level.

 

All of this taken together requires a deep examination of American attitudes on the healthcare industry and a particular focus on health systems and hospitals. Informed by hundreds of thousands of interviews with voters, consumers and patients across America every year, Jarrett Lewis will discuss how Americans view the U.S. healthcare system and hospitals and how shifting attitudes may drive policy changes in Washington D.C and state capitals across the country.

 

Jarrett will also speak about the current political environment and key trends leading into the 2024 election, as his firm counts 8 Governors, 12 members of the U.S. Senate and 51 members of the U.S. House as clients. 

Recap blog coming soon.

Jarrett Lewis
Jarrett Lewis
Partner

Meri Gordon and Adam Dietrich – Polsinelli

Session completed

Payor Games: Increased Denials, Underpayments, Non-Payment, and The Impact on Healthcare Providers

Payors are increasingly finding more ways to deny claims.  Making matters worse, a lack of transparency leaves healthcare providers with little to no insight into the source of the denials, how to dispute them, or how to keep them from happening in the future.  Meri Gordon and Adam Dietrich, Shareholders at Polsinelli, have devoted their practice to addressing these payor games head-on.  In their roles, they’ve gained a deep understanding of the healthcare legal landscape and routinely represent clients in connection with an array of managed care disputes and litigation.

On Thursday, 11/9 from 11 am – 12 pm CT, Meri and Adam discussed recent trends in managed care contract denials, including an exploration of the underlying factors, effective strategies for addressing denials (from a contracting and litigation perspective), and the legal implications associated with these challenges.

Read full recap blog of Polsinelli’s session here.

Meri Gordon
Meri Gordon
Shareholder, Polsinelli
Adam Dietrech
Adam Dietrech
Shareholder, Polsinelli

Nick Stefanizzi — Northwell Direct

Session completed

Direct-to-Employer Relationships as a Catalyst for Growth

Health systems are facing increased financial and operational pressures driven by the lingering effects of the COVID-19 pandemic, rising costs to deliver care, evolving reimbursement models, and bad payer behavior.  It’s important that we shift our collective thinking, adopt a proactive approach, and seriously consider revenue diversification and growth strategies that previously may have been considered too disruptive.

Nick Stefanizzi, CEO of Northwell Direct, shares some lessons learned in launching a leading health system owned direct-to-employer business and the benefits these relationships can provide to both employers and health systems. Not only can these relationships provide a valuable alternative revenue source, improve market share, and enable an alternative pathway to care for the community served by a health system, but they can also support a recalibration in the balance of power between health systems and the traditional insurance companies, which will be increasingly important as negotiations continue to grow more and more acrimonious.

Following this session, you’ll have with a fresh perspective on how to address the burdens the nationwide provider organizations have been grappling with and a new outlook on how health systems can have a transformative impact on how care is organized, delivered, and financed through direct-to-employer relationships.

Read full recap blog from Northwell Direct’s session here.

Nick Stefanizzi
Nick Stefanizzi
Northwell Direct, CEO

Stuart Kilpinen and Bob Beverwyk — Trinity Health

Session completed

Flipping the Script On Negotiations

With 89 hospitals spanning 22 states, and thousands of physicians across primary and specialty practices, Trinity Health is one of the country’s largest not-for-profit health systems.

Mr. Kilpinen, SVP of Payor Strategy & Product Development, and Mr. Beverwyk, VP of National Payor Contracting, will share insights about the dynamics and trends they have experienced in recent negotiations with both national and regional payors.

They will also discuss Trinity Health’s effort proactively educate key audiences about the mounting challenges healthcare providers face, as well as the lack of real partnership and fair payments from payors that are essential to addressing them.

Read full recap from Trinity’s session here.

Stuart Kilpinen
Stuart Kilpinen
Trinity Health, VP, Payer Strategy and Product Development
Bob Beverwyk
Bob Beverwyk
Trinity Health, Vice President, National Payer Contracting

John Poziemski – Kaufman Hall

Session completed

The Payer-Provider Reset: Building Relationships in a Shifting Landscape

In today’s challenging macro-economic environment, payer-provider partnerships are shifting away from aspirational goals of creating long-term value to more practical considerations. Organizations are asking each hard questions about value creation, the capabilities they seek in partner organizations, and the nature of joint opportunities. In this session, John Poziemski from Kaufman Hall will explore how health systems and health plans can craft effective, sustainable partnerships in an uncertain future.

Read full recap of Kaufman Hall’s session here.

John Poziemski
John Poziemski
Managing Director, Practice Leader, Strategy, Kaufman Hall

Jeff Leibach – Guidehouse

Session completed

Contracting Tactics from the Other Side: What to Expect in your Negotiations

This session aims to provide healthcare providers with comprehensive insights into managed care contract denials, including an exploration of the underlying factors, effective strategies for addressing denials, and the implications associated with these challenges.

Read full recap of Guidehouse’s session here.

Jeff Leibach
Jeff Leibach
Partner, Guidehouse

Dan Hoemke – VillageMD

Date and Time — TBD

Disruptors in the Funnel Wars

Session details and registration link coming soon.

Dan Hoemke
Dan Hoemke
Village Medical, Western Region President

These sessions will be ideal for: