The health care industry is changing rapidly. However, employers are uniquely positioned to positively influence the quality and cost of health care through disruptive purchasing strategies.
Discover the roadmap to high-quality health using four key sources that leverage an employer’s health care purchasing choices. You’ll also learn how The Alliance is adopting a strategic framework focusing on high-value health care.
- Suzanne F. Delbanco, Ph.D., Executive Director, Catalyst for Payment Reform – Key Strategies for High-Value Health Care Purchasing
- The Alliance Annual Meeting
At this event attendees learned:
- The four key sources of employer leverage to obtain high-value health care.
- Accessing quality and cost data to aid in making better health care choices.
- Creating financial incentives to steer your enrollees to high-value providers.
- Provider network design and how you can use it to provide quality care at a fair cost.
- How alternative models of provider payment can align with better health outcomes.
Suzanne F. Delbanco, Ph.D., Executive Director, Catalyst for Payment Reform
Suzanne F. Delbanco is the executive director of Catalyst for Payment Reform, an independent, non-profit corporation working to catalyze employers, public purchasers and others to implement strategies that produce higher-value health care and improve the functioning of the health care marketplace.
Suzanne helps CPR members and employers collectively push for improvements in the quality, affordability, and transparency of health care. In addition to her duties at CPR, Suzanne serves on the advisory board of the Blue Cross Blue Shield Institute and participates in the Healthcare Executives Leadership Network. Previously, Suzanne was the founding CEO of The Leapfrog Group. Suzanne holds a Ph.D. in Public Policy from the Goldman School of Public Policy and a M.P.H. from the School of Public Health at the University of California, Berkeley.
Cheryl DeMars, President and CEO, The Alliance
Cheryl DeMars joined The Alliance in 1992, assuming several roles before becoming CEO in December 2006. Cheryl works with the Board of Directors and senior leadership team to establish the strategic direction of the cooperative.
Cheryl participates in a number of national and regional initiatives that align with The Alliance’s mission of controlling costs, improving quality and engaging individuals in their health. She serves on the Advisory Board of the Wisconsin Population Health Institute, as vice-chair of the Wisconsin Health Information Organization (WHIO) and the board of the Wisconsin Collaborative for Healthcare Quality.
In November 2018, Cheryl testified on behalf of the employer-members of The Alliance at the U.S. Senate Health, Education, Labor and Pensions (HELP) committee meeting.
Prior to joining The Alliance, Cheryl was a program manager at Meriter Hospital in Madison. She earned a master’s degree in social work from the University of Wisconsin-Madison.
Melina Kambitsi, Ph.D., Senior Vice President, Business Development and Strategic Marketing, The Alliance
Dr. Melina Kambitsi joined The Alliance in 2017 and leads the team responsible for membership growth and retention of the cooperative. Dr. Kambitsi comes to The Alliance from Network Health in Milwaukee and Menasha, Wis. where she was chief sales and strategy officer.
In this role, she was responsible for sales and underwriting, strategic planning, product development and risk-based contract analytics. Earlier she was senior vice president of sales at Blue Cross Blue Shield in Honolulu, Hawaii and the vice president of sales, marketing and product development at Blue Cross of Northeastern Pennsylvania.
Dr. Kambitsi received her bachelor’s in international studies and her master’s and doctorate degrees in economic geography at The Ohio State University. She speaks Greek fluently as well as four other languages (Spanish, French, Romanian and Russian).
Kyle L. Monroe, Vice President, Network Development and Provider Relations, The Alliance
Kyle Monroe joined The Alliance in 2017 as vice president of network development and provider relations. His responsibilities include creating and maintaining relationships with health systems, clinicians and other providers to support The Alliance’s strategic goals of improving health care value and organizational growth. He also designs and adopts purchasing and reimbursement mechanisms to accelerate progress toward high value, safe care delivery.
Before moving to Madison, Kyle served on the Board of Directors for the Healthcare Financial Management Association-Kentucky Chapter. He also was on the advisory board for ValidCare, a company dedicated to developing and implementing mobile technology for patients and caregivers.
Kyle received his Masters of Business Administration in accounting and finance from the University Of Louisville College Of Business and his Bachelor of Arts degree from DePauw University in Greencastle, Ind.
|8:00 – 8:30 a.m.||Registration & Breakfast|
|8:30 a.m. – 8:35 a.m.||Welcome & Opening Remarks
Cheryl DeMars, President and CEO, The Alliance
|8:35 – 8:45 a.m.||Annual Business Meeting|
|Board Chair Remarks
Larry Pribyl, The Alliance Board Chair
CFO, Trachte Building Systems
Paul Meyer, Alliance Board Treasurer
Chief Operating Officer, The Alliance
Cheryl DeMars, President & CEO, The Alliance
|8:45 – 9:45 a.m.||Effective Value-Based Payment Strategies
Suzanne Delbanco, Ph.D., Catalyst for Payment Reform
|9:45 a.m. – 10:00 a.m.||Networking & Sponsorship Showcase Break|
|10:00 – 10:15 a.m.||The Roadmap to High-Value Care
Cheryl DeMars, The Alliance
|10:15 – 10:45 a.m.||Navigating Provider Network Innovation and Payment Reform
Kyle Monroe, The Alliance
|10:45 – 11:45 a.m.||Data as the Compass for Customization and Transparency
Melina Kambitsi, Ph. D., The AllianceAlliance Member Case Studies
Jeremy Ott, Vice President, Health Insurance Economics, WPS
Dan Ludwig, Director of Benefits and Safety, Brakebush Brothers
|11:45 a.m.||Closing Comments & Adjourn
This event has been approved for two (2) CE credits for licensed health insurance brokers in Wisconsin & Illinois, as well as two (2) credits for HR professionals via HRCI & SHRM.