The LAN’s Executive Forums—the CEO Forum and the Care Transformation Forum—convene health care leaders committed to shaping the strategic direction for value-based payment in the U.S.
Charged with advancing and accelerating APM adoption, the CEO Forum provides guidance on opportunities for strengthening incentives and capacity to accelerate the transition to two-sided risk models across markets. Launched alongside the CEO Forum, the Care Transformation Forum (CTF) is designed to influence and shape care delivery transformation necessary for the success of value-based health care and payment. Comprised of clinical executive health care leaders, the CTF’s primary focus is identifying the tools and strategies that prepare clinicians for success in delivering high-quality care that improves patient outcomes and reduces costs across a multi-payer environment.
Executive Forum Goals and Focus Areas
Addressing Social
Determinants
of Health
Reducing disparities and improving health equity through reallocation of resources to address SDOH (e.g., housing, food insecurity, transportation).
Reducing Ineffective Care and Inappropriate Utilization of Services
Focusing on appropriateness, care variation, and person-centered care for all patients through dissemination of best practices.
Increasing Data Transparency and Interoperability
Providing patients and caregivers with cost, quality, and appropriateness of care data in an actionable, easily understood, and accessible manner. Ensuring that electronic data can be easily shared meeting advanced technology standards (e.g., HL7 FHIR) to improve care delivery.
Ensuring Timely
Data and Analytics
Capabilities
Ensuring providers adopt timely data and analytics capabilities, combining multiple data sources (e.g., electronic health record and claims data), to enable successful participation in value-based payment models.
Facilitating
Market Shifts
to Value
Providers who are successful in FFS may lack a compelling reason to transition to APMs, but may be unable to compete with the person-centered care delivered by providers in APMs. Introducing APMs through multi-payer pilots in these markets (particularly for independent and smaller providers) may increase competition and reduce FFS entrenchment.
Promoting
Population-Specific
Approaches
Improving predictability for providers through improved risk adjustment for complex patients, offering stronger incentive structures for Medicaid beneficiaries, and flexibility on waivers.
Executive Forum Chairs
CEO Forum
Care Transformation Forum
Meet the Forum Members
Karen Lynch
Executive Vice President
CVS Health
President
Aetna Business Unit
Dr. Farzad Mostashari
Chief Executive Officer/Board Chair
Aledade
Paul Tufano
Chairman/Chief Executive Officer
AmeriHealth Caritas
Alan Levine
President/Chief Executive Officer
Ballad Health
Nick Leschly
President/Chief Executive Officer/Director
bluebird bio
Dr. Craig Samitt
President & Chief Executive Officer
Blue Cross and Blue Shield of Minnesota
Dr. Pat Basu
President/Chief Executive Officer
Cancer Treatment Centers of America
Brad Smith
Director
Center for Medicare & Medicaid Innovation
Dr. Christopher Chen
Chief Executive Officer
ChenMed
Frederick Isasi
Executive Director
Families USA
Pat Geraghty
President/Chief Executive Officer
Florida Blue
Dr. Jaewon Ryu
President/Chief Executive Officer
Geisinger
Bruce Broussard
President/Chief Executive Officer
Humana
Daniel Tsai
Assistant Secretary
Massachusetts Health and Human Services
Ellen Kelsay
President/CEO
Business Group on Health
Sir Andrew Witty
Chief Executive Officer
Optum
Elizabeth Mitchell
President/Chief Executive Officer
Pacific Business Group on Health
Dr. Susan Frampton
President
Planetree International
Susan DeVore
President/Chief Executive Officer
Premier
Dr. Jose Peña
Chief Executive Officer/Chief Medical Director
Rio Grande Valley ACO
Dr. Sachin Jain
Chief Executive Officer
SCAN Health Plan
Dr. Victor Wu
Chief Medical Officer
TennCare
Diane Holder
President and Chief Executive Officer
UPMC Health Plan
Adam Stavisky
Senior Vice President, US Benefits
Walmart
Prakash Patel, M.D.
EVP, President Diversified Business Group
Anthem, Inc.
Dr. Andrea Gelzer
Senior Vice President & Corporate Chief Medical Officer
AmeriHealth Caritas
Dr. Joseph Kimura
Chief Medical Officer
Atrius Health
Dr. Mark Friedberg
Senior Vice President, Performance Measurement and Improvement
Blue Cross Blue Shield of Massachusetts
Dr. Von Nguyen
Vice President for Clinical Operations and Innovation
Blue Cross and Blue Shield of North Carolina
Tim Gronniger
President
Caravan Health
Aneesh Chopra
Chief Executive Officer
CareJourney
Mark Reardon
Center for Medicare and Medicaid Innovation
Dr. Scott Josephs
Senior Vice President & Chief Medical Officer
Cigna
Dr. Helen Burstin
Executive Vice President and Chief Executive Officer
Council of Medical Specialty Societies
Dr. William Borden
Chief Quality and Population Health Officer
George Washington University Medical Faculty Associates
Dr. Henry Wei
Medical Director for Benefits
Google
Ann Laseter
Vice President, Clinical Alignment
HCA Healthcare
Kelly Crosbie
Deputy Director, Quality and Population Health, NC Medicaid
NC Department of Health & Human Services
Dr. Ken Cohen
Chief Medical Officer
New West Physicians
Dr. Griffin Myers
Chief Medical Officer
Oak Street Health
Libby Hoy
Founder/Chief Executive Officer
PFCC Partners
Dr. Angelo Sinopoli
Chief Clinical Officer
Prisma Health
President, CEO & Founder
Care Coordination Institute
Dr. Dana Lustbader
Chief Medical Officer/Medical Director
ProHEALTH
Dr. Marshall Chin
Richard Parrillo Family Professor of Healthcare Ethics in the Dept. of Medicine
UChicago Medicine
Dr. Lew Sandy
Executive Vice President, Clinical Advancement
UnitedHealth Group
Dr. Judy Zerzan
Chief Medical Officer
Washington Health Care Authority
Dr. Thomas Schenk
Senior Vice President, Chief Medical Officer
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