Vertical Integration and Value-Based Care: Will New Payer Alliances Transform Care?

Presented on:
September 24, 2020 9:00 AM PT
1 hour, 20 minutes

Payers are transforming and bending the cost curve in health care through vertical integration with providers. Explore why vertical integration works, lessons learned from the COVID-19 pandemic, how technology is transforming delivery and integration, and how this integration impacts health systems.

*Please note, this webcast is part of our seven-part 2020 Health Care Executive Webcast Series: Consequences of a Crisis & Revolutionizing Care. The entire series is priced at $149 and access to all webcasts. $25 off two or more registrations. Must register at the same time to receive discount.

Webcasts will be available via recording following the series, however CPE is only available for attending live sessions. Recorded sessions don’t qualify for CPE per the National Association of State Boards of Accountancy (NASBA) guidelines.

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Susan Dentzer, Senior Policy Fellow, Duke-Margolis Center for Health Policy

Susan Dentzer is one of the nation's most respected health and health policy thought-leaders and a frequent speaker and commentator on television and radio, including PBS and NPR, and an author of commentaries in Modern Healthcare, the New England Journal of Medicine, and other prominent publications. She’s a senior policy fellow at the Duke-Margolis Center for Health Policy, the Washington, D.C.-based arm of Duke University, where she focuses on health system transformation, biopharmaceutical policy, and other key health policy issues. She’s also the editor and lead author of the book Health Care Without Walls: A Roadmap for Reinventing US Health Care.

Eric Klein, Esquire, National Healthcare Team Leader and Partner, Sheppard Mullin

Eric Klein is a nationally-recognized health care lawyer, and is team leader of the 170+ attorney national health care practice of Sheppard Mullin. Klein is one of the most active physician group and hospital M&A lawyers, having advised on more than 60% of all major managed care physician group transactions in the Western United States in the past five years. With over 30 years of practical legal and business experience, his practice focuses on health care, technology, and related industries. Klein has helped to create, acquire, joint venture, and operate multiple health plans across the country, including for Medicare Advantage, Medicaid, commercial, and exchange products. He has led over 60 health plan merger and acquisition projects in recent years.

Donald Crane, President and CEO, America's Physician Groups

Donald Crane is the President and CEO of America’s Physician Groups (APG), the nation’s leading professional association representing medical groups and independent practice associations practicing coordinated care. It is the nation’s largest trade association that explicitly promotes capitation as the payment model for its members, all of whom accept various forms of risk-based capitation or other population-based payment. During Crane’s tenure, APG has expanded from being a division of a regional hospital trade association consisting of 40 member groups to a national professional association consisting of over 300 physician organizations in 45 states, Washington, D.C. and Puerto Rico. A seasoned health care attorney, Crane has served as corporate counsel for several major integrated health systems. Crane speaks regularly on healthcare issues to a wide variety of physician groups, hospitals, and other professional meetings. Crane serves on the Board of Directors of the National Coalition on Health Care. Crane received his B.A. from the University of California at Berkeley and his J.D. from Loyola University of Los Angeles.

Jeff Bailet, MD, MSPH, FACS, President and CEO, Altais

Jeff Bailet is President and CEO of Altais, a health care services launched in 2019 by Blue Shield of California (BSC). Under Bailet’s direction, Altais is working to pioneer next-generation clinical tools and technology, along with best practices for high-touch support so physicians can focus on their passion: delivering high-quality, affordable care. Bailet is driven by his commitment to support physicians and their patients, and has over 25 years of health care experience. He previously served as Executive Vice President of BSC’s Health Care Quality and Affordability division. Before joining BSC, Bailet served as Executive Vice President at Aurora Health Care and President of Aurora Health Medical Group. Bailet is a board-certified otolaryngologist and began practicing as an ear, nose and throat specialist. He is a graduate of the University of Washington School of Medicine, and he completed his residency in otolaryngology head and neck surgery at UCLA Medical Center. He also holds an M.S.P.H. in environmental health from the University of Washington School of Public Health and Community Medicine. He is a fellow of the American Academy of Otolaryngology and the American College of Surgeons.