Agenda – Precon

Marc Berg is a Partner with McKinsey and a leader in our Health Care Innovation Center, focusing on improving the value of care through policy, incentives and delivery reform. Based in Washington, DC, he has more than 20 years worldwide experience helping healthcare organizations and governments to improve the value of care. He is a recognized innovative leader in value-based contracting, outcomes measurement and payment reform. In addition, he has pioneered several data & analytical services to support organizations and governments achieving these aims. He has led a wide range of private and public sector engagements including the full redesign and implementation of New York State’s Medicaid delivery and payment systems.

Christa Moss has significant experience across all aspects of value-based care, from the early stages of model design to implementation of large-scale programs. A Senior Expert with McKinsey & Company’s Healthcare Systems & Services practice, she’s worked with multiple state programs, commercial payers and providers on value-based payment and healthcare value strategy. She is a leader in McKinsey’s Healthcare Analytics group, co-leads McKinsey’s Payment Innovation capability area which spans episode-based payment and population health models, and has extensive expertise in episode analytics.

Geoff Price is the Chief Operating Officer and a member of the Board of Directors of Oak Street Health, a growing company of innovative primary care centers for adults on Medicare. Mr. Price is also a co-founder. At Oak Street Mr. Price ensures coordination among physicians and clinical leadership, regional managers, a population health team, and other parts to create a seamless patient experience among different parts. The company has developed a robust community strategy to engage adults. Once patients are engaged, Oak Street integrates population health analytics, social support services, chronic care management and primary care into their care model to drive improved outcomes and provide an unmatched patient experience. Prior to Oak Street, Mr. Price worked at the Boston Consulting Group on various healthcare projects.

Charles Brown has spent 28 years in healthcare management and consulting, and his clients benefit from his deep and varied background in strategic health plan contract negotiations and performance-based reimbursement methodologies. Charlie has a long track record of improving his clients’ financial bottom lines and operational performance. Most of his career has been devoted to improving performance in a managed healthcare environment. As a member of ECG’s Payment Innovation practice, much of Charlie’s work is in developing innovative agreements with performance- or value-based payment methodologies, and he is currently involved with helping health systems create commercially oriented accountable care organizations. He focuses on strategic health plan contracting and the design of collaborative arrangements between healthcare payers, health systems, and medical groups.

Mark Carley is Vice-President of Managed Care and Risk Products at Centura Health, the largest health system in Colorado. In his role Mark, is responsible for all managed care activities and strategies including the organization’s managed care revenue strategic plan, preparing for future payment models, implementing transparency initiatives, implementing strategic gross charge strategies, establishing partnership and ACO strategies with payers and employers, and assisting the organization in the management and performance of its clinically integrated provider network. In July 2018 Mark was given the additional responsibilities of President, Colorado Health Neighborhoods, Centura Health’s clinically integrated network of physicians and providers. CHN is comprised of over 4,500 independent and employed providers of which there are 3,500 physicians. CHN is responsible for 325,000 attributed and aligned lives, of which some are in full risk arrangements, through the functions of population health, utilization management and care navigation.

In ECG’s Managed Care Services Division, Jim Ryan helps healthcare providers optimize reimbursement from payers. His understanding of healthcare reimbursement methodologies—from fee-for-service to capitation—helps him identify appropriate payer contracting opportunities for his clients given their competitive positions, risk tolerance, and other attributes. Jim uses his analytical skills to quantify the opportunities and uses communication skills forged during his time as a marketing specialist to articulate the pros and cons to clients’ executives. He then negotiates with payers to achieve his clients’ contracting strategies. Jim has expertise in multiple payer contracting and managed care functional areas. He develops financial models for fee-for-service contracts and value-based reimbursement arrangements that help hospitals and physicians negotiate contracts with payers and enable ACOs and CINs to reach decisions about reimbursement models, infrastructure needs, and more. Jim also has experience in ACO and CIN development and provides interim managed care support to hospitals and physicians.

Terri Welter’s expertise in the area of managed care is unmatched in the healthcare industry. The head of ECG’s Managed Care Services division, Terri has spent nearly 20 years helping providers develop innovative payment approaches, negotiate contracts, devise reimbursement strategies, and ultimately improve revenues. She has provided strategic advisory services and led payor negotiations for numerous health systems, improving their annual bottom-line revenue by millions of dollars. She has worked with health plans and their provider risk partners to structure funds flow models that align the incentives of payors, hospitals, physicians, and other services within the care delivery system.

Recently Terri has worked closely with health systems, hospitals, medical groups, and payors to establish contracting structures that facilitate clinical integration, helping them develop and execute the types of arrangements needed to successful-ly react to healthcare reform. This work includes national experience developing and implementing accountable care organizations, clinically integrated networks, and population health management organizations for Medicare, Medicaid, commercial, and employee health plan products.