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APRIL 23– 24, 2018 The Westin Washington,D.C. City Center 1400 M Street Northwest Washington, D.C. 20005 CONFERENCE AGENDA ADVAMED PAYMENT POLICY CONFERENCE As the reimbursement and coverage landscapes for the medical technology industry are continuously changing, AdvaMed’s 4th Annual Payment Policy Conference will convene device manufacturers, hospitals, insurers, CMS, and Capitol Hill for in-depth discussion and analysis of these key issues. The need for a medical device to demonstrate how it improves efficiency and quality of care is only increasing as the industry moves towards new payment models. Join us for a day and a half of learning, insights, and networking.

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Page 1: CONFERENCE AGENDA - AdvaMed€¦ · CONFERENCE AGENDA ADVAMED PAYMENT POLICY CONFERENCE As the reimbursement and coverage landscapes for the medical technology industry are continuously

A P R I L 2 3 – 2 4 , 2 0 1 8

T h e W e s t i n W a s h i n g t o n , D . C . C i t y C e n t e r1 4 0 0 M S t r e e t N o r t h w e s tW a s h i n g t o n , D . C . 2 0 0 0 5

CONFERENCE AGENDA

ADVAMEDPAYMENT POLICYCONFERENCE

As the reimbursement and coverage landscapes for the medical technology industry are continuously changing,AdvaMed’s 4th Annual Payment Policy Conference will convene device manufacturers, hospitals, insurers, CMS, and

Capitol Hill for in-depth discussion and analysis of these key issues. The need for a medical device to demonstrate how itimproves efficiency and quality of care is only increasing as the industry moves towards new payment models. Join us for

a day and a half of learning, insights, and networking.

Page 2: CONFERENCE AGENDA - AdvaMed€¦ · CONFERENCE AGENDA ADVAMED PAYMENT POLICY CONFERENCE As the reimbursement and coverage landscapes for the medical technology industry are continuously

Susan Dentzer

Tamara Syrek-Jensen

Lewis Sandy, M.D.

Douglas Hol tz-Eakin

Amy Bassano

Naomi Aronson

Len Nichols

Tom McLain

Pam Daigle

OUR SPEAKERS

P r e s i d e n t & C E O , T h e N e t w o r k f o r E x c e l l e n c e

i n H e a l t h I n n o v a t i o n ( N E H I )

D i r e c t o r , C o v e r a g e & A n a l y s i s G r o u p ,

C M S

E V P , C l i n i c a l A d v a n c e m e n t ,

U n i t e d H e a l t h G r o u p

P r e s i d e n t , A m e r i c a n A c t i o n F o r u m

A c t i n g D e p u t y A d m i n i s t r a t o r f o r

I n n o v a t i o n a n d Q u a l i t y & A c t i n g D i r e c t o r o f t h e C e n t e r f o r M e d i c a r e a n d

M e d i c a i d I n n o v a t i o n ( C M M I ) , C M S

E x e c u t i v e D i r e c t o r o f C l i n i c a l E v a l u a t i o n ,

I n n o v a t i o n , a n d P o l i c y , B l u e C r o s s B l u e S h i e l d

A s s o c i a t i o n

D i r e c t o r ,C e n t e r f o r H e a l t h P o l i c y

R e s e a r c h a n d E t h i c s , G e o r g e M a s o n

U n i v e r s i t y

C h i e f O p e r a t i n g O f f i c e r , E x o s o m e D i a g n o s t i c s

V i c e P r e s i d e n t , S t r a t e g i c S o u r c i n g a n d

P e r f o r m a n c e G r o u p s , P r e m i e r I n c

A d v a M e d

PAYMENT POLICY CONFERENCE

ADVAMED PAYMENT POLICYCONFERENCE

A d v a M e d

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Tanisha Carino

Parashar Patel

Tony Grover

Ricardo Johnson

Hannah Mamuszka

Laurel Sweeney

Ken Skodacek

Lena Chaihorsky

Amy Palatiello

OUR SPEAKERS

E x e c u t i v e D i r e c t o r ,F a s t e r C u r e s

V i c e P r e s i d e n t , G l o b a l H e a l t h P o l i c y ,

B o s t o n S c i e n t i f i c

V i c e P r e s i d e n t ,B u s i n e s s D e v e l o p m e n t ,

B a n y a n B i o m a r k e r s

S p e c i a l A s s i s t a n t t o t h e P r e s i d e n t & C E O , C a r e F i r s t B l u e C r o s s

B l u e S h i e l d

C E O a n d F o u n d e r , A l v a 1 0

G l o b a l L e a d , H e a l t h E c o n o m i c s a n d M a r k e t

A c c e s s , P h i l i p s

F o u n d i n g M e m b e r , P a y e r C o m m u n i c a t i o n

T a s k F o r c e , C D R H , F D A

V i c e P r e s i d e n t ,P a y e r I n n o v a t i o n , A l v a 1 0

D i r e c t o r ,R e i m b u r s e m e n t a n d

M a r k e t A c c e s s ,A v a l e r e H e a l t h

A d v a M e d

PAYMENT POLICY CONFERENCE

ADVAMED PAYMENT POLICYCONFERENCE

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Danielle Showalter

Jenny Gaff ney

David Introcaso Ammar Qadan

OUR SPEAKERS

S e n i o r D i r e c t o r ,R e i m b u r s e m e n t a n d

M a r k e t A c c e s s ,A v a l e r e H e a l t h

D i r e c t o r ,G l o b a l H e a l t h

E c o n o m i c s , P o l i c y a n d P a y m e n t ,

M e d t r o n i c

S e n i o r D i r e c t o r ,R e g u l a t o r y a n d P u b l i c

P o l i c y ,A m e r i c a n M e d i c a l G r o u p

A s s o c i a t i o n

V i c e P r e s i d e n t & G l o b a l H e a d ,

M a r k e t A c c e s s ,I l l u m i n a

A d v a M e d

PAYMENT POLICY CONFERENCE

ADVAMED PAYMENT POLICYCONFERENCE

A d v a M e d

Janis Orlowski, M.D.

C h i e f H e a l t h C a r e O f f i c e r ,

A s s o c i a t i o n o f A m e r i c a n M e d i c a l C o l l e g e s

Mary Cummins

P r i n c i p a l ,D e l o i t t e C o n s u l t i n g

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MONDAY APRIL 23 8:00 AMRegistration & Networking Breakfast

8:30 AMKeynote: Innovation in Healthcare: Pathway to Improved Care Delivery » Susan Dentzer, President & CEO, The Network for Excellence in Health

Innovation (NEHI)

9:30 AMWhat Payers Want: Smart Approaches to Demonstrate Value Showing value in medtech can be challenging, especially as providers and payers are shifting from a volume based payment environment to new models that create new risks and rewards. Knowing the types of evidence and outcomes payers want to see is key to patient access and adequate reimbursement. Hear from leading experts at major payers on how they view medtech evidence development and the role real world evidence col-lection can play in making the value case.

» Naomi Aronson, Executive Director of Clinical Evaluation, Innovation, and Policy, BlueCross BlueShield Association » Tamara Syrek-Jensen, Director, Coverage & Analysis Group, CMS » Laurel Sweeney, Global Lead, Health Economics and Market Access,

Philips » Lewis Sandy, M.D., EVP, Clinical Advancement, UnitedHealth Group » Tanisha Carino, Executive Director, FasterCures

10:45 AMCoffee Break

11:00 AMPartnering with Private Payers on Evidence Development: Lessons Learned in Private Payer CED Medicare’s evidence requirements to support coverage have become increasingly more rigorous. Coverage with evidence development (CED) has been used in most of the recent Medicare national coverage decisions, but private payers generally have not followed Medicare’s lead. Learn from a rare example of private payer CED between Exo-some Diagnostics and CareFirst BCBS – what are they studying, how it affects coverage, and updates on the evidence being collected.

» Tom McLain, Chief Operating Officer, Exosome Diagnostics » Ricardo Johnson, Special Assistant to the President & CEO, CareFirst BlueCross

BlueShield

CONFERENCE AGENDA

ADVAMEDPAYMENT POLICYCONFERENCE

PAYMENT POLICY CONFERENCEA d v a M e d

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A d v a M e d

CONFERENCE AGENDA

MONDAY APRIL 23 12:00 PMLuncheon Keynote: What’s Next for Healthcare Policy in 2018 After a number of attempts to repeal the ACA in 2017, the year ended with a tax reform bill that repealed the ACA’s individual insurance mandate. What does the change mean for the insurance market and what’s next on policymakers’ to-do list? Hear perspectives from both the right and the left – and hopefully some-place in the middle.

» Douglas Holtz-Eakin, President, American Action Forum » Len Nichols, Director, Center for Health Policy Research and Ethics, George

Mason University

1:45 PMLessons Learned and Models for Future Success in Parallel Review Medicare’s Parallel Review program has been in place for several years. Yet only two companies have completed the program successfully – both achieving FDA approval and national coverage. What lessons have we learned from these and other companies that have participated? Learn about the program and ways to leverage it for faster approval and access.

» Tamara Syrek-Jensen, Director, Coverage & Analysis Group, CMS » Ken Skodacek, Founding Member, Payer Communication Task Force, CDRH,

FDA » Parashar Patel, Vice President, Global Health Policy, Boston Scientific » Exact Sciences (Invited)

2:45 PMEarly Payer Engagement for High Value Results One of the best ways to demonstrate value is to develop technologies and di-agnostics that address key concerns of health plans and providers. But how do medtech and diagnostic companies know the high priority areas for health plans and providers? And how do they match their technologies to meet those needs?

» Lena Chaihorsky, Vice President, Payer Innovation, Alva10 » Hannah Mamuszka, CEO and Founder, Alva10 » Tony Grover, Vice President, Business Development, Banyan Biomarkers » Jeff Waldron, Executive Director, Personalized Medicine Connective

3:45 PMTea Break

ADVAMEDPAYMENT POLICY CONFERENCE

PAYMENT POLICY CONFERENCEA d v a M e d

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CONFERENCE AGENDA

MONDAY APRIL 23 4:00 PMPublic Release: AdvaMed/Avalere Coding & Coverage Best Practice Guides Mistakes in the coverage, coding and reimbursement space can set your company back and lengthen the time to market by months, or even years. The system is complex – really complex. AdvaMed and Avalere are addressing that issue head on with new Best Practice Guides being developed for companies of all sizes. Get a sneak peek at the upcoming guides and how to use them to accelerate access and achieve appropriate coverage and reimbursement.

» Amy Palatiello, Director, Reimbursement and Market Access, Avalere Health » Danielle Showalter, Senior Director, Reimbursement and Market Access,

Avalere Health

5:30 PMReception

ADVAMEDPAYMENT POLICY CONFERENCE

PAYMENT POLICY CONFERENCEA d v a M e d

TUESDAY APRIL 24 8:00 AMRegistration & Networking Breakfast

8:30 AMKeynote: CMS Priorities for 2018 » Speaker to be announced.

9:30 AMPhysician Response to Medicare Shift to Alternative Payment Models and the Impact on Medtech The adoption of the physician Medicare Incentive Payment System (MIPS) and cre-ation of Advanced Alternative Payment Models (APMs) is driving physicians into a new world of quality reporting, hospital partnerships, and value-based payment. What does this mean for physician engagement with medtech companies and how will these value based payment models change the way they use technology? Or will it? Hear from leading experts in physician value systems and how they are trying to shape the policy environment for the better.

» Amy Bassano, Acting Deputy Administrator for Innovation and Quality & Acting Director of the CMMI, CMS » David Introcaso, Senior Director, Regulatory and Public Policy, American

Medical Group Association » Janis Orlowski, M.D., Chief Health Care Officer, Association of American

Medical Colleges » American Medical Association (Invited)

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CONFERENCE AGENDA

TUESDAY APRIL 24

ADVAMEDPAYMENT POLICY CONFERENCE

PAYMENT POLICY CONFERENCE AGENDAA d v a M e d

10:30 AMCoffee Break

10:45 AMValue-Based Contracts for Medtech: The Future of Medtech Reimbursement? As hospitals, physicians, and plans move into new value based care models, medtech and diagnostic companies are doing all they can to stay relevant and make their case for value. Medtech companies want to be seen as partners and set contracts based on their value with terms tied to patient outcomes and shared risk/rewards. But how are they doing this? Hear from companies on the cutting edge of value contracting.

» Mary Cummins, Principal, Deloitte Consulting » Pam Daigle, Vice President, Strategic Sourcing and Performance Groups,

Premier Inc » Ammar Qadan, Vice President & Global Head, Market Access, Illumina » Jenny Gaffney, Director, Global Health Economics, Policy and Payment,

Medtronic

12:00 PMAdjournment

A d v a M e d

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PAYMENT POLICY CONFERENCE AGENDAA d v a M e d

ADVAMEDPAYMENT POLICY CONFERENCE

REGISTRATION DETAILS

REGISTRATION FEES AdvaMed Member Registration: $895.00Accel Member Registration: $595.00Government and Non-Profit Registration: $595.00Non-Member Registration: $1,195.00

Register here

EVENT LOGISTICS The Westin Washington, D.C. City Center 1400 M Street NorthwestWashington, District of Columbia 20005United States (202) 429-1700

Hotel link for reservations