Thursday, February 19, 2015

DOj/FTC Workshop: Examining Health Care Competition February 24–25, 2015

Examining Health Care Competition

Workshop Information

The Antitrust Division of the Department of Justice (DOJ) and the Federal Trade Commission (FTC) will hold the second in a series of public workshops, “Examining Health Care Competition,” February 24–25, 2015, to study recent developments related to health care provider organization and payment models that may affect competition in the provision of health care services.

The FTC held the first workshop in this series on March 20–21, 2014. Find information about that workshop on the FTC’s website.

Specific topics for discussion during this second workshop may include:

  • Early observations of accountable care organizations
  • Alternatives to traditional fee-for-service payment models
  • Trends in provider consolidation
  • Trends in provider network and benefit design strategies, as well as contracting practices and regulatory activity that may enhance or undermine these strategies
  • Early observations of health insurance exchanges

This page provides information on:

For more information, please send e-mail to examininghealthcareworkshop@ftc.gov or contact:

          Patrick Kuhlmann           Attorney           (202-305-4639)
          Matthew Mandelberg           Attorney           (202-598-2413)
 

They can be reached by mail at:

Legal Policy Section           Antitrust Division           U.S. Department of Justice           450 Fifth Street NW, Suite 11700           Washington, DC 20530

Press release: Department of Justice and Federal Trade Commission Announce Agenda for Public Workshop on Examining U.S. Health Care Competition (February 18, 2015)

Press release: Department of Justice and Federal Trade Commission to Hold Public Workshop on Examining U.S. Health Care Competition (January 23, 2015)


Dates and Location

Dates: Tuesday, February 24, and               Wednesday, February 25, 2015
Location: Federal Trade Commission               (Ground Floor) Conference Center               Constitution Center               400 Seventh Street SW               Washington, DC 20024

          


Workshop Agenda

 

              

Tuesday, February 24, 2015

9:00 a.m.

Registration and Continental Breakfast

10:00 a.m.

Welcome Remarks and Announcements

Tara Isa Koslov, Deputy Director, Office of Policy Planning, Federal Trade Commission

10:10 a.m.

Opening Remarks

Edith Ramirez, Chairwoman, Federal Trade Commission

10:30 a.m.

Framing Presentation

Ezekiel J. Emanuel, MD, PhD, Chair, Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania

11:00–11:10 a.m.

Break

11:10 a.m.– 1:00 p.m.

Provider Network Design, Contracting Practices, and Regulatory Activity

Moderators

Helen C. Knudsen, PhD, Economist, U.S. Department of Justice, Antitrust Division, Economic Analysis Group

Stephanie A. Wilkinson, Attorney Advisor, FTC, Office of Policy Planning

Panelists

Paul Ginsburg, PhD, Norman Topping Chair in Medicine and Public Policy, University of Southern California

Kim Holland, Vice President, State Affairs, Blue Cross Blue Shield Association

James Landman, JD, PhD, Director, Healthcare Finance Policy, Perspectives and Analysis, Healthcare Financial Management Association

Lynn Quincy, Director of the Health Value Resource Hub, Consumers Union

Fiona M. Scott Morton, PhD, Theodore Nierenberg Professor of Economics, Yale University School of Management

Anna D. Sinaiko, PhD, MPP, Research Scientist, Department of Health Policy and Management, Harvard T.H. Chan School of Public Health

1:00–2:30 p.m.

Lunch Break (on your own)

2:30–4:30 p.m.

Early Observations Regarding Health Insurance Exchanges

Moderators

Peter J. Mucchetti, Chief, DOJ, Antitrust Division, Litigation I Section

Natalie A. Rosenfelt, Attorney, DOJ, Antitrust Division, Litigation I Section

Panelists

Cynthia Cox, MPH, Senior Policy Analyst, Program for the Study of Health Reform and Private Insurance, Kaiser Family Foundation

Daniel T. Durham, Executive Vice President for Strategic Initiatives, America’s Health Insurance Plans

Keith M. Marzilli Ericson, PhD, Assistant Professor of Markets, Public Policy, and Law, Boston University School of Management

Pinar Karaca-Mandic, PhD, Associate Professor, Health Policy and Management, University of Minnesota School of Public Health

Kevin Lewis, MPP, CEO, Maine Community Health Options

Richard M. Scheffler, PhD, Distinguished Professor of Health Economics and Public Policy, School of Public Health, University of California, Berkeley

4:30–5:30 p.m.

Networking Reception

Wednesday, February 25, 2015

8:30 a.m.

Welcome Remarks and Announcements

Caroline N. Holland, Chief Counsel for Competition and Intergovernmental Relations, U.S. Department of Justice, Antitrust Division

8:40 a.m.

Opening Remarks

William J. Baer, Assistant Attorney General, U.S. Department of Justice, Antitrust Division

9:00–10:45 a.m.

Early Observations Regarding Accountable Care Organizations

Moderators

Ellen Connelly, Attorney, FTC, Bureau of Competition Health Care Division

Matthew C. Mandelberg, Attorney, DOJ, Antitrust Division, Legal Policy Section

Panelists

Alison Fleury, Senior Vice President of Business Development, Sharp HealthCare

Kristen Miranda, Vice President, Strategic Partnerships and Innovation, Blue Shield of California

David B. Muhlestein, PhD, JD, Senior Director of Research and Development, Leavitt Partners, LLC

Hoangmai Pham, Director of Seamless Care Models Group, Center for Medicare and Medicaid Innovation

Terri L. Postma, MD, Medical Officer and Advisor, Center for Medicare at the Centers for Medicare & Medicaid Services

Simeon A. Schwartz, MD, Founding President and CEO, WESTMED Medical Group

Chapin White, PhD, Senior Policy Researcher, RAND Corporation

10:45–11:00 a.m.

Break

11:00 a.m.– 1:00 p.m.

Alternatives to Traditional Fee-for-Service Payment Models

Moderators

Karen A. Goldman, PhD, Attorney Advisor, FTC, Office of Policy Planning

John P. Wiegand, Attorney, FTC, Western Regional Office, San Francisco

Panelists

Michael E. Chernew, PhD, Leonard D. Schaeffer Professor of Health Care Policy, Harvard Medical School

Suzanne Delbanco, PhD, MPH, Executive Director, Catalyst for Payment Reform

R. Adams Dudley, MD, MBA, Director, Center for Healthcare Value, Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco

Mark W. Friedberg, MD, MPP, Senior Natural Scientist, RAND Corporation

Bruce E. Landon, MD, MBA, MSc, Professor of Health Care Policy and Medicine, Harvard Medical School

Lisa McDonnel, Senior Vice President, Network Strategy and Innovation, UnitedHealthcare Networks

Dana Gelb Safran, ScD, Senior Vice President, Performance Measurement and Improvement, Blue Cross Blue Shield of Massachusetts

1:00–2:00 p.m.

Lunch Break (on your own)

2:00–3:50 p.m.

Trends in Provider Consolidation

Moderators

Patrick M. Kuhlmann, Attorney, DOJ, Antitrust Division, Legal Policy Section

Danica Noble, Attorney, FTC, Northwest Regional Office, Seattle

Panelists

Lawton Robert Burns, PhD, MBA, Director, Wharton Center for Health Management and Economics, University of Pennsylvania

Leemore Dafny, PhD, Director of Health Enterprise Management, Kellogg School of Management, Northwestern University

Martin Gaynor, PhD, E.J. Barone Professor of Economics and Health Policy, Carnegie Mellon University

Kenneth Kizer, MD, MPH, Director, Institute for Population Health Improvement, University of California Davis Health System

James Landman, JD, PhD, Director, Healthcare Finance Policy, Perspectives and Analysis, Healthcare Financial Management Association

Joe Miller, General Counsel, America’s Health Insurance Plans

3:50–4:00 p.m.

Break

4:00–5:30 p.m.

Summation Roundtable: Antitrust Perspectives on Evolving Provider and Payment Models

Moderators

Tara Isa Koslov, Deputy Director, FTC, Office of Policy Planning

Leslie C. Overton, Deputy Assistant Attorney General for Civil Enforcement, DOJ, Antitrust Division

Panelists

Mark J. Botti, JD, Partner, Squire Patton Boggs LLP

Martin Gaynor, PhD, E.J. Barone Professor of Economics and Public Policy, Carnegie Mellon University

Thomas L. Greaney, JD, Chester A. Myers Professor of Law and Co-Director of the Center for Health Law Studies, Saint Louis University School of Law

Dionne Lomax, JD, Partner, Mintz Levin Cohn Ferris Glovsky and Popeo, PC

Mark B. McClellan, MD, PhD, Senior Fellow in Economic Studies & Director of The Health Care Innovation and Value Initiative, The Brookings Institution

Monica Noether, PhD, MBA, Vice President, Charles River Associates

5:30 p.m.

Closing Remarks

Marina Lao, Director, Office of Policy Planning, Federal Trade Commission

Robert Potter, Chief, Legal Policy Section, U.S. Department of Justice, Antitrust Division

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