Relentless Health Value

Michelle Snyder leads all corporate marketing, brand development, marketing communications and public relations activities for Welltok. She is recognized as a marketing and strategy leader in the digital health space. She was most recently an Executive-in-Residence at InterWest Partners, investing in digital health companies and serving as an advisor to InterWest portfolio companies. She was also one of the early executives at Epocrates and worked for over a decade to build the company into one of the leading mobile healthcare technology companies and the most recognized technology brand among clinicians. Previously, she worked as a health strategy consultant with the Wilkerson Group and in health policy formation and implementation with the Lewin Group and the Georgetown Center for Health Policy Studies. Michelle earned her bachelor's degree from Carleton College and MBA from Kellogg School of Management at Northwestern University. You can find out more at www.welltok.com, or by emailing Michelle at optimizedhealth@welltok.com.

Laurance Stuntz is the Director of the Massachusetts eHealth Institute at MassTech, or MeHI. He is an experienced and passionate leader working to help Massachusetts leverage digital health innovation for better economic and care delivery outcomes. MeHI is a division of the Massachusetts Technology Collaborative, a unique state agency working to support innovation economy growth. MeHI is the Commonwealth's entity for health care innovation, technology, and competitiveness, and partners with industry, government, and healthcare organizations to support the Massachusetts Digital Health Initiative on behalf of Governor Charlie Baker. MeHI also helps all the Commonwealth's providers harness the benefits of electronic health records and the statewide health information exchange. As part of this effort, they work with stakeholders to ensure that patients have access to their data and become active and engaged participants in managing their health. For more information, please visit www.mehi.masstech.org. Prior to joining MeHI in 2012, Laurance worked for 25 years in healthcare information technology product development, systems integration and management consulting, primarily focused on collaboration and exchange of information among healthcare organizations. He was a Partner at Computer Sciences Corporation (CSC) with responsibility for CSC's Collaborative Communities solution area and the Senior Vice President responsible for product development for NaviNet. Laurance is an advocate for stronger patient engagement in healthcare information and decision making, and serves as a member of the Massachusetts Health Information Technology Council. He is a Dartmouth College graduate, a Wellesley resident, and an enthusiast of outdoor sports, craft beer, and his family. You can find Laurance online at @lstuntz. 00:00 Massachusetts eHealth Institute - Laurance gives some background. 03:00 Taking advantage of what Mass eHealth has to offer. 06:10 What the market place is 'crying out for.' 06:40 Trying to identify and engage with consumers. 09:20 The interest in technology that will support healthy aging. 09:30 "Where does healthcare end and a consumer product begin?" 12:30 The challenge of agreeing on the cause of readmission, and how an innovator navigates these ideas. 16:50 Designing programs to support innovation programs. 18:40 Making sure companies have a realistic view of their maturity level and what it will take to engage with a provider organization. 21:00 "What is it going to take to sign a data use agreement with a large institution?" 22:45 Pinning down a consistent agreement for innovators. 23:30 What success looks like for a healthcare innovator. 25:00 Laurance's advice for finding a good problem to solve as an innovator. 27:40 You can find out more at massdigitalhealth.org and mehi.masstech.org.

Stacey is co-president of Aventria Health Group, a marketing agency specializing in helping pharmaceutical, device and pharmacy clients gain access to patients by creating and leveraging partnerships with other health care organizations. For twenty years, Stacey has innovated better-coordinated health solutions benefiting all stakeholders, and most of all the patient. 00:00 David Goldhill "Catastrophic Care: How American Health Care Killed My Father--and How We Can Fix It" 01:00 Health Insurance by its very nature in our Healthcare Industry. 02:30 The average American contributes $1.2 million dollars in premiums and contributions. 03:15 Managing Non-Catastrophic claims. 03:30 "Health Insurance isn't really Health Insurance, if it pays for anticipated expenses." 04:40 "We're paying someone 20% to pay someone on our behalf." 05:20 Connecting the dots between Healthcare Services and Insurance Premiums. 06:15 The notion that there's no direct line between Healthcare Cost and Insurance Premiums. 06:30 "Who's paying for this cost?" 07:20 "There is nobody else - right now, we're paying for our healthcare costs." 09:15 "Insurance Companies have a rational financial interest in seeing Healthcare Costs go up." 10:20 "Healthcare is a form of consumption." 11:00 Medicare and Medicaid Cost Control. 11:40 Driving vs. Documenting Care. 12:15 Diagnostic Related Group (DRG), Prospective Payment System (PPS), and Fee For Service (FFS). 14:00 700% cost increase for a Hospital Stay since DRGs in 1983. 15:10 "Patients are actually the only ones who have a vested interest in actually keeping costs low." 16:00 Consumers and Patients as being equipped to judge quality of Effective Care. 18:30 "Who is better?" 19:00 Affordable Healthcare Act as a Health Insurance Bill. 19:20 Health Insurance is not a synonym for Healthcare.

Lonnie Hirsch enjoys a reputation as one of the premier marketing consultants and strategists for helping healthcare provider organizations, including medical practices and hospitals across the U.S. and in other countries achieve profitable growth. Over a career spanning 30 years, Lonnie has worked with literally thousands of medical practices as well as hospitals, health systems, medical device companies, medical software companies and other health businesses. In 2006, Lonnie co-founded a full-service healthcare marketing agency serving clients across the country after a distinguished career as President of another healthcare marketing company. He is now Founder and CEO of Hirsch Healthcare Consulting. Lonnie Hirsch has spoken at hundreds of healthcare conferences and has authored numerous articles in healthcare business publications. He has also interviewed many distinguished thought leaders in the field of medicine. You can find out more information at HirschHealthConsulting.com.

Paul Rosen, MD, MPH, MMM http://www.paulrosenmd.com/, was named 'One of the First 100 Innovators' by the U.S Federal Government Agency for Healthcare Research and Quality for his work on patient-physician communication. He blogs for NEJM Catalyst, http://catalyst.nejm.org/posts?q=rosen Healthcare Success, the Healthcare Guys and Health Tap. He co-hosts Pediatric Chat, http://pediatricchat.org/, a podcast that offers pediatric information to families across the globe. He is a TEDx speaker https://www.youtube.com/watch?v=8BKN7RFhdq4, and has appeared on Sirius XM on the Business of Healthcare show to discuss the patient experience movement. Dr. Rosen is a pediatric rheumatologist. He serves as the Clinical Director of Service and Operational Excellence for Nemours Children's Health System. Dr. Rosen was named the head of the Philadelphia/Delaware chapter of the Society of Physician Entrepreneurs (SoPE). He mentors medical students in innovation, leadership, and quality improvement. He serves as a mentor for the entrepreneur program at Wharton Business School. Dr. Rosen also serves as a mentor in the Health for America fellows program. He is interested in using health delivery science to deliver value and achieve the quadruple aim. You can learn more at http://www.nemours.org// or by visiting http://www.paulrosenmd.com/.

Jan Oldenburg, FHIMSS, is passionate about using digital tools to build a healthcare system where patients and caregivers participate as partners. She currently advises and mentors startups and consults with organizations who want to understand the evolving digital health landscape as the Principal in Participatory Health Consulting. Ms. Oldenburg has broad experience within all aspects of the healthcare ecosystem, including payers, providers, and integrated delivery systems. Most recently she was a Senior Manager in EY's Health Advisory Practice. Prior to joining EY, Ms. Oldenburg was the Vice President of Patient and Physician Engagement in Aetna's Accountable Care Solutions organization, where she worked with provider organizations to build collaborative ACO solutions. She also spent seven years as a manager and senior manager in Kaiser Permanente's Digital Services Group, directing strategy and implementation for web and mobile products including clinical, payment, and administrative capabilities. Ms. Oldenburg has been a principal in several consulting companies focused on using the digital capabilities effectively in healthcare to engage consumers. She is the primary editor of Engage! Transforming Healthcare Through Digital Patient Engagement, published by HIMSS press and winner of "Best Book of 2013" honors at HIMSS 2014, as well as the principal Editor of Participatory Healthcare: A Person-Centered Approach to Transforming Healthcare to be published by CRC Press in June, 2016. She also is the author of the "Personal Health Engagement" chapter in the Third Edition of Medical Informatics, published in March, 2015 and the "Participatory Medicine" chapter of The Journey Never Ends, published in March, 2016, as well as a number of articles and blog posts. Ms. Oldenburg is the co-chair of the HIMSS Connected Health Committee and a frequent speaker and commentator on patient and physician engagement issues; she tweets @janoldenburg. You can learn more at janoldenburg.com or on Twitter: @janoldenburg, and the Society for Participatory Medicine at participatorymedicine.org.

Mr. Sinsheimer is the founder of Medtech Catalyst, which has founded or co-founded several medical device companies. Mike is the co-founder of the Charleston Medical Device Initiative a joint venture between MedTech Catalyst and the Medical University of South Carolina Foundation for Research Development. He is co-founder and Chairman of Mobius Imaging, LLC as well as co-founder and CEO of LifeHealth, LLC. Prior to that, Mr. Sinsheimer has had various key management roles as President of Integrated Marketing Concepts, a consulting firm advising healthcare product companies; VP of Marketing and Strategic Planning for the Straumann Company, a dental implant company; and Marketing Manager at Pfizer, Inc. Mike holds an MHA from the University of North Carolina Gillings School of Global Public Health and an MBA from the Stern School of Graduate Business at New York University. In his spare time, Mike likes to play sports, including golf and tennis, and he enjoys traveling with his wife, Anne, to see their two children in Nashville and New York City, where they have embarked on their careers. Mr. Sinsheimer can be reached at msinsheimer@carolina.rr.com and you can follow him on LinkedIn at https://www.linkedin.com/in/michaelsinsheimer You can find out more at www.medtechcatalyst.com.

Currently SVP of Oncology and Specialty Market Programs at Aventria Health Group. Formerly was CCO at Favrille, VP Strategic Marketing at Schering AG and Head of Oncology Marketing at Genentech; was instrumental in the commercialization of Taxotere, Fludara, Herceptin, and Rituxan 00:00 New Oncology Breakthroughs. 02:35 Extending survival time to stabilizing curves that could extend to future cures. 03:50 The average cost of a new Oncology product is more than $100,000 for annual cost of treatment. 04:15 "The question is how, as a Health System, we're going to be able to manage that." 04:30 What Payers are doing to afford these new Oncology Breakthroughs. 04:50 Creating Pathways and Incentivizing Providers to use these Pathways. 05:20 The difference between a Pharmacy Benefit and a Medical Benefit. 05:50 "Buy and Bill." 06:30 The potential for Providers to make a significant portion of their income from purchasing more expensive products. 07:00 Medicare's adopted average selling price & demonstration project for Buy and Bill. 07:50 How Bundled Payments is affecting the cost of Oncology. 09:00 The Oncology Care Model and shifting to an Episodic Care Model. 09:50 The Evidence-Based approach to treating patients. 10:15 NCCN Guidelines. 11:00 "As long as the Pathways reflect the Gold Standard." 11:50 Payers are trying to get more consistent care, rather than trying to limit the cost of care. 12:15 Laws requiring Payers to cover Oncology treatment. 14:00 The importance for Manufacturers to communicate and demonstrate the value of their medication. 15:00 Creating a Step Approach. 16:20 Change in the future allowing Medicare negotiate prices with manufacturers. 17:50 David's advice for Pharmaceutical manufacturers. 18:15 Value-Based Contracting. 18:40 Risk-Sharing Program. 19:20 Paying by the Pill vs. Paying by the Value Medication Delivers. 19:40 A more Value-Based Reimbursement system. 20:00 You can find out more at AventriaHealth.com.

Richard Lipeles joined PacifiCare in July 1979, and in 1987 he became President of PacifiCare of California. In 1993 he was promoted to Executive Vice President of PacifiCare Health Systems. As Executive Vice President of PacifiCare Health Systems, Lipeles oversaw the corporation's managed health care division, which included health plans in California, Florida, Oklahoma, Oregon, Texas, and Washington. Lipeles retired from PacifiCare September 1995. As of June 2002, Lipeles joined the management team of Heritage Family of Companies as the company's COO. Heritage provides medical care to more than 1,000,000 people in CA, NY, AZ, and MO. For over 30 years HPN's medical groups and IPAs have provided an award winning, comprehensive approach to care management. In December of 2011, through Heritage California ACO, Heritage was awarded a Pioneer ACO by CMS for 8 counties in Southern California. Lipeles has a Masters of Public Health (M.P.H.) degree from the University of California, Los Angeles (UCLA), and a Bachelor of Science degree in business economics from the University of California, Riverside. Lipeles severed on the Advisory Board of the School of Public Health at UCLA for 8 years. He lives in Sunset Beach with his wife, and has 4 children and 5 grandchildren. You can learn more at http://heritagegroupusa.com/.

Vincent Esposito, COO Vincent ('Vinny') Esposito joined Endeavor Plus, Inc. as Chief Operating Officer in 2014 after a decade of diversified experience working as a financial investment analyst. Prior to joining Endeavor Plus, Vinny was a Senior Analyst with Wexford Capital of Greenwich, CT. The firm managed $6 billion in assets, invested globally and approached the market through a thematic lens. Wexford coupled this perspective with fundamental analysis to identify trends across sectors, and invested in best-of-breed names by triangulating information through multiple avenues to develop unique opportunities in the public market based on proprietary work. Vinny also spent time as a Senior Analyst with another Greenwich firm, Verition Fund, doing deep fundamental analysis prior to the making of investment decisions. Prior to joining Verition Fund, Vinny served as a Research Associate for the New York-based firms of Canaccord Genuity Research and SES Partners (formerly Circle-T Partners). Vinny also performed as CEO of Consumer Reconnaissance, Inc. of Long Island, NY, where he founded and oversaw a market research firm that catered to institutional investors, thereby helping fund managers with building out and supporting their investment theses across the consumer sector. After completing the Presidential Scholar program at Siena College of Loudonville, New York, Vinny graduated with a Bachelor of Science Degree in Finance. Those interested in learning more about Vinny and Endeavor Plus can contact him by visiting www.endeavorplus.com, emailing info@endeavorplus.com, or calling 1-844-EHP-WELL. You can find out more at EndeavorPlus.com, by emailing info@endeavorplus.com, or calling 1-844-EHP-WELL.