Tuesday, April 24 | 7:30 AM - 11:30 AM | Aqua Turf Club 

"Can We Afford Value-Based Care Without Risk?"

The Connecticut Health Council forum on April 24 examined the critical importance of moving to value-based care models.
 
 

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About the Moderator 
 
Schutzer Steven F. Schutzer, MD - Physician Executive, Orthopedic Service Line, Saint Francis Hospital and Medical Center, Medical Director, Connecticut Joint Replacement Institute  

Dr. Steven F. Schutzer was born in The Bronx, New York. He graduated with Honors from Union College in 1974 and then the University of Virginia School Of Medicine in 1978. Dr. Schutzer was a Lieutenant in the Medical Corps of the United States Navy between 1979 and 1981. He did his General Surgical training at the University of Rochester and then completed his Orthopedic Residency at the University of Connecticut in 1985. He was then a Fellow in Adult Hip and Reconstructive Surgery at Massachusetts General Hospital and entered practice with Orthopedic Associates of Hartford in July 1986. He is currently on the staff of St. Francis Hospital, Hartford Hospital and the University of Connecticut John Dempsey Hospital. Dr. Schutzer is a Founding Member and Medical Director of the Connecticut Joint Replacement Institute and the Physician Executive of the Orthopedic Service Line at Saint Francis. He is also President of the Connecticut Joint Replacement Surgeons, LLC.

Dr. Schutzer is a member of the American Academy of Orthopedic Surgeons, the American Association of Hip and Knee Surgeons, and the Orthopedic Research Society. He is on the Editorial Board of the Journal of Arthroplasty. He serves on the Board of Directors of the Center for Neuro-functional Restoration (CNR), The Connecticut Joint Replacement Surgeons LLC, and dancEnlight (a modern dance company, President of the Board).

 

About the Connecticut State Presenter 

Veltri Victoria Veltri, JD, LLM, Executive Director, Office of Health Strategy, State of Connecticut

 
In February 2018, Vicki Veltri was appointed the rst to head the Ofce of Health Strategy. From 2016 to 2018, she was the Chief Health Policy Advisor in the Ofce of Lt. Governor Nancy Wyman, coordinating the state’s health reform initiatives, including the State Innovation Model Initiative and the Healthcare Cabinet. She acted as a liaison on healthcare issues with state agencies, community organizations and the private sector.

Previously, Ms. Veltri served as the state’s Healthcare Advocate in the Ofce of the Healthcare Advocate (OHA). She oversaw OHA in its mission to assist health insurance consumers with managed care plan selection; educate consumers about their health care rights; assist consumers with lings of complaints and appeals; and pursue systemic healthcare advocacy.

During her tenure at OHA, Ms. Veltri expanded the state’s capacity for planning and innovation by securing four Affordable Care Act federal consumer assistance grants yielding $1.37 million. She directed the State Innovation Model Initiative (SIM) $2.8 Million Model Design Grant and chaired the SIM Equity and Access Council. Ms. Veltri served as a staff attorney at Greater Hartford Legal Aid, Inc. (GHLA), where she engaged health-related advocacy, and helped lead statewide efforts to preserve and improve Medicaid, State-Administered General Assistance and other benet programs.

Ms. Veltri is a member of the Board of Directors on the Connecticut Health Insurance Exchange (d/b/a Access Health CT) and a Board member of the Connecticut Partners for Health. She lectures frequently at colleges, universities and conferences on health reform and Connecticut healthcare initiatives.

A graduate of the University of Connecticut, Ms. Veltri also holds a Juris Doctor (J.D.) degree from Western New England College School of Law and a Master of Laws (LL.M.) from New York University School of Law. She is admitted to the bar in Connecticut, New York, the United States District Court for the District of Connecticut and the United States Court of Appeals for the Second Circuit.

 

About the Panelists
Value-based Health Care is Here, Now - Report from Key Stakeholders:
 

Galvin Eric Galvin, President and COO, ConnectiCare

As President and Chief Operating Officer at ConnectiCare, Eric Galvin is at the helm of one of Connecticut’s leading health plans. Eric is a proven leader with more than 20 years of experience in the health care industry.

Throughout his career, Mr. Galvin has worked with insurance industry regulators on a variety of initiatives to better serve health plan members. He has been active in efforts to make the health care system more sustainable and affordable in both Connecticut and South Carolina.

In his role at ConnectiCare, he is responsible for all aspects of the company and its performance; financial and operational. Customer and marketplace focus are at the core of his leadership style. Mr. Galvin, a Connecticut native, came to ConnectiCare in 2015 as Senior Vice President, Chief Financial Officer with responsibility for finance, actuarial and medical analytics functions. He architected and led the company through a financial turnaround in just over a year while also improving risk scores for the company’s ACA business segment and driving coding accuracy through provider collaboration arrangements.

Mr. Galvin came to ConnectiCare from South Carolina, where he was Senior Vice President, Private Insurance for Blue Cross Blue Shield South Carolina. Prior to Blue Cross Blue Shield South Carolina, Mr. Galvin spent thirteen years at CIGNA where he held various senior leadership positions including Head of Global Service and Clinical Strategy, Vice President Customer Service Operations and Strategy – U.S. Domestic Operations and Operational Effectiveness and Finance Officer – Enterprise Operations. He is a graduate of CIGNA’s Financial Development Program (FDP) and the Advanced Leadership Program at the Darden School of Business, University of Virginia.

He holds a bachelor’s degree in accounting from the University of Connecticut and is a certified internal systems auditor and a certified public accountant.



Hogan Jeffrey Hogan, Northeast Regional Manager, Rogers Benefit Group

Jeffrey Hogan is the Northeast Regional Manger for Rogers Benefit Group, a national benefits marketing and consulting firm. Jeff has been with Rogers Benefit Group for 27 years. Additionally, Mr. Hogan operates a consulting company, ConsumerConsult where he provides expert witness services on health care related litigation, as a consultant to payers and large provider groups for product development and launch, and as a resource to private employers to align their goals and company culture with appropriate products and vendors in the market.

Mr. Hogan has served on several boards and panels designed to bring value based insurance design (VBID) to plan sponsors and is actively working to advance healthcare related transparency measures in the market. He is a current board member for the Connecticut Association of Health Underwriters and a current member of the Connecticut Health Council’s Move to Value workgroup.

Currently, Mr. Hogan serves as the Board Chair for Brian’s Angels, a local non- profit working to help the homeless in our community. Mr. Hogan and his family are also active annual participants in the Pan-Mass Challenge, and have raised more than 200k for the Dana Farber Cancer Institute. Mr. Hogan served his local government as the Farmington Town Council Chair from 2012-2014 and as a town council member over a 10-year period. Jeff, is an avid outdoorsman, and previously served as the Director of the Appalachian Mountain Club’s Mountain Leadership School and for the past 20 years has helped teach a Wilderness Medicine course for the University of Connecticut’s Medical School.



Kupec Jess Kupec, President and Chief Executive Officer, Saint Francis Healthcare Partners

Mr. Kupec, a senior executive with over 35 years of diverse, healthcare experience creating and implementing distinctive healthcare initiatives, is President & CEO of Saint Francis HealthCare Partners in Hartford, CT. Mr. Kupec has been at the helm of this large, integrated delivery system for the last twenty years, and has lead its successful transformation to IT adoption, population health management, value-based payments and, in January 2013, launched the Saint Francis HealthCare Partners Accountable Care Organization (ACO).

Saint Francis HealthCare Partners has been nationally recognized for its progressive and innovative approach to population management and has been featured in several prominent publications. It is a joint venture between 1,000 community-based providers and Saint Francis Hospital and Medical Center, the largest catholic hospital in New England. SFHCP has over 100,000 attributable commercial and Medicare Advantage lives. SFHCP ACO is a wholly-owned subsidiary of SFHCP under the MSSP model, with over 20,000 attributable lives.

Mr. Kupec has been a frequent, invited speaker at many national conferences including HFMA, NEPRA, AHA and others, focusing on strategic healthcare policy reform initiatives, with special emphasis on population health, including IT/EMR adoption, ACO development and care coordination.

Mr. Kupec previously served as Head of Healthcare Marketing for The Hartford Insurance Group, where he was responsible for all Healthcare Marketing activities. Prior to The Hartford Insurance Group, Mr. Kupec held several instrumental management positions at CIGNA Corporation in Claims, Finance and Marketing. He was actively involved in product design changes as the market transitioned from traditional co-insurance product designs to Managed Care HMO plans and self-insured funded products.

Mr. Kupec is a member of MetroHartford Alliance Connecticut Health Council, Medical Group Management Association (MGMA), the American Medical Group Management Association (AMGA), the National Association of Accountable Care Organizations (NAACOs) and the American College of Healthcare Executives (ACHE). He received his Bachelor’s degree in psychology from Eastern Connecticut State University and received advanced executive marketing leadership training from the Kellogg School of Business, Northwestern University.



Sherry Wendy Sherry, President, Cigna Connecticut and Payer Solutions

Wendy Sherry became president of Cigna’s Connecticut market in January 2018. Her position was created when the company established Connecticut as a stand-alone market separate from New England. As Market President, Ms. Sherry oversees commercial health care and related benefits plans in the state. Her responsibilities include driving market growth by creating customer value and ensuring local market strategy, product and network offerings meet evolving customer and client needs. She also collaborates with area health care professionals and health systems to help improve the health of Cigna’s Connecticut customers, and leads Cigna’s efforts to serve communities throughout the state. She is based at Cigna’s corporate headquarters in Bloomfield.

Ms. Sherry also leads Cigna’s national Payer Solutions business unit, which sells Cigna networks, pharmacy and other health services on a wholesale basis to third party administrators (TPAs), hospitals and insurers. She joined Cigna in 1995 and has held numerous positions in product, ¬financial analysis and planning, reporting, and medical management. Prior to becoming head of Payer Solutions in 2017, she had been chief operating officer for the New England market, and before that she was Vice President of Product Development. She is a graduate of Cigna’s Financial Development Program. Prior to joining Cigna, she was a manager at Ernst & Young.

In 2017, Ms. Sherry served as Cigna’s executive sponsor for the Girls on the Run Greater Hartford inaugural 5K run. She also serves on the board of the Governor’s Prevention Partnership. Ms. Sherry holds a bachelor’s degree in business from Emory University and is a former Certified Public Accountant. br />


Woodruff Thomas Woodruff, PhD, Director of Healthcare Policy & Benefit Services, State of Connecticut 

The Healthcare Policy & Benefit Services Division is responsible for investment policy and administration of the state’s $3.5 billion dollar defined contribution retirement plans as well as state’s employee and retiree medical, dental, and pharmacy benefit programs for 207,000 employees, retirees, and their family members. This year, Dr. Woodruff has been a member of the State’s Steering Committee for a federally sponsored State Innovation Model initiative that is developing a statewide plan for healthcare delivery and payment reform.

Prior to joining state service in June of 2004, Dr. Woodruff had over 25 years of experience in employee benefits, management, research, insurance, employment policy, investment, collective bargaining and pension plan product development, legislation, and regulation. Dr. Woodruff was the Executive Director of the President’s Commission on Pension Policy during the Carter administration, a Visiting Professor at Cornell University, Executive Director of the foundation-supported Commission on College Retirement and the CEO of his own consulting firm. Dr. Woodruff has three degrees from the Massachusetts Institute of Technology in Economics, Planning, and Management.

 

About the National Keynote Speaker
"The Answer is NO - But the Benefits are Worth It."
 

Ruth ColemanRuth Coleman, Founder, Health Design Plus 

Prior to founding Health Design Plus in 1988, Ruth Coleman had nearly 20 years of experience in HMO and medical center management, patient care, and nursing education. Her experience includes several Vice President positions for hospitals and a provider-owned health plan, with responsibility for network development, care management, patient safety, quality management, marketing, strategic planning, and operations. Coleman used this breadth of managed care and care delivery experience to create an organization that provides high quality management for employer-sponsored health benefit plans.

Retiring as CEO in January, Coleman established Health Design Plus to deliver value to clients through quality patient-centered care with appropriate pricing – the foundation of Health Design Plus since in 1988. She created and managed direct employer – provider relationships, including full directly contracted networks for employers as early as 1989. Documented quality and shared risk pricing have always been the foundation for those relationships. She contracted bundled rates with specialty providers as early as 1990, and has extensive experience bringing employers and providers together in partnerships that meet the “triple aim.” Under her leadership Health Design Plus became the national leader for domestic medical travel, serving organizations such as Walmart, Lowe’s, McKesson and Boeing Corporation. Programs include traveling several thousand patients a year to carefully selected Centers of Excellence for heart surgery, spine evaluation and surgery, bariatric surgery and joint replacements.

Coleman’s experience, expertise and leadership have guided Health Design Plus through incredible growth, recognized by numerous awards, including the prestigious Inc. 500 and 11 consecutive years as part of the Weatherhead 100, along with being named one of the Top Ten Women Business Owners in Northeast Ohio, and a finalist for the Ernst and Young Entrepreneur of the Year Award. She is a frequent speaker and consultant to healthcare organizations on topics related to value-based care, direct employer relationships, what employers want from providers, and development of value-based products. She holds a BSN from Widener University, and an MA from The Ohio State University.

 

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