True payment reform will require three of the main stakeholders in U.S. health care – providers, payers, and pharmaceutical makers – to collaborate and innovate. NEJM Catalyst has gathered expert leaders, researchers, and physicians from these key players for a free Web event, “Navigating Payment Reform for Providers, Payers, and Pharma,” broadcasting live from Harvard Business School.

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Payment reform is essential to health care delivery transformation. Progress in payment reform requires cooperation between providers, payers, and pharmaceutical makers. How these stakeholders drive payment reform, how they respond to it, and the complex interplay among them will determine whether health care costs can be successfully addressed or become ever more expensive.

In this free live Web event, Navigating Payment Reform for Providers, Payers, and Pharma, NEJM Catalyst convenes the key players to share their views and to challenge one another during three separate sessions. Each session will include interactive audience Q&A.

This event, hosted by Harvard Business School and HBS Health Care Initiative, will be led by Leemore Dafny, PhD, Bruce V. Rauner Professor of Business Administration at Harvard Business School and NEJM Catalyst Theme Leader for the New Marketplace theme.

Join us for insightful presentations, real-world case studies, and an interactive Q&A session with our industry-leading experts.

You will learn:

  • The benefits of collaborating to rein in skyrocketing drug pricing and why risk-based agreements between pharmaceutical makers and hospitals might be the future.
  • Why it’s time to stop tweaking the health care delivery system and instead take on the risk required to bring about real change.
  • How payers must come off the sidelines and learn to innovate and negotiate a real path to change, complete with targeted incentives.

Our Lineup of Expert Speakers

We've gathered an industry-leading group of experts, including executives, physician leaders, researchers, and clinicians.

Amitabh Chandra, PhD

Amitabh Chandra, PhD

Professor of Social Policy and Director of Health Policy Research, Harvard Kennedy School of Government

Leemore Dafny, PhD

Leemore Dafny, PhD

Bruce V. Rauner Professor of Business Administration at Harvard Business School, NEJM Catalyst Theme Leader and Event Host

Bob Galvin, MD, MBA

Bob Galvin, MD, MBA

CEO, Equity Healthcare

Lynn Garbee, MBA

Lynn Garbee, MBA

Senior Director of Reimbursement and Collaborative Care, Cigna HealthCare

Robert Huckman, PhD

Robert Huckman, PhD

Professor of Business Administration, Harvard Business School

Aaron Kesselheim, MD

Aaron Kesselheim, MD

Associate Professor of Medicine, Harvard Medical School

David Lansky, PhD

David Lansky, PhD

President & CEO, Pacific Business Group on Health

Michael McWilliams, MD, PhD

Michael McWilliams, MD, PhD

Associate Professor of Health Care Policy, Harvard Medical School; General Internist, Brigham and Women’s Hospital

Namita S. Mohta, MD

Namita S. Mohta, MD

Clinical Editor, NEJM Catalyst; Brigham and Women's Hospital

Griffin Myers, MD, MBA

Griffin Myers, MD, MBA

Co-founder and Chief Medical Officer, Oak Street Health

Michael Sherman, MD, MBA

Michael Sherman, MD, MBA

Senior Vice President and Chief Medical Officer, Harvard Pilgrim Health Care

40%

of health care executives, clinical leaders, and clinicians say the industry shift to value-based payment will happen at a moderate pace in the coming years.

19%

say the shift will happen fast or very fast.

37%

say the shift toward value-based payments will be slow or very slow in the coming years.

(Results are from the NEJM Catalyst Insights Council survey, “What’s Next for Payment Reform?,” September 2017,
completed by 712 Insights Council members.)

Agenda

Viewers are encouraged to submit questions online for the Q&A portion of each session.

1:00 – 1:05
Welcome and Introduction
Namita Mohta, MD, Clinical Editor, NEJM Catalyst; Center for Healthcare Delivery Sciences, Brigham and Women’s Hospital
1:05 – 1:20
Opening Talk
Leemore Dafny, PhD, Bruce V. Rauner Professor of Business Administration at Harvard Business School, NEJM Catalyst Theme Leader and Event Host

It’s nothing more than Econ 101: you get what you pay for. Three key subsectors of the U.S. health care ecosystem—providers, payers, and pharmaceuticals—have been heavily shaped by the economic incentives facing them. Changing these sectors requires changing payment approaches, which is precisely what change agents in all three sectors are attempting to do. What do we know, what don’t we know, and where is payment reform likely to yield substantial payoffs?
1:20 – 2:20
Session 1: Collaborating to Rein in Pharma Pricing

Drug prices are skyrocketing, not only for new products but also for generics. Market-based solutions don’t seem to be working. How should provider and payer organizations respond to, and collaborate with, pharmaceutical companies? Are risk-based agreements between pharma companies and health systems the future? This session features a leading health care researcher, a payer’s chief medical officer responsible for pharmaceutical contracts, and a physician-researcher specializing in pharmacoeconomics.

Speakers: Amitabh Chandra, PhD, Professor of Social Policy and Director of Health Policy Research, Harvard Kennedy School of Government

Michael Sherman, MD, MBA, Senior Vice President and Chief Medical Officer, Harvard Pilgrim Health Care

Moderator: Aaron Kesselheim, MD, Associate Professor of Medicine, Harvard Medical School

2:20 – 2:35
BREAK
2:35 – 3:35
Session 2: Providers Taking Real Risk to Realize Change

For all the talk in recent years of health care reform and value-based payment, provider organizations haven’t actually changed much. Fee-for-service payment remains predominant. Truly taking risk requires deep change in care delivery. Tweaking the same old delivery system simply defers change. In this session, a leading health care policy analyst and the founder of an innovative primary care clinic will speak, moderated by the faculty chair of the HBS Health Care Initiative.

Speakers: Michael McWilliams, MD, PhD, Associate Professor of Health Care Policy, Harvard Medical School; General Internist, Brigham and Women’s Hospital

Griffin Myers, MD, MBA, Co-founder and Chief Medical Officer, Oak Street Health

Moderator: Robert Huckman, PhD, Professor of Business Administration, Harvard Business School

3:35 – 3:50
BREAK
3:50 – 4:50
Session 3: How Payers are Negotiating a New Path for Transformation

Are private payers developing innovative collaborations with providers and implementing payment reforms, or are they free-riding on public-sector initiatives? In this session, leaders from a payer and the segment’s key customers – employers – will assess the performance of the payer sector, and discuss how payers and employers can drive deeper change.

Speakers: David Lansky, PhD, President & CEO, Pacific Business Group on Health

Bob Galvin, MD, MBA, CEO, Equity Healthcare

Lynn Garbee, MBA, Senior Director of Reimbursement and Collaborative Care, Cigna HealthCare

Moderator: Leemore Dafny, PhD, Bruce V. Rauner Professor of Business Administration at Harvard Business School, NEJM Catalyst Theme Leader and Event Host

4:50 – 5:00
Closing Remarks
Leemore Dafny, NEJM Catalyst Theme Leader and Event Host