Spring Managed Care Forum Speaker Application



2017 Spring Managed Care Forum

Sponsored by

The American Association of Integrated Healthcare Delivery Systems

The American Association of Managed Care Nurses

And

The NAMCP Medical Directors Institute

Speaker Application

(for electronic version, please email Katie at keads@)

Spring Managed Care Forum Speaker Application

General Information

About the Spring Managed Care Forum

The Spring Managed Care Forum is a highly specialized event that enables managed care professionals to learn of the latest trends, updates, and issues impacting the healthcare industry. The Spring Managed Care Forum is designed by leaders, for leaders, and presents new thinking and solutions that can immediately impact the management of your organization. The Spring Managed Care Forum provides the best networking opportunities and presents innovative solutions to today’s healthcare challenges.

About AAIHDS

Established in 1993, the American Association of Integrated Healthcare Delivery Systems (AAIHDS) is a non-profit organization dedicated to the educational advancement of provider-based managed care professionals responsible for accountable and integrated healthcare delivery. Members include payer and provider-based managed care executives (i.e., VPs of Managed Care), CEOs and Board members of ACOs, IPAs, and PHOs, and other executives involved in integrated healthcare delivery.

The mission of AAIHDS is to provide managed healthcare professionals in ACO's, IPAs, PHOs, health systems, hospitals and other integrated delivery systems with the tools, education, skills and resources to be successful in the marketplace.

About AAMCN

The American Association of Managed Care Nurses (AAMCN) was established in 1994 in response to an identified need to educate nurses about managed healthcare. The AAMCN is a non-profit membership association of registered nurses, nurse practitioners and licensed practical nurses including administrators, managers, directors and consultants associated with a variety of managed healthcare organizations. AAMCN membership includes more than 2,000 healthcare professionals throughout the United States.

About NAMCP Medical Directors Institute

NAMCP Medical Directors Institute was founded in 1991 to serve the educational interests and needs of physicians working in any form of managed healthcare. NAMCP Medical Directors Institute is run by physicians for physicians. Since physicians affect 85% of the expense side of healthcare, NAMCP Medical Directors Institute believes they should take a proactive role in developing the best delivery system for patients in managed healthcare; thereby increasing quality, reducing costs, improving practice performance and clinical outcomes.

Who Attends the Spring Managed Care Forum?

Attendees include Medical Directors, Vice Presidents and Directors of Managed Care, Contracting and Provider Relations Managers, Hospital and Health System Chief Executive Officers, Senior Management Teams,

and Governing Board Members of Managed Care Organizations, and Integrated Delivery Systems such as Physician Hospital Organizations, Accountable Care Organizations and Independent Practice Associations. Also, Executive Directors, Administrators, Case Managers, Utilization Managers, Quality Managers, Medical Management Directors and Clinical Managers associated with a variety of Managed Care Organizations.

Types of Presentations

We invite you to submit your presentation for the Spring Managed Care Forum. We are interested in your activities, initiatives, and partnerships that are shaping the future of managed care and integrated delivery systems. Don’t miss this unique opportunity to discuss your solutions for optimizing the delivery of cost-efficient and quality-driven healthcare.

General Track Session

A 60-minute how-to presentation which will educate participants on relevant healthcare topics.

Case Study

A 60 minute presentation highlighting successes and/or failures within the context of managed care.

Application Process

Selected speakers receive complimentary registration. We are unable to pay honorariums.

Select a topic that is relevant to managed care. Suggestions are listed on the next page.

Submit an abstract or description. The abstract or description serves to introduce the topic for presentation. It is essential that abstracts and descriptions be written in a manner that clearly, concisely, and logically conveys the subject matter’s background, objectives, and conclusions.

Following the description, provide a brief outline covering the presentation’s highlights. The outline must include specific highlights of the proposed content of the session in a logical manner. It is important that the highlights provide enough content information for the committee review.

All presentations must include a minimum of three learning objectives. Learning objectives should highlight intended measurable outcomes for the audience. Learning objectives should begin with the statement “Audience participants will be able to”, followed by three active statements.

The title should not be misleading and must pertain to the material intended for the presentation. A short concise title is preferable as it may more easily catch a reader’s attention.

Topics must be relevant to the activities, initiatives, or direction of the healthcare professional working in managed care and integrated delivery systems.

Topics must focus on cutting-edge and up-to-date information. Abstracts and descriptions will be evaluated on significance to managed care and integrated delivery systems.

All presentation proposals must be educational in nature. Proposals that are written in a manner that promotes a product, company, or service will not be considered for acceptance.

The Spring Managed Care Forum is a continuing medical education activity and, as such, applications submitted must include disclosure of any real or perceived conflict of interest.

You must fill out the speaker application in full and enclose a presentation outline to be considered.

We will contact you if we are interested in having you present.

DUE TO THE NUMBER OF APPLICATIONS RECEIVED, WE ARE NOT ABLE TO CONTACT THOSE NOT CHOSEN TO PRESENT.

All applications are reviewed by our continuing education department.

Presentations authored by members that meet the criteria set forth will be given acceptance priority over presentations of equal rating submitted by non-members.

The speaker application must be complete and legible. Be sure that the application is submitted along with the abstract/description, outline, and learning objectives.

Suggested Topics

General Presentations

• Contracting Strategies

• Contract Management Initiatives/Protocols

• Medical Delivery Transformation

• Transparency

• Data Analysis

• Capitation/Risk Contracting

• Pay For Performance

• Clinical Integration

• Hospital/Physician Relationships

• Information Technology

• Care Management

• Payor/Provider Partnerships

• Legal/Statutory Implications

• Accountable Care Organizations

• Physician Integration

• Emerging Technologies

• Population Health Management

Case Study Presentations

• Any case study relating to topics above

Of course, you may also submit other topics which you feel are pertinent for managed care professionals.

By January 5, 2017, submit your application to:

Katie Eads

AAIHDS, AAMCN, NAMCP Medical Directors Institute

4435 Waterfront Drive, Suite 101

Glen Allen, Virginia 23060

Phone 804-527-1905

Fax 804-747-5316

Email keads@

Applications must include:

( Speaker name, organization and full contact information

( Abstract/description, outline, learning objectives

( Speaker bio or CV

( List of previous presentations

( Speaking references

( Completed and signed Disclosure Form

Spring Managed Care Forum Speaker Application

Please complete the following and submit to Katie Eads.

DUE TO THE NUMBER OF APPLICATIONS RECEIVED, WE ARE NOT ABLE TO CONTACT THOSE NOT CHOSEN TO PRESENT.

Speaker Name

( MD ( DO ( Other

Title

Company

Address

City State Zip

Telephone Cell Phone

Email

Name of Person Submitting Application

I am a member of the AAIHDS, AAMCN or NAMCP. ( Yes (No

Relevant Experience: Summarize pertinent experience or enclose a current resume, biography or curriculum vitae.

Type of Presentation ( General ( Case Study

Previous Presentations: List all sponsoring organizations, locations and dates of prior conferences where presentation was previously delivered (if applicable).

References: List names, organizations and telephone numbers of at least two individuals who have either heard this presentation or can attest to your speaking ability.

The following person can be contacted to financially support my presentation:

National Association of Managed Care Physicians, Inc. Disclosure Form

As an ACCME accredited provider, NAMCP must ensure balance, independence, objectivity and scientific rigor in all its directly or jointly sponsored educational activities. Therefore, any person who is in a position to influence or control the content of a CME activity must disclose any financial interest or other relationship with a commercial interest producing healthcare goods or services that has a direct bearing on the subject matter of the CME activity. A relevant financial interest or other relationship may include such things as grants or research support, employee, consultant, major stockholder, member of speaker’s bureau, etc. that has occurred for any dollar amount over the past 12 months. The intent of disclosure is not to prevent a speaker with a relevant financial or other relationship from making a presentation, but rather to resolve any conflicts prior to the CME activity so the learner may participate in a balanced, unbiased CME event.

TITLE OF CME ACTIVITY 2017 Spring Managed Care Forum

NAME

ROLE IN CME ACTIVITY ( Speaker ( Planning ( Committee ( Author ( Other

Check one of the options below and provide the details (Type of Affiliation/Financial Interest, Name of Corporate Organization) in the next section:

I, or an immediate family member, including spouse or partner, have no financial relationship(s)

relevant to the content of this CME activity.

I, or an immediate family member, including spouse or partner, have a personal financial

relationship with a commercial interest and have control over educational content about the products of the commercial interest that could be perceived as a real or apparent conflict of interest within the context of this CME activity. (Provide specific information below.

_________________ My organization is not a commercial interest as defined by the ACCME A commercial

interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

|Type of Affiliation/Financial |Name(s) of Corporate Organization(s) |Relationship |

|Interest | | |

| | |Active Terminated |

|Advisory Board or Panel | | |

|Consultant | | |

|Grants/Research Support | | |

| | | |

|Other Financial or Material Support | | |

|(royalties, patents, etc.) | | |

|Salary, Contractual Services | | |

|Speaker’s Bureau | | |

|Stock/Shareholder (self-managed) | | |

Off-Label Discussion

I intend to discuss unlabeled/investigational use(s) of a drug(s) or device(s) in my presentation.

( Yes ( No Please specify the drug/product and the use (PRINT LEGIBLY).

Signature Date

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