2015 Payer Exchange Summit

October 27, 2015

7:45 – 8:15 AM

The State of Oncology Payment Reform

Presenter: Bruce Gould, MD, President, COA


8:15 – 9:45 AM

Private Payer and Medicare Oncology Payment Reform Pilots: Results and Learnings

Presenters: Bruce Gould, MD, Northwest Georgia Oncology Centers

Lee Newcomer, MD, United Healthcare and
Scott Parker, Northwest Georgia Oncology Centers

Michael Kolodziej, MD, Aetna and
Russell Hoverman, MD, PhD, Texas Oncology

Barbra McAneny, MD, New Mexico Oncology Hematology Consultants and Steve D’Amato, BS Pharm, BCOP, New England Cancer Specialists


9:45 – 11:00 AM

New Projects and Models: Where New Pilots Are Headed

Presenters: Laura Long, MD, The Long View, PC

Kashap Patel, MD, Carolina Blood and Cancer Care Associates, SC and Rene Frick, BCBS of South Carolina

Edward Licitra, MD, PhD, Regional Cancer Care Associates, LLC and Lili Brillstein, Horizon BCBS of New Jersey

George Leidig, Optima Health Plan, and
Karen Mercier, Virginia Oncology Associates,

Sandra Kuhn, MSW, Mercer,


11:00 AM – 12:15 PM

Oncology Medical Home Accreditation: Pilot Results

Presenters: Bo Gamble, Community Oncology Alliance

Daniel McKellar, MD, Commission on Cancer

Charles Bane, MD, Dayton Physicians Network

Brian Bourbeau, Oncology Hematology Care

Tammy Chambers, The Center for Cancer and Blood Disorders

Marsha Devita, RN, NP, Hematology Oncology Associates of CNY


12:45 – 1:45 PM

Cost Drivers of Cancer Care

Presenter: Jeff Vacirca, MD, Oncologist and Vice President of COA, NSHOA Cancer Center


1:45 – 2:45 PM

Medicare Payment Reform: COA Model, Legislation (H.R. 1934) and CMMI OCM

Presenters: Mark Thompson, MD, The Mark H. Zangmeister Cancer Care

Bruce Gould, MD, Northwest Georgia Oncology Centers

Jeff Mortier, Ryan MacKinnon, Vasapoli & Berzok, LLP

Ted Okon, Community Oncology Alliance