Opening Discussion Topic:
As the second largest payer for health benefits in California (exceeded only by the U.S. government), the CalPERS Health Benefits Program takes its mission to “provide superior service in the delivery of affordable, quality health care” seriously – particularly in light of spending ~$9.2 billion on it for their 1.5 million members in 2018. To tame these expenditures, Kathy Donneson, PhD, as Chief of CalPERS Health Plan Administration Division until a few months ago, launched two programs that have become legend: Reference-based and Value-based pricing.
Our Featured Guest Speaker, Kathy Donneson, PhD, will unveil the backstory behind why she felt new pricing models needed to be developed; then, the criteria selected for setting the price/s CalPERS would pay to replace hips and knees; and later, for other elective surgeries and pharmaceuticals by therapeutic class; and finally, the lessons learned in the process that can be applied by virtually all healthcare purchasers.
As the first ABL/East Bay Round Table of the year, we’ll also look to hear your predictions as to how healthcare will be impacted by the elections of 2020.
RSVP today – and let us know Other Issues You’d Like to Discuss with us, too.
Guest Presenter: Kathy Donneson, Ph.D.
For 17 years Kathy was Chief, Office of Health Plan Administration, Health Policy & Benefits Branch, at the California Public Employees Retirement System – the nation’s largest defined-benefit public pension plan. There, she oversaw HMO, PPO health plan contracts, three association plan offerings, and the Long-Term Care program. Previously, she’d been a Colonel in the Air Force Medical Service, serving in the U.S., Germany, and South Korea. A Desert Storm veteran, she also directed medical expeditionary operations in the Balkans, Afghanistan, and Iraq. With degree from UCD, USF, and USC, she’s also taught graduate courses for USC, UofMaryland, and CSUHayward.
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