8:00 amWelcome, Introductions and Overview
J. Michael McGinnis, Institute of Medicine
Arnold Milstein, Pacific Business Group on Health
8:30 amKeynote Address
Karen Davis, The Commonwealth Fund
The keynote will explore what we have learned about the relative contributions of the major sources of excessive, unnecessary, and wasteful U.S. healthcare expenditures; what we know about the forces in play, the key strategies necessary to address the problem, and the policy initiatives most likely to make a difference in the near- and longer-term; and how the necessary support might be mobilized.
9:00 amSession 1: Reviewing the Targets and Strategies
Chair: J. Michael McGinnis, Institute of Medicine
Opening Remarks: David M. Walker, Peter G. Peterson Foundation
This session provides an overview of the state of understanding from the May and July workshops assessing the sources of excess costs (and some prominent examples) and the potential gains from various initiatives.
Estimates of excess costs, by source:
 Unnecessary services,
 Inefficiently delivered services,
 Excess administrative costs,
 Prices that are too high, and
 Missed prevention opportunities.
Estimates of potential gains, by initiative:
 Payment-based strategies,
 Care delivery efficiency-based strategies,
 Payer harmonization-based strategies,
 Transparency-based strategies,
 Tort reform,
 Knowledge enhancement-based strategies, and
 Community-based strategies.

Joseph Antos, American Enterprise Institute
CBO scoring methods and results
OPEN DISCUSSION
10:45 amSession 2: Policies Targeting Payments Bundled by Condition, Episode, or Outcome
Chair: Arnold Milstein, Pacific Business Group on Health
Opening Remarks: Harvey V. Fineberg, Institute of Medicine
This session addresses the nature, status, and implementation issues for bundled payment strategies, the pivotal co-factors necessary to maximize the savings potential, and the options to minimize political barriers.

John M. Bertko, The Brookings Institution
Linda M. Magno, Centers for Medicare & Medicaid Services
State of the science, implementation course, and cadence in bundling payments

George J. Isham, HealthPartners
Provider engagement issues

Nancy Davenport-Ennis, National Patient Advocate Foundation
Patient engagement issues
OPEN DISCUSSION
12:15 pmLunch
12:45 pmSession 3: Policies Targeting Care for Medically Complex Patients
Chair: Peter M. Neupert, Microsoft
This session considers policies that might foster delivery system innovations, ranging from care coordination and more efficient caregiver profiles, to shared services arrangements, and patient/family engagement initiatives, including consideration of policies promoting reform of palliative and end-of-life care.

Arnold Milstein, Pacific Business Group on Health
State-of-the-art initiatives

Ronald A. Paulus, Geisinger Health System
Provider perspective

R. Sean Morrison, Mt. Sinai School of Medicine
Anand K. Parekh, Department of Health and Human Services
Policy perspective
OPEN DISCUSSION
2:15 pmSession 4: Policies Targeting Delivery System Integration
Chair: Helen Darling, National Business Group on Health
This session addresses the current state and consequences of the fragmentation of health care, and considers the organizational, technical, and financial incentives for integrated and virtually integrated care.

John Toussaint, ThedaCare Center for Healthcare Value
Profile of system fragmentation and elements of integration

Mark E. Miller, Medicare Payment Advisory Commission
Harold S. Luft, Palo Alto Medical Foundation Research Institute
Payment to promote integration

Andrew M. Wiesenthal, The Permanente Foundation
Health information technology to promote integration
OPEN DISCUSSION
3:45 pmSession 5: Policies Targeting Other Delivery System Innovations
Chair: Paul B. Ginsburg, Center for Studying Health System Change
This session considers policies that might lower barriers to introduction of delivery system innovations, ranging from design of more efficient delivery systems to more efficient use of alternate caregivers.

Steven J. Spear, Massachusetts Institute of Technology
Policies to improve system efficiencies

Mary D. Naylor, University of Pennsylvania
Policies to improve provider profile and use
OPEN DISCUSSION
4:45 pmWrap-up Comments for the Day
Arnold Milstein, Pacific Business Group on Health

From: Appendix B, Workshop Agendas

Cover of The Healthcare Imperative
The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary.
Institute of Medicine (US) Roundtable on Evidence-Based Medicine; Yong PL, Saunders RS, Olsen LA, editors.
Washington (DC): National Academies Press (US); 2010.
Copyright © 2010, National Academy of Sciences.

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