9:00–10:00 a.m.

The Business of Transplant: A Conversation with Experts, Michael Abecassis, MD, MBA, Northwestern University; C. Fred LeMaistre, MD, Sarah Cannon; John P. Roberts, MD, University of California, San Francisco Medical Center; and Elizabeth A. Pomfret, MD, University of Colorado Anschutz Medical Center

This session will feature a panel of experts who will discuss their experience in developing a value-based model for transplantation, as well as how this model is being emulated by other disciplines in health care. The impact of the Affordable Care Act (ACA) on this field of medicine will also be explored.

Learning Objectives:

1. Discuss the value-based care and payment models inherent to transplantation, and discuss how this model is being emulated by other disciplines in health care.
2. Explain the potential impact of ACA on the current transplantation care model.
3. Understand the key patient- and health-system-related barriers to expanding episodes of care (postacute care and transitions of care).
4. Discuss outcomes transparency as an element of the ACA, and define the impact of Centers for Medicare & Medicaid Services (CMS) regulations regarding outcomes on donor and recipient selection.

10:15–11:00 a.m.

How to Improve Quality and Value in Health Care, Fred LeMaistre, MD, Sarah Cannon

Transplantation leads to better health, increased activity and an improved quality of life for most recipients. Transplant success can be highly dependent upon transplant timing and referral along with coordination of care for optimal outcomes posttransplant. One barrier to transplant is the lack of coverage options for many American seniors, who are unable to afford or access transplant because of out-of-pocket costs and outdated Medicare reimbursement policies. This session will discuss the importance of appropriate, timely delivery of care and explain gaps in care along with the challenges and barriers that impede access to these life-saving procedures.

Learning Objectives:

1. Explore the importance of identifying patients at the right time for transplant and the impact this has on patient outcomes.
2. Discuss the critical importance of coordination of patient care pre- and posttransplant.
3. Identify gaps in care, challenges and barriers to transplantation.
4. Explain Medicare policy as it relates to transplantation.

11:00 a.m.

Controversies in Transplantation: A Panel Discussion, Michael Abecassis, MD, MBA; Elizabeth A. Pomfret, MD; John P. Roberts, MD; and Joseph G. Rogers, MD
Transplantation has been recognized as one of the most gripping medical advances of the century. While this discipline offers the gift of life, it also generates some controversial discussion. During this session, our panelists of transplant experts will address some of the ethical and/or controversial topics surrounding this field.

• Dr. Joseph Rogers: Pros and Cons for the Proposed Change in the Heart Allocation Policy
• Dr. Elizabeth Pomfret: New Distribution Proposals in Liver Transplantation
• Dr. John Roberts: Impact of SRTR Outcomes Monitoring on Innovation and Risk in Liver Transplantation
• Dr. Michael Abecassis: Controversies Surrounding Recent Liver Transplantation Guidelines for HCC

Learning Objectives:

1. Discuss the pros and cons for the proposed change in the heart allocation policy.
2. Identify potential disparities in liver transplantation through redistricting.
3. Discuss the associated controversies surrounding recent guidelines for liver transplantation for hepatocellular carcinoma (HCC), as well as living-donor liver transplantation (LDLT) for this population.
4. State the pros and cons of the Scientific Registry of Transplant Recipients (SRTR) Transplant Program-Specific Reports, including risk-adjustment models to assess transplant program performance.

12:00 p.m.

Adjourn