MONDAY – 24th of September

08.00 – 09.00 Business Breakfast I.  
Event partner - ORACLE

09.00 – 10.00 Opening session

Conference opening key notes
Jim A. Rice 
(Management Sciences for Health, USA)

Dr. Rice has Masters and Doctoral degrees in management and health policy from the University of Minnesota. James A. Rice is Senior Vice President of Integrated Healthcare Strategies and Vice Chairman of The Governance Institute. He is Co-Director of the International Health Leadership Programme at Cambridge University, England. Jim draws upon extensive experience in the development and management of large health systems in the U.S. as an executive with the Allina Health System in Minnesota, a $2.5 billion system of hospitals, physicians and health plans. He also works in international health policy research and development, with a special focus on public health finance. He has worked in over 30 counties in the development and operation of public health insurance and service delivery in USAID supported child survival programs.

Prague International Health Summit is the most significant international conference in the field of health systems and health care policy in central Europe.
The main audiences of the summit are top representatives of management from the area of health care, representatives of payers, providers, health care technology and equipment producers, pharmaceutical companies, ICT, educational and regulatory institutions and administration mainly from Czech Republic and other central European countries.
The conference is visited by 200 participants from more than 20 European countries, USA and other. The conference is also visited by investors from health care system so there is a place for making new contacts and getting local information.
Prague International Health Summit is strictly themed conference and individual lectures together form consistent unit. The conference brings participants worth inform of INNOVATION, DIVERSITY and INTERACTIVITY.
The dimension of the conference is in form that respects its main audience and its values.
• IHS is not mass conference, number of participants is limited up to 250
• part of conference is opening workshop for  limited number of participants, which discusses in depth carefully selected issues
• there will be parallel interactive work groups within the conference according to basic groups of health care area (payers, providers, consumers , vendors and suppliers), which form  conclusions that will be thus presented on general meeting
• Prague International Health Summit is fully bilingual conference

Welcome speach
Peter Pažitný 
(Executive director of HPI, member of CEE HPN, Slovakia)

Since January 2005, Peter is the founding partner and the executive director of Health Policy Institute – a Bratislava based independent think-tank which analyzes health policy in the Central European countries. He is the graduate of the University of Economics in Bratislava (1999) and he helds a postgraduate MSc. Degree in health management services from the Semmelweis University in Budapest (2003). During 2002 – 2004, Peter was the chief advisor of Minister of Health Rudolf Zajac. He was fully responsible for the expert part of the health reform, for daily management of the Reform Team and for operative tasks linked to the ministry. In 2006-2007 he was member of Advisory Committee to Ján Gajdoš, Chairman of Healthcare Surveillance Authority in Slovakia. During 2006 – 2007, Peter was advisor to Lajos Molnár, Minister of Health in Hungary. Between 2007 – 2009, Peter was advisor to Tomáš Julínek, Minister of Health in Czech Republic.He is also the founding partner and CEO of the Health Management Academy. He teaches health care financing and health policy. Together with Rudolf Zajac, Peter is the co-author of a publication „Healthcare Reform Strategy – a Real Reform for the Citizen (2001)” that served as main source for the health care reform implemented in Slovakia in 2004. He is also the co-author of „Health Systems in Transition: Slovakia, 2011“ a prestigious publication published by the European Observatory on Health Systems and Policies.

Not available.

Keynote speach
Tomáš Macháček
(Health Reform CZ, member of CEE HPN, Czech Republic)

Tomáš Macháček M.D. graduated from Charles University in Prague and since 1992 he has been a practicing primary care physician. He is one of the three founders of the think tank Health and Chairman of the Board since 1st September 2006. He was responsible for agenda of four International Health Summits held by Health in 2004-2008. Tomáš is an expert in the field of health insurance and systems of health care financing; these issues he studied in the United States as well as South Africa. He is a pioneer of managed care tools in the Czech Republic: He has designed and implemented the first capitation contracts between IPAs (Individual Practices Associations) and health insurance company. Furthermore, he has been the driving force behind first Czech experiments with integrated managed care health plans based on a capitation contract. Being founded in 2000, his company Klient PRO Ltd. operates as a third party administrator of managed care projects for health insurers and IPAs. The MEDIPARTNER system run by Klient PRO for Hutnicka zamestnanecka pojistovna is the first Czech system integrating public health insurance, organizing of health care providing in the preferred providers network and motivation scheme for clients based on the principles of a reward based health care. Tomáš is co-author of the Czech health care reform proposal. Within the reform, he designed and tested a model combining health insurance and health savings subsidized with risk adjusted public contribution. He is an advocate of introducing nominal premium system into the Czech health insurance scheme. As a member of Minister Tomáš Julínek's reform team he has elaborated a legislative framework for public health insurance administration through competitive standardized products (health plans) offered by health insurance companies at a regulated market, including the concept of high deductible health plans in combination with health savings accounts. During years 1996-1998 and 2006-2008 he worked as an advisor to the Minister of Health.

The actual reason of the healthcare sector not serving to those, whom it should, is the fact that the system is very uneconomic in two main aspects. First, there is a lot of wasting due to the massive production of services, which in fact have no value. Second, the biggest reason for not being able to achieve a change is that the system is not flexible at all. The system cannot flexibly react to changes and to the needs of those, for whom it should serve.

When you think about how the system is financed and about the process of how we are actually getting to health treatment, you will realize that a system of nationalized charity was built. Actually we are all subject to such nationalized charity and we contribute to this charity, as well. We, on the one hand, contribute compulsorily to this charity, then the money has someone else and afterwards it provides us healthcare services.

A hope for us is the Dutch system where people get their money back and have it at their disposal. They can use that money for, what they think, will bring them value. On the one hand, there is the market and on the other the providers, which have to compete for the customers, because there are plenty of other providers offering similar products. If the provider is not going to be sufficiently accountable to the customers, he/she can lose those customers. In this arrangement the system will start to work, because the industry will be confronted with all the others providing various products and services that you can buy.

In the last decade, the regular customer starts to play a new role and will stop to accept this game. These regular customers belong mostly to a young generation with chronic diseases. This young generation of chronically ill patients is a new phenomenon, which started to appear in this industry in the past decade. This group of young chronic patients creates a customer segment, which will act as watchdog of the market with healthcare services. Each market operates in a way that five, seven or ten percent of consumers are sensitive to prices and look for alternatives. They are also aware of what they want. This segment of consumers can eventually control the whole industry. This seven or ten percent of people will actually decide about the success or failure of those, who provide those services.

Full keynote speech here.

Strategic Scenarios 2020 – Film N°1: The Broker

10.00 - 10.30 Coffee break

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