POPULATION HEALTH AND CARE COORDINATION COLLOQUIUM: REGISTRATION

The columns below give you a choice of either attending the conference in-person on site or attending at your home or office via the Internet. Each choice has a different price and registration form.

TO ATTEND THE CONFERENCE IN-PERSON ON SITE

Onsite conference registration includes onsite attendance, professional networking, and live interaction with the faculty, plus a conference materials Data-DVD.

Individual Registration:

Mini Precon I: Outcomes Measurement for Dummies Mini Precon II: NC Medicaid Medical Homes Sunday Health Policy Banquet (capacity limited)	$195 $195 $145
Precon I: Introduction to Population Health Precon II: Advanced Applications in Population Health	$495 $495
Conference: -- Through Friday, December 23, 2011* -- Through Friday, January 27, 2012** -- After Friday, January 27, 2012	$1,195 $1,595 $1,995
Special Provider Rate***: -- Through Friday, December 23, 2011 -- Through Friday, January 27, 2012 -- After Friday, January 27, 2012	$995 $1,295 $1,595
Special Academic/Government Rate****: -- Through Friday, December 23, 2011 -- Through Friday, January 27, 2012 -- After Friday, January 27, 2012	$595 $795 $995
Population Health Certificate Program (Includes preconference readings and questions, online course and post-conference online examination. Requires preconference & conference registration.)	$395

Group Registration Discount:

Three or more registrations submitted at the same time receive the following discounted rates for conference registration only:
Conference: -- Through Friday, December 23, 2011 -- Through Friday, January 27, 2012 -- After Friday, January 27, 2012	$795 $1,095 $1,395
To register to attend the Colloquium onsite at the group rate, click here or download the registration form.

CONFERENCE ELECTRONIC MEDIA:

Following the Colloquium, the video and presentations are made available in the following formats. To take advantage of the discounted prices below, you must reserve media WITH your Colloquium registration:
Conference Audio/Video and Powerpoint on: -- Flash Drive (includes $15 shipping) -- Web (6 month access)	$114 $99
Note that conference electronic media may be used by the individual purchaser only. Terms and Conditions below apply.

SPECIAL SUBSCRIPTION OFFERS:

Onsite attendees - you can purchase an annual subscription to Accountable Care News, Medical Home News, Predictive Modeling News or Readmissions News for only $295 (regular rate $468) when ordered with your conference registration.
Annual subscription to: -- Accountable Care News -- Medical Home News -- Predictive Modeling News -- Readmissions News	$295 $295 $295 $295

REGISTRATION OPTIONS FOR
ATTENDING THE CONFERENCE IN-PERSON

*		This price reflects a discount for registration and payment received through Friday, December 23, 2011.
**		This price reflects a discount for registration and payment received through Friday, January 27, 2012.
***		Provider is a hospital, Long Term Care, home health, physician, or hospice organization or its association.
****		For the purpose of qualifying for the academic/government rates, "academic" shall apply to individuals who are full time teaching staff at an academic institution (i.e. not an adjunct faculty member with a job elsewhere) or a full-time student at an academic institution (i.e. not with a full-time job elsewhere); and "government" shall apply to individuals who are full time employees of federal, state or local regulatory agencies. This rate does not include the Preconference for onsite attendees.

TO ATTEND THE CONFERENCE VIA THE LIVE/ARCHIVED INTERNET WEBCAST

All online registrants are automatically registered for the preconferences, mini preconferences, conference and certificate program (does not include the banquet dinner).

Online conference registration includes the live Internet feed from the Colloquium, plus six months of continued archived Internet access, available 24/7.

Individual Registration:

Includes preconference and full conference:
-- Through Friday, December 23, 2011 -- Through Friday, January 27, 2012 -- After Friday, January 27, 2012	$795 $1,095 $1,395

Group Registration:

Group registration offers the substantial volume discounts set forth below. All group registrants are enrolled in the preconference, conference and certificate program. Group registration offers the possibility of implementing an online training program. Group registration permits the organizational knowledge coordinator either to share conference access with colleagues or to assign and track employee conference participation. Certificate of successful completion of online post conference examination evidences mastery of conference body of knowledge.
Conference Access: -- 5 or more (click here for this rate) -- 10 or more (click here for this rate) -- 20 or more (click here for this rate) -- 40 or more (click here for this rate)	$595 each $495 each $395 each $295 each
To register a group, click on the link above to register the group via the Internet or click here to use the downloadable form to mail or fax. If using the downloadable form, complete a form for each registrant and submit all forms together via mail, email or scan to qualify for the group discount. In lieu of completing individual forms, you may fill out one downloadable form with the contact person's information. Indicate on the form the number of attendees and payment information. Submit the name, title, company, full address, phone number and email of each additional attendee on an Excel worksheet or any other form you find convenient. Email, fax or mail this information to the registration office. We will process the group registration and send an email confirmation to the contact and each attendee.
To register groups, please use the downloadable form below. Complete a form for each registrant marking the appropriate group discount. All forms must be submitted together to qualify for the group discount. Submit form via fax or mail.

CONFERENCE ELECTRONIC MEDIA:

Following the Colloquium, the video and presentations are made available in the following format. To take advantage of the discounted price below, you must reserve media WITH your Colloquium registration:
Conference Audio/Video and Powerpoint on: -- Flash Drive (includes $15 shipping)	$114
Note that conference electronic media may be used by the individual purchaser only. Terms and Conditions below apply.

SPECIAL SUBSCRIPTION OFFERS:

Online attendees - you can purchase an annual subscription to Accountable Care News, Medical Home News, Predictive Modeling News or Readmissions News for only $295 (regular rate $468) when ordered with your conference registration.
Annual subscription to: -- Accountable Care News -- Medical Home News -- Predictive Modeling News -- Readmissions News	$295 $295 $295 $295

REGISTRATION OPTIONS FOR
ONLINE CONFERENCE ATTENDANCE

SPECIAL PACKAGE REGISTRATION FOR COLLOCATED CONFERENCES

TWELFTH POPULATION HEALTH AND CARE COORDINATION COLLOQUIUM
February 27 - 29, 2012

FOURTH NATIONAL MEDICAL HOME SUMMIT
February 27 - 29, 2012

You can register for both events (excluding preconferences) for both onsite and online (live and archived for 6 months) access for the following package price:

This special package two-event registration provides full onsite access (excluding preconferences) to both events - you can go back and forth between the sessions - and full online live and six month archived streaming video of the events so that you can see the sessions that you missed and review those sessions in which you participated.

Individual Registration:
Includes conference (excluding preconferences), both online or onsite, for the two collocated events (Population Health/Disease Management Colloquium and Medical Home Summit):

-- Through Friday, December 23, 2011
-- Through Friday, January 27, 2012
-- After Friday, January 27, 2012

$1,795
$2,195
$2,595

ONLINE AND ONSITE ATTENDANCE FOR BOTH CONFERENCES

THE FOLLOWING TERMS AND CONDITIONS APPLY

REGARDING INTERNET AND ELECTRONIC MEDIA REGISTRATIONS

Individuals or groups may register for Internet access or purchase conference electronic media, in the form of web access or Flash Drive.
Individual purchases are made in the name of a single individual and provide a limit license to that individual only to access conference content via either web access or Flash Drive.
Organizations may register for group access to conference content via either web access or Flash Drive without presenting specific registrant names. In such instances the registering organization will be presented a series of user names and passwords to distribute to participants. Such group purchases provide a limit license to that number of named individuals only assigned by the purchasing organization to access conference content.
Each registrant will receive a user name and password for access. Registrants will be able to change their user names and passwords and manage their accounts.
Internet registrants will enjoy six (6) months access from date of issuance of user name and password.
Only one user (per user name and password) may view or access archived conference via either web access or Flash Drive. It is not permissible to share user name and password with third parties. Should Internet registrants choose to purchase post conference content via Flash Drive, this individual use limitation applies. It is not permissible to share alternative media with third parties.
User name and password use for web access will be monitored to assure compliance.
Each Internet registration is subject to a "bandwidth" or capacity use cap of 5 gb per user per month. When this capacity use cap is hit, the registration lapses. Said registration will be again made available at start of next month so long as registration period has not lapsed and subject to same capacity cap.
Internet access or purchase conference electronic media is copyrighted under the U.S. Copyright Act. Unauthorized photocopying or retransmission by electronic means is restricted by law and may subject the copyright infringer to substantial civil damages. Our policy is to aggressively pursue copyright infringers. See INTELLECTUAL PROPERTY POLICY below.
For online registrants and electronic media sales there will be no refunds for cancellations. Please call the Conference Office at 800-503-7439 for further information.

REGARDING ONSITE REGISTRATION, CANCELLATIONS AND SUBSTITUTIONS

For onsite group registrations, full registration and credit card information required for each registrant. List all members of groups registering concurrently on fax or scanned cover sheet.
For onsite registrants there will be no refunds for "no-shows" or for cancellations. You may send a substitute or transfer your onsite registration to an online registration; please call the Conference Office at 1-800-503-6494 for further information.

CONTINUING EDUCATION CREDIT
The Colloquium does not offer pre-approved Continuing Educations Credits (CEUs) directly. However, onsite attendees can request a Certifcate of Attendance which they can file with appropriate entities for credit, and online attendees can download an Online Certificate of Attendance on which they can certify the number of hours they watched and can file with appropriate entities for credit.

METHOD OF PAYMENT FOR TUITION
Make payment to Health Care Conference Administrators LLC by check, MasterCard, Visa or American Express. Credit card charges will be listed on your statement as payment to HCCA Conferences. Checks or money orders should be made payable to Health Care Conference Administrators LLC. A $30 fee will be charged on any returned checks.

PAYMENT OPTIONS
Registration may be made online or via mail, fax or scan.

You may register online at www.PopulationHealthColloquium.com.

Alternatively, you may use our printed registration form, enclose payment and return it to the Colloquium registrar at 22529 39th Ave SE, Bothell, WA 98021, or fax the completed form to 206-319-5303 or scan the completed form to registration@hcconferences.com. Checks or money orders should be made payable to Health Care Conference Administrators LLC.

The following credit cards are accepted: American Express, Visa or MasterCard. Credit card charges will be listed on your statement as payment to HCCA Conferences.

For registrants awaiting company check or money order, a credit card number must be given to hold registration. If payment is not received by seven days prior to the Colloquium, credit card payment will be processed.

TAX DEDUCTIBILITY
Expenses of training including tuition, travel, lodging and meals, incurred to maintain or improve skills in your profession may be tax deductible. Consult your tax advisor. Federal Tax ID: 91-1892021.

CANCELLATIONS/SUBSTITUTIONS
No refunds will be given for "no-shows" or for cancellations. You may send a substitute or transfer your onsite registration to an online registration. For more information, please call the Conference Office at 800-503-6494.

INTELLECTUAL PROPERTY POLICY
Unauthorized sharing of Colloquium content via Internet access through the sharing of user names and passwords or via Flash Drive through the sharing of said media is restricted by law and may subject the copyright infringer to substantial civil damages. The Colloquium aggressively pursues copyright infringers.

If a registrant needs the ability to share Colloquium content within his or her organization, multiple Colloquium registrations are available at discounted rates.

The Colloquium will pay a reward for information regarding unauthorized sharing of Colloquium content. The reward will be 25% of any recovery resulting from a copyright infringement (less legal fees and other expenses related to the recovery) up to a maximum reward payment of $25,000. The payment will be made to the individual or individuals who in the opinion of our legal counsel first provided the factual information, which was necessary for the recovery.

If you have knowledge regarding the unauthorized Colloquium content sharing, contact the Colloquium registration office.

GENERAL TERMS AND CONDITIONS
The Colloquium program is subject to change. An executed registration form constitutes binding agreement between the parties.

FOR FURTHER INFORMATION
Call 800-503-7439, send e-mail to registration@hcconferences.com, or visit our website at www.PopulationHealthColloquium.com.