CALL FOR SPEAKERS SUBMISSION FORM
Submission Deadline is Friday, October 30, 2026 by 5 p.m. PDT
Proposal Contact
*
Full Name
Organization
Email
*
example@example.com
Presentation Information
Please note: Sessions should be designed for a 60-minute time slot (e.g., ~30 minutes of presentation and ~30 minutes of discussion)
Which focus area best aligns with your presentation? (select one)
*
Accelerating sustainable investment in primary care and behavioral health
Advancing value-based care through alignment and accountability
Building a connected, technology-enabled healthcare ecosystem
Partnering with communities to advance health equity
Promoting appropriate, equitable, and person-centered use of care
Strengthening maternal, child, and adolescent health
Presentation Title
*
Please provide a clear and concise title for your presentation.
0/100
Brief Presentation Description
*
Provide a brief summary of your presentation including how this topic aligns with the Forum's theme 'Two Decades of Progress. Building the Future of Healthcare Together.'
0/750
In one or two sentences, describe how your presentation highlights collaboration between at least two or the following groups: purchasers, payers, providers, community organizations and patients.
*
0/350
List at least two learning objectives for your presentation (bulleted list recommended)
*
0/750
Presentation Format
*
Panel
Case Presentation
Workshop
Other
If you answered "Other" above, please tell us what format you are proposing.
Select the target audiences that your presentation applies to (select at least 2)
Providers
Payers
Purchasers
Community Organizations
Patients, Families and Caregivers
Speaker Information
Sessions must include 2 speakers, up to a maximum of 4, from multiple organizations who bring diverse stakeholder perspectives to the discussion.
Speaker 1 Contact
*
Full Name
Email
Speaker 1 Work
*
Title
Organization
Speaker 1 Bio and Credentials
*
Speaker 2 Contact
*
Full Name
Email
Speaker 2 Work
*
Title
Organization
Speaker 2 Bio and Credentials
*
Speaker 3 Contact
Full Name
Email
Speaker 3 Work
Title
Organization
Speaker 3 Bio and Credentials
Speaker 4 Contact
Full Name
Email
Speaker 4 Work
Title
Organization
Speaker 4 Bio and Credentials
Optional: Additional Details
Attach any background materials or share notes below that you think would be helpful as we consider your proposal. Please include any disclosures here, if relevant.
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Notes
If my submission is accepted, I agree to allow CQC to publish my Catalyst for Health 2027 submission information on their website and use my content for marketing and educational materials.
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