Day 1, February 8
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Time
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Content
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8:00 am
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Registration and Optional Breakfast
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9:00 – 9:30 am
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Welcome and Introduction
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9:30 – 11:00 am
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ACO Basics: Using CMS Data to Make the Most of Your ACO Benchmark
Presenters will begin with an overview of how CMS establishes MSSP ACO benchmarks, including the basics of patient attribution, benchmark cost calculation, risk adjustment, regional cost and risk score calculation, and trending, as well as descriptions of publicly available data sources. They will review differences in CMS public data and data provided through the VRDC and key performance Indicators (KPIs) to optimize financial performance and explore leadership’s role in data-driven culture and change management strategies.
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Stephen Gates, Summit Health/
Village MD
Gabriel Orthous, Health Choice Network
Andy Perlman, Institute for Accountable Care
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11:00 – 11:15 am
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Break
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11:15 am–12:30 pm
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MSSP and ACO REACH: Maximizing Quarterly Files and Predicting Yearly Outcomes
Presenters will dive deep into the reporting provided by CMS to showcase what is included within the reporting, what assumptions are used and will be updated in future reporting, and how actuaries use to forecast savings results. The audience will learn how to gain insight from files and use them throughout the year to help predict final reconciliation position and discuss use cases for identifying areas of improvement for care management.
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Brad Heywood, Wakely
Zach Davis, Wakely
Stephen Gates, Summit Health/
Village MD
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12:30 – 1:30 pm
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Lunch
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1:30 – 2:15 pm
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Getting the Most Out of Your CCLF Data
Presenter will thoroughly review CCLF files, including how the files can be used to set up claim reserve triangles.
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Stephen Gates, Summit Health/Village MD |
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2:15 – 2:20 pm
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Transitional Break
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2:20 – 3:50 pm
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Integrating Data to Support ACO/Pop Health Reporting: What Works? What Doesn’t?
This session will include interactive tabletop discussions of three topics related to data and analytics with each table reporting out the best features and largest challenges in working with data within these data structures to create ACO reports (e.g., registry data, EMR data, and claims). Discussion may include: where to start, examples of success, what hasn’t worked. We will group tables by organization type such as integrated health systems, smaller, provider group only, or FQHC, RHC ACOs, as well as combinations of these. The session goal is to provide peer-to-peer discussion and provide information to NAACOS to inform the needs of future education and advocacy to the industry and develop programs to bridge the information gap.
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Jennifer Gasperini, NAACOS
Aisha Pittman, NAACOS
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3:50 – 4:00 pm
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Break
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4:00 – 5:00 pm
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Evaluating Year-over-Year impact for V28 Conversion on ACO Risk Calculations
In this session, participants will gain a broader understanding of the new risk adjustment model announced to start in 2024 and what it means for their ACOs. The presenters will cover background into how risk adjustment works, model change, sample studies performed on the model change. Presenters will also review possible opportunities for participants to review their potential impact from this model change and implement changes and how results can be communicated throughout the organization as different audiences will look at risk adjustment differently.
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Brad Heywood, Wakely
Zach Davis, Wakely
Stephen Gates, Summit Health/Village MD
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5:30 – 6:30 pm
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Reception
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Day 2, February 9
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Time
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Content
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7:30 am
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Optional Breakfast
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8:00 – 8:45 am
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AI-Driven Solutions for Improving Member Outcomes and Reducing Costs
Artificial Intelligence is a complex field that has been disrupting the health care industry with significant promises to change how organizations operate from risk adjustment and patient intake to cutting-edge population health supplements. Participants will learn more about how AI operates, what to look for in solutions leveraging AI, and the various options available to the health care industry.
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Kira Radinsky, Diagnostic Robotics
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8:45 – 8:50 am
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Transition Break
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8:50 – 9:35 am
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Creating Actionable Disease Management Dashboards and How to Think Like a Clinician
This session will provide information to help organizations build reports that are provider-friendly, including examples of clinical registries for cardiology, risk stratification, adding clinical markers for care managers, and creating disease specific dashboards for COPD and GOLD grouping. The session will include practical examples of partnership between Clinicians-Ops-Analytics to create actionable insight. Participants will hear from a former ACO CMO about the evolution and adoption of multiple disease reporting dashboards by clinical teams in the ACO and how it positively affected actionable engagement.
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Rick Martin, Keystone ACO
Vinod Shenai, Village MD |
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9:35 – 9:45 am
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Break
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9:45 – 10:30 am
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Policy Implications: Using Data to Advance Population Health Goals
Health care data and information is highly regulated by the federal government. Join this session to hear updates on how congressional and administration policies impact data used for population health. Attendees will learn about key policy updates such as ADT alerts, information blocking, expanding use of APIs, and model updates that advance population health goals. This session will also discuss NAACOS advocacy efforts to enhance ACOs’ use of data to advance population health goals.
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Aisha Pittman, NAACOS
Jennifer Gasperini, NAACOS
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10:30 – 11:30 am
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Data Tracking for Financial Success: What Is Most Important to Outcomes
Presenters will review the biggest drivers of success in a Medicare population broken down into two different sides of the “equation” -- Cost Reduction and Revenue improvement. Information provided will include breakout of admissions by type, how the correct hospital discharge destination can affect readmissions, and how post-acute follow up rates as timely follow up is key to reduce readmissions. Presenters will demonstrate how tracking the data for these discharge process decisions can make a big difference in financial outcomes.
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Tori Bratcher, Trinity Health
Vinod Shenai, Village MD
Kira Radinsky, Diagnostic Robotics
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11:30 am – 12:30 pm
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Lunch
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12:30 – 1:40 pm
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Creating Reports to Evaluate and Engage Specialists
Presenters will discuss how to build and use procedural, acute medical, and chronic condition episodes. They will also describe technical challenges including risk adjustment, provider attribution and ensuring adequate sample size. They will then provide practical examples of the application of episodes to engage specialists in performance improvement. Presenters will provide strategies to foster collaboration between ACOs and specialists for improved patient outcomes and cost efficiency and practical techniques to transform data into actionable insights for multi-modality and specialists’ decision-making processes, including insights into interpreting and communicating total cost of care trends effectively.
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Jen Perloff, Institute for Accountable Care
Vinod Shenai, Village MD
Gabriel Orthous, Health Choice Network
Max Anfilofyev, Diagnostic Robotics |
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1:40 – 1:45 pm
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Transition Break
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1:45 – 2:30 pm
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Peer-to-Peer Session: A Time for Reflection
This session will provide additional time for questions to presenting faculty members and NAACOS staff on the future of health care and ACO needs within the value-based care continuum.
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Boot Camp Faculty |
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2:30 – 2:45 pm
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Wrap-up and Adjourn
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