Agenda Spring 2018 

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NAACOS conferences deliver valuable policy insights and operational strategies for ALL accountable care organizations. Our upcoming conference on April 26 and 27 will draw more than 650 ACO leaders from across the country and will feature presentations from noted ACO experts and CMS officials, as well as opportunities for networking and peer-to-peer learning. NAACOS conferences are the only events organized exclusively by ACOs. 

Conference Schedule  
April 25 - Pre-Conference Workshops 1:00 pm - 5:00 pm ET
April 26 - Main Meeting 7:30 am - 6:30 pm ET
April 27 - Main Meeting 7:30 am - 3:00 pm ET

 

Thursday, April 26

7:30 a.m. - 8:30 a.m.

Continental Breakfast
Exhibits Open
Sponsored Breakfasts

8:30 a.m. - 10:00 a.m.

Welcome

Outlook for Medicare ACOs
Speaker: TBA

Intersection of Health Information Technology and Accountable Care
Don Rucker, National Coordinator for HIT

10:00 a.m. - 10:30 a.m.

Coffee Break
Exhibits Open

10:30 a.m. - 12:00 p.m.

Network Integration:  Tools and Strategies to Optimize Your Network
Chair:   Joel Port, Delaware Valley ACO
Presenters: Laura McGeorge,  St. Luke's Health Partners ACO; Anthony Reed, Geisinger Health System; Lloyd Wilson, Imperium Health

Key to any ACO’s success initially starts with its provider network.  How do ACOs evaluate whether and when to add providers/TINs?  What are the metrics, participation criteria, and performance expectations to better manage the network? What tools/processes can an ACO use to enhance its network over time?  Presenters in this session will address these issues by sharing some best practices in network management and utilization, including optimizing performance and leakage prevention.  Also, discussion will cover the impact of changes among an ACO’s providers/TINs as a major driver of changes to its benchmark, and therefore its ability to succeed financially.  In addition, a Next Gen presenter will share lessons learned from that model’s advantages such as negotiating directly with providers, labs, imaging services and more. 

10:30 a.m. - 12:00 p.m.

ACO Compliance in the Real World
Chair: Kimberly Busenbark, Willems Resource Group
Presenters: Lorri Havlovitz, Collaborative Health Systems; Randy Cook, AmpliPHY of Texas ACO

Is your ACO Compliance Program working to ensure that your ACO is meeting all of the regulatory requirements and helping your ACO succeed operationally? In the real world, Shared Savings Program and NextGen Model ACOs have to do more than check the boxes for the five required elements of a Compliance Program.    ACOs must oversee and monitor all required processes, meet marketing requirements, and ensure the ACO could respond success to a CMS audit – amongst other things.  ACO leadership can feel overwhelmed when creating and operationalizing a Compliance Program due to the competing priorities of operational requirements, data reporting, and care coordination.  An effective Compliance Program doesn’t operate in isolation but supports and works in conjunction with operations.  In fact, a knowledgeable Compliance team can help your ACO utilize the waivers to find creative ways to be successful.  Join us to learn tangible strategies for how to implement an effective compliance program that can help your ACO avoid risk and increase innovation. 

10:30 a.m. - 12:00 p.m.

MACRA 2018: Key Issues for ACOs and How To Maximize the Opportunities
Chair: Jennifer Gasperini, NAACOS
Presenter: Allison Brennan, NAACOS; Melody Danko-Holsomback, Geisinger Health System/Keystone ACO; Jeffrey Forman, Bayview Physician's Group; Megan Reyna, Advocate Physician Partners

The 2018 performance period is a critical year in MACRA’s Quality Payment Program (QPP). In this session, NAACOS staff will review key policies ACOs need to be aware of for both Advanced APM and Merit-Based Incentive Payment System (MIPS) tracks of the QPP. ACOs will discuss lessons learned from the 2017 performance year and provide insights on how to be successful under this new payment system.

12:00 p.m. - 1:30 p.m.

Lunch

Purchaser Efforts in Value-based Care
Speaker: Suzanne Delbanco, Catalyst for Payment Reform

1:30 p.m. - 2:00 p.m.

Break
Exhibits Open

2:00 p.m. - 3:30 p.m.

Assuming Risk:  What ACOs Need to Know to Choose Correctly and Transition Successfully
Chair: Elena Tkachev, Collaborative Health Systems  
Panelist: Melanie Matthews, Physicians of Southwest Washington

Many ACOs are making or considering the transition to a two-sided ACO model. Assuming risk is an important decision for an ACO and following that leap, the real work of managing risk begins. This session will prepare ACOs and provide them with the knowledge and strategies necessary to not just manage risk but to truly excel in a two-sided risk model. Presenters will discuss the risk levels in various ACO models/tracks, how to prepare to take on risk, and how to effectively manage that risk in a new environment.

2:00 p.m. - 3:30 p.m.

Late Breaking Issues: Come Hear Solutions to the Top ACO Challenges
Chair: Michael Rossi, Lehigh Valley Health Network
Panelists: Denise Prince, Mount Sinai Health System; Valinda Rutledge, MyHealth First Network; Debbie Welle-Powell, Essentia Health

Experts will offer solutions to top ACO challenges and engage the audience in a discussion of  solutions and barriers to implementation. Don't miss this chance to learn from the experts and from peers!

2:00 p.m. - 3:30 p.m.

Got Rural Patients?  Learn How ACOs Can Effectively Serve Patients in Rural Settings
Chair: Gary Albers, Imperium Health
Presenters: Pravin Avula, Southern Kentucky Health Care Alliance; Tim Gronniger, Caravan; Joleen Huneke, SERPA-ACO

Many ACOs serve patients in rural settings.  What are the unique challenges and what are the solutions?  Hear from rural care experts how they manage care for rural patients.

3:30 p.m. - 4:00 p.m.

Break
Exhibits Open

4:00 p.m. - 5:30 p.m.

NEW -- Meet Ups for Each Track

Each ACO model has its own set of features, challenges, and strategies for success.  Attend a meet up exclusively with your ACO peers where you can share your challenges, learn from peers, and hear from experts about the strategies that work for your type of ACO. Concurrent meet ups will be held for Tracks 1, 1+, 2, 3 and Next Gen.

5:30 p.m. - 6:30 p.m.

Reception
Exhibits Open

 

 Friday, April 27

 

7:15 a.m. - 8:00 a.m.

Continental Breakfast
Exhibits Open
Sponsored Breakfasts

8:15 a.m. - 9:15 a.m.

A Conversation with ACO Innovators
Speakers: Richard Gilfillan, Trinity Health; Farzad Mostashari, Aledade

Description: As the CEO of a large, national health system that includes various types of ACOs, Dr. Rick Gilfillan of Trinity Health will share his perspective on future opportunities and challenges for ACOs. Dr. Farzad Mostashari, CEO of Aledade, will draw from his experience in partnering with primary care physician practices to build and lead ACOs.

9:15 a.m. - 9:45 a.m.

Break
Exhibits Open

9:45 a.m. - 11:15 a.m.

Advanced Home Care Strategies for Keeping Medicare Patients Out of the Hospital
Chair:  Rob Mechanic, Brandeis University
Presenters:  Eliza “Pippa” Shulman, Atrius Health; Mark Prather, Dispatch Health; Linda DeCherrie, Mobile Acute Care Team

Hospital care is the largest category of Medicare spending. Frail elderly patients are hospitalized frequently leading to heightened risk of adverse events due to psychological stress, sleep deprivation, poor nutrition and deconditioning. Studies have found nearly 30 percent of Medicare admissions were potentially preventable with appropriate timely outpatient care, but patients often cannot access physician office services quickly. ACOs are increasingly looking at delivering care to frail or high-risk patients in their homes. This session will look at several strategies including home-based primary care, urgent home medical services and hospitalization at home which have demonstrated cost savings and high patient satisfaction in early studies. It will discuss key elements of these programs including patient eligibility, organization of services, technology and financial structure.

9:45 a.m. - 11:15 a.m.

ACO Innovations
Chair: Jennifer Moore, MaineHealth ACO

How do ACOs innovate?  Learn about award-winning innovations and how you can apply their success to your ACO. This session will feature the winning submissions to NAACOS Call for ACO Innovations.  NAACOS is accepting submissions to the call through January 26, 2018.

9:45 a.m. - 11:15 a.m.

How to Master Your ACO’s Benchmark for Financial Success
Chair:  Andrew Webster, Validate Health 
Panelists: Gene Farber, Reliance ACO; Stephen Nuckolls, Coastal Carolina Quality Care

Benchmarks are one of, if not the most, critical factors that determine an ACO’s success.  Attend this session to get the knowledge to master your ACO’s benchmark and create actionable plans that will create financial success for your ACO.

11:30 a.m. - 1:00 p.m.

ACO Leaders in Quality: What's the Secret To Their Success?
Chair: Rob Fields, Mission Health Partners ACO
Presenter: Stephen Nuckolls, Coastal Carolina Quality Care; Pedro Penalo, RGV ACO

In this session, the audience will hear from the three highest scoring ACOs in the 2016 Performance Year (PY), including the winner of the NAACOS Quality Award. Panelists will describe how their ACOs achieved high marks on quality measures in PY 2016.  They will share their strategies for success and discuss internal processes for driving improved clinical quality. The session will also discuss tips on successful ACO Web Interface quality measure submission as well as pitfalls to avoid. 

11:30 a.m. - 1:00 p.m.

 

Expanding to New Payers: Learn How ACOs Contract with Commercial Payers and Employers
Chair: Kimberly Kauffman, Summit Medical Group
Panelists: Bela Biro, Swedish Medical Group; Trent Hadley, Baylor, Scott & White; Amber Lenhardt, UnityPoint Health Partners

Is your ACO ready to grow beyond Medicare? Hear from other ACOs that have successfully contracted with non-Medicare payers including employers. Find out how their successes and failures can put your ACO on the path to contracting with a more diverse group of payers.  Presenters from UnityPoint Accountable Care and Health Connect Partners (Providence)

11:30 a.m. - 1:00 p.m.

Top Issues for Next Generation ACOs
Chair: Barbara Walters, Trinity Health
Panelists: James Porter, Beth Israel Deaconess Care Organization; Elissa Langley, Triad ACO

Next Generation ACOs are on the forefront of innovation and participating in the most advanced Medicare ACO initiative. As a model through the Innovation Center, there is more flexibility in this model to move away from fee-for-service payments and to benefit from increased availability of payment rule waivers and other program elements unique to this ACO model. This session will cover a broad range of topics that Next Generation ACOs need to know, such as understanding benchmarks, risk adjustment, payment options beyond fee-for-service, payment rule waivers and much more. In addition to presentations by Next Generation ACO participants and answers from CMS staff, there will be an in-depth audience discussion and time for both experienced and new Next Generation ACOs to network.

1:00 p.m. - 3:00 p.m.

Lunch Plenary

Open Mic with CMS 
Speakers:  CMS representatives

This town hall format is a perennial favorite among NAACOS conference attendees because it allows ACO executives an excellent opportunity to ask questions and receive answers directly from the leaders of the CMS Performance-Based Payment Policy Group and the Center for Medicare and Medicaid Innovation.