Agenda Fall 2017 

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Conference Brochure

Conference Attendee List

NAACOS conferences deliver valuable policy insights and operational strategies for ALL accountable care organizations. Our upcoming conference on October 5 and 6 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  
October 4 - Pre-Conference Workshops 1:00 pm - 5:00 pm ET
October 5 - Main Meeting 7:30 am - 6:30 pm ET
October 6 - Main Meeting 7:30 am - 4:30 pm ET

 

Thursday, October 5

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

Continental Breakfast
Exhibits Open
Sponsored Breakfasts

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

Welcome
Clif Gaus, President and CEO, NAACOS

Future of ACOs
Speaker: Mark McClellan, Duke University

Dr. McClellan will discuss recent trends and results for accountable care organizations in the United States, with an emphasis on what ACOs can expect in the months and years to come.

PY16 Results and Success Stories
Moderator: Mark McClellan, Duke University
Panelists: Thomas Kloos, Optimus Healthcare Partners; Stephen Nuckolls, Coastal Carolina Quality Care;
Jeffrey Spight, Collaborative Health Systems

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

Coffee Break
Exhibits Open

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

Managing Chronic Conditions
Chair: Jeff Farber, Mount Sinai Health System
Speakers: Sidney Braman, Mount Sinai Health System; Joseph Higgins, Quest Diagnostics; Sandhya Rao, Partners HealthCare

Description: Chronic conditions account for the majority of potentially avoidable inappropriate over and mis-utilization in large patient populations. Come participate in a vibrant discussion with our panelists in this session who will share their experiences addressing chronic lung disease, chronic kidney disease, and dementia as three less-commonly managed yet widely and increasingly prevalent chronic conditions for whom better experiences and outcomes can be achieved through innovative population health care models and interventions.

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

ACO Innovations
Chair: Debbie Welle-Powell, Essentia Health
Panelists: Deana Doepker, American Health Network of Ohio Care Organization, LLC; Daniel Hoefer, Sharp Healthcare San Diego; Kelly Peck, Triad HealthCare Network

Description: These presentations will describe the winning innovations submitted by ACOs to NAACOS’ Call for Innovations. The winning submissions can be viewed here.

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

Beyond P4Q: Contract for Commercial Downside Risk or Capitation with Confidence
Chair: Kimberly Kauffman, Summit Medical Group
Panelists: Ken Cohen, New West Physicians; Ron Kuerbitz, Agilon Health; Jamie Reedy, Summit Medical Group

Description: Designed to build on past NAACOS presentations on commercial contracting, this panel will focus on moving beyond pay for quality and into downside risk or capitation.  Representatives from provider organizations across the country will share what they look for in a health plan partner, key elements within benefit design, contract elements that should be front and center, how they achieved success and the lessons they have learned.

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

Lunch
Speaker: Robert Pearl, MD 

Description:  Dr. Pearl will share insight from his new book, Mistreated: Why We Think We’re Getting Good Health Care -- and Why We’re Usually Wrong.

1:30 p.m. - 2:15 p.m.

Dessert
Book Signing with Robbie Pearl in Exhibit Area

2:15 p.m. - 3:45 p.m.

Addressing Social Determinants in ACO Operations: A Discussion on Various Models of Care
Chair: Rob Fields, Mission Health Partners ACO
Panelists: Cliff Frank, Shore Quality Partners; Erin Westphal, The SCAN Foundation

Description: ACO leaders understand the need to include social determinants of health in their work but often struggle with workflows and models to operationalize their interventions. This session will review both ACO and community based models from across the county that can help leaders design programs that address social determinants gaps and drive population health success. 

2:15 p.m. - 3:45 p.m.

Aligning Physician Compensation and Incentives to Achieve Success in an ACO World
Chair: Michael Rossi, Lehigh Valley Health Network ACO
Speaker: Larry Allen, Goshen Health ACO; Sanjay Doddamani, Geisinger Health System; Thomas Kloos, Optimus Healthcare Partners

Description: Achieving success as an Accountable Care Organization (ACO) requires an engaged and aligned physician/provider workforce in order to deliver upon the core tenets of the Triple Aim - better health, better care and lower cost for the populations we serve.  The development of appropriate compensation and shared savings distribution models to align physician behavior with an ACO's mission is a core strategy to achieve that goal. Come hear from several leading ACOs about their real-world efforts at developing those financial incentives and the results. 

2:15 p.m. - 3:45 p.m.

Everything ACOs Need to Know about MACRA
Chair: Allison Brennan, NAACOS
Speakers: Bracken Babula,  Thomas Jefferson University; Jennifer Gasperini, NAACOS; Anthony Reed, Geisinger Health System; Barbara Walters, Trinity Health

Description: 2017 marks the first performance year under The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP). Join us for this session where NAACOS staff will provide an overview of both the current requirements and proposed changes for 2018. ACOs will also share their experiences preparing for this new payment system and discuss the challenges and opportunities for ACOs specifically in a post-MACRA payment structure.

3:45 p.m. - 4:00 p.m.

Break
Exhibits Open

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

The Future of Telehealth
Chair: Krista Drobac, Alliance for Connected Care
Panelists: Cynthia Dold, University of Washington Medicine; Don Lovasz, KentuckyOne

Description: The use of telehealth, remote monitoring, and other similar technologies in healthcare is on the rise. As ACOs seek to provide high quality, low cost care for their patients, the use of such technologies by ACOs is also increasing. This panel will discuss the benefits of using telehealth to further your ACO’s goals and review the legal and regulatory challenges that remain. Panelists will also discuss the current political climate surrounding telehealth and bills currently under consideration to make changes to regulatory and reimbursement challenges to allow for more productive use of telehealth services.

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

Perspectives and Methods on Aligning Value-Based Goals into a Unified Approach
Chair: Jennifer Moore, MaineHealth ACO
Panelists: Rob Fields, Mission Health Partners; Mark Fulton, MaineHealth ACO; Zak Ramadan-Jradi, Multi-Care Connected Care

Description: This session will share methods for addressing multiple payer requirements in a single approach from a disease management, high cost and service category perspective.  Panelists will review approaches to identifying and measuring cost/utilization priorities for the ACO across disparate populations and discuss ways to align quality measures across all value based agreements from a disease management perspective and internal processes needed to support the work.  Panelists will also consider strategies for effectively communicating priorities to network providers and explore methods of incentivizing providers across multiple contracts via the financial distribution model.

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

Innovations in ACO Management of LTC and SNF
Chair: Richard Feifer, Genesis HealthCare
Panelists: Alex Bardakh, AMDA; Beth Souder, Delaware Valley ACO 

Description: This session will cover partnerships between ACOs and SNFs for management of short-stay patients, including narrow networks, care pathways and clinical process redesign, the expansion of the role of the SNF Medical Director, and performance expectations regarding re-hospitalization rates and SNF length of stay.  Panelists will also discuss ACO accountability for long-stay nursing home patients and challenges as well as opportunities regarding the application of MSSP rules to the long-term care setting, including place-of-service (31/32) designations, risk adjustment, CAHPS requirements, and clinical quality measures.

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

Reception
Exhibits Open

6:30 p.m.

Group Dinners

 

Friday, October 6

 

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

Continental Breakfast
Exhibits Open
Sponsored Breakfasts

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

State of ACOs
Speaker: Stephen Nuckolls, NAACOS Board of Directors Chair, Coastal Carolina Quality Care

Special Video Message
U.S. Representative Michael C. Burgess, MD (R-TX), Chairman of the Subcommittee on Health of the House Energy and Commerce Committee

Legislative Outlook for ACOs
Moderator: Katherine Schneider, Delaware Valley ACO
Panelists: Isaac Loeb, Office of Representative Peter Welch (D-VT); Nick Uehlecke, House Ways & Means Committee; Beth Vrabel, Senate Finance Committee

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

Break
Exhibits Open

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

Engaging Patients Through Technology
Chair: Jennifer Stephens, Lehigh Valley Health Network ACO
Speakers: Daniel Lavelle, Lehigh Valley Health Network ACO; Derek Novak, Mercy ACO; Joe Taylor, Community Care Collaborative of Pennsylvania and New Jersey, LLC

Description: This panel will highlight multiple approaches to engage patients through technology.  This includes the utilization of electronic medical record portals, social media and novel concepts within telemedicine. 

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

Understanding ACO Strategies in 2017: Insights from the Annual ACO Survey and the ACLC
Chair: Tom Merrill, Leavitt Partners
Panelists: Jeff Aalberg, MaineHealth ACO; Teresa Litton, NAACOS; Michael Rossi, Lehigh Valley Health Network ACO

Description: This two-part session will look at the landscape of ACOs as well as frontline examples, beginning with key findings from the 2017 Annual ACO Survey, a joint project between NAACOS and Leavitt Partners. Survey findings include the latest accountable care market trends on risk readiness and care delivery strategies from more than 240 unique ACOs. Then ACO leaders will discuss real-world delivery reform efforts. 

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

Transitioning from Track 1 to Track 1+
Chair: Allison Brennan, NAACOS 
Panelist: Allen Khademi, Summit Medical Group; Louis Morgenier, Citrus County ACO, LLC; Meryl Moss, Coastal Medical

Description: Track 1+ is the newest addition to the Medicare ACO portfolio and participation begins in 2018. This new two-sided model includes less risk than the other two-sided models and has garnered a lot of interest in the ACO industry. This session will review the various elements of Track 1+ with a particular focus on what is different compared to Track 1. Participants will hear from ACOs that have experience with certain Track 1+ elements, such as repayment, prospective assignment and the 3-day Skilled Nursing Facility waiver, which will be new to ACOs transitioning from Track 1 to 1+. This session will also include a discussion about how current Track 1 ACOs are preparing for their transition to Track 1+.

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

Lunch Plenary

Open Mic with CMS 
Speakers:  Amy Bassano, Lisa Marie Gomez and John Pilotte all from CMS

This town hall format will allow ACOs an excellent opportunity to ask questions and receive answers directly from CMS staff.

1:45 p.m. - 3:15 p.m.

Care Coordination: What Models Work for ACOs 
Chair: Stephen Nuckolls, Coastal Carolina Quality Care
Panelists: Jennifer Reed, Baylor Scott & White Health; Peter Freemen, North Carolina Community Health Center Association; Dominique Jones, North Carolina Community Health Center Association

Description: Care coordination is a critical component to an ACO’s success. Join us in this session where we will discuss which care models are most effective and how to get a return on your investment in care coordination. Presenters will discuss their specific strategies for success and will address topics such as how to select the best care management vendor, how to utilize chronic care management (CCM) codes to fund your care coordination activities and what workflows work best for both large, system-led ACOs and small, provider-led ACOs alike.

1:45 p.m. - 3:15 p.m.

Financial Modelling for ACO Tracks and Value-Based Contracts
Chair: Elena Tkachev, Universal American
Panelists: Colleen Norris and Jill Herbold, Milliman

Description: As Value-Based reimbursement programs continue to evolve in public and private sectors, ACOs have considerably more options and models to choose from. Identifying the best program fit (i.e., Track 1+, Track 2, Track 3, Next Generation) has become not only a complex decision but also a financially risky one.  Join us as we review key factors and data elements most critical in evaluation and selection of the optimal payment model for your organization.  The session will focus on specific data sets and analysis needed to evaluate risk and reward.  The presenters with also discuss the impact of risk adjustment methodologies and other important considerations related to value-based contracting when selecting reimbursement payment model.

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

Meeting of NAACOS ACO Members 

NAACOS member ACOs are invited to attend this session to learn about NAACOS activities and future plans.  Beverages and snacks will be served.

 

Optional workshops on October 4 from 1:00-5:00 pm:

  • Deep Dive into MIPS and MACRA led by Allison Brennan, NAACOS
  • Maximizing Data and Financial Operations led by Stephen Nuckolls, Coastal Carolina Quality Care
  • Optimizing Physician Participation, Compensation and Productivity led by Alyssa Endres, Baylor Scott & White Quality Alliance