Agenda Fall 2019
September 25 – 27
Marriott Wardman Park, Washington, D.C.

Unable to attend in person?  Click here for more information about registering for the live webcast.

NAACOS conferences deliver valuable policy insights and operational strategies for ALL accountable care organizations. Our upcoming conference on September 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. Pre-conference workshops on September 25 draw more than 150 ACO leaders for a deeper understanding of specific issues.  NAACOS conferences are the only events organized exclusively by ACOs. 

 

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

 

Blue Policy/Models Track
Green Finance and Ops Track
Orange Clinical Team Track
 

Thursday, September 26

7:30 – 8:15 am

Sponsored Breakfasts

8:30 – 10:00 am

Welcome
Clif Gaus, President and CEO, NAACOS

Opening Plenary: Private Payer and ACO Efforts to Transform Health Systems
Will Shrank, Chief Medical Officer, Humana
Additional panelists TBD

10:00 – 10:30 am

Break

10:30 am  12:00 pm

Understanding the Medicaid ACO Landscape
Chair: Judy Moore, NAACOS Consultant

A number of state Medicaid programs have implemented value-based payment arrangements, including some states that focus their programs around ACOs. While the accountable care programs vary across states, there are some common Medicaid-specific challenges and approaches. This session will include a presentation of the landscape of the types of state Medicaid ACO initiatives and individual ACOs to present their own experiences and describe recent ACO developments in their state’s Medicaid programs. 

10:30 am  12:00 pm

Caring for Acute Patients in Non Hospital Settings
Chair: Tom Kloos, Atlantic ACO
Panelists: Mark Calderon, Atlantic ACO; Daniel Durand, LifeBridge Health System; Ruth Scott, Integra Community Care Network

This session will explore strategies of care for acute patients through alternatives to hospital admission, utilizing the use of early interventions via an expanded virtual Hospital, enhanced hospital at home and home care services, and leveraging specialist- PCP collaborations in alternative sites of care.

10:30 am  12:00 pm

Building a Rewarding Culture: Examples of Incentive Plans for Work Roles Beyond Physicians
Chair: Kimberly Kauffman, Summit Medical Group - TN
Panelists: Jamie Reedy, Summit Medical Group - NJ; Jennifer Ross, Primary Care Alliance

It is well acknowledged in value based care that physician engagement is essential for success. It is also recognized that building high performing teams around physicians is key to realizing organizational goals. While the clear next step would seem to be an incentive plan for those teams, few organizations distribute shared savings / bonuses / profit to work roles beyond physicians. Learn from organizations which have successfully implemented this next step to success in value based care.

10:30 am  12:00 pm

Policy Update
Co-Chairs: Allison Brennan and Jennifer Gasperini, NAACOS

This session will review key regulatory issues for ACOs including Pathways to Success policies that have recently taken effect, proposed Quality Payment Program and Medicare Physician Fee Schedule policies for 2020, and other recent policy developments of which ACOs should be aware.

12:00  1:30 pm

Lunch Plenary 

Speaker: Elizabeth Rosenthal, MD
Editor-in-Chief
Kaiser Health News

1:30 – 2:00 pm

Break

2:00 – 3:30 pm

Protecting Your ACO Against Risk: Repayment Requirements
Chair: Kim Busenbark, Wilems Resource Group
Panelists: Jessica Landin, Evolent Care Partners; Toby Shum, Aledade

As ACOs prepare to move into risk many are struggling to understand the CMS requirements around Repayment Mechanisms. This panel session will break down the technical requirements while providing tangible insight into the pros and cons of the available repayment mechanisms, identifying appropriate sources for funding, and how to balance risk within your ACO.

2:00 – 3:30 pm

Transforming Primary Care to Deliver Value
Chair: Rob Fields, New York Care Partners
Speakers: Meena Bansal, Mount Sinai Care; Ruchi Tiwari, Mount Sinai Care

Changing the care model to support population health efforts can be difficult. In this session, the panelists will describe practical interventions to transform outpatient delivery systems to support population health efforts. Among the topics covered will be the implementation of ambulatory clinical pharmacy, use of high medical assistant:provider ratios, and use of texting and other technology all in ways that are financially sustainable. 

2:00 – 3:30 pm

Painting the Full Patient Portrait: Improving Ambulatory Clinical Documentation
Chair: Jen Moore, MaineHealth ACO
Panelist: Jennifer Tardif, MaineHealth ACO

Objectives:

  • Define the essential elements of an effective ambulatory clinical documentation program,
  • Describe the benefits to patient, providers, and the ACO,
  • Share provider engagement strategies and lessons learned.

2:00 – 3:30 pm

Deciding Which Path Is Best for Your ACO- New Value-Based Models 
Chair: David Pittman, NAACOS
Speakers: Travis Broome, Aledade; Emily Brower, Trinity Health

This session will discuss a number of new value-based payment models recently introduced by the Innovation Center. Speakers will review details of the new Primary Care First and Direct Contracting models and how these programs overlap with ACOs. The audience will also hear from ACOs currently applying for these programs and discuss opportunities and challenges presented by the models.

3:30 – 4:00 pm

Break

4:00 – 5:30 pm

Peer to Peer Exchange

Each ACO model has its own set of features, challenges, and strategies for success. Attend a peer exchange 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.

5:30 – 6:30 pm

Reception

 

Friday, September 27

7:30 – 8:15 am Sponsored Breakfasts
8:30 – 9:30 am Plenary
9:30 – 10:00 am Break
10:00 – 11:30 am

Contracting with Commercial Payers: Practical tips for successful negotiation and collaboration
Chair: Jamie Reedy, Summit Medical Group - NJ
Panelists: Luke Hansen, AMITA Health; Scott Heiser, Blue Cross Blue Shield of North Carolina; Greg Kuzma, Privia Health

This session will focus on practical tips for contracting with commercial payers for alternative payment models, creating successful clinical collaborations with health plans, and applying skills learned from MSSP to commercial ACOs. ACO and health plan executives will share their experiences and advice for translating lessons learned from CMS models to the commercial health plan world.

10:00 – 11:30 am

Leveraging Annual Wellness Visits to Drive ACO Performance
Chair: Richard Feifer, Genesis Healthcare
Panelists: Rob Fields, Mount Sinai; John Torontow, Aledade

Annual Wellness Visits (AWVs) represent a significant opportunity to improve ACO performance in a variety of ways. At this session, you will hear from panelists who are maximizing the value of AWVs, through improvements in quality measures, risk adjustment, patient attribution, and advance care planning. Pragmatic approaches to establishing an AWV “program” for ACOs will also be shared, including the use of technology to integrate AWVs into the daily workflow of providers.

10:00 – 11:30 am

Call for Innovations
Chair: Debbie Welle-Powell, Essentia Health

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.

11:30 – 11:45 am Break
11:45 am 1:15 pm 

More Risk, More Freedom: Making Use of Medicare Payment Waivers
Chair: Maria Alexander, Mount Sinai
Panelists: Melody Danko-Holsomback, Keystone ACO/Geisinger; Maureen Watchmaker, Beth Israel Deaconess Care Organization

As your ACO prepares to enter downside risk, CMS makes available certain waivers of Medicare payment rules. Wondering whether it's worth the fuss, how to get started, or how to improve your current efforts? Learn from MSSP and Next Gen ACOs with experience implementing programs under the SNF 3-day stay rule and telehealth waivers. The panel will share tips on how to get started, choosing partners, educating providers, and ensuring compliance with CMS requirements.

11:45 am 1:15 pm 

Mastering Chaos: Achieving High Quality of Care in Multi-TIN/Multi-EHR ACOs
Chair: Bob Rauner, OneHealth Nebraska ACO
Panelists: Don Klitgaard, Heartland Physicians ACO; Tony Reed, Geisinger

This session will discuss the challenges and strategies for achieving high quality of care in ACOs with a less centralized structure. Many studies are showing that independent, primary care-led ACOs are more successful on average compared to vertically integrated health systems, but working within a multi-TIN, multi-EHR ACO poses unique challenges. This panel will describe how they have been able to achieve high quality of care working within a more decentralized and/or “horizontally integrated” structure.

11:45 am 1:15 pm 

Social Determinants of Health: Moving Beyond Screening to Community Partnerships 
Chair: Megan Reyna, Advocate Aurora Health
Panelists: Terrisca Des Jardins, Physician Organization of Michigan ACO; Caitlin Dunn, Froedtert & the Medical College of Wisconsin; Georgiann Ziegler, Physician Organization of Michigan ACO 

ACOs understand that addressing Social Determinants of Health (SDOH) is necessary for improving health and reducing disparities. This acknowledgement and screening, however, is no longer enough. Local policy changes and partnerships with community organizations to ensure sustainability is needed. This panel will discuss the strategy and implementation of community partnerships and programming to improve whole person care resulting in reduced total cost of care. Further, the panel will address how ACOs are effecting local policy change to impact SDOH and help patients live well.

1:15  3:00 pm   

Lunch Plenary 

Open Mic with CMS

This session includes a town hall format and is an important way for ACOs and CMS to have an open dialogue about the Medicare ACO program, including discussion on evolving policies and how ACOs fit into CMS’s overall goal of improving Medicare payment and healthcare delivery. This is an excellent opportunity for ACO executives to pose questions and receive answers directly from CMS leaders and to hear the newest developments straight from the agency.