Fall 2023 Conference Agenda Sept 20–22
NAACOS conferences are the only events organized exclusively by ACOs. Schedule:Wednesday (pre-conference workshops): 1:00–5:00 pm ETThursday (Main Meeting): 7:30 am–6:00 pm ETFriday (Main Meeting): 7:30 am–2:30 pm ET
Thursday, September 21
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Time
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Session
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Location
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7:00 am
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Registration Open
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Independence Foyer
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7:30 am – 8:15 am
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Breakfast Session Sponsored by PointClickCare
Enhancing ACO Effectiveness: Post-Acute Care Collaboration with an ACO Speakers: Anthony Laflen, PointClickCare and Danielle Salazar, RWJ Barnabas Health
In this presentation, health system leaders describe effective strategies for addressing readmissions by focusing on technology-enabled post-acute care management. Their results highlight the importance of sharing data across the network, as well as the value of real-time clinical data and machine learning to support transitions of care and drive deeper collaboration with their post-acute partners.
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Capitol/Congress
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7:30 am – 8:15 am
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Breakfast Session Sponsored by Labcorp
Succeeding in Quality Measures by Closing Lab-Based Care Gaps Speakers: Brian Buesing and Jennifer Ennis, Labcorp; Juliana C. Hawkins, Imperium Health Management, and Yates Lennon, CHESS Health Solutions
Join us as we discuss how lab data can help close lab-based care gaps and succeed in quality measures.
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Archives
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7:30 am – 8:15 am
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Breakfast Session Sponsored by Lightbeam Health Solutions, LLC
How BJC ACO is Scaling Staff and Serving Low-SES Populations with Patient Engagement and Monitoring Post-Discharge Speakers: Shelley Davis, Lightbeam Health Solutions; Megan Guinn, BJC Medical Group; Nathan Moore, BJC Medical Group
Hear from speakers as they share their journey from pilot to scaled implementation of deviceless remote patient monitoring to create a population health and care management strategy for the rising-risk segment. Examine the workflow BJC ACO created that enabled its care team to reach more patients while maintaining high clinical quality and job satisfaction.
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Shaw/LeDroit
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8:30 am – 10:00 am
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Opening Plenary
Jon Blum, Principal Deputy Administrator and Chief Operating Officer, CMS
Jon Blum will open the fall conference with insights into CMS’s policy for value-based care models and the future direction for federal value-based payment policy.
Secrets to the Success of High-Performing ACOs Moderator: Emily Brower, Trinity Health Speakers: Keith Fernandez, Privia; Kevin Kearns, Millennium Healthcare; David Klebonis, West Palm Beach ACO
The panel will engage in a discussion of the strategies and practices they use to lead high-performing ACOs.
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Liberty Ballroom
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10:00 am – 10:30 am
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Break Exhibits Open
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Independence Foyer and Ballroom
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10:30 am – 12:00 pm
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Embracing Risk and Achieving Success through Multi-Payer Alignment Chair: Tim Gronniger, Signify Health Speakers: Sam Johnmeyer, MultiCare Connected Care; Eloy Sena, Ardent Health; Christina Pavetto, Crouse Medical Practice
This session will explore the advantages and lessons learned by providers who have successfully transitioned to risk-based contracts. Attendees will gain valuable insights and best practices to optimize patient care and enhance reimbursement opportunities across all value-based contracts, including the MSSP, MA, and commercial. Learn how to navigate this transition with confidence to improve quality of patient care and achieve financial success.
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Capitol/Congress
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10:30 am – 12:00 pm
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eCQMs, MIPS CQMs and Medicare CQMs: Discussing Recent CMS Quality Reporting Proposals Chair: Jennifer Gasperini, NAACOS Speakers: Timothy Jackson, CMS; Jessica Walradt, Northwestern Medicine
In this session, CMS staff will review recent policy changes including proposals to create a new quality reporting option, Medicare CQMs, for use by MSSP ACOs. This session will explore the various quality reporting options for ACOs and hear how ACOs are considering implementation of quality changes in light of these recently proposed changes.
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Archives
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10:30 am – 12:00 pm
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Defining, Optimizing and Scaling Your Home-based Models of Care Delivery Chair: Arshad Rahim, Mount Sinai Health System Speakers: Ana Tuya Fulton, Care New England; Lindsay Jubelt, Mass General Brigham; Ania Wajnberg, Mount Sinai @ Home
Delivering full hospital level or subacute care in the home is an important approach to care delivery for provider organizations, current and future. A home based portfolio of services appears to be a differentiator of strong consumer, payer and government interest. This session will address the following questions: What are the options for home-based care delivery? What utilization, outcomes and process measures do these models best support? What are the key success factors? What are your biggest risks and how do you overcome? Financial proformas to date and projections?
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Shaw/LeDroit
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10:30 am – 12:00 pm
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The How, Where and Who of Using Information to Elevate Patient Health Chair: Debbie Welle-Powell Speaker: Rob Fields, Beth Israel Deaconess; Francoise Marvel, John's Hopkins University; Kapil Parakh, Google
Information is a true social determinant of health that can be used to drive positive health outcomes. Yet how we deliver it, where we deliver it, and who delivers it is critical to succeeding in improving patient health. Information must be accessible, engaging, credible, replicable, and bimodal. Attendees at this session will learn how to identify effective strategies to communicate with patients and improve their health by sharing information that patients value, believe, and will use.
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Chinatown
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12:00 pm – 1:30 pm
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Networking Lunch Exhibits Open
Grab a boxed lunch in the Exhibit Hall, visit with the exhibitors, and network with ACO peers. Tables will also be available in the Liberty Ballroom for you to engage in conversations with colleagues on topics of common interest.
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Liberty Ballroom/ Independence Ballroom
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1:30 pm – 3:00 pm
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MA's Shifting Landscape and Implications for MA Risk Chair: Aisha Pittman, NAACOS Speaker: Maria Alexander, Mount Sinai Health; Rick Goddard, Lumeris; Elyse Pegler, Aetna; Jacob Woods, PSW
The MA landscape is continually evolving with more beneficiaries opting into MA. Additionally, CMS has made significant changes to MA regulations in past years. This session will provide an overview of recent policy updates and how ACOs and plans are responding to the changes.
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Capital/Congress
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1:30 pm – 3:00 pm
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Using CMS BE Waivers in VBC Contracts Chair: Jodi Frei, OneCare Vermont Speakers: Franke Elliott, Bloom HealthCare; Kathy Harris, Equality Health; Joel Port, Delaware Valley ACO
This panel will review how to maximize the use of CMS beneficiary waivers in your ACO's value-based care contracts. Panelists will address considerations and strategies behind waiver implementation plans as well as discuss the SNF, home health, and Part B cost-sharing waiver implementation processes.
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Archives
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1:30 pm – 3:00 pm
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Stop Physician Burnout! Use AI and ML Enabled Digital Platforms Chair: Tom Kloos, Atlantic ACO and Optimus Speakers: Nathan Moore, BJC ACO; Anna Taylor, MultiCare Connected Care
Join us to discuss how ACO's are piloting digital solutions with artificial intelligence and machine learning to expand outreach to attributed populations for disease tracking, inter-visit communications, and population health activities. We will discuss digital collaborative behavioral health models, digital algorithms to promote advanced care planning, and how developing a fully automated prior authorization model increased provider productivity by 230 percent.
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Shaw/LeDroit
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1:30 pm – 3:00 pm
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Cost, Access and Culture: Unique ACO Challenges (and Opportunities) in the Rural Setting Chair: David Switzer, Valley Health Speakers: Richard Cole, Patrick County Family Practice; Christian Gomes, Valley Health; Ann Roemen, ACO Collaborative, LLC
The panelists will discuss the unique circumstances of ACOs in rural areas, including cost-based reimbursement impact on shared savings, the effect of health professional shortages and limited resources on access to care, and the influence of rural culture on the delivery of services. The panelists will share the challenges they face, successes they have had, and their views on rural health policy reform to ensure that value based care is tenable in rural communities.
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Chinatown
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3:00 pm – 3:30 pm
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Break Exhibits Open
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Independence Foyer and Ballroom
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3:30 pm – 5:00 pm
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Affinity Group Meetings These meetings offer ACO employees in similar professional roles an opportunity to discuss the challenges they face and share strategies for success. Only ACO employees may attend.
Data and Analytics Facilitator: Jim Barr, Atlantic MSO; Anna Taylor, MultiCare Connected Care
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Capitol/Congress
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Quality Facilitators: David Basel, Avera Health; Robyn Bartek, Orlando Health Collaborative Care
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Archives
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CMO and Clinical Facilitators: Nina Taggart, Lehigh Valley Health Network; David Van Winkle, Tandigm Health
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Shaw/LeDroit
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Executive Facilitators: Jake Woods, PSW; Taylor Hall, Millennium ACO
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Chinatown
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Operations Facilitators: CarolAnn Hudson, LifePoint Health; Jessica Martensen, Essentia Health
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Liberty Ballroom
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Legal and Compliance Facilitators: Nicole Swan, Ochsner Health System; Christian Long, Complete Health
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Treasury
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5:00 pm – 6:00 pm
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Reception Exhibits Open
All attendees are welcome to attend the reception for complimentary beverages and appetizers
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Independence Foyer and Ballroom
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Friday, September 22
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Time
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Session
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Location
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7:00 am
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Registration Open
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Independence Foyer
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7:30 am – 8:15 am
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Breakfast Session Sponsored by Innovaccer
Harnessing Analytics for Performance Optimization: Insights and Strategies for Excelling in VBC Moderator: Amy Stevens, Innovaccer Speakers: Christiana Beveridge, Upperline; Kanav Hasija, Innovaccer; Tamra Ruymann, PSW
Join our esteemed panel of experts as they delve into the transformative power of analytics in optimizing performance within value-based care. This engaging discussion will provide deep insights and practical strategies to help you achieve excellence in value-based care models. Our panelists will explore the latest advancements in data analytics and share best practices on how other health systems, ACOs, and providers are harnessing the power of analytics to drive improved outcomes, cost savings, and patient satisfaction. The session will provide insights on how analytics can enhance care coordination, identify at-risk populations, measure performance indicators, and inform strategic decision-making. Don't miss this opportunity to gain valuable knowledge and actionable takeaways that can empower your organization to thrive in the rapidly evolving landscape of value-based care.
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Capitol/Congress
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7:30 am – 8:15 am
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Breakfast Session Sponsored by AMA
AMA MAP: A New Framework for Clinical Quality Improvement Speakers: Rob Davis and Shannon Haffey, AMA
Improving quality and managing total cost of care are critical to the success of an ACO. The AMA MAP framework is designed to drive clinical quality improvement through the use of key metrics, clinical dashboards, and practice coaching towards improvement. Measuring Accurately, Acting Rapidly, and Partnering with Patients on hypertension has led health care organizations such as Cook Co Health System to achieve a 13 percentage point improvement in blood pressure control rates. Our unique measures can be integrated into EHRs and population health platforms to help stratify patient data including race, ethnicity, and gender which are critical to the new CMMI REACH Model to improve equity of care and outcomes. Our team-based peer-to-peer coaching engages broader care teams and models, including remote monitoring, which can result in reduced total cost of care while improving outcomes. The AMA MAP framework can be applied for multiple clinical conditions and is always offered to the health care organization free of cost as part of the AMA’s mission to work towards the betterment of public health.
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Archives
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7:30 am – 8:15 am
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Breakfast Session Sponsored by MDInteractive
Simplifying ACO Quality Reporting: A Practical Guide to Making the Shift to eCQMs, MIPS CQMs, and Medicare CQMs Speakers: Paulo Andre, Elizabeth Guerra, and Cherie Haydock, MDInteractive
MDinteractive presents a comprehensive guide on how ACOs can transition seamlessly to eCQMs, MIPS CQMs, and Medicare CQMs reporting. Explore our approach to data integration, which addresses collection, aggregation, and deduplication across multiple practices with diverse EHRs, billing systems, and even paper medical records. Understand the advantages of establishing FHIR connections and how to leverage these interfaces for data collection. Attendees will depart with actionable strategies for successful reporting within the Alternative Payment Model Performance Pathway (APP).
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Shaw/LeDroit
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8:30 am – 9:15 am
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Plenary
Congressional Perspectives on Health Care Speakers: Alec Aramanda, Professional Staff Member, House Committee on Energy and Commerce; Sarah Levin, Professional Staff Member, House Committee on Ways and Means; Marisa Salemme, Professional Staff Member, Senate Committee on Finance; Conor Sheehey, Senior Health Policy Advisor, Senate Committee on Finance
Hear directly from those at the heart of the lawmaking process on Capitol Hill: the Congressional staff panel will provide their perspectives on congressional priorities and implications for any health care legislation.
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Liberty Ballroom
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9:15 am – 9:45 am
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Break Exhibits Open
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Independence Foyer and Ballroom
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9:45 am – 11:15 am
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Medicare ACO and Primary Care Models: Mix-in, Mash-up, or Move Aside? Chair: Emily Brower, Trinity Health Speakers: Melanie Matthews, PSW; Joel Port, Delaware Valley ACO; Margaret Senese, Atrius Health; Brandon Webb, OneHealth Nebraska
Join a panel of NAACOs members juggling MSSP, Primary Care First and REACH, and thinking about the new Making Care Primary model. Learn where they see the benefit from participating in more than one model and the pitfalls of overlap. How do they align goals, track performance and manage the network to be sure participation is complementary and not conflicting? What would encourage them to direct a provider to participate in one model over another? To learn what is most important for members considering dual model participation, join us.
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Capitol/Congress
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9:45 am – 11:15 am
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NAACOS Washington Update Chair: Aisha Pittman, NAACOS Speakers: Rob Daley, Jennifer Gasperini, Alyssa Neumann, and David Pittman, NAACOS
NAACOS staff will provide an update on NAACOS’ efforts to ensure ACOs remain successful in the program and drive innovation for ACOs. This session will provide updates on key policies for MSSP and REACH ACOs, fee-for-service policies that impact ACOs, NAACOS congressional and regulatory advocacy, and efforts to advance value across payers.
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Archives
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9:45 am – 11:15 am
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Engaging Providers to Drive VBC Success Chair: Stephen Nuckolls, Coastal Carolina Quality Care Speakers: Laura Cone Gay, UNC Health Alliance; Deepika Kewlani-Varkey, CVS Accountable Care; Catherine Smitas, Aledade
Panelists from a variety of organizational types will share their tools and strategies for engaging providers to improve performance in their value-based contracts. These strategies will range from training programs to financial incentives. Attendees will learn which programs have been most successful in achieving positive results.
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Shaw/LeDroit
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9:45 am – 11:15 am
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ACO REACH Quality Measurement: A Timely Discussion on Follow-Up Chair: Trevey Davis, UpStream Speakers: Gena Graves, Lumeris; Mark Reardon, UpStream; Josh Romney, Castell Health
Puns aside, it is time to discuss the "Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU)" quality measure used in the ACO REACH Model. This measure is new for ACOs and is poised to play a critical role in care transformation. The panel will provide insight into the measure, its impact on organizational strategy, and most importantly, how timely follow-up improves patient care.
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Chinatown
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11:15 am – 11:30 am
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Break
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Independence Foyer and Ballroom
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11:30 am – 1:00 pm
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Operationalizing Value Based Revenue Cycle – Navigating the Change from CMS-HCC v24 to v28 Chair: Wilson Gabbard, Advocate Health Speakers: Maria Alexander, Mount Sinai Health System; Henish Bhansali, Duly Health and Care; Kyle Campbell, Intermountain
This session's panelists will review the basics of risk adjustment as they apply to managing population health, including the alignment among MA, MSSP, ACA, and commercial payers. They will review the changes from v24 to v28, explaining the implications and opportunities for ACOs. Participants will learn how to respond successfully by deploying technology updates, analyzing data, and transforming operations.
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Capitol/Congress
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11:30 am – 1:00 pm
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Practice Transformation Strategies: Unlocking Success in VBC Chair: Jonathan Rubens, CVS ACO Speaker: Anthony Ardito, Catholic Health of Long Island; Janet Comrey, Geisinger Health System; Laura Zimmerman, Rush University
This session will explore challenges and successes experienced on the journey to shift from fee-for-service to a value-based care model. Hear contrasting physician and operational perspectives on the strategies employed to transform practice operations.
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Archives
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11:30 am – 1:00 pm
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Direct to Employer Contracting: The Next Stage of Development for ACOs and How to Solve the Two-Canoe Problem Chair: Bob Rauner, OneHealth Nebraska Speakers: Lee Handke, Nebraska Health Network; Tiffaney Skaw, Nebraska Furniture Mart; Jill Watson, Centrus Health
Many successful ACOs are struggling with the "Two-Canoe" problem. They have one foot moving full steam ahead in the ACO canoe while the other foot is stuck in a fee-for-service canoe. Likewise, employers are looking for preferred relationships with provider groups that are focused on driving positive health outcomes for their employees and dependents. Hear from panelists representing two ACOs and an employer in the Midwest who are working together to bring these solutions to market.
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Shaw/LeDroit
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11:30 am – 1:00 pm
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If Behavioral Health Is So Important, Why Are So Few ACOs Doing It? Chair: Josh Israel, Aledade Speakers: Lelin Chao, Aledade; Michele Fronckiewicz, Aledade New Jersey; Jeff Mandel, Aledade Pennsylvania and Kentucky
This session will feature a discussion of the prevalence of the most common behavioral health disorders in primary care, the state of treatment resources in the United States, and some strategies to address behavioral health needs that have been tried at one multi-state ACO.
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Chinatown
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1:00 pm – 2:30 pm
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CMS Town Hall Moderator: Aisha Pittman, NAACOS Speakers: John Pilotte, Purva Rawal, Pauline Lapin, Michelle Schreiber, CMS
This session includes a town hall format and is an important way for ACOs and CMS to have an open dialogue about important administration priorities, the shift to value-based care, and 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 also to hear the newest developments straight from the agency.
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Liberty Ballroom
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