FEB 12

1:00 pm

On-site Registration

2:00 pm

60 minutes

Introduction
Speaker: Randy Cook, AmpliPHY of Texas ACO, LLC

1. Welcome
2. Set goals for workshop
3. Review basics:

• Compare and contract ACO Models
• Define risk and risk taking
• Discuss attribution basics

3:00 pm

15 min break

Networking

3:15 pm

120 minutes

(75 min presentation, 45 min lab)

Understanding the Benchmark Calculation
Speaker: Elena Tkachev, Collaborative Health Systems, subsidiary of Wellcare; Jill Herbold, Milliman; and Colleen Norris, Milliman

• Benchmark formula, by model
• Review of benchmarking methodology
• Influenceable elements vs non-influenceable
• Population attribution
• Eligibility mix
• Cost trending
• Claims timing
• Regional vs National
• Renewing ACOs

LAB – Calculate multiple benchmark scenarios by providing alternate inputs

5:15 pm

15 min transition time

5:30 pm

60 minutes

Cocktail hour for networking

FEB 13

7:30 am

8:00 am

120 minutes

(75 min presentation, 45 min lab)

 Breakfast and networking 

Risk Scores and Risk Adjustment
Speaker: Andrew Webster

1. Understanding the CMS Risk score formula
2. Use for MA plans and ACOs
3. Key inputs
4. Timing of changes
5. Measuring and managing risk scores

LAB – Provide population data and calculate the impact on benchmark of varied Risk Score Scenarios

Coffee break

120 minutes

(75 min presentation, 45 min lab)

Getting and Using Your Data
Speaker: Michael Weiss, Populytics; Lehigh Valley Health Network
Thomas Kloos, Altantic MSO

1. Using Beneficiary Reports and Files
2. Interpreting Quarterly Utilization and Trend Reports
3. Part A vs Part B spend
4. Public Use Files
5. HCC Data
6. Monthly Claim Files and CCLF 

LAB – technical assistance with data and reports

45 minutes

Lunch with peer-to-peer networking and learning

120 minutes

(75 min presentation, 45 min lab)

Putting the Pieces Together for Financial Success
Speaker: Stephen Nuckolls, Coastal Carolina Quality Care

1. Reviews and synthesizes information on benchmarking, attribution, risk adjustment, using data
2. Key elements for a successful strategy
3. Common pitfalls and how to avoid 

LAB: Develop strategies for success and action plans to implement back at your ACO

30 minutes

Wrap up
Speaker: Randy Cook, AmpliPHY of Texas ACO, LLC