Agenda

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Thank You to Our 2017 Spring Sponors
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NAACOS conferences deliver valuable policy insights and operational strategies for ALL accountable care organizations. Our upcoming conference on April 6 and 7 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.

Optional workshops on April 5 from 1:00 to 5:00 pm:

  • Clinical Transformation in an ACO: Adapting to Population Health led by Denise Prince
  • Everything ACOs Need to Know about Risk led by Michael Barrett, Universal American
  • Optimizing Financial and Data Operations for ACOs led by Stephen Nuckolls, Coastal Carolina Quality Care

 Thursday, April 6

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

Continental Breakfast
Exhibits Open
Sponsored Breakfasts

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

Welcome
Speaker: Clif Gaus, National Association of ACOs

Reforming Healthcare Reform, What Comes Next??
Gail Wilensky, Project HOPE

Keynote Speaker
Speaker: Patrick Conway, CMS

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

Coffee Break
Exhibits Open

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

Accountable Communities: Community Partnerships to Impact Social Determinants in ACO Populations
Chair: Rob Fields, Mission Health Partners
Panelists: Je'Wana Grier-McEachin, Asheville Buncombe Institute for Parity Achievement; Jaclyn Kiger, Pisgah Legal; Katie Bartholomew, Mission Health Partners

Description: Social determinants have a large impact on patient health. In this session, panelists will discuss one ACO’s approach to developing community partnerships to affect social determinants in its ACO population. Panelists will represent different stakeholder perspectives, discussing their specific roles in affecting patients in their community and how they work with the ACO to improve the health and well-being of the patients they serve.

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

ACO Innovations
Chair: Jen Moore, MaineHealth Accountable Care Organization
Panelists: Krystin Mangan, Collaborative Health ACO; Art Jones, Medical Home Network MHN ACO; Wouter Rietsema, Adirondacks ACO

Description: These presentations will describe the winning innovations submitted by ACOs to NAACOS’ Call for Innovations.

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

Track 1+ Program Elements and Comparison of Medicare ACO Models
Chair: Allison Brennan, NAACOS
Panelists: Al Kurose, Coastal Medical; Donna Littlepage, Carilion Clinic; Kenneth Oates, Rio Grande Valley Health Alliance

Description: With the introduction of Track 1+ scheduled to begin with 2018 participation, it is critical that ACOs understand the elements of this new model and how it compares to other Medicare ACO models. This session will review the key components of the Medicare ACO models, including the Medicare Shared Savings Program Tracks 1, 1+, 2 and 3, as well as the Next Generation ACO model. Attendees will also hear directly from ACO leaders in the current models. Panelists will discuss the pros and cons of the various models and how they are evaluating the best model for their ACO for 2018 and beyond.

12:00 p.m. - 1:45 p.m.

Palliative Care Futurist: Matching Care to Our Patient's Needs
Introduction by Kim Kauffman, Summit Medical Group
Speaker: Diane Meier, Center to Advance Palliative Care

Description:  In this presentation, Dr. Meier will describe effective palliative care models in home, telemedicine and outpatient settings, as well as provide an understanding of the quality and cost outcomes of these models. 

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

Office, Home or Hospital: How to Provide Palliative Care Across the Care Continuum
Chair: Kim Kauffman, Summit Medical Group
Panelists: Jonathan Fischer, Duke Connected Care; Maria Gatto, Trinity Health System; Donna Stevens, Lehigh Valley Health Network

Coordinated to complement Dr. Diane Meier’s plenary session, this panel focuses on the nuts and bolts of program design, development and integration.  Three successful organizations will describe how they created their palliative care programs and how they continue to enhance those programs.  Discussions will include inpatient services, office based programs, care provided in the patient’s home, patient identification and predictive modeling, staff development and return on investment.

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

Optimizing What an ACO Spends in Medicare Part B
Chair: Jeanne O’Brien, Value Care Alliance
Panelists: Michael Coffey, Collaborative Health ACO; Jay Chowdappa, West Florida ACO; Jose Pena, RGV ACO Health Providers, LLC

Description: As we continue to tackle the opportunities in Medicare Part A, some of the ACOs have looked at opportunities to reduce expenses in Medicare Part B.  Three successful ACOs will share some of their Medicare Part B initiatives which include, Increasing Evaluation & Management Visits, Informal Narrowing of Network, Sharing Results of Imaging, Laboratory and other Tests, Ambulance and Part B Drug Review, Integration of Home Health, Oversight Process for DME and thinking outside the ACO and incorporating the community.

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

Bundled Payments: How to Succeed in CMS Episodic Payment Models
Chair: Valinda Rutledge, Greenville Health System
Panelists: Jordan Asher, Mission Point Health Partners; Kavita Patel, Brookings Institute; Nick Bluhm, Remedy Partners

Description: CMS has created a plethora of bundled payment models over the last year, many of which are mandatory in certain markets. This session will review the different episodic payment models (both mandatory and voluntary) finalized by CMS as well as discuss strategies for success with these programs. Additionally methods to synchronize these episodic payment models and ACOs will be discussed.

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

Break
Exhibits Open

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

Managing Chronic Conditions in an ACO
Chair: Ken Thorpe, Emory University
Panelists: Lorri Havlovitz, Accountable Care Coalition of Wisconsin; Tyler Blanchard, Aledade; Karthik Shyam, Duke Connected Care

Description: Effective management of chronic conditions is one key to a successful ACO.  Our panel will provide a deeper understanding of the trends in chronic conditions along with strategies that improve care and reduce cost.

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

Quality Reporting:  Unifying and Validating Metrics Across Multiple Contracts
Chair: Karen Furbush, Creatif Strategies, Inc.
Panelists: Bracken BabulaThomas Jefferson University; David Coe, Banner Health

Description: This session will provide both a physician and an IT/population health view of how two ACOs combine the attribution, specifications, metrics and registries in order to leverage the investment in technology and clinical resources across multiple Commercial contracts, CPC+, MSSP, HEDIS & STARS.

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

Update on ACO Evaluations: Using Mixed Methods to Better Understand ACOs
Chair: Teresa Litton, NAACOS
Panelists: Alex Hartzman, Dobson and DaVanzo; David Muhlestein, Leavitt Partners

Description: The session will share “hot off the press” results from the NAACOS Claims Data Base as well as the Annual ACO Survey, a joint effort of NAACOS and Leavitt Partners. Both efforts will produce information that helps NAACOS, its members, and partners learn more about ACOs so together we can strengthen their future. The session will include a robust time to hear from audience members.

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

Reception
Exhibits Open

 

Friday, April 7

 

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

Continental Breakfast
Exhibits Open
Sponsored Breakfasts

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

Federal Health Reform Under New Administration
Moderator: Bill Hoagland, Bipartisan Policy Center
Panelists: Karen Fisher, Association of American Medical Colleges
Stacey Hughes, The Nickles Group

This panel will discuss the outlook for health reform in 2017 given efforts to repeal and replace the Affordable Care Act while continuing to improve health care for Americans.  Panelists reflecting a variety of perspectives, including Republican, Democrat, and health payer, will share their insight, engage in a lively discussion of the issues, and answer audience questions.

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

Break
Exhibits Open

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

Post-Acute Care
Chair: Rob Mechanic, Brandeis University
Panelists: Clive Fields, VillageMD New Hampshire ACO; Jennifer Gizmunt, Lahey Health Continuing Care; Chris NegliaHolston Medical Group/Qualable ACO

Description: Early research shows that Medicare ACO savings have come predominantly from reduced post-acute spending and reduced use of inpatient hospital care. This session will discuss three models ACOs have used successfully to reduce or prevent unnecessary facility-based services while improving quality and beneficiary satisfaction: preferred post-acute provider networks, ambulatory clinics with capacity to provide hospital-level care for a distinct subset of patients; and home-based primary care for patients with complex needs.

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

Winning Strategies for Contracting with Private Payers 
Chair: Janet Niles, Niles Associates, Inc.
Panelists: Erica Barousse, Oschner Health System; Jeannette Flood, Delaware Valley ACO; Alex Blum, Aledade

Description: The U.S. health care system is in the midst of fundamental change as Fee For Service reimbursement is being replaced by payments tied to quality, defined outcomes, and cost.  To succeed, organizations must ensure effective contracting to drive financial success.  This session will focus on strategies for contracting with commercial payors that will align goals and achieve success.

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

MACRA: Implementation Update and Intersection with ACOs
Chair: Allison Brennan, National Association of ACOs
Panelists: Travis Broome, Aledade; Kara Barnes, Delaware Valley ACO; Jeff Spight, Collaborative Health Systems

Description: 2017 is the first reporting/performance year for ACOs and other Medicare Part B providers under the new Quality Payment Program (QPP), which stems from the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). ACOs need an in-depth understanding of MACRA and how ACOs are evaluated under the QPP. This session will review the various elements of MACRA with a particular emphasis on what ACOs should focus on in order to maximize their opportunities for bonuses. Additionally, attendees will hear from ACO leaders who are responsible for preparing and best positioning their ACOs to perform well under MACRA.

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

Lunch Plenary

Employers and Providers Collaborate for Better Care
Panelists: Mark Cianciolo, Vanderbilt Health Affiliated Network; Steve Raetzman, Health Value Directions

Description: More than twice as many people are in commercial ACOs than Medicare ACOs today.  See the tools employers are using to explain what they want, based on work by the National Business Group on Health.  Hear the perspectives of Vanderbilt Health Affiliated Network about what they offer and how they communicate with employers. 

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

Case Management Models that Facilitate ACO Success
Chair: Jennifer Stephens, Lehigh Valley Health Network
Panelists: Ken Persaud, AmpliPHY Physician Services; Nina Taggert, Lehigh Valley Health Network; Geralyn Randazzo, Northwell Health

Description: Facilitator-led panel of speakers discussing their care management infrastructure, operations and patient-facing efforts. The scope will span from health network ACO models to physician-led ACOs. Key elements for discussion include characteristics for success, staffing models utilized, risk-stratification modeling and translatable concepts for shared learning. 

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

First Things First:  Expense Management in an ACO
Chair: Randy Cook, AmpliPHY Physician Services
Panelists: TBD

Description: This session is designed for new ACOs early in their operating history.  The focus of this session is lowering health care cost strategies: “where is the low hanging fruit and how to pick it.”  We will begin by dissecting costs into logical buckets and then describing where to grab the handle to lower spending.  A panel of experienced ACO executives will share their experience, strength and hope as well as respond to your questions.  We will spend an hour on presentation leaving 30 min to address your specific questions.

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

ACOs Participating in CPC+: How to Find Success in Both Programs
Chair: Jennifer Gasperini, NAACOS
Panelists: Jane Eilbacher, CMS; Nancy Meisinger Care Is Primary ACO; Joel Port, Delaware Valley ACO; Sheri Putnam, Doylestown Health

Description: As a result of CMS policy changes in 2016, certain ACOs are now permitted to simultaneously participate in the Comprehensive Primary Care Plus (CPC+) program. In this session, the audience will hear from ACOs currently participating in both programs as well as CMMI staff. Speakers will discuss how the MSSP and CPC+ programs complement one another as well as challenges to participation, and how an organization can prepare for dual participation in these programs. Jane Eilbacher, Centers for Medicare & Medicaid Services Innovation Center will also discuss CMMI’s current policies regarding ACO participation in other CMMI programs.

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

Open Mic with CMS 
Jane Eilbacher, John Pilotte and Terri Postma from CMS 

This town hall format will allow ACOs an excellent opportunity to ask questions and receive answers directly from the leaders of the CMS Performance-Based Payment Policy Group.