NAACOS Spring 2018 Conference
April 25-27
Hilton Baltimore


Thursday, April 26,2018

7:30 a.m. - 8:30 a.m. Continental Breakfast
Registration Open
Exhibits Open
7:30 a.m. - 8:15 a.m.

The Proof is in the Pudding Part 2: Beneficiary Retention
Speakers: Craigan Gray and Amy Kotch, Salient Management Company
One impactful Key Performance Indicator (KPI) to keep an eye on is churn rate. This statistic will indicate how much control you have over your patient population; it’s your beneficiary retention marker. A high churn rate can also mean your providers have practices where patients do not want to continue receiving care from. In order to augment your initiatives, it is often best to provide supporting data, but specifically, your own data.
Your next question is likely: how do I use my data to support these initiatives? Craigan Gray, MD, JD, MBA and Amy Kotch, MHA from Salient Management Company will demonstrate how to utilize your data to:
• Manage the total cost of care
• Control chronic conditions
• Increase patient satisfaction
• Proactively ensure those at risk of churn are identified
Churn rate is the closest statistic to a magic bullet that you will find in ACO management. Let us show you that the proof truly is in the pudding.

Sponsored by Salient ACO

7:30 a.m. - 8:15 a.m. From ACO to MA: Time to Grow Up
Speakers: Ross Armstrong and Chris Toler, Lumeris

This session charts the course in the roadmap to value. In the effort to achieve long-term value creation, Medicare Advantage (MA) is the optimal vehicle to fund the positive disruption of healthcare ecosystems. Ross Armstrong and Dr. Chris Toler will discuss how widespread political support, significant growth, and value creation opportunity make Medicare Advantage foundational to creating value for the long term. Participants will understand how the various government ACOs compare to MA, why the transition is necessary, and how to transition ACO members into MA plans. The speakers will also explain the differences between traditional and collaborative payers and highlight the need for a collaborative payer.

Sponsored by Lumeris
7:30 a.m. - 8:15 a.m Integrated ACO Strategies to Promote Better Health Outcomes and Increase Shared Savings
Speakers: James Doulgeris, Osler Health; David Nace, Mercy ACO; Derek Novak, Mercy ACO

We are in the midst of the most transformative period of healthcare. In this environment of changing regulations and an increasing focus on quality care, ACOs are looking to realize growth opportunities and deliver excellent quality outcomes. The success of healthcare organizations, be it a health system or an accountable care organization, depends on highly granular, transparent data and pioneering analytics powering action-oriented insights.

This panel hosts Derek Novak, VP and COO at Mercy Accountable Care Organization and James Doulgeris, CEO at Osler Health. Moderated by Deepak Murthy, President, and CBO at Innovaccer, the panelists will shed light on how the healthcare organizations across the country are responding to the transformation in US healthcare. The session will also detail how healthcare executives are leveraging data and analytics to revolutionize their practice and achieve quantifiable improvements in clinical, quality, and financial outcomes.

Sponsored by Innovaccer
8:30 a.m. - 10:00 a.m. Welcome State of ACOs
Clif Gaus, President and CEO, NAACOS

Intersection of Health Information Technology and Accountable Care
Don Rucker, National Coordinator for HIT

Dr. Don Rucker is the U.S. National Coordinator for Health Information Technology, leading the formation of federal HIT strategy, policy, and investment. He will discuss IT opportunities for ACOs, as well as solutions to IT challenges facing ACOs.
10:00 a.m. - 10:30 a.m. Coffee Break
Exhibits Open
10:30 a.m. - 12:00 p.m. Network Integration: Tools and Strategies to Optimize Your Network
Chair: Joel Port, Delaware Valley ACO
Panelists: Laura McGeorge, St. Luke’s Health Partners ACO; Anthony Reed, Geisinger Health System; Lloyd Wilson, Imperium Health

Key to any ACO’s success initially starts with its provider network. How do ACOs evaluate whether and when to add providers/TINs? What are the metrics, participation criteria, and performance expectations to better manage the network? What tools/processes can an ACO use to enhance its network over time? Presenters in this session will address these issues by sharing some best practices in network management and utilization, including optimizing performance and leakage prevention. Also, discussion will cover the impact of changes among an ACO’s providers/TINs as a major driver of changes to its benchmark, and therefore its ability to succeed financially. In addition, a Next Gen presenter will share lessons learned from that model’s advantages such as negotiating directly with providers, labs, imaging services and more.
10:30 a.m. - 12:00 p.m. ACO Compliance in the Real World
Chair: Kimberly Busenbark, Willems Resource Group
Panelists: Lorri Havlovitz, Collaborative Health Systems; Randy Cook, AmpliPHY of Texas ACO

Is your ACO Compliance Program working to ensure that your ACO is meeting all of the regulatory requirements and helping your ACO succeed operationally? In the real world, Shared Savings Program and NextGen Model ACOs have to do more than check the boxes for the five required elements of a Compliance Program. ACOs must oversee and monitor all required processes, meet marketing requirements, and ensure the ACO could respond success to a CMS audit – amongst other things. ACO leadership can feel overwhelmed when creating and o perationalizing a Compliance Program due to the competing priorities of operational requirements, data reporting, and care coordination. An effective Compliance Program doesn’t operate in isolation but supports and works in conjunction with operations. In fact, a knowledgeable Compliance team can help your ACO utilize the waivers to find creative ways to be successful. Join us to learn tangible strategies for how to implement an effective compliance program that can help your ACO avoid risk and increase innovation.
10:30 a.m. - 12:00 p.m. MACRA 2018: Key Issues for ACOs and How To Maximize the Opportunities
Chair: Jennifer Gasperini, NAACOS
Panelists: Cecilia Ugarte Baldwin, Beth Israel Deaconess Care Organization; Allison Brennan, NAACOS; Melody Danko-Holsomback, Geisinger Health System/Keystone ACO; Jeffrey Forman, Bayview Physician’s Group; Megan Reyna, Advocate Physician Partners

The 2018 performance period is a critical year in MACRA’s Quality Payment Program (QPP). In this session, NAACOS staff will review key policies ACOs need to be aware of for both Advanced APM and Merit-Based Incentive Payment System (MIPS) tracks of the QPP. ACOs will discuss lessons learned from the 2017 performance year and provide insights on how to be successful under this new payment system.
12:00 p.m. - 1:30 p.m. Lunch
Attendees are encouraged to sit at a table with an appealing topic, which they can discuss with colleagues for the first 45 minutes of the plenary.

Sponsored in part by Innovaccer

Purchaser Efforts in Value-based Care
Suzanne Delbanco, Catalyst for Payment Reform

Suzanne will share her insight into the efforts of purchasers to succeed in value-based care, emphasizing the opportunities for ACOs. She is the executive director of Catalyst for Payment Reform, an independent, non-profit corporation working to catalyze employers, public purchasers and others to implement strategies that produce higher-value health care and improve the functioning of the health care marketplace.
1:30p.m. - 2:00 p.m. Break
Exhibits Open
2:00 p.m. - 3:30 p.m. Assuming Risk: What ACOs Need to Know to Choose Correctly and Transition Successfully
Chair: Elena Tkachev, Collaborative Health Systems
Panelists: Melanie Matthews, Physicians of Southwest Washington;
Carl Rathjen, Horizon Blue Cross Blue Shield of New Jersey; Thomas Samuels, Quality Independent Physicians

Many ACOs are making or considering the transition to a two-sided ACO model. Assuming risk is an important decision for an ACO and following that leap, the real work of managing risk begins. This session will prepare ACOs and provide them with the knowledge and strategies necessary to not just manage risk but to truly excel in a two-sided risk model. Presenters will discuss the risk levels in various ACO models/tracks, how to prepare to take on risk, and how to effectively manage that risk in a new environment.
2:00 p.m. - 3:30 p.m. Late Breaking Issues: Come Hear Solutions to the Top ACO Challenges
Chair: Michael Rossi, Lehigh Valley Health Network
Panelists: Denise Prince, Mount Sinai Health System; Valinda Rutledge, MyHealth First Network; Jennifer Stephens, Lehigh Valley Health Network; Debbie Welle-Powell, Essentia Health

Experts will offer solutions to top ACO challenges and engage the audience in a discussion of solutions and barriers to implementation. Don’t miss this chance to learn from the experts and from peers!


Got Rural Patients? Learn How ACOs Can Effectively Serve Patients in Rural Settings
Chair: Gary Albers, Imperium Health
Panelists: Pravin Avula, Southern Kentucky Health Care Alliance; Tim Gronniger, Caravan; Joleen Huneke, SERPA-ACO

Many ACOs serve patients in rural settings. What are the unique challenges and what are the solutions? Hear from rural care experts how they manage care for rural patients.

3:30p.m. - 4:00 p.m. Break
Exhibits Open
4:00 p.m. - 5:30 p.m. A Conversation with ACO Innovators
Richard Gilfillan, Trinity Health; Farzad Mostashari, Aledade ACO; and Katherine Schneider, Delaware Valley ACO

Each presenter will share his/her different perspective on the evolution of the ACO model and the associated opportunities and challenges. Presenters will also participate in a panel discussion followed by audience questions.
5:30 p.m. - 6:30 p.m Reception

Exhibits Open


Friday, April 27,2018

7:15a.m. - 8:00 a.m. Continental Breakfast
Exhibits Open
7:15 a.m. - 8:00 a.m. Does Your B-CAPA Report Show an Opportunity to Optimize the Utilization of Post-Acute Care Services?
Speakers: Jomy Mathew and Atul Shah, naviHealth

As part of developing an advanced post-acute care (PAC) management strategy that builds on your efforts already underway, this session will highlight the clinical research that showcases patient functional status as the best predicter of the need for post-acute services. Based on this insight, we’ll explore a resulting “high-tech, high- touch” clinical model that could help deliver lower PAC utilization while improving patient outcomes (and patient experience) for you.

Since change is never easy, we’ll discuss how our data-driven, programmatic approach has proven effective in driving change across the care continuum, both within an ACO’s provider membership and with actively engaged PAC network partners. So, come enjoy breakfast with naviHealth and see how your current strategies around Care Coordination, PAC Network, and Change Management stack up to determine if your ACO is Good? Better? Or the best?

Sponsored by naviHealth, a Cardinal Health Company
7:15 a.m. - 8:00 a.m. Using Real World Evidence and Collaboration to Advance Value in Healthcare Optimizing Nutritional Care to Reduce Length of Stay and Readmissions
Speaker: Thomas Summerfelt, Convergence CT

Malnutrition results in poor outcomes and increased costs among hospitalized patients. The total annual cost of disease-associated malnutrition in the United States is more than $147 billion. Evidence shows that nutritional interventions can alleviate a significant degree of the burden of malnutrition in the hospital setting.

In this program, you will learn how Advocate Health Care (AHC) leveraged its healthcare data assets to implement a real-world NQII (Nutrition Quality Improvement Initiatives) that included rapid identification of and intervention with malnourished patients by way of an electronic medical record (EMR), caregiver nutrition education and post-discharge nutrition care. Thirty-day readmissions was reduced up to 29% and LOS was lowered by 26% (~1.9 days) for malnourished inpatients. The total 6-month cost-savings from reduction in 30-day readmissions and reduced LOS associated with nutritional intervention was >$4.8 million and net savings was per patient was >$3800 per patient.

Sponsored by Abbott Nutrition
7:15 a.m. - 8:00 a.m. An Origami-inspired Approach to Risk Management for High Performance ACOs
Speaker: Pranam Ben, The Garage

A unique perspective to risk management inspired by the age old Japanese art of paper folding.
The Garage, with its 6+ years of experience in managing ACOs of all tracks has conceived and designed this approach to help ACOs across the country manage risk and transform themselves into high performance ACOs. Tools that enable this unique approach will also be introduced via the Garage platform, Bridge. The platform employs artificial intelligence (AI) to provide the industry’s best ROI and performance for ACOs.
A surprise announcement will also be revealed during this session.

Sponsored by The Garage
8:15 a.m. - 9:15 a.m. NEW – Peer to Peer Exchanges for Each Track
Each ACO model has its own set of features, challenges, and strategies for success. Attend an 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. Concurrent sessions will be held for Tracks 1, 1+, 2, 3, Next Gen and ACOs with Private Contracts.

Next Gen
Facilitator: Barbara Walters, Trinity Health

Track 1+
Facilitators: Rob Fields, Mount Sinai Health System and Stephen Nuckolls, Coastal Carolina Quality Care

Track 1
Facilitator: Jen Moore, MaineHealth ACO

ACOs with Private Contracts
Facilitators: Katherine Schneider, Delaware Valley ACO, and Kimberly Kauffman, Summit Medical Group

Track 2/3
Facilitators: James Whitfill, Scottsdale Health Partners and Sandra Van Trease, BJC
9:15a.m. - 9:45 a.m. Break
Exhibits Open
9:45 a.m. - 11:15 a.m. Advanced Home Care Strategies for Keeping Medicare Patients Out of the Hospital
Chair: Rob Mechanic, Institute for Accountable Care
Panelists: Eliza “Pippa” Shulman, Atrius Health; Mark Prather, Dispatch Health; Linda DeCherrie, Mobile Acute Care Team

Hospital care is the largest category of Medicare spending. Frail elderly patients are hospitalized frequently leading to heightened risk of adverse events due to psychological stress, sleep deprivation, poor nutrition and deconditioning. Studies have found nearly 30 percent of Medicare admissions were potentially preventable with appropriate timely outpatient care, but patients often cannot access physician office services quickly. ACOs are increasingly looking at delivering care to frail or high-risk patients in their homes. This session will look at several strategies including home-based primary care, urgent home medical services and hospitalization at home which have demonstrated cost savings and high patient satisfaction in early studies. It will discuss key elements of these programs including patient eligibility, organization of services, technology and financial structure.
9:45 a.m. - 11:15 a.m. ACO Innovations
Chair: Jennifer Moore, MaineHealth ACO
Panelists: Donna Antenucci and Jennifer Schwartz, LHS Health Network; Vicki Dallmann-Papke, ProHealth Solutions, LLC; David Klebonis, Doctors ACO

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 the NAACOS Call for ACO Innovations. Come and hear innovative solutions to issues involving skilled nursing facilities, primary care physician and hospital coordination, and high cost of care for fee-for-service Medicare patients undergoing knee or hip arthroplasty.
9:45 a.m. - 11:15 a.m. How to Master Your ACO’s Benchmark for Financial Success
Chair: Andrew Webster, Validate Health
Panelists: Gene Farber, Reliance ACO; Stephen Nuckolls, Coastal Carolina Quality Care

Benchmarks are a big factor, perhaps the most critical one, that determines an ACO’s success. Attend this session to get the knowledge to master your ACO’s benchmark and create actionable plans that will create financial success for your ACO.
11:30 a.m. - 1:00 p.m. ACO Leaders in Quality: What’s the Secret to Their Success?
Chair: Rob Fields, Mount Sinai Health System
Panelists: Travis Broome, Aledade ACO; Jeffrey Hawtof, Beebe Healthcare; Stephen Nuckolls, Coastal Carolina Quality Care

In this session, the audience will hear from some of the highest scoring ACOs in the 2016 Performance Year (PY), including the winner of the NAACOS Quality Award. Panelists will describe how their ACOs achieved high marks on quality measures in PY 2016. They will share their strategies for success and discuss internal processes for driving improved clinical quality. The session will also discuss tips on successful ACO Web Interface quality measure submission as well as pitfalls to avoid.
11:30 a.m. - 1:00 p.m. Expanding to New Payers: Learn How ACOs Contract with Commercial Payers and Employers
Chair: Kimberly Kauffman, Summit Medical Group
Panelists: Bela Biro, Swedish Medical Group; Trent Hadley, Baylor, Scott & White; Amber Lenhardt, UnityPoint Health Partners

Is your ACO ready to grow beyond Medicare? Hear from other ACOs that have successfully contracted with non- Medicare payers including employers. Find out how their successes and failures can put your ACO on the path to contracting with a more diverse group of payers.
11:30 a.m. - 1:00 p.m. Top Issues for Next Generation ACOs
Chair: Barbara Walters, Trinity Health
Panelists: David Ault, Center for Medicare and Medicaid Innovation/CMS; Elissa Langley, Triad ACO; James Porter, Deaconess Health System

Next Generation ACOs are on the forefront of innovation and participating in the most advanced Medicare ACO initiative. As a model through the Innovation Center, there is more flexibility in this model to move away from fee-for-service payments and to benefit from increased availability of payment rule waivers and other program elements unique to this ACO model. This session will cover a broad range of topics that Next Generation ACOs need to know, such as understanding benchmarks, risk adjustment, payment options beyond fee-for-service, payment rule waivers and much more. We will also hear directly from Innovation Center staff about important program changes that will impact the model for 2019 and 2020. In addition to presentations and answers by Next Generation ACO participants and Innovation Center staff, there will be an in-depth audience discussion and time for both experienced and new Next Generation ACOs to network.
1:00 p.m. - 3:00 p.m. Lunch

Open Mic with CMS

John Pilotte, Jean Moody-Williams, and Pauline Lapin, CMS

This town hall format is a perennial favorite among NAACOS conference attendees because it allows ACO executives an excellent opportunity to ask questions and receive answers directly from the leaders of the CMS Performance-Based Payment Policy Group and the Center for Medicare and Medicaid Innovation.