Fall 2023 Conference Preconference Activities
September 20

Agenda |  Pre-Conference

Aligning Your Business Model with CMS’s 2030 Vision for Value-Based Care 
Chair: Jarvis Leigh, Aledade
Speakers: Simon Moody, Milliman; Ben Quirk, Healthly; Jason Sloan, BlueCross BlueShield of South Carolina; Michael Stanzione, Aledade; Wilson Gabbard, Advocate Aurora Health

In 2021 CMS established a goal to have 100% of Medicare beneficiaries in some type of accountable, or value-based, care arrangement by 2030. We will highlight key areas where MA diverges from MSSP and give you the insights you need to succeed in MA.

How ACOs Drive Specialist Engagement to Improve Patient Outcomes
Chair: Vinod Shenai, VillageMD
Speakers: Derek Skoog, PricewaterhouseCoopers; Stefanie Edwards, VillageMD; Stephen Nuckolls, Coastal Carolina Quality Care; Catherine Olexa-Meadors, Aledade; Rob Mechanic and Jennifer Perloff, Institute for Accountable Care

ACOs will share practical analytical and operational approaches to develop, engage, and manage a preferred network of high performing specialist providers to improve patient outcomes and drive appropriate cost and utilization. We will discuss lessons learned by independent PCP led ACOs as they drive specialist engagement by providing actionable insights to improve specialist performance to enable success in value based care. We will also understand how a multi-specialty group manages the dynamics and balancing of revenue for its providers and generating shared savings for its ACO. Lastly, we will look over the horizon to understand upcoming industry trends as we review the CMS Innovation Center’s Specialty Care Strategy and share perspectives on next generation episode methodology to evaluate and identify high performing specialist providers.

Quality Reporting for MSSP ACOs – Deep Dive into Digital Quality Measurement 
Chair: Jennifer Gasperini, NAACOS
Speakers: Megan Reyna, Advocate; Ramsey Abdallah, Northwell ACO; Vanessa Flaherty Northwestern Medicine; Anna Taylor, Multicare Connected Care; Joel Andress, CMS

This workshop will explore multiple facets of MSSP quality reporting. NAACOS staff will provide an in-depth discussion on new quality proposals in the 2024 proposed Medicare Physician Fee Schedule rule. ACOs will also share their perspectives on how they are evaluating reporting options, addressing complex patient matching and data aggregation, leveraging IT teams and internal platforms and engaging independent practices in quality reporting. Speakers will also discuss FHIR, interoperability and how standards work affects ACO quality improvement and reporting activities.