Preconference Spring 2018

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These workshops are held in conjunction with the NAACOS Spring 2018 Conference, April 26-27 at the Hilton Baltimore and run concurrently from 1:00 p.m. - 5:00 p.m. ET on April 25. The workshops require separate registration, and you do not need to attend the full meeting in order to attend the workshops. Discounted rates are available for NAACOS members and partners. The pre-conference workshops are not included in the conference recordings. 

Deep Dive into MIPS and MACRA led by Allison Brennan and Jennifer Gasperini, NAACOS
Panelists: Megan Reyna, Advocate Physician Partners Accountable Care; Melody Danko-Holsomback, Geisinger Health System/Keystone ACO

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) included major changes to Medicare provider payment creating a new payment structure, the Quality Payment Program (QPP). This workshop will include a detailed overview of current QPP requirements and feature presentations from CMS officials, NAACOS staff and ACOs.

The session will include a deep-dive on both the Advanced APM and the Merit-Based Incentive Payment System (MIPS) tracks of QPP and what ACOs need to do to be successful in this new payment structure. The workshop will also include presentations by ACOs who will share their strategies for success under MIPS and the QPP.

The workshop will cover:

  1. Overview of MACRA's QPP
  2. In depth presentation on Advanced APM track
  3. Deep dive presentation on MIPS for ACOs
  4. ACO strategies for success in the QPP
  5. Future of QPP and value-based payment in Medicare 

Maximizing Financial Operations led by Stephen Nuckolls, Coastal Carolina Quality Care
Panelists: Kimberly Busenbark, Wilems Resource Group 

Back by popular demand, this workshop covers the fundamentals of operating a successful ACO. The workshop will cover the following topics:

  • Strategies to Improve Quality and Engage Physicians
  • How to Establish and Manage a Chronic Care Management Program
  • Understanding and Managing Compliance will review ACO obligations for effective compliance and how to operationalize those obligations
  • Utilization Management Strategies will review strategies to more effectively utilize and monitor, HH, SNF, Hospice, ER, & other expenses  
  • Importance of HCC Risk Adjustments and Strategies to Optimize will add context to the afternoon’s presentation and draw distinctions between MA and ACOs 

Optimizing Provider Participation, Compensation and Productivity led by Alyssa Endres, Baylor Scott & White Quality Alliance
Panelists: Josh Halverson, ECG; John Pierce, Baylor Scott & White Quality Alliance

This workshop will review strategy and tactics to design provider compensation and incentives that work. Specifically, the workshop will: 

  1. Discuss the importance of aligned value-based care arrangements with provider compensation models to set the expectation for accountability and engage providers in accelerating their performance
  2. Outline specific ACO shared savings distribution methodologies and requirements for hospital-owned and provider-owned ACOs
  3. Articulate the provider compensation model evolution including critical success factors and lessons learned which drive changed organizational culture that supports the transition to value-based payment

Leveraging Data to Drive ACO Performance led by Emily Brower, Trinity Health
Panelists: Andrea Cichra, South Bend Clinic; Jennifer Carney, Beth Israel Deaconess Care Organization; Nick Bartz, Aledade; Denise Prince, Mount Sinai

In this workshop speakers will address how to use CMS data and incorporate with other data sets to:

  • Understand your attributed population – For whom is your ACO accountable? What is the demographic/clinical profile?  Where are they getting their care? How will knowing all this help your ACO?
  • Monitor and report on ACO performance –  How is your ACO doing financially? How are the beneficiaries doing clinically? How is your ACO doing on quality measures?
  • Develop clinical interventions –  What does the data tell you about opportunities for improvement? What clinical programs can improve care and close gaps?
  • Laying the ground for advance analytics – How does the ACO data help with predictive modeling?  What new data sets do you see incorporating to further enrich your data?