NAACOS Fall 2018 Conference Breakfasts 

Thursday, October 4
7:30 - 8:15 am

How One ACO Untangled a Web of Data to Prepare for Risk

Sponsored by Salient Healthcare

When CMS released their new proposed ACO rule, the message was clear; downside risk is coming. Those ACOs who are able to untangle their vast stores of data will find themselves in control of the levers that decide whether or not they will be successful on this new Glide Path to Risk.

Join Holy Cross ACO and Salient Healthcare as they demonstrate how you can master the art of data discovery and action plan implementation by breaking down expenditure components and subcomponents to identify areas of opportunity. This proven method enables you to track your own success via continuous process improvement. 

Putting the Patient First:  How Advocate Healthcare Reduced Readmissions, LOS and Costs Through an Integrated Nutrition Care Process

Sponsored by Abbott Nutrition

Up to 50% of patients are malnourished upon admission to the acute care setting which has an impact on clinical and financial performance measures including length of stay, cost of care, mortality rates, and readmission rates.  Advocate HealthCare conducted a Nutrition-Focused Quality Improvement Project resulting in a 26% reduction in length of stay, 29% reduction in 30-day unplanned readmissions and a $4.9 million 6-month cost savings.  Please join us as an Advocate HealthCare leader discusses their journey for better patient outcomes. 

Gretchen Van Der Bosch is a registered dietitian with 29 years of clinical experience. Ms. Van Der Bosch currently serves as system clinical lead for Advocate-Aurora healthcare system.  In her current role, she provides specialized patient dietary care, and helps to manage the clinical nutrition for the system.  In her past role at Good Shepherd hospital she played a key role in the design and implementation of the food service program, focusing on food safety and innovative nutrition planning. 

Ms. Van Der Bosch has served on Advocate’s nutrition committee for 15 years, working to standardize patient care throughout Advocate’s entire system of hospitals. As chair of the committee she has worked with a multidisciplinary team to develop policies and procedures that have been implemented system wide. She has also contributed to the creation of educational materials received by staff at all Advocate Hospitals.

Ms. Van Der Bosch holds a bachelor’s of science in hospital dietetics from the University of Illinois.


Risk 2.0: Evolve your ACO to a sustainable VBC strategy 

Sponsored by Lumeris

Transforming large provider organizations from volume to value-based business models is a formidable, yet necessary, challenge. ACOs have been an important catalyst for this transformation. We suggest, however, that a sustainable volume to value shift is best supported through a robust Medicare Advantage (MA) strategy. With the support of a collaborative payer and an operating partner, health systems can de-risk and accelerate their shift to value with MA. This presentation will continue the Spring Breakfast discussion on evolving your ACO from earning shared savings to controlling more of the premium dollar. We will also provide tactics to align stakeholders (e.g., payers, providers, and consumers) and practical next steps to build off of your ACO momentum to a sustainable value-based future. 

Nigel Ohrenstein is SVP and head of market at Lumeris. As one of the early pioneers of Lumeris, he is an expert on the transformation of the U.S. healthcare industry. In addition to shaping Lumeris, the market leader in the transformation to value based care, Mr. Ohrenstein built the Medicare business at Express Scripts. He started his career as an attorney working for Herbert Smith in England and Hogan Lovells in Washington D.C. 

Craig Enge is senior vice president and head of market at Lumeris. He has been instrumental in leading the development and operation of population health organizations across the west. Prior to Lumeris, he led Providence Health St. Joseph’s Accountable Care group. In the role, he developed delivery system capabilities to manage 800,000 lives under risk contract.  Previously, Mr. Enge led engagements for The Camden Group consulting firm.


Friday, October 5
7:30 - 8:15 am 

Collaborating to Achieve Post-Acute Care Management Goals

Sponsored by naviHealth

Are you interested in finding the right partner to accelerate your post-acute management capabilities and drive true clinical change across the care continuum?

Well, look no further. Leveraging our post-acute care optimization methodology presented at NAACOS this past spring, naviHealth is delivering results jointly with our ACO partners by applying our proven “high-tech, high-touch” clinical model and change management approach.

Come hear how Bridges Health Partners, a clinically integrated network dedicated to supporting physician-led care teams across four health system partners and seven hospitals, identified an improvement opportunity and engaged naviHealth to help drive change across their ACO. We will discuss our partnership model, operating cadence, and early results from our journey together. 


Elliot Smith, MD is the current executive director and medical director for the newly formed Bridges Health Partners Accountable Care Organization, covering 25,000 beneficiaries in southwestern Pennsylvania across four distinct health systems and their PHOs. He also serves as chief clinical officer and vice president of Butler Health System’s Ambulatory Network. Butler Health System is a founding partner of the Bridges Population Health Services Organization developed to manage the MSSP Track 1+ contract for Bridges.

In his ACO leadership role, Dr. Smith is passionate about assisting both inpatient and outpatient providers to meet new and emerging care delivery requirements. Additionally, he continues to practice internal medicine, where he is focused on treating the “whole” patient, across the continuum of healthcare. Dr. Smith received his medical degree from Drexel University College of Medicine and has been in practice for more than 20 years.

Cathy Fackovec joined naviHealth in June 2014 and is currently market president in western Pennsylvania, where she leads our accountable care and Medicare Advantage businesses serving over 300,000 beneficiaries. She has successfully delivered improved clinical quality and cost savings in close partnership with clients, demonstrating impact within the first 3 months of operations and on-going. 

Prior to naviHealth, Ms. Fackovec gained extensive experience in healthcare operations at a large quaternary-care hospital, rising to the level of vice president of operations.  A student of kaizen theory, lean hospitals, and six sigma, she is passionate about improving healthcare quality and cost.  In addition to her practical experience in value-based care program leadership, she holds a master’s of science in health administration and bachelor of science in nursing degrees.


"Got Savings?" – Real world examples of high performance ACOs operating as Clinically Intelligent Networks

Sponsored by The Garage

It takes deep experience, effective operational insights, culture of change and a platform based approach to operate as a high performance ACO generating ‘better than expected’ results across all categories. The Garage, with the industry’s most comprehensive population health management platform, Bridge, will share numerous examples of ACOs transforming their organizations using intelligent tools and platform experiences. From data to insights to intelligence, Bridge brings it all together in a way that empowers ACOs with high performance from day one! 


Pranam Ben, founder and CEO of The Garage, has established and owned multiple successful technology ventures over the course of his more than 20-year career. Mr. Ben founded The Garage in 2012, adopting a name that pays tribute to the world’s most innovative companies that started in a garage, like Google, Amazon and Apple. Under his leadership, The Garage has emerged as a leading population health management platform with more than 8,000 providers integrated in 18 states managing more than 7 million patient lives that includes more than 350,000 MSSP lives. An emerging thought-leader and media source in the healthcare information technology space, Mr. Ben has been featured in CBS Money Watch, Health IT outcomes, Marketwatch,, Healthcare IT, Predictive modeling news, Florida Trend, Orlando Business Journal and the Orlando Sentinel, among other media outlets.


Surviving in a changing environment

Sponsored by Qualitas Insurance Group

CMS is changing the rules and your ACO needs to stay creative in order to survive. Through the use of innovative risk management programs, QIG leverages its proprietary analytical tools to transform your expenses into a profit center. Join us in this engaging session to learn how our strategies can maximize your shared savings.

Nick Valverde is the managing director of QIG, a healthcare focused risk management agency based in Florida. QIG is an industry leader in tailoring risk management programs for risk bearing organizations such as MSOs and ACOs, as well as companies in the downstream provider space. Prior to QIG, Mr. Valverde was the VP of finance and strategy for an MSO that managed over 250,000 lives in 110 locations. In this role, he identified cost saving initiatives through the use of analytical reporting and utilization management tools. Mr. Valverde has a bachelor’s degree from The Honors College at Florida International University in finance, economics, and commercial banking, a bachelor's degree in accounting from the University of Miami as well as a master's degree in accountancy from the University of Miami.