ACOs Summit 2014

• Inspiration from ESPN
• The societal and legislative context
• An update from across the pond
• In inexorable march
• The early returns
• The end game

• Describe the experience of an Independent Practice Association that, through a principal focus on improving primary care, has produced a highly  successful Medicare Advantage business that has driven development into an accountable care organization and Pioneer ACO participant.
• Discuss lessons learned which may be applicable to any performance-based payment and delivery model.
• Describe unique challenges encountered in the first year of PACO participation. What differences are there between the global risk MA approach and the PACO approach that may impact performance?

• The value of sharing patient information in near real time
  
• The value of patient aggregate data for quality and cost management
  
• The value of an interactive patient portal in improving the patient experience
  
• Delivery of Health Information Services across the State of Texas

• Goals of an ACO
  
• Obstacles to achieving goals
  
• Plan of care
  
• Models of care
  
• Disease management

Speaker:
Medical Director, ACCESS HEALTH CARE, LLC

• Identifying the appropriate cadence for change that balances clinical transformation with value-based contracting tempered by organizational readiness and market receptivity to the shift; and
  
• Maintaining the profitability of the enterprise throughout the course of the transformation.
  
• In this session we will share a framework for developing a transformation roadmap that articulates the timing, resources, trade-offs and sensitivities needed to help guide transformation efforts.

In this session, learn about the essential ingredients in a value-based ACO framework that supports your risks-sharing contracts long-term. Key takeaways include:

• Starting with a foundation of data and analytics
• Ensuring care efficacy and evidence-based medicine
• Improving care delivery and payment coordination
• Creating a care consumption experience for patients/members

Speaker:
Founder, HEALTH MODEL INNOVATION, Former Chief Innovation Officer, FLORIDA BLUE, President and CEO, GUIDEWELL

• The Role of the DC in Integrated Care
• The Value – By including chiropractic in the care continuum, all doctors stand to gain increased shared savings and better outcomes/patient satisfaction.
• Credentialing the DC – URAC Certification
• The Role of the DC in PCMH
• The Role of the DC in ACOs
  

Speaker:
DC, Board of Directors, Representative, FOUNDATION FOR CHIROPRACTIC PROGRESS

• How should your organization participate in an ACO?
  
• Is your organization ready and comfortable with the operational demands of an ACO?
• With whom should you partner?
• What are the change management and HR implications?
• What underlying infrastructure, technology systems and resources will you need?
• How will you manage the risks?
• What will be the likely financial impacts?
•  Join us for a discussion on successful execution of an ACO strategy.

• Lower Costs (cost effective staff, lower re-admissions, cost effective equipment/drugs)
• Improve Revenue (improve efficiency, add services, increase volume)
• Improve Clinical Quality (minimize infection rates, sentinal event avoidance, central line sterile protocols, adverse event rates, etc.)
• Improve Patient Satisfaction (post op pain management, day beforcall/check-in, introduction and explanations, post-op visits)
• Measuring and Managing: how to utilize OR data to ensure sustainable quality and efficiency

Speaker:
Chairman and CEO, NORTHSTAR ANESTHESIA, P.A.

• Smoking and obesity are the #1 and #2 causes of preventable morbidity and mortality in the U.S.  While progress has been made in reducing smoking prevalence from 33% to 19%, obesity trends are going in the wrong direction, with 69% of the US population now obese or overweight. Health care costs associated with obesity now exceed those associated with smoking. This session will review:
  • Why obesity is the largest driver of health care costs, and implications for ACO populations
    
  • How behavioral change techniques learned in smoking cessation have been applied successfully to weight management
    
  • Components of and outcomes from an evidence based, cost-effective program for weight management
    
  • Realistic goals for weight management programs, including weight loss, health improvement and cost-benefit