Ninth Annual Accountable Care Web Summit - 2018

      
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Ninthh Annual Accountable Care Web Summit - 2018
 
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Overview
The accountable care environment faces evolutionary shifts for 2019, driven by value based care initiatives and stakeholder pressures. The Medicare ACO landscape in particular demand a close examination in the midst of proposed CMS regulations.  The Ninth Annual Accountable Care Web Summit features a 90 minute webinar with three prominent national accountable care speakers from Avalere, Dobson DaVanzo & Associates, and Milliman that will share their findings and insights to help ACO stakeholders position themselves for 2019.

John Feore, JD, Director at Avalere, presents Avalere findings that ACOs in the Medicare Shared Savings Program  achieve higher savings for Medicare the longer they are in the program. They determined that ACOs in the MSSP for 4 or more years were responsible for nearly all of the program’s previously reported $314 million in savings in 2017, the first year in which the program generated savings. In the same analysis, Avalere found that the assumption of downside risk does not appear to be a reliable predictor of an ACO’s success.

Al Dobson, PhD, President, Dobson DaVanzo & Associates and Alex Hartzman, MPA, MPH, Senior Manager, Dobson DaVanzo & Associates detail their study, commissioned by the National Association of Accountable Care Organizations, that evaluated MSSP ACOs and found greater savings than the CMS benchmark savings estimate. The study found positive net savings of $542 million for performance years (PY) 2013-2015 using a difference-in-differences analysis while the CMS benchmark calculations resulted in negative net savings of $344 million for PY2013-PY2015. The study analyzed Medicare claims data from approximately 25 million beneficiaries per year, and is the largest ever of ACO performance based on Medicare claims.

Susan Philip, MPP, Senior Healthcare Management Consultant with Milliman will discuss two CMS Proposed Rules that will create mechanisms for some providers to receive payment for telehealth and other non-face-to-face services, as well as care coordination using enabling telecommunications technologies. Together, the changes proposed in the calendar year (CY) 2019 Medicare Physician Fee Schedule (PFS) and the Medicare Shared Savings Program (MSSP) proposed rules have the potential to enable new provider interventions that strengthen care access and coordination for a much broader set of both patients.

The event also includes two on-demand sessions providing research findings, with Milliman's Colleen Norris discussing the proposed CMS regulation changing the Medicare Shared Savings Program: Understanding MSSP Pathways to Success: Milliman Analysis/Implications; and Rutger's Derek DeLia, Ph.D. presenting his research key findings, insights and implications in his presentation: The NJ Medicaid ACO Demonstration - 2018 Update.

Position your organization for 2019 and beyond in the accountable care arena. Join us for the Ninth Annual Accountable Care Web Summit on Thursday, November 8, 2018, and participate in the live national webinar, additional on-demand faculty sessions, ACO e-poll and more, featuring national experts providing key insights, trends, strategies, actionable intelligence and more - plus receive the current issue of Accountable Care News.
 

Webinar Agenda
Thursday, November 8, 2018
1:00 p.m. to 2:30 p.m. Eastern (10:00 a.m. - 11:30 a.m. Pacific)
Click here to find out what time your event starts in your time zone.
  • 1:00 pm - 1:30 pm  Avalere Study: Medicare Accountable Care Organizations Generate Savings as Experience Grows - John Feore, JD, Director, Avalere 
  • 1:30 pm - 2:00 pm  NAACOS Study: Estimates of Savings by Medicare Shared Savings Program ACOs - Al Dobson, PhD, President, Dobson DaVanzo & Associates and Alex Hartzman, MPA, MPH, Senior Manager, Dobson DaVanzo & Associates 
  • 2:00 pm - 2:30 pm  Opportunities for Care Coordination Through Innovative Technologies: Proposed Rule changes regarding telehealth and more for Medicare ACOs - Susan Philip, MPP, Senior Healthcare Management Consultant, Milliman
On-Demand Sessions & More
On-Demand Video Presentations with audio and synchronized slide advancement:
  • Understanding MSSP Pathways to Success: Milliman Analysis/Implications - Colleen Norris, FSA, MAAA, Consulting Actuary, Milliman (53 minutes)
  • The NJ Medicaid ACO Demonstration - 2018 Update - Derek DeLia, PhD, Director of Health Economics & Health Systems Research MedStar Health Research Institute (47 minutes)
  • Plus other Web Summit features including a Accountable Care Article Library, an exclusive ACO e-poll, and the current edition of Accountable Care News
Learning Objectives
Participants will be able to:
  1. Gain an overall sense of the issues, data, strategies, opportunities and challenges arising from Medicare ACO proposed regulations and policy agenda applicable for the coming year ahead.
  2. Explore the implications and impact of ACO experience in Medicare ACO performance, in the Avalere study considering the tenure of ACO services in performance, and as a predictor of success.
  3. Examine the NAACOS commissioned Dobson DaVanzo & Associates study that found MSSP ACOs generated gross savings of $1.84 billion for Medicare in 2013–2015, nearly double the $954 million estimated by CMS.
  4. Consider the opportunities and issues involved from CMS proposed regulations regarding telehealth and other non-face-to-face services, as well as care coordination using enabling telecommunications technologies.
  5. Evaluate the provisions and implications of the CMS proposed Pathways to Success regulation for MSSPs.
  6. Share in updated research findings and implications regarding the New Jersey Medicaid ACO demonstration, and on measuring and benchmarking SNF metrics for ACOs and Medicare Advantage.
  7. Experience e-learning at the attendees' convenience, with on-demand sessions, article library, and other online Summit features available 24/7.
  8. Engage in interactive learning through live webinar providing online question submission, attendee surveys, feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group.
Who Should Attend
Interested attendees would include:
  • C-Suite Executives
  • Accountable Care Directors and Staff
  • Value Based Payment  Executives and Staff
  • Strategy and Planning Executives and Staff
  • Legal, Regulatory and Policy Executives and Staff
  • Health Reform, Transformation and Clinical Integration Executives and Staff
  • Managed Care and Revenue Cycle Executives and Staff
  • Business Development Executives and Staff
  • Operations Executives and Staff
  • Provider Network Managers and Staff
  • Provider Contracting Managers and Staff
  • Medical Directors
  • Clinical Executives
  • Care Management Executives
  • Business Intelligence Executives and Analysts

Attendees would represent organizations including

  • Accountable Care Organizations
  • Health Systems
  • Provider Networks
  • Medical Groups 
  • Health Plans 
  • Government Agencies
  • Business Process Organizations 
  • Solutions Providers 
  • Care Management Organizations
  • Associations, Institutes and Research Organizations 
  • Life Sciences Organizations
  • Media
  • Other Interested Parties
Registration
  Individual Registration Fee: $295. Post Event Materials including videos syncing slides and recorded audio, presentation pdf files, and e-poll survey report: $45 for attendees; $355 for non-attendees after the event. Register online or download the event flyer.  
     
 
Register Now   Click here to register or call 209.577.4888. Corporate Site licensing also available. We look forward to your attendance!
 
 
Faculty

  John Feore, JD

John Feore, JD
Director,
Avalere Health

 
  John Feore, Director, advises healthcare providers, plans, and life sciences companies on the evolving healthcare system. He applies his background as a healthcare attorney and expert on the Affordable Care Act (ACA) and federal health policy to optimize clients’ understanding of delivery system reforms and alternative payment models. Since enactment of the ACA, John has helped clients navigate the changing healthcare landscape and implement the law’s payment and delivery reforms, including accountable care organizations (ACOs) and demonstrations operated by the Center for Medicare & Medicaid Innovation.

Prior to joining Avalere, John was a Senior Managing Associate at Dentons US LLP, providing strategic counsel to clients regarding the impacts of federal healthcare law, regulations, and legal challenges.

John has a JD from Catholic University Columbus School of Law and a BA from Boston College. He is a member of the Virginia State Bar and the District of Columbia Bar.
 



  Al Dobson, PhD

Al Dobson, PhD
President
Dobson DaVanzo & Associates
  Allen Dobson, Ph.D., is a health economist and President of Dobson | DaVanzo & Associates, LLC (Dobson | DaVanzo). Before he co-founded the firm in May 2007, Dr. Dobson spent eighteen years with The Lewin Group where he was Senior Vice President and directed the Health Care Finance Group. In this position, Dr. Dobson led numerous, large-scale studies for both Federal and private-sector clients. Prior to The Lewin Group, Dr. Dobson served as Director in the Office of Research at CMS (formerly the Health Care Financing Administration) when the Medicare Inpatient Prospective Payment System (PPS) and the Medicare Physician Fee Schedule (PFS) were being formulated and implemented.

Dr. Dobson has expertise evaluating Medicare’s various PPS policies (e.g., acute care hospitals, long term care hospitals, skilled nursing facilities, inpatient rehabilitation facilities, home health agencies, and ambulatory surgery centers), and, over the last twenty-five years, has directed numerous efforts to model the economic impact of Medicare and Medicaid payment policies on providers using a variety of statistical and econometric methodologies. For 10 years, Dr. Dobson also advised CMS on the development of methodologies to determine physician practice expenses, and, more recently, on the calculation of Medicare Disproportionate Share Hospital (DSH) policy for CMS and Medicaid DSH policy for MACPAC.

Dr. Dobson currently co-leads Dobson | DaVanzo’s research modeling activities for bundled payments, value-based purchasing, and alternative payment model (APM) systems. Here, Dobson | DaVanzo provides essential information to a number of stakeholders as they implement CMS’ Bundled Payment for Care Improvement (BPCI) Initiative, and, more recently, CMS’ Comprehensive Care for Joint Replacement (CJR) and Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Dr. Dobson also directs numerous private-sector research efforts on APM using linked Medicare research identifiable datasets through CMS-approved data use agreements (DUAs). Findings from many of these studies have been reported to CMS, the Medicare Payment Advisory Commission (MedPAC), the Medicaid and CHIP Payment and Access Commission (MACPAC), the Congressional Budget Office (CBO), and various other Congressional committees. Dr. Dobson also leads a series of efforts to assist clients’ responses to CMS requests for public comment on rulemaking.

Dr. Dobson was selected as one of the nation's most influential health care policy leaders by Faulkner and Gray, selecting him in their first edition of "The Health Care 500." Dr. Dobson is a regular speaker at conferences and has testified before the Congress, MedPAC, and various state, federal, and presidential commissions on health care finance, provider payment, and health policy issues. Over the years, he has testified before Pennsylvania, Illinois, Mississippi, Maine, and Nevada state legislatures. His work has been widely published in peer-reviewed journals, such as The New England Journal of Medicine, Journal of the American Medical Association, Inquiry, Journal of Managed Care, Health Affairs, Military Medicine (International Journal of the Association of Military Surgeons of the United States), Seminars in Dialysis, The Milbank Quarterly, and Health Care Financing Review.

Dr. Dobson is a Phi Beta Kappa graduate from the University of Washington in Seattle, and earned his Ph.D. in Economics from Washington University in St. Louis, Missouri.
 


 Alex Hartzman, MPA, MPH

Alex Hartzman, MPA, MPH
Senior Manager
Dobson DaVanzo & Associates

Alex Hartzman, M.P.A, M.P.H, is a Senior Manager at Dobson | DaVanzo, bringing experience in program development and healthcare policy analysis. Joining in 2016, Hartzman works with a variety of organizations to evaluate the market-, state- and national-level effects of existing and proposed healthcare payment reforms. Primarily, Hartzman collaborates with clients to understand their specific research needs and leads the D|D team of analysts and data scientists to develop and execute rigorous analytic approaches to answering clients’ questions.

Prior to joining Dobson | DaVanzo, Hartzman worked at the Patient-Centered Outcomes Research Institute where he helped to build the Improving Healthcare Systems program and to actively manage a $95M portfolio of health services and outcomes research studies. Hartzman also contributed to the development of funding announcements on special topics, of multi-stakeholder working groups and advisory panels, and of the basic technological and data infrastructure of the institute.

Hartzman has also worked as a planner at the Wisconsin Department of Health Service Public Health Emergency Preparedness Program where we assisted coalitions of local health departments and private businesses to improve the readiness of the Madison MSA for biological terror attacks and severe disease outbreaks. Prior to that, Hartzman served as a consumer health advocate for individuals with chronic or life-threatening illnesses experiencing problems with the healthcare system at the Center for Patient Partnerships in Madison, WI.

Hartzman has earned a Master in Public Affairs, a Master in Public Health, and a Bachelor of Science in Astro-physics and Physics from the University of Wisconsin-Madison.
 



 Susan Philip

Susan Philip, MPP
Senior Healthcare Management Consultant
Milliman
 

Susan Philip is a senior healthcare management consultant with Milliman. She focuses on developing practical solutions to align payment incentives with value and drive progress in healthcare efficiency. She has advised hospitals and health systems, employer coalitions, and public and private purchasers with issues such as payment reform, quality of care, performance measurement, and strategic planning.

Susan brings nearly 20 years of experience in health policy, healthcare finance, and health services research within federal and state governments, academia, and the nonprofit sector. Most recently she has worked with clients on strategies for telehealth/telemedicine financing and adoption. She also works with providers on utilization and care management, benchmarking performance, and population health management. 

Prior to joining Milliman, her client engagements included: Helping the federal government understand the impact of programs designed to drive innovation and adoption of health information technology; Developing and facilitating board approval of a large public sector employer's enterprise-wide strategic plan; Advising hospital systems on value and performance metrics and reporting; and Surveying market trends and payer strategies to better manage chronic conditions.

Prior to that, Susan was the director of the California Health Benefits Review Program at the University of California, which provides the state legislature with nonpartisan analytic reports on proposed laws regarding health insurance benefits. She was also a Medicare consultant at Kaiser Permanente where she provided policy and regulatory expertise to the northern and southern California regions. In that role, she worked with the health plan and contracting provider groups to ensure compliance with Medicare regulations, such as access to care and encounter data reporting requirements.

Her experience includes developing quality measurement and improvement programs at the Pacific Business Group on Health and developing recommendations to Congress and the Secretary of Health and Human Services at the Medicare Payment Advisory Commission. She has presented to MedPAC, the Institute of Medicine, and the California State Legislature. She received her AB, Economics and English Literature, from Columbia College, and a MPP, Health Policy and Nonprofit Management, from Georgetown University.  
 



 Colleen Norris

Colleen Norris,
FSA, MAAA
Consulting Actuary
Milliman
 

Colleen is a consulting actuary with the Denver office of Milliman. She joined the firm in 2008. Colleen specializes in providing analytical and strategic support to organizations engaging in new models of reimbursing providers. She has helped both providers and payers develop quantitative approaches of understanding and measuring the spectrum of potential risk under a variety of potential arrangements. Colleen's experience includes analyzing changes to provider reimbursement contracts to ensure consistency with desires goals, modeling risk transfers in reimbursement contracts, and developing strategic approaches to manage transferred risks.

She has assisted large provider systems with developing models for the appropriate transfer of financial risk to smaller provider units of providers, as well as has provided strategic and tactical planning for provider systems looking to optimize their long-term prospects in the era of increased risk-sharing.

She also has experience with Medicare ACO (MSSP & Next Gen) and MACRA risk impact assessments and strategic planning.

Colleen has experience with using predictive models to help organizations identify, measure, and monitor key risk factors. Her background also includes commercial healthcare benefit plan design, pricing, feasibility studies, and financial modeling. She has developed regulatory filings for health carries, developed underwriting and rating models, and has projected liabilities for incurred but not paid claims.

Colleen is a Fellow in the Society of Actuaries and a Member in the American Academy of Actuaries. She received her BS (summa cum laude) in Physics from Creighton University, and a MS in Physics, at the University of California, San Diego (UCSD).

 



 Derek DeLia, PhD


Derek DeLia, PhD
Director of Health Economics & Health Systems Research MedStar Health Research Institute
 

Derek M. DeLia, PhD, is Director of Health Economics and Health Systems Research, MedStar Health Research Institute. His research focuses on healthcare payment and delivery reform, federal and state health policy, performance measurement for accountable care organizations (ACOs), shared savings arrangements, coordination of care for complex patients, emergency medical care, healthcare access, and health insurance coverage.

Dr. DeLia’s research has been published in peer-reviewed journals such as Health Affairs, Annals of Emergency Medicine, Medical Care, and Health Services Research. His work on ACOs has been profiled by CMS in its Meet the Author Discussion Group and featured in Accountable Care News. He has provided expert commentary on healthcare issues for NJN Public Television, National Public Radio, and several other media outlets including Modern Healthcare, NJ101.5, and the Newark Star-Ledger.

Dr. DeLia currently serves on the Agency for Healthcare Research and Quality (AHRQ) Health Systems and Value Research Study Section and has served on other scientific review committees for AHRQ, the National Institutes of Health (NIH), and the Patient-Centered Outcomes Research Institute (PCORI). He led a savings certification project to help administer a shared savings contract between United Healthcare and a Medicaid ACO. For seven years, Dr. DeLia provided evaluation technical assistance to grantees of the New York State Health Foundation.

Dr. DeLia has presented research and provided policy analysis for the U.S. Department of Health and Human Services, the Congressional Budget Office, the Government Accountability Office, the Medicare Payment Advisory Commission, the National ACO Summit, the National Medicaid Congress, the New Jersey Department of Health, and the Medicaid Office in the New Jersey Division of Medical Assistance and Health Services. In 2009, Dr. DeLia led the organization of a national research conference on the integration of Emergency Medical Services with broader health services research and health policy. He also served on the New Jersey Healthcare Access Study Commission and a Subcommittee of the Governor's Commission on Rationalizing Health Care Resources. In 2007, he served on a project for the National Assessment of Educational Progress (the Nation’s Report Card) to create standardized tests for high school economics classes.

Prior to joining MedStar, Dr. DeLia was a research professor and senior health economist at Rutgers Center for State Health Policy. He also held research positions at the United Hospital Fund of New York and taught Health Economics, Econometrics, and Statistics at Rutgers University, Columbia University, New York University, and the City University of New York. Dr. DeLia earned a PhD in Economics at Cornell University, Ithaca, NY.
  

 
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