ACOs: Medicare Shared Savings Update

 
 
 
  Tuesday, April 19th, 2011
1:00 p.m. to 2:00 p.m. Eastern (10:00 - 11:00 a.m. Pacific)
Click here to find out what time your event starts in your time zone.
  Register for $195
Call 209.577.4888 or
Click here to register
      The Current and Future State of Medicare Accountable Care Organizations
      Strategic Perspectives on Latest CMS Proposed Regulation; Impact on ACOs
 
 
      Key strategic and operational considerations for provider organizations evaluating or developing ACOs
      Discussion of specific impact and implications of the Medicare Shared Savings Program
      Specific issues in preliminary development process including evaluation, feasibility & application preparation
     
Examination of implementation challenges and opportunities
      Business Intelligence for stakeholders that partner with ACOs
  Faculty:
John Gorman
Chief Executive Officer
Gorman Health Group
Faculty:
William A. MacBain, MPS

Senior Vice President, Finance
Gorman Health Group
 
Overview
  
Accountable Care Organizations (ACOs) have received considerable attention across the industry since the passage of health care reform last year. Today, many provider organizations are moving to capture the strategic business opportunities with the emergence of ACOs.

Beyond the overall issues stakeholders must address in consideration or monitoring of ACO development, there is a myriad of implications for ACOs applied to the Medicare environment under the impending Medicare Shared Savings Program. Provider Organizations have a compressed timeframe to evaluate, let alone implement Medicare ACO initiatives. Other stakeholders, including  Medicare Advantage plans,  must learn everything they can about this strange new beast in order to position themselves for the future.

This 60-minute webinar discussion will explore the key considerations for provider organizations securing their presence in what will likely become a very competitive market.

Join us for a discussion on the current and future state of Medicare ACOs, the resulting impact and implications of the Medicare Shared Savings Program including analysis on the latest CMS proposed regulation, and the requirements for participation and the strategic considerations that need to be made now to take advantage of the opportunities that await.

 
Learning Objectives
 
Key questions addressed in the discussion will include:
  1. What is an ACO?
  2. How do you know if an ACO is right for you?
  3. What are the latest marketplace and cost considerations?
  4. What are the specific implications of the Medicare Shared Savings Program?
  5. What does CMS tell us about their future? What does the recent CMS proposed regulation tell us?
  6. How will the new CMS proposed rule on ACOs impact design considerations and next steps?

Participants will be able to engage in interactive learning through online question submission, attendee 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
  • Physician Executives
  • Strategy and Planning Executives and Staff 
  • Legal, Regulatory and Policy Executives and Staff
  • Managed Care and Revenue Cycle Executives and Staff
  • Business Development Executives and Staff
  • Business Intelligence Staff
  • Provider Network Executives and Staff
  • Provider Contracting Executives and Staff
  • Operations Executives
  • Other Interested Parties

Attendees would represent organizations including:

  • Accountable Care Organizations
  • Provider Networks 
  • Medical Groups
  • Hospitals and Health Care Systems
  • Solutions Providers
  • Associations, Institutes and Research Organizations 
  • Health Plans 
  • Media
  • Other Interested Organizations
Registration
  
Individual Registration Fee: $195
. Audio Conference CD-ROM: $40 for attendees; $255 for non-attendees after the event.

Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!

 
Faculty
 
John Gorman
 

John Gorman
Chief Executive Officer
Gorman Health Group
 

 

Under John’s leadership, Gorman Health Group has become the leading professional services and solutions firm in the Government-sponsored healthcare industry, providing thought leadership and expert strategic, operational, and technology-based solutions.

John and his team of health plan and CMS veterans are considered to be the go-to source for mastering the regulatory and business environment of Government health care. John and his team are largely credited with having spearheaded the creation and design of the Medicare Advantage PPO product, were first to market with a comprehensive HCC Management program, and have improved the quality of care delivered to millions of beneficiaries.

John is a dynamic, engaging, and highly-regarded speaker -- known for his on-the-mark insights as well as his candid, no-nonsense, cut-to-the-chase style. John speaks at dozens of healthcare industry conferences each year, reaching thousands of senior healthcare executives and professionals nationally. He is regularly quoted in the trade press and the national media, including the The New York Times and The Wall Street Journal, and serves on the editorial advisory boards of several industry publications. He is also frequently sought out by the investment community for his insights, analyses, and predictions about the evolving Medicare managed care market.

In addition to founding Gorman Health Group, John was on the founding management team of Leprechaun, an HCC management outsourcing company that GHG founded and later sold.

Prior to founding his own company in 1996, John served as Assistant to the Director of HCFA’s Office of Managed Care, where he provided day-to-day management and served as the external liaison for the Medicare and Medicaid managed care programs. During the 1993 debate on national health care reform, John was chief lobbyist on health care financing issues for the National Association of Community Health Centers, an organization of Federally-funded primary care clinics for the medically underserved. Prior to that, he served as Press Secretary and Staff Director for U.S. Representative John Conyers, Jr. (D-MI), then-Chairman of the Government Operations Committee.
  


 
William A. MacBain
 

William A. MacBain, MPS
Senior Vice President, Finance
Gorman Health Group
 

 
  Bill has more than twenty five years of experience in senior management positions at some of the nation’s most progressive health plans.

In his role at Gorman Health Group, Bill’s client engagements include strategic planning, financial planning and feasibility analyses, due diligence reviews, and operational assessments. He provides guidance for health plans in developing and executing sustainably profitable business models, saving valuable resources with his operations experience and knowledge of CMS regulations.

Since the passage of health care reform in 2010, Bill’s work has focused on preparatory work for provider entities considering becoming Accountable Care Organizations (ACOs). This work has included developing business models, risk sharing arrangements, feasibility studies, model contracts and operational studies.

Most of Bill’s prior management experience has been in executive positions in finance and health insurance operations. In addition, Bill has more than ten years of experience in management consulting, where his financial management and analysis, business planning and budgeting, contract negotiations, product design, and government affairs skills have become invaluable to GHG clients.

Prior to joining GHG, Bill served as CFO for a large regional health plan, chief operating officer for one of the largest rural-based health plans in the nation, and held senior finance and operations positions with several start-up health plans. He also contributed to federal and state health insurance policy as a member of two federal Medicare advisory commissions (MedPAC and ProPAC), and as president of the Managed Care Association of Pennsylvania. Bill has also served as a board member of the American Association of Health Plans and the Group Health Association of America, predecessors of today’s AHIP.

Bill has also coauthored and published a series of successful HIPAA privacy rule policy templates. In addition to providing guidance to numerous clients, Bill serves as the Chief Financial Officer of GHG and manages the firm’s finances, IT and human resources.
 

 
 
 
1101 Standiford Ave. Suite C-3 Modesto, CA 95350
Phone 209.577.4888  | e-Mail
infohws@healthwebsummit.com  |  Fax 209.577.3557
copyright , MCOL All rights reserved. Terms of Use apply to this site and participation in events.