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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. |
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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
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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 |
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Faculty:
John
Gorman
Chief Executive Officer
Gorman Health Group |
Faculty:
William A. MacBain, MPS
Senior Vice President, Finance
Gorman Health Group |
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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.
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Key questions addressed in the
discussion will include:
- What is an ACO?
- How do you know if an ACO is right for
you?
- What are the latest marketplace and
cost considerations?
- What are the specific implications of the Medicare Shared Savings
Program?
- What does CMS tell us about their
future? What does the recent CMS proposed regulation tell us?
- 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.
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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
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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!
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John
Gorman
Chief
Executive Officer
Gorman Health Group
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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.
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William A.
MacBain, MPS
Senior Vice President, Finance
Gorman Health Group
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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.
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