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Pioneer ACOs: Quantifying Risks and Identifying Opportunities 
Last year, CMS unveiled the Pioneer ACO program to spur growth of accountable care organizations prior to the full implementation of the Medicare Shared Savings program. The Pioneer ACO model is a good fit for hospitals or large medical practices with a demonstrated history of care coordination and quality improvement. These organizations are pioneers in the sense that they have already embarked on organized care practices and have some of the needed infrastructure in place and are therefore leading the way for others. As such, it is expected that Pioneer ACOs will be able to demonstrate methods for achieving both cost savings and care improvement in the Medicare fee-for-service (FFS) population.

Participants in this program will have the potential to be financially rewarded for per-patient savings, but they are also at risk for a loss should patients cost more than expected in aggregate. This session discusses the elements of risk associated with Pioneer ACOs as well as potential strategies for controlling costs and identifying opportunities for savings. Organizations not participating in the Pioneer ACO program but either wishing to monitor Pioneer ACO issues and activities, or wishing to adapt applicable risk and cost control strategies discussed to other populations, can also benefit from this session.

Please join Milliman's Jill Van Den Bos as she addresses the elements of the Pioneer ACO model, the components of financial risk and cost drivers involved, and strategies to identify interventions and opportunities.
Learning Objectives
Participants will be able to:
  1. Understand the provisions and five year schedule of the Pioneer ACO model, including the core reimbursement arrangement as well as Options A and B.
  2. Identify four significant types of financial risk that require management under the arrangement, and cost drivers that impact the variability of these risks.
  3. Ascertain how knowledge of cost drivers can expand opportunities to manage patient care, improve outcomes and reduce costs.
  4. Examine components of analysis that can be utilized to identify patients that may benefit from intervention
  5. 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 a dedicated LinkedIn group.
Who Should Attend
Interested attendees would include:
  • C-Suite Executives
  • Medical Directors
  • Medicare Operations Executives
  • Provider Contracting Executives and Staff
  • Provider Network Executives and Staff
  • Revenue Cycle Executives
  • Strategy and Planning Executives and Staff
  • Business Intelligence Executives and Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Health Plans
  • Provider Networks
  • Hospital Systems
  • Accountable Care Organizations
  • Care Management Organizations
  • Government Agencies
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Parties
Pioneer ACOs: Quantifying Risks and Identifying Opportunities 
  Individual Registration Fee: $195. Audio Conference CD-ROM: $40 for attendees; $285 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!

Jill Van Den Bos
Jill Van Den Bos
  Jill is a consultant with the Health practice in the Denver office of Milliman. She joined the firm in 1992. Jill has experience in healthcare claim cost evaluation, rate filing, pricing, and modeling. She has advised health plans, single- and multispecialty physician groups, hospitals, employers, and long- term care insurance companies.

More recently, Jill has focused in bringing an actuarial perspective to the field of pharmacoeconomics. Her interests in this area include budget impact modeling, benefit design, and collaborative research with other disciplines. She has participated in special-interest groups focused on bringing together producers and users of pharmacoeconomic research and spoken and written on the subject a number of times in recent years.

Jill's work in long-term care includes pricing, product development, valuations of blocks of business, filing, and large group offerings. She recently co-authored the book True Group Long-Term Care. In this book, she emphasizes methods by which employers can offer long-term care coverage in an effective and efficient fashion, using principles similar to other true group benefits such as pension. Prior to joining Milliman, Jill was part of a research team at the Institute for Behavioral Science at the University of Colorado at Boulder.

Jill is a Member, International Society for Pharmacoeconomics and Outcomes Research, and a Member, Phi Beta Kappa. She received her BA (cum laude), Psychology with honors, from Davidson College, and her MA, Experimental Social Psychology, from University of California at Los Angeles
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