Understanding MSSP Pathways to Success: Milliman Analysis and Implications

      
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Understanding MSSP Pathways to Success: Milliman Analysis and Implications 
 
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Overview
On August 8, 2018, the Centers for Medicare and Medicaid Services (CMS) released a sweeping proposed regulation that, if enacted, will significantly change the Medicare Shared Savings Program (MSSP). The proposed regulation, titled “Pathways to Success,” accelerates the path for accountable care organizations (ACOs) to participate in shared risk arrangements while simultaneously softening key provisions, allowing lower revenue ACOs to participate with reduced total financial risk. In addition, CMS has proposed numerous methodological and operational changes.

While there are always uncertainties regarding the outcome of any proposed regulation, a deeper understanding of the Pathways to Success program and its implications is essential for stakeholders to best position themselves going forward. This session  provides a summary and analysis of the proposed regulation’s key provisions and discusses how they might impact the MSSP. Time is allotted for attendee questions and answers during the session.

Please join us on Friday, September 21, 2018, at 1 PM Eastern as Milliman's Colleen Norris presents Milliman's analysis of the proposed Pathways to Success program in the HealthcareWebSummit event: Understanding MSSP Pathways to Success: Milliman Analysis and Implications.
Learning Objectives

After attending this webinar, attendees will be able to:

  1. Identify various elements of the new BASIC and ENHANCED tracks.
  2. Examine how CMS calculates the revenue versus the benchmark-based cap.
  3. Evaluate the criteria determining at what level ACOs would enter the BASIC track "glide path."
  4. Consider changes to the benchmark calculation, including regional adjustment, risk adjustment, trend, agreement periods and rebasing.
  5. Understand key changes to other program features.
  6. Explore Implications of the proposed regulation for the Medicare Shared Savings Program and its stakeholders.
  7. 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
  • ACO Operations Executives and Staff
  • Provider Network Executives and Staff
  • Medical Directors
  • Finance Executives and Staff
  • Analytics Executives and Staff
  • Managed Care Executives and Staff
  • Revenue Cycle Executives and Staff
  • Planning and Strategic Executives and Staff
  • Legal, Regulatory and Policy Executives and Staff
  • Business Intelligence Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • ACOs
  • Provider Networks
  • Medical Groups
  • Hospitals and Health Systems
  • Health Plans
  • Government Agencies
  • Life Sciences Organizations
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Organizations
Registration
  Individual Registration Fee: $195. Post-event materials, with video of slides synchronized with speaker audio, plus presentation pdf file: $45 for attendees; $260 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
 
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).

 
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