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Impact of the New CMS ACO Model: Next Generation ACO Implications 
 
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Overview
The CMS Innovation Center has announced a new ACO model: the Next Generation Accountable Care Organization (ACO) Model of payment and care delivery, which they state "offers a new opportunity in accountable care—one that sets predictable financial targets, enables providers and beneficiaries greater opportunities to coordinate care, and aims to attain the highest quality standards of care."

The ACOs in the Next Generation ACO Model will take on greater performance risk than ACOs in current models, while also potentially sharing in a greater portion of savings. To support increased risk sharing, ACOs will have a stable, predictable benchmark and flexible payment options that support ACO investments in care improvement infrastructure that provides high quality care to patients.

CMS will accept ACOs into the Next Generation ACO Model through two rounds of applications in 2015 and 2016, with participation expected to last up to five years. Organizations interested in applying in 2015 must submit a Letter of Intent by May 1, 2015, and an application by June 1, 2015. Second round Letters of Intent and applications will be available in Spring 2016.

Beyond the specifics of the provisions that participating ACOs under the model will be subject to, there are further-reaching implications for all ACO stakeholders with respect to the impact the new model will have on the Medicare ACO program as a whole, and the entire accountable care movement.

Mark E. Lutes, Chair of Epstein Becker Green and the Chair of the firm's Board of Directors, and Doctor Vicky Parikh, an ACO thought leader involved with the development of five MSSP ACOs in the Mid-Atlantic region, will share their perspectives and address the provisions, impact and implications of the new model. Please join Mark Lutes and Dr. Vicky Parikh on Wednesday, April 22nd, 2015 at 1PM Eastern in this Healthcare Web Summit event as they discuss Impact of the New CMS ACO Model: Next Generation ACO Implications.
 
Learning Objectives
Participants will be able to:
  1. Understand the provisions of the CMS Next Generation ACO model
  2. Ascertain the process and timeframes involved with for CMS Next Generation ACO model participants
  3. Identify the operational requirements, challenges and issues for participating ACOs
  4. Examine the differences between the CMS Next Generation ACO model and the MSSP and Pioneer models
  5. Consider the implications of the CMS Next Generation ACO model provisions with various stakeholders
  6. Explore the potential impact of the new model on future MSSP and commercial ACO arrangements
  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 a dedicated LinkedIn group.
Who Should Attend
Interested attendees would include:
  • C-Suite Executives
  • Accountable Care Directors and Staff
  • Medical Directors
  • Strategy and Planning Executives and Staff
  • Legal, Regulatory and Policy Executives and Staff
  • Health Reform, Transformation and Clinical Integration Executives and Staff
  • Business Intelligence and Research Analysts
  • 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
  • Clinical Executives
  • Care Management Executives

Attendees would represent organizations including:

  • Accountable Care Organizations
  • Hospitals and Health Systems
  • Provider Networks
  • Medical Groups 
  • Health Plans 
  • Government Agencies
  • Employers
  • Business Process Organizations 
  • Solutions Providers 
  • Care Management Organizations
  • Associations, Institutes and Research Organizations 
  • Pharmaceutical Organizations
  • Media
  • Other Interested Parties


Registration
Impact of the New CMS ACO Model: Next Generation ACO Implications 
 
  Individual Registration Fee: $195. Post-event materials, with video syncing slides and recorded audio, plus presentation pdf file: $45 for attendees; $260 for non-attendees after the event. Register online or download the event brochure. Attendees also receive a complimentary three month subscription to Accountable Care News.
 
 
 
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Faculty
Mark E. Lutes

Mark E. Lutes
Chair, Board of Directors; Member of the Firm
EpsteinBeckerGreen
  Mark E. Lutes is a Member of the Firm in the Health Care and Life Sciences practice of Epstein Becker Green and the Chair of the firm's Board of Directors. Based in Washington, DC, he has practiced with the firm for nearly three decades. Prior to that, he was a legislative adviser to the Federal Trade Commission. He also offers strategic counsel in health policy and on reimbursement strategy through the firm's affiliates EBG Advisors, Inc., and National Health Advisors, LLC.

Mr. Lutes is a leader in the firm's representation of private equity and financial services firms with health care companies in their portfolios. He routinely deploys multidisciplinary teams of attorneys, reimbursement specialists, engineers, and scientists to assess the reimbursement, FDA and other domestic and international regulatory approvals, fraud and abuse compliance, CMS and legislative landscapes and other issues impacting proposed client investments in health care companies. Mr. Lutes combines experience with the corporate aspects of transactions with his deep experience in health care compliance issues to provide clients with practical advice in the negotiation of warranty and indemnification issues and in assessing risk factors in health and life science deals. He has advised on the largest transactions in the health care market including services, pharmaceutical and device companies.

Mr. Lutes is also an experienced antitrust counselor to health care companies contemplating mergers or acquisitions and has facilitated the antitrust clearance of numerous significant hospital mergers. He has managed the defense of high profile healthcare antitrust actions by the FTC.

Mr. Lutes has a deep understanding of managed care markets and regulation. He is consulted by a variety of providers and payors in structuring innovative payment arrangements. Additionally, he counsels on hospital and physician ventures and compliance issues and in the area of information privacy and security. Mr. Lutes has developed privacy and security audit tools which support client compliance needs.

He has been selected for inclusion in Washington, DC Super Lawyers (2007 to 2010, 2013, 2014) and honored by Nightingales as a leading health care antitrust lawyer. He is ranked among the "Leaders in Their Field" by Chambers USA (2010 to 2014).

Mr. Lutes is active in his parish and serves as Chair of the Advisory Board of the Spanish Catholic Center, a social and health services nonprofit. He also serves on the President's Council of Catholic Charities, Archdiocese of Washington, DC, which honored him with The Caritas Award, its highest recognition of volunteers. Mr. Lutes also has over a decade of service in leadership in the Boy Scouts of America organization.

Vicky Parikh, MD, MPH

Vicky Parikh, MD, MPH
Executive Director, Reliance Health
Executive Director, Mid-Atlantic Medical Research Centers
  Vicky Parikh is an experienced Public Health Administration physician with experience in managed care, grant administration, physician relations, and network development utilizing strong IT understanding and application of predictive analytics for the advancement of innovative access for patients of diverse populations. He led Successful formation of 5 Centers for Medicare and Medicaid Services (CMS) approved Accountable Care Organizations in Maryland, Virginia and the DC region.

As Executive Director of Reliance Health, LLC since 2012, Dr. Parikh has Supported Reliance start-up business plan development and execution of growth initiatives. He has lead teams and resources for care management planning and implementation and transition of care and utilization management, and managed a multi-million dollar budget. During his tenure to date he has led application, approval, formation, and implementation of 5 Accountable Care Organizations (ACO) in 12 counties in Maryland, 4 counties in Virginia and District of Columbia, improving patient experience of care, health of populations, and reducing per capita cost of healthcare. He formed a strategic alliance with a national company, coordinating care for over 60k Medicare beneficiaries.

As Executive Director for Mid-Atlantic Medical Research Centers (MAMRC) since 2009, Dr. Parikh has led and directed multi-therapeutic area clinical research operations including fiscal management, study and site operations, Program Development, Regulatory, and Patient Recruitment. He has Developed strategies, plans and managed clinical studies; managed daily and proposed activities of the Research Department; and ensured compliance with local and federal regulations.

Dr. Parikh is also an Associate Director with the Shah Associates Medical Group since 2010, where he has designed programs for education and engagement of physicians in-group regarding Patient Centered Medical Home (PCMH) and Maryland Multi Payer Program (MMPP), repositioning practice as leading manager in population health, improving clinical outcomes. Created awareness and set up 21-member Community Relations council, identifying gaps in care, care issues, and reviewed performance indicators, clinical pathways and evidence-based medicine protocols. He has Worked with physicians regarding EHR meaningful use stage 1 and 2, and NCQA level 2 and 3 certification.
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