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The National Rural Accountable Care Consortium has successfully formed five additional ACO's in 2015 for rural providers following in the steps of the first rural ACO started in 2014. Using the Consortium's unique collaborative model, fifty-two entities, including 28 rural and critical access hospitals, 42 rural health clinics, 12 federally qualified health centers and 9 private physician practices in thirty rural health systems were able to afford and qualify for the Medicare Shared Savings Program. More than 65,000 attributed Medicare beneficiaries from the states of Texas, California, Washington, Iowa, Indiana, Missouri, Oregon, Illinois and Michigan are now benefitting from the program under the care of 1,300 clinicians.

The key economic issues that affect rural providers are that they are low volume with high fixed costs and little or no operating margin and are almost wholly dependent on Federal payments. They constantly struggle to survive, have very limited cash reserves and are totally dependent on Federal payments, which provide no margin for error or “rainy days.” The effect of small cuts to their payments in the past few years has resulted in a record number of closures.

The Medicare Shared Savings Program provides potential opportunities for rural providers to increase volume with local Medicare Beneficiaries, by incentivizing local patients to get care in the community by having Medicare cover residual patient cost-sharing (after supplemental insurance.). As cost-based reimbursed facilities with high fixed costs, increased local volume naturally lowers costs for Medicare while also bringing the patient closer to their medical home. Participation also delivers sought-after CMS claims data for rural providers, and the opportunity to optimally coordinate care in a rural environment where inpatient services are usually less than 30% of a typical rural health system's business.

CMMI is providing grant funding for hundreds of rural communities to join the Medicare Shared Savings Program in 2016, removing the last barrier for rural health systems to get on board. The National Rural Accountable Care Consortium is an affiliation of rural providers who are moving toward new models of care delivery that implement coordinated, patient-centered care to improve the quality of life for their community and reduces avoidable healthcare spending. It provides educational resources and learning networks for existing ACOs and future ACO applicants.

Please join the National Rural Accountable Care Consortium's Lynn Barr on Wednesday, March 11th, 2015 at 1PM Eastern as she discusses the 2014 experience of their initial rural ACO, was well as their approach and initiatives going forward in the Healthcare Web Summit event: Rural Accountable Care Initiatives: The National Rural Accountable Care Consortium Approach.
Learning Objectives
Participants will be able to:
  1. Understand the accountable care initiatives undertaken by the National Rural Accountable Care Consortium.
  2. Explore the 2014 experience from the initial rural MSSP ACO affiliated with the Consortium.
  3. Consider the unique environment and range of issues faced by rural hospitals, physicians and other providers.
  4. Ascertain the potential opportunities that MSSP participation provides rural providers.
  5. Examine the Consortium's approach for care coordination services with the chronically ill.
  6. Appreciate the implications of delivery of CMS claims data to rural providers.
  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

Rural Accountable Care Initiatives: The National Rural Accountable Care Consortium Approach 
  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.
Register Now   Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!
Lynn Barr

Lynn Barr, MPH
Chief Transformation Officer
National Rural ACO Consortium
  An energetic entrepreneur with thirty years of experience in health care, Lynn has shepherded four start ups and twelve medical inventions through research, the FDA and to worldwide markets.

While pursuing her Master’s Degree in Public Health, she led the California Health IT and Exchange Strategic Planning Team under California Health and Human Services, formed the Rural Health Information Technology Consortium and assessed HIT status of California Rural and Critical Access Hospitals. She developed a $20 million rural hospital loan program with United Health Group and led 13 rural hospitals through vendor acquisition to meaningful use.

While acting as the CIO of a critical access hospital, she created the National Rural Accountable Care Organization to overcome barriers for rural providers to participate in innovative payment models under healthcare reform.
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