Accountable Care Organization Congress



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National Accountable Care Organization Congress
Agenda: Preconference
Tuesday, November 1, 2011

7:00 am Registration
8:00 am to
12:00 pm
Preconference Sessions
(Registration Optional; Choose one)

PRECON I: CMS ACO Regulations Part 2 - A Deep Dive into the Revised Regulations
Sponsored by the California Association of Physician Groups

After it has reviewed the 1,200 responses to the proposed Medicare Shared Savings Program (MSSP) rule, CMS will publish the long-awaited revised regulations that govern the program. These new regulations, coupled with policy guidance concerning anti-trust and Medicare fraud and abuse, create a complex set of interrelated policies that will implement the ACO concept in Medicare. This session will dive into the new rules, addressing differences between the proposed and final rules, key remaining issues, and what these both imply for the success of the MSSP and ACO sponsors.

Bruce Merlin Fried, Esq.
Partner, Health Care Group, SNR Denton US LLP, Washington, DC

Laura Jacobs
Executive Vice President, The Camden Group, El Segundo, CA
Presentation Material (Acrobat)

Mara B. McDermott, Esq.
Associate, Akin Gump Strauss Hauer & Feld LLP, Washington, DC
Presentation Material (Acrobat)

Keith Wilson, MD, FACOG
Regional Medical Director, Region 6 - Talbert Medical Group, HealthCare Partners Medical Group, Former President and Chief Executive Officer, Talbert Medical Group, Chair, California Association of Physician Groups, Costa Mesa, CA (Moderator)
PRECON II: ACO Value-Based Risk Contracting and More for Self-Funded Health Plans...Getting from Fee for Service to Fee for Value ASAP
Sponsored by Aon Hewitt & Polakoff Boland

The results from the recent Aon Hewitt Polakoff Boland 2011 National Employer ACO Survey show employers are embracing the movement from fee for service to fee for value as the preferred means to reimburse for health care services. This session is designed to give self-funded employers as well as providers and payers a better understanding of how to become more aggressive in the marketplace, demand performance guarantees on premium stability and quality improvement, explore the feasibility of contracting directly with providers for medical care, and develop a collaborative approach.

Welcome and Introductions

Paul Klein
principal in the Health & Benefits Practice, Aon Hewitt, San Francisco, CA

Phil Polakoff, MD, MPH, MEnvSc
Managing Partner, Polakoff Boland, Berkeley, CA

Employers Perspective on Accountable Care Organizations et.al...What's on the Horizon

Phil Polakoff, MD
Managing Partner, Polakoff Boland, Berkeley, CA
Presentation Material (Acrobat)

Getting from Fee for Service to Fee for Value: Value Based Risk Contracting & Other Strategies

Peter Boland, PhD
Managing Partner, Polakoff Boland, Berkeley, CA
Presentation Material (Acrobat)

Integrated Health Care Networks

Michael Cryer, MD
Senior Vice President/Medical Director, Aon Hewitt, Chicago, IL
Presentation Material (Acrobat)

In Real Time...Making It Happen: Employer Case Studies - 3 cases

Lisa Ghotbi
Chief Operating Officer, Health Service System, City & County of San Francisco, San Francisco, CA

Anne Wallace, MD
Associate Professor of Clinical Surgery, University of California, San Diego Medical Center, San Diego, CA

Paul Klein
Senior Consultant, Aon Hewitt, San Francisco, CA, (Moderator)

A Collaborative Approach...Payer Provider Response

Brad Buxton
Former Senior Vice President, Blue Cross Blue Shield of Illinois, Chicago, IL
Presentation Material (Acrobat)

Chris McGlone
Chief Operating Officer, Sharp Community Medical Group, San Diego, CA
Presentation Material (Acrobat)

Peggy L. Naas MD, MBA
Vice President, Physician Strategies, VHA Inc., Irving, TX
Presentation Material (Acrobat)

Phil Polakoff, MD
Managing Partner, Polakoff Boland, Berkeley, CA (Moderator)

Open Discussion..All Hands on Deck

Concluding Remarks

Phil Polakoff, MD
Managing Partner, Polakoff Boland, Berkeley, CA
PRECON III: ACO Coordinated Care in Action: Practical Examples to Learn From
Sponsored by the California Association of Physician Groups

For over 30 years, medical groups and IPAs in California have successfully practiced coordinated care under a robust delegated HMO model. These organizations believe that their experiences with coordinating care and managing risk give them an edge in transitioning to ACOs. Four organizations will share details from their own programs on quality improvement, care management, and efficiency enhancement, all of which have helped them succeed in delivering high-quality care. Their lessons are readily adaptable to providers looking to deliver accountable care in any part of the country.

ACO Coordinated Care in Action: Practical Examples from California

Wells Shoemaker, MD
Medical Director, California Association of Physician Groups, Los Angeles, CA (Moderator)

Clinical Variation Reduction: Engaging Physicians to Improve Value

Lawrence Shapiro, MD
Foundation Managed Care Medical Director, Palo Alto Medical Foundation, Mountain View, CA
Presentation Material (Acrobat)

Expanding Care Management Through a Palliative Care Partnership

Brian Michaelson
Administrator, Family Hospice Care, Heritage Provider Network, Inc.
Presentation Material (Acrobat)

Listening to the Senior Voice: A Seasoned Ear to Accountable Care

Susan Arbour
Senior Vice President, Senior Healthcare Connections LLC

Gayle Koch
Senior Advisory Board Member (2011)

Marc Moser
Chief Executive Officer and Chief Financial Officer, THIPA

Jim Slay
President of Senior Healthcare Connections LLC
Presentation Material (Acrobat)

C.A.R.E. Initiative: "Carefully and Appropriately Redirected Encounter"

Eugene Kim, MD
Cedars-Sinai Medical Group
Presentation Material (Acrobat)

Cynthia Litt
Executive Director, Cedars-Sinai Medical Care Foundation


Agenda: Day I
Tuesday, November 1, 2011
OPENING PLENARY SESSION: MEDICARE/GOVERNMENT PROGRAMS
1:00 pm

Welcome and Introductions

Tom Williams, Dr PH, MBA
Executive Director, Integrated Healthcare Association, Oakland, CA
1:15 pm

How Payment Reforms Can Help Achieve a High Performance Health System

Karen Davis, PhD
President, The Commonwealth Fund, New York, NY
Presentation Material (Acrobat)
1:45 pm

Medicare Shared Savings Program and Accountable Care Organizations

Jonathan Blum
Director, Center for Medicare Management, Centers for Medicare and Medicaid Services, Baltimore, MD
Presentation Material (Acrobat)
2:15 pm

Pioneer ACO Demonstration

Mai Pham, MD
Director, Innovations Center, Centers for Medicare and Medicaid Services, Washington, DC
2:45 pm

CMS/CMMI Panel Discussion and Q&A

Jonathan Blum
Director, Center for Medicare Management, Centers for Medicare and Medicaid Services, Baltimore, MD
Mai Pham, MD
Director, Innovations Center, Centers for Medicare and Medicaid Services, Washington, DC
Tom Williams, Dr PH, MBA
Executive Director, Integrated Healthcare Association, Oakland, CA (Moderator)
3:15 pm Break
3:45 pm

Organizing for Risk

Jeff Goldsmith, PhD
President, Health Futures, Inc.; Associate Professor of Public Health Sciences, University of Virginia, Charlottesville, VA
4:15 pm Keynote Panel: Report from Leading Pioneer ACO and Physician Group Practice Demo Organizations

In May 2011, the Center for Medicare and Medicaid Innovation (CMMI) announced the Pioneer ACO program, designed for more sophisticated organizations that already have experience with coordinated care and population management. These ACOs will advance rapidly from shared savings to population-based payment models, and will also be required to enter into population-based payment contracts with private payers. In this session, we will hear from leading provider organizations that have applied for Pioneer ACO status on their decision to enter the program, the challenges they have faced, and the opportunities presented by the prospect of rapid advancement to new payment models and alignment between CMS and private payers.
Kevin F. Brennan, CPA, FHFMA
Executive Vice President for Finance and Chief Financial Officer, Geisinger Health System, Danville, PA
Jay J. Cohen, MD, MBA
President and Chairman, Monarch HealthCare, Irvine, CA
Robert J. Margolis, MD
Managing Partner and CEO, HealthCare Partners, Torrance, CA
Donald H. Crane
President and Chief Executive Officer, California Association of Physician Groups, Los Angeles, CA (Moderator)
5:30 pm Adjournment and Opening Networking Reception




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