ASN and Accountable Care Organizations. L. Lee Hamm, MD Chair Accountable Care Organization Task Force American Society of Nephrology December 2011
|
|
|
- Kerrie Hill
- 8 years ago
- Views:
Transcription
1 ASN and Accountable Care Organizations L. Lee Hamm, MD Chair Accountable Care Organization Task Force American Society of Nephrology December 2011
2 ASN and Accountable Care Organizations (ACOs) November 2010: Responded to CMS Request for Information regarding the Medicare Shared Savings Program March 2011: Established ASN ACO Task Force June 2011: Commented on ACO Proposed Rule Provided ASN member education on rule November 2011: Initiated review of ACO Final Rule Provided ASN member education on rule Developing more detailed ACO-related resources for members and PCPs January 2012: Meeting with CMS to discuss kidney disease patients and ACO program (planned)
3 ASN ACO Task Force Roster Jeffrey Berns, MD University of Pennsylvania Thomas DuBose, MD, FASN Wake Forest Baptist University Medical Center Andrew Fenves, MD, FASN Dallas Nephrology Associates, Baylor University Medical Center Lee Hamm, MD (Chair) Tulane University School of Medicine Uptal Patel, MD Duke University Emily Robinson, MD Brigham and Women s Hospital Dan Weiner, MD Tufts Medical Center Amy Williams, MD Mayo Clinic Jonathan Himmelfarb, MD, FASN (Ad Hoc) University of Washington School of Medicine Tom Hostetter, MD(Ad Hoc) Case Western Reserve Rachel Shaffer ASN staff
4 ASN ACO Task Force Charge Reviewing current concepts, trends, knowledge from the developing literature and discussion related to the potential definition, structure, and operation of ACOs. Identifying possible roles and opportunities for nephrologists, nephrology practices, academic and other medical centers, dialysis providers, and other organizations in ACOs (both as the center of an ACO and through other forms of participation). Responding to requests for comment about ACOs from the Centers for Medicare and Medicaid Services (CMS) other federal agencies, and other organizations that may request information from the ASN. Helping the ASN educate its membership about ACOs and the potential impact of the ACO concept on nephrology practice and kidney disease care.
5 ASN Analysis of Proposed Rule Applaud the concept of accountable care Believe patients with kidney disease and other complex chronic conditions stand to benefit from care delivery reforms See particular potential for better coordinated care to improve quality for CKD patients as they progress to ESRD or transplant Hold that ACOs must allow for patient-centered, individualized care and for preservation of the patient-physician relationship Have concerns that ACOs, as described in the proposed rule, are not well positioned to appropriately care for patients receiving dialysis or patients with a recent kidney transplant
6 ASN Analysis of Proposed Rule Several key ACO care processes are already routinely undertaken in dialysis units Numerous quality measures are recommended for the general population are not appropriate for dialysis or recent transplant patients (cancer screenings, for example) Many EBM guidelines appropriate for the general population are not appropriate for patients with kidney disease Does ACO structure preserve patient-nephrologist-nephrology multidisciplinary care team relationship? Would ACO structure facilitate optimal transplant care?
7 ASN Analysis of Proposed Rule Conclusions: Dialysis patients and recent transplant recipients should not be attributed to ACOs. CKD, ESRD, and transplant patients have complex care needs that are divergent from those of the general patient population (and from each other), and require different, individualized care plans and ready access to specialist care. ESRD and recent transplant patients have especially complex needs ASN welcomes the opportunity to work with CMS to define: Best care processes for CKD patients within the context of an ACO Additional screening for kidney disease in high risk populations Criteria for determining what constitutes a recent transplant recipient versus a recipient who has been living stably and could potentially benefit from attribution to an ACO
8 ASN Analysis of Final Rule Significant changes to financial risks, timeline, and participatory requirements Emphasized that specialty-specific ACOs are not permitted. Few, if any of these changes, address our primary concerns Virtually all of the potential pros and cons for kidney patients articulated in ASN s comment letter on the proposed rule still stand.
9 ASN Next Steps Convening in-person meeting with CMS CMO Patrick Conway, MD to discuss outstanding concerns. What should nephrologists whose patients are prospectively attributed to an ACO do? How does CMS envision ACOs should handle quality metrics that are contraindicated for specialty patients? Authoring a series in ASN Kidney News about the implications of the final rule for nephrology Developing online resources, including FAQs for nephrology professionals Developing a suite of best practices resources on CKD care coordination for the PCP community who will for the basis of ACOs Working with other subspecialty organizations (such as ACC, ASCO, and ACR) to understand their positions on ACOs
10 ASN Next Steps Consider other new care delivery model types besides ACOs as defined in the final rule; identify potential opportunities and challenges What are other members of the nephrology community thinking, hearing, and planning regarding ACOs or other new care delivery models? Where do our goals align? How can we collaborate to ensure the highest quality of care for patients with kidney disease in a changing healthcare environment?
Medicare Shared Savings Program (ASN) and the kidney Disease Prevention Project
December 3, 2010 Donald Berwick, MD Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building 200 Independence Avenue, SW
September 6, 2013. Dear Administrator Tavenner:
September 6, 2013 Marilyn Tavenner Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, DC
The Pediatric ACO: When Things Go Bump in the Night
The Pediatric ACO: When Things Go Bump in the Night Angelo P. Giardino, MD, PhD Chief Medical Officer Texas Children s Health Plan, Houston Chief Quality Officer for Medicine Texas Children s Hospital
Accountable Care Organizations: An old idea with new potential. Stephen E. Whitney, MD, MBA Testimony to Senate State Affairs September 22, 2010
Accountable Care Organizations: An old idea with new potential Stephen E. Whitney, MD, MBA Testimony to Senate State Affairs September 22, 2010 Impetus for ACO Formation Increased health care cost From
FAQ. The Kidney Project
The Kidney Project FAQ Frequently asked questions sourced from and designed for patients living with end stage renal disease (ESRD) answered by Dr. Shuvo Roy and Dr. William Fissell. kidney.ucsf.edu kidneyproject@ucsf.edu
Atrius Health Pioneer ACO: First Year Accomplishments, Results and Insights
Atrius Health Pioneer ACO: First Year Accomplishments, Results and Insights Emily Brower Executive Director Accountable Care Programs Emily_Brower@AtriusHealth.org November 2013 1 Contents Overview of
Kidney Interagency Coordinating Committee (KICC) Meeting March 2, 2012, Natcher Conference Center. Meeting Participants and Summary
National Kidney Disease Education Program (NKDEP) Kidney Disease (NIDDK), National Institute of Health (NIH) Kidney Interagency Coordinating Committee (KICC) Meeting March 2, 2012, Natcher Conference Center
Re: CMS Notice of Proposed Rulemaking for Accountable Care Organizations
Donald Berwick, MD, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1345-P Submitted electronically Re: CMS Notice of Proposed Rulemaking for
MERCY-CR/UI HEALTH CARE ACCOUNTABLE CARE ORGANIZATION Dan Fick, M.D. Timothy Quinn, M.D.
MERCY-CR/UI HEALTH CARE ACCOUNTABLE CARE ORGANIZATION Dan Fick, M.D. Timothy Quinn, M.D. November, 2012 Accountable Care Organization An ACO is a group of health care providers who agree to take on a shared
Dual RFI Response Summary
Dual RFI Response Summary Improving Care through Integrated Medicare and Medi- Cal Delivery Models Stuart Levine, MD., MHA. Keith Wilson, MD Robert Margolis, MD. Stakeholder Meeting August 30, 2011 1 Organization
End Stage Renal Disease (ESRD)
End Stage Renal Disease (ESRD) AN OVERVIEW OF ESRD, TREATMENT COSTS & COVERAGE WSHIP Board Meeting January 14, 2015 Lisa Matthews and Sharon Becker 1 Kidney Disease Facts & Figures 1 in 10 people have
Kim Olmedo, LCSW, CCM CSW-G Social Work Manager, Silverback Care Management
Kim Olmedo, LCSW, CCM CSW-G Social Work Manager, Silverback Care Management According to AARP, about 8000 people turn 65 every day The Medicare Trustees have estimated that Medicare will run out of money
Benefit Design and ACOs: How Will Private Employers and Health Plans Proceed?
Benefit Design and ACOs: How Will Private Employers and Health Plans Proceed? Accountable Care Organizations: Implications for Consumers October 14, 2010 Washington, DC Sam Nussbaum, M.D. Executive Vice
New York Presbyterian Innovations in Health Care Reform at Academic Medical Centers
New York Presbyterian Innovations in Health Care Reform at Academic Medical Centers October 28, 2011 Timothy G Ferris, MD, MPH Mass General Physicians Organization, Medical Director Associate Professor,
Nuts and Bolts of. Frank G. Opelka, MD FACS American College of Surgeons. Vice Chancellor for Clinical Affairs Professor of Surgery LSU New Orleans
Nuts and Bolts of Accountable Care Organizations Frank G. Opelka, MD FACS American College of Surgeons ACS Advocacy & Health Policy, Vice Chancellor for Clinical Affairs Professor of Surgery LSU New Orleans
Pushing the Boundaries of Population Health Management: How University Hospitals Launched Three ACOs July 26, 2013 American Hospital Association
Pushing the Boundaries of Population Health Management: How University Hospitals Launched Three ACOs July 26, 2013 American Hospital Association Eric J. Bieber, M.D. Chief Medical Officer, University Hospitals
CODING: A Paradigm Shift
www.uihealthalliance.com UIHA PROVIDER NEWS 4TH QUARTER 2015 CODING: A Paradigm Shift The Medicare Shared Savings Program (MSSP) for the University of Iowa Health Alliance Accountable Care Organization
Re: Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations (CMS-1345-P)
Donald M. Berwick, MD Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-1503-FC Mail Stop C4-26-05 7500 Security Boulevard Baltimore, MD 21244-1850
RE: CMS 1461-P; Medicare Shared Savings Program: Accountable Care Organizations Dear Administrator Tavenner:
February 6, 2015 Marilyn Tavenner Administrator Centers for Medicare and Medicaid Services 7500 Security Boulevard Baltimore MD, 21244 RE: CMS 1461-P; Medicare Shared Savings Program: Accountable Care
ESCO- Information Technology Requirements With An Example of Solutions
ESCO- Information Technology Requirements With An Example of Solutions Pramen Applasamy DCI Application Manager Doug Johnson, MD DCI Vice Chairman of the Board July 15, 2014 15-WEEK WEBINAR SERIES EVERY
ACOs & ESCOs. Interdisciplinary Nephrology Conference. October 25, 2013
ACOs & ESCOs National Kidney Foundation of Illinois Interdisciplinary Nephrology Conference October 25, 2013 About Me Dan Viaches VP Corp. Development - DaVita 6 Years with DaVita - 5 Years center operations
Hitting a Home Run: The Patient Centered Medical Home and Home Care
Hitting a Home Run: The Patient Centered Medical Home and Home Care This paper has been prepared by the Home Care Alliance of Massachusetts to support home health agencies seeking to align with community
Rising Costs of Health Care
Rising Costs of Health Care Testimony before United States Senate Finance Committee Field Hearing Missoula, Montana October 21, 2008 Fred Olson, MD Chief Medical Officer, Blue Cross and Blue Shield of
Broad Issues in Quality Measurement: the CMS perspective
Broad Issues in Quality Measurement: the CMS perspective Shari M. Ling, MD Deputy Chief Medical Officer Centers for Medicare & Medicaid Services Workshop on Quality Measurement Developing Evidence-Based
Compensation Techniques Used to Improve Provider Performance and Organizational Alignment. Tuesday, March 24, 2015 9:00 a.m. 3:00 p.m.
Compensation Techniques Used to Improve Provider Performance and Organizational Alignment Tuesday, March 24, 2015 9:00 a.m. 3:00 p.m. 1 Agenda Time Topic Speaker 9:00 to 9:10 Welcome and Introductions
February 10, 2015. The Honorable Fred Upton Chairman Committee on Energy and Commerce 2125 Rayburn House Office Building Washington, D.C.
February 10, 2015 The Honorable Fred Upton Chairman Committee on Energy and Commerce 2125 Rayburn House Office Building Washington, D.C. 20515 The Honorable Diana DeGette Committee on Energy and Commerce
ACOs: Six Things Specialty Practices Should Know
ACOs: Six Things Specialty Practices Should Know =TOS Newsletter, July/August 2014= Authors: John P. Schmitt, Ph.D. and J. Garrett Schmitt, MBA, PCMH CCE INTRODUCTION Do you remember the analogy of four
ASQ s Healthcare Update: published in collaboration with the ASQ Healthcare Division
Guest Essays Opportunities for Quality Professionals in the Accountable Care World by Donald E. Lighter, M.D., corporate medical director for healthcare quality and safety, Shriners Hospitals for Children
Ground Zero: 1997
Nephrology Workforce: Challenges for the Future Jay Wish, MD The Renal Network Annual Conference March 11, 2009 Ground Zero: 1997 Scenario #6 Annual ESRD prevalence growth 5% Annual CKD prevalence growth
The Organization and Performance of Accountable Care Organizations: Early Evidence Thomas D Aunno, Ph.D. Columbia University
The Organization and Performance of Accountable Care Organizations: Early Evidence Thomas D Aunno, Ph.D. Columbia University Innovation in Health Care Delivery Systems McCombs Healthcare Initiative University
Dialysis Patients' Bill of Rights and Responsibilities
Dialysis Patients' Bill of Rights and Responsibilities PATIENTS Rights Quality Care Information Individual Treatment Privacy and Confidentiality Services Without Discrimination Treatment Options Kidney
Medicare Advantage - Stride Quality Program 2015. NH Medical Director Meeting March 2015
Medicare Advantage - Stride Quality Program 2015 NH Medical Director Meeting March 2015 Medicare Membership New Hampshire has 1000 Medicare Advantage Stride members Counties currently in contracts include
HEALTH POLICY STATEMENT
Page 1 HEALTH POLICY STATEMENT PREAMBLE The American Nephrology Nurses Association (ANNA) is a national organization of registered nurses practicing in nephrology, which includes but is not limited to
Accountable Care Organizations
Accountable Care Organizations Myth, Reality, Facts Why =System Failure Low Quality - IOM report High Cost Quality Cost disconnect Low Value Problems Disconnect between Quality and Cost Care is fragmented
CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS
CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS American Urological Association Quality Improvement Summit
Building an Accountable Care Organization. Jean Malouin, MD MPH University of Michigan Health System September 21, 2012
Building an Accountable Care Organization Jean Malouin, MD MPH University of Michigan Health System September 21, 2012 Agenda UMHS overview PGP demo ACO precursor Current efforts underway Role of primary
MAKING THE TRANSITION TO POPULATION HEALTH MANAGEMENT
MAKING THE TRANSITION TO POPULATION HEALTH MANAGEMENT H O W T O E F F E C T I V E L Y N E G O T I A T E V A L U E - B A S E D C O N T R A C T S I N T H E N E W R E T A I L M A R K E T P I O N E E R I N
Medicare Advantage Plans: An Overview
Medicare Advantage Plans: An Overview June 2014 Prepared by: Penny Finch, Benefits Consultant Copyright 2014 by The Segal Group, Inc. All rights reserved. 5432273.1 CONTENTS Medicare 101 Understanding
Continuity of Care Guide for Ambulatory Medical Practices
Continuity of Care Guide for Ambulatory Medical Practices www.himss.org t ra n sf o r m i ng he a lth c a re th rou g h IT TM Table of Contents Introduction 3 Roles and Responsibilities 4 List of work/responsibilities
Accountable Care Organizations (ACOs): Potential to Foster Quality While Reducing Costs
Accountable Care Organizations (ACOs): Potential to Foster Quality While Reducing Costs Debra Ness Co-Chair, Consumer-Purchaser Disclosure Project President, National Partnership for Women & Families David
Federal Health Care Reform: Implications for Hospital and Physician partnerships. Walter Kopp Medical Management Services
Federal Health Care Reform: Implications for Hospital and Physician partnerships Walter Kopp Medical Management Services Outline Overview of federal health reform legislation Implications for Care delivery
Evidence of Coverage
January 1 December 31, 2014 Evidence of Coverage Your Medicare Health Benefits and Services as a Member of Kaiser Permanente Medicare Plus (Cost) This booklet gives you the details about your Medicare
INTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS. Karen Unholz, RN, BSN
INTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS Karen Unholz, RN, BSN Origins of the Accountable Care Organization ACOs originated from the Patient Protection and Affordable Care Act (Healthcare Reform)
Accountable Care Organizations. Rick Shinto, MD Aveta Health Inc. July 20, 2010
Accountable Care Organizations Rick Shinto, MD Aveta Health Inc. July 20, 2010 1 Health Care Reform- New Models of Care Patient Protection and Affordable care Act (PPACA 2010) controlling costs and improving
Medicare Value Partners
Medicare Value Partners Medicare Shared Savings ACO Program Frequently Asked Questions (FAQ) Q: What exactly is a Medicare Shared Savings Program ACO? A: Medicare Shared Savings Program accountable care
Value-Based Payment and Health System Transformation
Value-Based Payment and Health System Transformation National Health Policy Forum Patrick Conway, M.D., MSc CMS Chief Medical Officer Deputy Administrator for Innovation and Quality Director, Center for
Statewide Medicaid Managed Care Managed Medical Assistance Program Update
Statewide Medicaid Managed Care Managed Medical Assistance Program Update Beth Kidder Assistant Deputy Secretary for Medicaid Operations Agency for Health Care Administration Presented to the KidCare Coordinating
How To Improve Quality
ASN Dialysis Advisory Group ASN DIALYSIS CURRICULUM 0 ASN Dialysis Curriculum Continuous Quality Improvement in Dialysis Units Uptal D. Patel, MD Affiliations Duke Clinical Research Institute Departments
ACOs ECONOMIC CREDENTIALING BUNDLING OF PAYMENTS
ACOs ECONOMIC CREDENTIALING BUNDLING OF PAYMENTS There are a number of medical economic issues Headache Medicine Physicians should be familiar with as we enter a new era of healthcare reform. Although
Note: This article was updated on January 3, 2013, to reflect current Web addresses. All other information remains unchanged.
News Flash The Centers for Medicare & Medicaid Services (CMS) is listening and wants to hear from you about the services provided by your Medicare Fee-for-Service (FFS) contractor that processes and pays
How Health Reform Will Affect Health Care Quality and the Delivery of Services
Fact Sheet AARP Public Policy Institute How Health Reform Will Affect Health Care Quality and the Delivery of Services The recently enacted Affordable Care Act contains provisions to improve health care
Proven Innovations in Primary Care Practice
Proven Innovations in Primary Care Practice October 14, 2014 The opinions expressed are those of the presenter and do not necessarily state or reflect the views of SHSMD or the AHA. 2014 Society for Healthcare
Re-Examining the Affordable Care Act
Re-Examining the Affordable Care Act May 2015 Table of Contents Reexamining the Affordable Care Act... 3 What Is the ACA?... 3 CMS s Relationship with the ACA... 3 Part A Providers The Shift to Pay-for-Performance...
December 3, 2010. Donald M. Berwick, M.D. Administrator Centers for Medicare and Medicaid Services Posted to Regulations.gov. File code CMS-1345-NC
December 3, 2010 Donald M. Berwick, M.D. Administrator Centers for Medicare and Medicaid Services Posted to Regulations.gov File code CMS-1345-NC Dear Dr. Berwick: The American Urological Association (AUA),
Stuart Levine MD MHA Corporate Medical Director, HealthCare Partners Assistant Clinical Professor, Internal Medicine and Psychiatry, UCLA David
Stuart Levine MD MHA Corporate Medical Director, HealthCare Partners Assistant Clinical Professor, Internal Medicine and Psychiatry, UCLA David Geffen School of Medicine 1 HealthCare Partners Delivery
CPCA California Primary Care Association
CPCA California Primary Care Association Accountable Care Organizations: Next Generation Systems for Community Health Centers? CPCA Annual Conference Sacramento, California October 10, 2014 Larry Garcia,
Montefiore s Population Health Management Services. October 23, 2015
Montefiore s Population Health Management Services October 23, 2015 Integrated Delivery System Our Locations 3,092 Acute Beds Across 10 Hospitals Including 132 beds at the Children s Hospital at Montefiore
John Sharp, MSSA, PMP Manager, Research Informatics Quantitative Health Sciences Cleveland Clinic, Cleveland, Ohio
John Sharp, MSSA, PMP Manager, Research Informatics Quantitative Health Sciences Cleveland Clinic, Cleveland, Ohio Co-Director BiomedicalResearch Informatics Clinical and Translational Science Consortium
Accountable Care Organizations: What Are They and Why Should I Care?
Accountable Care Organizations: What Are They and Why Should I Care? Adrienne Green, MD Associate Chief Medical Officer, UCSF Medical Center Ami Parekh, MD, JD Med. Director, Health System Innovation,
AHLA. BB. Accountable Care Organizations and the Medicare Shared Savings Program. Troy Barsky Crowell & Moring LLP Washington, DC
AHLA BB. Accountable Care Organizations and the Medicare Shared Savings Program Troy Barsky Crowell & Moring LLP Washington, DC Daniel F. Murphy Bradley Arant Boult Cummings LLP Birmingham, AL Terri L.
CMS Initiatives Involving Patient Experience Surveying FAQs
CMS Initiatives Involving Patient Experience Surveying FAQs Updated October 2013 Prepared by: DSS Research CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). The
CMS Special Open Door Forum
CMS CROWNWeb Application CMS Special Open Door Forum ICD-10 Crosswalk for Diagnosis Codes to Indicate Primary Cause of ESRD July 15, 2015 2pm ET 3pm ET Today s Speakers The Centers for Medicare & Medicaid
Atrius Health A Leader in Health Care Innovation
Atrius Health A Leader in Health Care Innovation Formed in 2004, Atrius Health is a non-profit alliance of six community-based medical groups and a home health care, private duty nursing, and hospice agency.
Behavioral Health and Payment Reform
Behavioral Health and Payment Reform MASSACHUSETTS HEALTH COUNCIL INTEGRATION OF BEHAVIORAL HEALTH CONFERENCE April 3 rd, 2014 Founded in in 1996, Beacon coordinates the MH/SA benefit for approximately
PSYCHIATRY IN HEALTHCARE REFORM SUMMARY REPORT A REPORT BY AMERICAN PSYCHIATRIC ASSOCIATION BOARD OF TRUSTEES WORK GROUP ON THE ROLE OF
ROLE OF PSYCHIATRY IN HEALTHCARE REFORM SUMMARY REPORT A REPORT BY AMERICAN PSYCHIATRIC ASSOCIATION BOARD OF TRUSTEES WORK GROUP ON THE ROLE OF PSYCHIATRY IN HEALTHCARE REFORM 2014 Role of Psychiatry in
Network Patient Representative (NPR) Program Overview
1 Network Patient Representative (NPR) Program Overview What is the NPR program? s Patient Advisory Committee (PAC) developed the Network Patient Representative (NPR) program to help spread educational
Managing End-Stage Renal Disease Improving clinical outcomes and reducing the cost of care for Medicare Advantage, Medicaid and Commercial Populations
White Paper Managing End-Stage Renal Disease Improving clinical outcomes and reducing the cost of care for Medicare Advantage, Medicaid and Commercial Populations Optum www.optum.com Page 1 Executive Summary
What is an Accountable Care Organization. Amit Rastogi, MD President/CEO PriMed
What is an Accountable Care Organization Amit Rastogi, MD President/CEO PriMed Goals Why is U.S. healthcare undergoing dramatic change How reimbursement structures are likely to change What is the timeline
Prospective Attribution as a Single-Step Assignment Process
Marilyn Tavenner, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS 1461 P P.O. Box 8013 Baltimore, MD 21244 8013 Dear Administrator Tavenner:
Quality Improvement and Payment Reform
Quality Improvement and Payment Reform Mark McClellan, MD, PhD Senior Fellow and Director, Initiative on Value and Innovation in Health Care Brookings Institution Mark McClellan. All rights reserved. No
Integrating Care: Partnerships between Community-Based Organizations and Accountable Care Organizations. September 28, 2012
Integrating Care: Partnerships between Community-Based Organizations and Accountable Care Organizations September 28, 2012 Agenda Housekeeping/Introductions Overview of Accountable Care Organizations (ACOs)
The Burning Issue of Cost and the Emerging Role of Financial Analytics. Dan Michelson Chief Executive Officer Strata Decision Technology
The Burning Issue of Cost and the Emerging Role of Financial Analytics Dan Michelson Chief Executive Officer Strata Decision Technology How in the world are you going to tackle the cost of care and financial
Evolving to an ACO: Better Patient Outcomes and Lower Expenditures
Sponsored By: Evolving to an ACO: Better Patient Outcomes and Lower Expenditures Tom Deas, Jr., MD Board Member, North Texas Specialty Physicians (NTSP) Chief Medical Officer, Sandlot, LLC Presenter Thomas
2015 HMO Evidence of Coverage
hap.org/medicare 2015 HMO Evidence of Coverage HAP Senior Plus (hmo)-henry Ford Individual Plan 006 Option 1 Your Medicare Health Benefits and Services as a Member of HAP Senior Plus (hmo)-henry Ford.
The US Nephrology Workforce: Developments and Trends
The US Nephrology Workforce: Developments and Trends Prepared for The American Society of Nephrology By Edward Salsberg, MPA George Washington University School of Nursing Leah Masselink, PhD & Xiaoli
The Impact of Accountable Care Organizations on Healthcare Delivery, the Primary Care Physician and the Medicare Patient
The Impact of Accountable Care Organizations on Healthcare Delivery, the Primary Care Physician and the Medicare Patient Brian A. Kessler, D.O. Health Policy Fellowship Class of 2011 ACOs l November 1,
Accelerating Innovation in Health Care Payment and Delivery: The CMS Innovation Center
Accelerating Innovation in Health Care Payment and Delivery: The CMS Innovation Center William J. Kassler, MD, MPH Chief Medical Officer, New England Region Center for Medicare & Medicaid Innovation We
Population Health Management Helps Utica Park Clinic Ease the Transition to Value-Based Care
CASE STUDY Utica Park Clinic Population Health Management Helps Utica Park Clinic Ease the Transition to Value-Based Care The transition from fee-for-service to value-based reimbursement has been a challenge
Ron Stock MD MA Oregon Rural Health Conference October 24, 2013
Ron Stock MD MA Oregon Rural Health Conference October 24, 2013 Provide a historical context for healthcare reform including the 2010 Patient Protection & Accountable Care Act Connect what is known to
Mar. 31, 2011 (202) 690-6145. Summary of proposed rule provisions for Accountable Care Organizations under the Medicare Shared Savings Program
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Media Affairs MEDICARE FACT SHEET FOR IMMEDIATE RELEASE
Nuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations
Nuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations Presented to The American College of Cardiology October 27, 2012 1 Franciscan Alliance Overview Franciscan
Is it time for a new drug development paradigm?
Is it time for a new drug development paradigm? Robert McDonough, M.D. Senior Director, Clinical Policy Research and Development 1 The Aetna Way Our Cause To make quality health care more affordable and
Co-management (Service Line Agreement 2007)
Co-management (Service Line Agreement 2007) Orthopedics Neuroscience Cardiology Cardiovascular Surgery Collaboration on a different level Tactical method of increasing alignment and collaboration Agreement
Chronic Kidney Disease and the Electronic Health Record. Duaine Murphree, MD Sarah M. Thelen, MD
Chronic Kidney Disease and the Electronic Health Record Duaine Murphree, MD Sarah M. Thelen, MD Definition of Chronic Kidney Disease (CKD) Defined by the National Kidney Foundation Either a decline in
ACO s as Private Label Insurance Products
ACO s as Private Label Insurance Products Creating Value for Plan Sponsors Continuing Education: November 19, 2013 Clarence Williams Vice President Client Strategy Accountable Care Solutions Today s discussion
April 22, 2013. RE: Advancing Interoperability and Health Information Exchange. Dear Dr. Mostashari:
April 22, 2013 Farzad Mostashari, MD, ScM National Coordinator for Health Information Technology Department of Health and Human Services Hubert Humphrey Building, Suite 729-D Washington, DC 20201 RE: Advancing
California Public Hospitals and the Health Care Coverage Initiatives: A Model for Health Care Reform
California Association of Public Hospitals and Health Systems April 2009 POLICY BRIEF 70 WASHINGTON STREET, SUITE 215 OAKLAND, CALIFORNIA 94607 510.874.7100 WWW.CAPH.ORG California Public Hospitals and
Future of Health Care: How Do You Fit In? Physician Leadership Institute February 28, 2015 Brian M. McCook, CPA
Future of Health Care: How Do You Fit In? Physician Leadership Institute February 28, 2015 Brian M. McCook, CPA Learning Objectives Industry Transitions Challenges and Changes ACO s Look at the Future
Section I: Defining a Complex Medical Management Model
Section I: Defining a Complex Medical Management Model How should CMS define a complex medical management model, in terms of the applicable medical conditions or diseases, the services furnished, and the
How to Get Paid for the New Chronic Care Management Code. White Paper. How to Increase Your Practice Revenue Without Seeing More Patients
How to Get Paid for the New Chronic Care Management Code OR How to Increase Your Practice Revenue Without Seeing More Patients Under a new chronic care management program authorized by CMS and taking effect
Alternative Payment Models in Oncology
Alternative Payment Models in Oncology Prepared for Pharmaceutical Research and Manufacturers of America by Covance Market Access Services Inc. April 2014 1 Agenda Introduction to Alternative Healthcare
December 3, 2010. Dear Administrator Berwick:
Donald Berwick, M.D. Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, DC 20201
HFMA Region 9 Webinar Are You on the Right Path to Value?
HFMA Region 9 Webinar Are You on the Right Path to Value? March 21, 2016 P. Todd DeWeese, MBA Vice President The Affordable Care Act s Path to Payment Reform and Corresponding Impact on the Health Care
It Takes Two to ACO A Unique Management Partnership
AMGA 2014 Annual Conference, April 4, 2014 It Takes Two to ACO A Unique Management Partnership Scott Hayworth MD, President & CEO Mount Kisco Medical Group Alan Bernstein MD, Senior Medical Director Mount
Engaging the Community: Involving Patients and their Providers in ACOs
Taconic Health Information Network and Community w w w. t h I n c. o r g Engaging the Community: Involving Patients and their Providers in ACOs THINC ACO Insights Program Webinar Three: September 27, 2011
Fact sheets: Accountable Care Organization (ACO) Investment Model Fact Sheet. Accountable Care Organization (ACO) Investment Model Fact Sheet
Fact sheets: Accountable Care Organization (ACO) Investment Model Fact Sheet Date 2014-10-15 Title Accountable Care Organization (ACO) Investment Model Fact Sheet For Immediate Release Wednesday, October
Tips from Social Workers for Kidney Patients
Tips from Social Workers for Kidney Patients The Ohio State University Medical Center provides a social worker to work closely with you while you are in the hospital during the acute and chronic phases
Accountability and Innovation in Care Delivery Models
Accountability and Innovation in Care Delivery Models Lisa McDonnel Senior Vice President, Network Strategy & Innovation, United Healthcare November 6, 2015 Today s discussion topics Vision Our strategic
Commonwealth of Kentucky Cabinet for Health and Family Services (CHFS) Office of Health Policy (OHP)
Commonwealth of Kentucky Cabinet for Health and Family Services (CHFS) Office of Health Policy (OHP) State Innovation Model (SIM) Model Design June Integrated and Coordinated Care Workgroup June 16, 2015
E. Christopher Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences
Accountable Care Organizations and You E. Christopher Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences CEO, OSU Faculty Group Practice Chair, Department of Surgery Ohio State University