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Videos to CMMI Listening Session on ACO and Specialty Models & Primary and Specialty Care Collaboration Now Available
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- Offered in Conjunction with the Virtual Value-based Payment Summit
- Sessions Provided Input for CMMI Staff on Key Policy Issues
- Listening Session I: How Can ACO and Specialty Models Co-exist?
- Listening Session II: Supporting Primary Care Practices in Value-Based Care: Improving Primary and Specialty Care Collaboration within Federal Initiatives
- Listening Sessions supported by a Grant from the Commonwealth Fund
- Media Partner: Health Affairs
- www.ValueBasedPaymentSummit.com
PRESS RELEASE
Phone: 800-503-7414
Email: reginfo@hcconferences.com
Website: www.ValueBasedPaymentSummit.com |
VIDEOS OF LISTENING SESSIONS ON CMMI PAYMENT MODELS
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Click here for video of CMMI Listening Session I: How Can ACO and Specialty Models Co-exist?, Monday, September 20, 2021 from 3:30 pm to 5 pm EDT
Click here for video of CMMI Listening Session II: Supporting Primary Care Practices in Value-Based Care: Improving Primary and Specialty Care Collaboration within Federal Initiatives, Wednesday, September 22, 2021 from 3:30 pm to 5 pm EDT
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WASHINGTON DC USA -- HEALTHCARE UPDATE NEWS SERVICE -- OCTOBER 1, 2021: Recently the Virtual Value-based Payment Summit hosted two virtual listening Session for CMMI staff on ACO and Specialty Models & Primary & Specialty Care Collaboration. The videos of these sessions are now available.
LISTENING SESSION I: HOW CAN ACO AND SPECIALTY MODELS CO-EXIST?
Presented Monday, September 20, 2021 from 3:30 pm to 5 pm EDT
Moderated by:
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Francois de Brantes, MBA
SVP, Signify Health |
Valinda Rutledge, MBA
EVP Federal Affairs, America's Physician Groups (APG)
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Issues discussed:
- Have you had success involving specialists? If not, what barriers have you experienced integrating single specialty and/or multi-specialty practices? If so, what does success look like?
- Are there certain specialty areas where you can influence costs as opposed to others, where you can't? If so, which areas and why?
- Does this differ for procedure episodes (e.g. hip or knee surgery) compared to complex, chronic medical conditions (e.g. cardiac care, oncology care)?
- How would you handle overlap if a distinct specialty model co-exists with an ACO? How would you avoid duplicate payments, as well as disincentives to join the models?
- Have any barriers prevented your involvement in total cost of care initiatives? If so, what would need to change to facilitate your involvement?
- If a specialty-focused model co-exists with a total cost of care model, how would you handle overlap? Do you have concerns with sharing risk?
- Is it possible to appropriately incentivize or encourage participation from both specialists and TCOC entities to engage in an integrated care model, such that sharing risk is not a point of competition? Or Can the specialty care models be replaced by total cost of care models?
- What examples exist of TCOC entities doing exceptional work to align clinical and financial incentives with specialty care?
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LISTENING SESSION II: SUPPORTING PRIMARY CARE PRACTICE IN VALUE-BASED CARE: PRIMARY CARE ACCOUNTABILITY FOR SPECIALTY CARE WITHIN FEDERAL INITIATIVES
Presented Wednesday, September 22, 2021 from 3:30 pm to 5 pm EDT
Moderated by:
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Richard J. Baron, MD
President & CEO, ABIM Foundation |
Valinda Rutledge, MBA
EVP Federal Affairs, America's Physician Groups (APG)
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Issues discussed:
- When have advanced primary care initiatives had success involving specialists? What did that success look like and how did they overcome the many known barriers to integrating care?
- In which specialty areas are advanced primary care practices more likely to influence costs and utilization effectively? Which specialty areas show less ability to be influenced by primary care, and should that be changed?
- Does this differ for procedure episodes (e.g. hip or knee surgery) compared to complex, chronic medical conditions (e.g. cardiac care, oncology care)? How about regions and practice types (IPAs, multi-specialty orgs, hospital-based health systems)?
- How does being part of an ACO make this work more or less effectively?
- Are there specific components of existing specialty-focused models that impair incentives to coordinate a beneficiary's care with primary care?
- How would you handle overlap if a distinct CMMI specialty model co-exists with an advanced primary care model?
- How would you avoid duplicate payments?
- How to handle disincentives to participate in the models?
- Do you have concerns with sharing risk?
- Do the models need more coordination between them, and how would that happen?
- Should we avoid building new specialty-focused care models in favor of more broad or global organizational models? What are the trade-offs?
- Is it possible to appropriately encourage participation from both specialists and advanced primary care models to engage in an integrated care model? How does that differ from ACO models?
- What quality metrics provide incentives for better primary/specialty care coordination?
- What flexibilities in Medicare program/payment rules would help improve coordination between primary and specialty care?
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GOVERNMENT SPEAKERS
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Alexander Baker, MPP
Senior Policy Advisor, Office of the National Coordinator for Health IT |
Michael E. Chernew, PhD
Chair, MedPAC |
Bradford Diephuis, MD, MBA
Senior Advisor, Center for Medicare and Medicaid Innovation
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Lee A. Fleisher, MD
CMO, CMS |
Elizabeth Fowler, JD, PhD
CMMI Director & CMS Deputy Administrator |
Pauline Lapin, MHS
Director, CMMI Seamless Care Models Group
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Nicholas Minter, MPP
Director, CMMI Division of Advanced Primary Care |
Steven Posnack, MS, MHS
Deputy National Coordinator for Health Information Technology
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Christina S. Ritter, PhD
Director, CMS Patient Care Models Group |
Meena Seshamani, MD, PhD
Director, CMS Center for Medicare
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KEYNOTE SPEAKERS
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Niall Brennan, MPP
CEO, Health Care Cost Institute |
Aneesh Chopra, MPP
Co-Founder & President, CareJourney |
Patrick H. Conway, MD
CEO, Care Solutions at Optum
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Ezekiel J. Emanuel, MD
Vice Provost for Global Initiatives, University of Pennsylvania |
Gerald E. Harmon, MD
President, American Medical Association |
A. Marc Harrison, MD
President & CEO, Intermountain Healthcare
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Charles "Chip" Kahn, MPH
CEO, Federation of American Hospitals |
Joseph C. Kvedar, MD
Chair, American Telemedicine Association |
Mark McClellan, MD, PhD
Director, Robert J Margolis Center for Health Policy
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Harold D. Miller
President & CEO, Center for Healthcare Quality and Payment Reform |
Elizabeth Mitchell
President & CEO, Purchaser Business Group on Health |
Farzad Mostashari, MD
Founder, Aledade
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Robert M. Pearl, MD
Physician, Author & Thought Leader |
Reed Tuckson, MD
Health Equity Advocate, Former EVP, UnitedHealth Group |
Gail R. Wilensky, PhD
First Chair, Medicare Payment Advisory Commission, Former HCFA Administrator
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ACO/DIRECT CONTRACTING CO-CHAIRS
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Emily Brower, MBA
SVP, Clinical Integration & Physician Services, Trinity Health
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S. Lawrence Kocot, JD, LLM, MPA
National Leader, Center for Healthcare Regulatory Insight, KPMG
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Melanie Matthews, MA
CEO, NW Momentum Health Partners ACO
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David B. Muhlestein, PhD, JD
Chief Research Officer, Leavitt Partners
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BUNDLED PAYMENT CO-CHAIRS
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Lili Brillstein, MPH
CEO, BCollaborative
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Gina Bruno, MBA
ViP Value-based Care, naviHealth
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Pamela M. Pelizzari, MPH
Senior Healthcare Consultant, Milliman
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Valinda Rutledge, MBA
EVP Federal Affairs, APG
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MEDICAL HOME/ADVANCED PRIMARY CARE CO-CHAIRS
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Rushika Fernandopulle, MD, MPP
Co-Founder and CEO, Iora Health
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Ann Greiner, MA
President & CEO, Primary Care Collaborative
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Paul Grundy, MD, MPH, FACOEM, FACPM
Global Director, HealthTeamWork
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R. Shawn Martin
SVP, Advocacy, Practice Advancement and Policy, American Academy of Family Physicians
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MACRA CO-CHAIRS
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Paul N. Casale, MD, MPH
Executive Director, NewYork Quality Care ACO |
John O'Shea, MPA, MD
Health Policy Analyst, JSO
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Kavita Patel, MD
Nonresident Senior Fellow, Brookings Institution
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MEDICARE ADVANTAGE CO CHAIRS
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John B. Bulger, DO, MBA
Chief Medical Officer, Geisinger Health Plan
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John Gorman
Chairman, Nightingale Partners LLC
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Kelly Robison, MPA
CEO, Brown & Toland Physicians
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William H. Shrank, MD, MSHS
CMO, Humana
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AGENDA-AT-A-GLANCE & AGENDA NOW AVAILABLE
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Click here for Agenda-at-a Glance & Agenda.
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ACO/BUNDLED/MED HOME/MACRA/MED ADVANTAGE JOINT SESSION CO CHAIRS
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Donald H. Crane, JD
President & CEO, America's Physician Groups
Susan Dentzer
Senior Policy Fellow, Duke-Margolis Center for Health Policy
Mark Smith, MD, MBA
Founding President & Former CEO, California Health Care Foundation
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SUMMIT WELCOME BY
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David Blumenthal, MD
President of the Commonwealth Fund
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SUPPORTED BY A GRANT FROM
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GRANTORS
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DIAMOND
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SILVER
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BRONZE
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CONTINUING EDUCATION CREDITS
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Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by Amedco LLC and Health Care Conference Administrators. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physicians (ACCME) Credit Designation
Amedco LLC designates this live virtual activity for a maximum of 21.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Attendees may request a certificate of attendance.
Click here for more information.
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MEDIA PARTNERS
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TUITION SCHOLARSHIPS
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The Virtual Collocated Value-based Payment Summits are now offering a limited number of partial and full Tuition Scholarships to qualifying representatives of local, state and federal government, consumer advocate organizations, safety net providers, academics, students and health services researchers and those who have lost their jobs as a result of the COVID-19 pandemic.
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FEATURED FACULTY
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Nick Bluhm, MA, JD
Senior Director, Signify Health |
Gina Bruno, MBA
VP Value-based Care, naviHealth |
Kevin J. Conroy, MS
CFO & Chief Population Health Officer, CareMount Medical ACO |
Marion Everett Couch, MD, PhD, MBA
Senior Vice President & CMO, Cambia |
Francois de Brantes, MBA
SVPO, Signify Health
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Robert Galvin, MD, MBA
Operating Partner of Equity Healthcare, Blackstone |
Kate Goodrich, MD
SVP, Trend and Analytics, Humana |
Julian J. Harris, MD, MBA
Partner, Health Care Services and Technology, Deerfield |
Kimberly Kauffman, MHS
Chief Value-Based Care Officer, Best Value Healthcare, LLC |
Thomas A. Scully, JD
General Partner, Welsh, Carson, Anderson & Stowe
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For the complete list of Faculty, visit the web site.
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