How to create a commercial ACO: Early Adopters Answer Your Questions
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Presented on 3/22/2012
What do commercial ACO early adopters say:
- is the absolute requirement to finding the right partner?
- about changing their organizational culture from volume to value?
- about tackling the data and information-exchange challenges behind ACOs?
- the future of ACOs looks like?
Join HealthLeaders Media for 90 minutes of commercial ACO strategy and solutions direct from three top executives from both provider and payer realms.
You’ll leave this webcast with:
- Specific answers to your commercial ACO questions
- Measurements to define the success of a commercial ACO
- Techniques to change your organizational culture from volume to value
- Key elements for a successful commercial ACO partnership
- Strategies to tackle commercial ACO technological and data challenges
- Assessments to determine if your organization is ready to pursue a commercial ACO
- Tools to structure a steering committee
A roundtable-style interview and discussion, guided by pre-submitted audience questions
- Select the optimal partner
- Analyze the existing relationship
- Build on trust
- Partnerships between payers and provider delivery systems
- Partnerships between provider organizations and group practices
- Quality and financial considerations
- Deliver better, more cost-effective care
- Generate a revenue stream while producing value
- Considerations for selection of Commercial ACO vs. Medicare ACO
- Defining ACO success
- Cost-reductions goals
- Quality and service metrics
- Tackle cultural change
- Provide education
- Best practices for roll out
- Assessment of team
- Readiness test
- Structure physician incentives and performance measurements
- Operationalize data
- Understand data exchange
- Deliver data to physicians
- Identify the proponent metrics
- Get a realistic grasp of cost
- Facilitate greater access to primary care
- Aggressive outpatient management
- Create multi-condition clinics
- Coordinate with provider organizations to optimize inpatient management
- Tackle cultural change
- Future of the commercial ACO
Mark Shields MD, MBA, is senior medical director for Advocate Physician Partners and vice president of medical management for Advocate Health Care. He oversees all clinical functions related to 3,900 physicians aligned with the 12 Advocate hospitals. Shields has been in this role since the start of APP’s Clinical Integration program in 2004. He has over 25 years’ experience in management roles with medical groups, insurance companies, hospitals, and integrated delivery systems. In addition to his medical background, Shields has extensive experience in operations, strategic planning, market analysis, and finance. He has served on the boards of directors of the Alliance of Independent Academic Medical Centers (AIAMC) and the Medical Group Management Association (MGMA) and on the Committee on Health Professions of the American Hospital Association. He is board certified in Internal Medicine, a Fellow of the American College of Physicians and a graduate of Harvard Medical School and the University of Chicago Business School.
H. Scott Sarran, MD, MM, is vice president and chief medical officer of Blue Cross and Blue Shield of Illinois (BCBSIL). A seasoned physician executive with expertise in group practice leadership and all aspects of managed care, Sarran is responsible for providing overall medical leadership; managing and setting strategy for medical management, utilization, and case and disease management; and overseeing the development of medical policy. Sarran received his medical doctorate from Northwestern University Medical School; and a master’s degree in Management from Evanston’s J.L. Kellogg Graduate School of Management. He completed his family practice residency at Lutheran General Hospital. In addition, Sarran has held academic appointments at the University of Chicago Pritzker School of Medicine and the University of Illinois at Chicago College of Medicine. Sarran is a diplomate of the American Board of Family Practice.
Vicki DeBaca, DNS, RN, CPHQ, is vice president health and provider services, Sharp Rees-Stealy Medical Centers, San Diego, CA. DeBaca has an extensive nursing background, including professional experience in acute hospitals, ambulatory settings, marketing organizations, and managed care organizations. DeBaca also teaches nursing courses in academic settings and has extensive experience in continuing education programs. She received her doctorate in nursing science from the University of San Diego.
WHO SHOULD LISTEN?
CFOs, CEOs, CMOs, COOs, CIOs, network staff, directors of revenue / finance, managers of revenue / finance, VPs of revenue / finance, large group practice administrators
Webcast on-demand allows you to download the program and play it back at your convenience through your computer. It’s a perfect training tool for new staff or a refresher for veteran staff.
WEBCAST SYSTEM REQUIREMENTS
To fully benefit from the Webcast experience, you will need a computer equipped with a Broadband Internet connection, a sound card, and speakers or headphones. Macromedia Flash player Version 8.0 or greater, a recommended screen resolution of 1024 x 768, and an Internet Browser (e.g. Internet Explorer). The use of AOL or wireless Internet connections is not recommended.
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