FEATURING AN OVERVIEW OF THE LAN ROADMAP FOR DRIVING
HIGH PERFROMANCE IN ALTERNATIVE PAYMENT MODELS BY
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Lili Brillstein, MPH
Director, Episodes of Care, Horizon Healthcare Innovations, Horizon Blue Cross Blue Shield New Jersey, Member, CMS Advisory Panel on Oncology Bundles, Newark, NJ |
Aparna Higgins
President and CEO, Ananya Health Innovations Inc., Policy Fellow, The Duke-Margolis Center for Health Policy; Visiting Scholar at The Heller School of Social Policy and Management, Brandeis University, Dunn Loring, VA
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Katie Martin, MPA
Vice President for Health Policy and Programs, National Partnership for Women & Families, Former Acting Assistant Secretary for Planning and Evaluation, US DHHS, Washington, DC |
Thomas Buckingham, BSN, MBA
Executive Vice President, Select Medical, President, Allevant Solutions, Member, Guiding Committee, Health Care Payment Learning and Action Network, Mechanicsburg, PA
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JOIN OVER 250 ORGANIZATIONS AT THE COLLOCATED ACO, BUNDLED & MACRA SUMMITS
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- 21st Century Oncology
- 3M Health Information Systems
- Abington Jefferson Hospital
- Accountable Care Learning Collaborative
- Accountable Health Partner
- ACO Exhibit Hall
- ActiveHealth Management
- Adfinitas Health
- Advantia Healthcare
- Agency of Human Services-Vermont
- Airrosti
- Alabama Quality Assurance Foundation
- Aledade, Inc.
- Alice G. Gosfield & Associates PC
- American Academy of Family Physicians
- American College of Cardiology
- American College of Obstetricians and Gynecologists
- American College of Physicians (ACP)
- American College of Rheumatology
- American College of Surgeons
- American Medical Accounting & Consulting (AMAC)
- American Medical Association
- American Osteopathic Association
- American Psychiatric Association
- American Society for Radiation Oncology
- America's Physician Groups (APG)
- Ananya Health Innovations, Inc.
- Ann B. Barshinger Cancer Institute, Lancaster General Hospital
- Anne Arundel Medical Center
- Anthem
- ArborMetrix
- Archway Health
- Arizona State University
- Ascension
- Atrius Health
- Austin ENT Clinic
- Aver Inc.
- Aveus, division of Medecision
- Bassett Healthcare Network
- Beaumont Physician Partners/Beaumont Health
- Bellin Health Partners
- Beneficiary Claims Data API Team
- BHE
- Blanchard Valley Health System
- Bland & Associates
- Blue Cross Blue Shield of Kansas City
- Blue Cross Blue Shield of Vermont
- Blue Cross North Carolina
- Blue Shield of California Foundation
- BlueCross BlueShield of North Carolina
- Boehringer Ingelheim Pharmaceuticals, Inc.
- Bon Secours St. Francis Cancer Center
- Booz Allen Hamilton
- Boston Consulting Group
- Brown School
- Burgess Group
- Cantex CCN
- Canton & Company
- Capitol Associates (CAI)
- CAQH
- Care Coordination Institute
- CareFirst BlueCross BlueShield
- CareJourney
- CareMount ACO, LLC
- Catholic Health
- Center for Healthcare Quality and Payment Reform
- Center for Medicare and Medicaid Innovation
- Center for the Advancement of Value in Musculoskeletal Care, Hospital for Special Surgery
- Centers for Medicare and Medicaid Services
- Centura Health
- CHI St. Joseph Health Partners
- Children's Mercy Hispital
- Clarify Health Solutions
- Cleveland Clinic
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- Cognizant
- Collaborative Health Systens-A Wellcare Company
- Community Care Cooperative
- Convey Health Solutions
- Cragg House Consulting
- DataGen
- Deloitte
- Dignity Health
- Discern Health
- Duke-Margolis Center for Health Policy
- Ear, Nose and Throat Clinic and Westside Surgery Center
- ECG Management Consultants
- Ecolab
- Edifecs
- Envision Genomics
- Excellus Health Plan
- Fresenius Medical Care
- Front Health
- Fusion5
- GBUACO
- GDIT
- Geisel School of Medicine, Dartmouth College
- Gorman Health Group
- Graduate School of Public Health, University of Pittsburgh
- Greater Hudson Valley Health System
- Harvard Medical School
- Hawaii Health Partners
- Health Care Payment Learning and Action Network
- Health Quest Medical Practice
- Health Share of Oregon
- HealthCare Partners, IPA
- HGS
- HHS/OIG/EPSD
- Hoag Memorial Hospital
- Home Instead, Inc.
- Hooper, Lundy & Bookman, PC
- Horizon Healthcare Innovations, Horizon Blue Cross Blue Shield
- Houston Methodist Hospital
- Hudson River HealthCare
- Humana
- Huntington Hospital
- Illinois Bone & Joint Institute
- Impaq International
- In Transition
- Indepdendent Health
- Intermountain Healthcare
- Invent Forces
- Ireland & Associates, LLC
- Jean Antoniccui MD
- Johns Hopkins Health System
- Kaiser Health News
- Kaiser Permanente Walnut Creek Medical Center
- Keep Well ACO LLC
- King & Spalding LLP
- KPMG
- Leavitt Partners, LLC
- LifeBridge Health
- Lumeris/Essence Healthcare
- Main Line Health
- Martin Luther King Jr. Community Hospital
- Mathematica
- McDermott+Consulting
- McKinsey
- McLaren Physician Partners
- Medical Card System, Inc.
- Medical Home Network ACO
- Mediquire
- Medtronic, Inc.
- Michigan Medicine
- Milliman
- MJH Associates, Inc.
- Mountain-Pacific Quality Health
- Music Health Alliance
- Myers and Stauffer LC
- National Alliance of Healthcare Purchaser Coalitions
- National Association of ACOs (NAACOS)
- National Partnership for Women & Families
- NaviHealth
- NCG Medical
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- Noridian
- North Carolina Medical Society
- Northwest Cancer Clinic
- Novo Nordisk A/s
- NW Momentum Health Partners ACO
- Oak Street Health
- Office of Management and Budget
- Office of the Health Care Advocate
- OHSU Informatics Student
- Optum
- Optum Advisory Services
- PCG Health
- Penn Medicine
- Premera
- Premier
- Priority Health
- Providence St. Joseph Health
- PRS Pharmacy Services
- Qsource / atom Alliance
- Quartet Health
- Radial Analytics
- Red Deer Hospital/Openxmed
- Regence Blue Cross Blue Shield
- Reliant Medical Group
- Remedy Partners
- Respira Labs | UCBerkeley
- Results Incorporated
- Rockpointe Corporation
- Roji Health Intelligence
- Salient Management Company
- ScalaMed
- Select Medical
- Sg2, A Vizient Company
- Signature Medical Group
- Singletrack Analytics
- Smith & Nephew
- Somos Community Care
- Somos IPA
- SonarMD
- Sound Physicians
- St. Joseph's Health
- St. Tammany Parish Hospital
- Star Valley Medical Center
- State of Vermont - Dept. of Vermont Health Access
- Steward Health Care Network
- Stryker Performance Solutions
- Sutter Health
- Tampa General Hospital
- Telligen
- Tenet Healthcare
- Texas Medical Association
- The Association of American Medical Colleges
- The CARIN Alliance
- The Dartmouth Institute for Health Policy and Clinical Practice
- The Kinetix Group
- The Lewin Group
- The Moran Company
- Third Horizon Strategies
- TMF Health Quality Institute
- Tower Health Partners
- Triad Healthcare Network
- Trinity Health
- Tulane University School Of Medicine
- Tuple Health
- U.S. Department of Health and Human Services
- UCSF School of Medicine
- UHS
- United HealthCare
- United Hospital Fund
- Unitedhealth Group
- UnitedHealthcare Bundled Payment Solutions
- UnitedHealthcare Community & State
- University Medical Center
- University of Alabama at Birmingham
- University of Pennsylvania
- University of Texas Medical Branch
- University of The Pacific
- University of Washington
- UPMC Health Plan
- "US Department
- of Health and Human Services"
- VITAS Healthcare
- Washington State Hospital Association
- WellNecessities/VitalSleep
- Work@Home
- World Economic Forum
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WASHINGTON DC USA -- HEALTHCARE UPDATE NEWS SERVICE™ -- JUNE 5, 2019: The Tenth National Accountable Care Organization (ACO) Summit, www.ACOSummit.com, the Ninth National Bundled Payment Summit, www.BundledPaymentSummit.com, and the Fourth National MACRA MIPS/APM Summit, www.MACRA Summit.com, will be held on June 17 - 19, 2019 collocated at the Grand Hyatt in Washington, DC. The three events will share a joint plenary session. Registrants may attend all three event in person or online (live webcast and archived for 6 months).
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ACO/BUNDLED/MACRA JOINT SESSION CO CHAIRS
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Donald H. Crane, JD
President and Chief Executive Officer, America's Physician Groups, Los Angeles, CA |
Susan Dentzer
Visiting Fellow, Duke-Margolis Center for Health Policy, Former Editor in Chief, Health Affairs, Former Health Correspondent, PBS NewsHour, Washington, DC
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ACO SUMMIT CO CHAIRS
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Emily DuHamel Brower, MBA
Senior Vice President Clinical Integration, Trinity Health, Former Vice President, Population Health, Atrius Health, Former Senior Director, Clinical Improvement Ventures, Harvard Vanguard Medical Associates, Livonia, MI |
S. Lawrence Kocot, JD, LLM, MPA
Principal and National Leader, Center for Healthcare Regulatory Insight, KPMG, Former Senior Advisor to the Administrator, CMS, Washington, DC
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David B. Muhlestein, PhD, JD
Chief Research Officer, Leavitt Partners, LLC, Visiting Policy Fellow, Margolis Center for Health Policy, Duke University, Visiting Fellow, Accountable Care Learning Collaborative, Washington, DC |
Hoangmai H. (Mai) Pham, MD
Vice President, Provider Alignment Solutions, Anthem, Former Chief Innovation Officer, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Washington, DC
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BUNDLED PAYMENT SUMMIT CO CHAIRS
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Lili Brillstein, MPH
Director, Episodes of Care, Horizon Healthcare Innovations, Horizon Blue Cross Blue Shield New Jersey, Member, CMS Advisory Panel on Oncology Bundles, Former Senior Director, Medicare & Retirement, UnitedHealthcare, Newark, NJ |
Diwen Chen, MPH
Executive Director, Payment Innovation and Accountable Care, Dignity Health, Los Angeles, CA
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Pamela M. Pelizzari, MPH
Principal and Senior Healthcare Consultant, Milliman, Former Senior Technical Advisor and Program Lead, CMS, New York, NY |
Valinda Rutledge, MBA
Vice President of Federal Affairs, APG, Vice President, Public Payor Health Strategy, Care Coordination Institute, Prisma Health, Former Group Director of Patient Care Model Group and BPCI Lead, CMS, Washington, DC
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MACRA SUMMIT CO CHAIRS
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Harold D. Miller
President and Chief Executive Officer, Center for Healthcare Quality and Payment RefNorm, Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC), Pittsburgh, PA |
Kavita Patel, MD
Vice President Payer Provider Integration, Johns Hopkins Health System; Nonresident Senior Fellow Brookings Institution; Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC); Former Director of Policy, The White House (Obama); Former Senior Advisor, Senator Edward Kennedy, Washington, DC |
Grace Emerson Terrell, MD, MMM, FACP, FACPE
Chief Executive Officer, Envision Genomics, Member, Physician-Focused Payment Model Technical Advisory Committee (PTAC), Former President and CEO, Cornerstone Health Care, Huntsville, AL
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ACO/BUNDLED/MACRA JOINT PLENARY
SESSION KEYNOTE SPEAKERS
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Deirdre Baggot, PhD, MBA, RN
Healthcare Strategist and Payment Innovation Expert, Former Expert Reviewer, BPCI Program, Former Lead, CMS ACE Program, Washington, DC |
Marc Berg, MD, PhD
Partner, Healthcare Innovation, McKinsey, Washington, DC |
Arnaud Bernaert, MBA
Head of Partner Development, Europe & North America, Head of Healthcare Industry, and Member, Executive Committee, World Economic Forum, Former Senior VP Strategy, Business Development and M&A, Philips Healthcare, Former European Regional Controller, Baxter Healthcare, Geneva, Switzerland
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Joseph Egan
Director of Operations, Value-Based Programs, Tenet Healthcare, Former Administrative Director, Michigan Pioneer ACO, Royal Oak, MI |
Ezekiel J. Emanuel, MD
Vice Provost for Global Initiatives, University Professor and Chair, Department of Medical Ethics and Health Policy, University of Pennsylvania; Senior Former Special Advisor, Office of Management and Budget, National Economic Council, Philadelphia, PA |
Elliott S. Fisher, MD, MPH
Professor of Health Policy and Clinical Practice, The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH
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John Gorman
Founder and Former Executive Chairman, Gorman Health Group, Former Assistant to the Director, Office of Managed Care, HCFA, Washington, DC |
Pauline Lapin, MHS
Director, Seamless Care Models Group, Centers for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, Baltimore, MD |
Peter Long, PhD
President and CEO, Blue Shield of California Foundation, Former Senior Vice President, Henry J. Kaiser Family Foundation, San Francisco, CA
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Barbara L. McAneny, MD, FASCO, MACP
President, American Medical Association, Co-founder and Managing Partner, New Mexico Oncology Hematology Consultants Ltd., Albuquerque, NM |
Lori Morgan, MBA
President and Chief Executive Officer, Huntington Hospital, President, Legacy Emanuel Medical Center, Pasadena, CA |
Christina S. Ritter, PhD
Director, Patient Care Models Group (PCMG); Former Deputy Director, Hospital and Ambulatory Policy Group Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MA
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James P. Sharp, MPH, JD
Director, Health Care Strategy and Transformation, BlueCross BlueShield of North Carolina, Former Policy and Strategy Advisor, Office of the Director, Center for Medicare and Medicaid Innovation, Washington, DC |
Mark D. Smith, MD, MBA
Co-chair, Guiding Committee, Health Care Payment Learning and Action Network, Clinical Faculty, UCSF, Attending Physician, Positive Health Program for AIDS Care, San Francisco General Hospital, San Francisco, CA |
Michael Thompson
President and Chief Executive Officer, National Alliance of Healthcare Purchaser Coalitions, Former Principal, Health Care, PricewaterhouseCoopers, Washington, DC
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AGENDA AT-A-GLANCE
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DAY I: MONDAY, JUNE 17
JOINT PRECONFERENCE
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1:00 pm
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Preconference I: Seven Characteristics of Successful APMs & Seven Considerations in the Financial Modeling of Value-based Payment Arrangements
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DAY II: TUESDAY, JUNE 18
JOINT ACO/BUNDLED/MACRA OPENING PLENARY SESSION
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7:00 am |
Breakfast Roundtable I: Operating Under Tomorrow's Value-Based Care Payment Models & Breakfast Roundtable II: Clinical Success Metrics in Commercial Episode of Care Programs
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8:00 am |
Welcome and Comments on the Policy and Politics of Value-based Care by Susan Dentzer
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8:15 am |
HHS/CMS/CMMI Keynote Address by Adam Boehler
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8:45 am |
Integrating the Social Determinants of Health into Value-based Care by Peter Long, PhD
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9:15 am |
Value-based Care: The Paradox of Primary Care Leadership by Sean Cavanaugh
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9:45 am |
The Future of Delivery System Reform: What Might we be Missing? by Elliott S. Fisher, MD, MPH
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10:15 am |
Break
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11:00 am |
ACO SUMMIT PLENARY SESSION
CMS/CMMI Accountable Care, Primary Care, CPC-Plus and Other Primary Care Models Keynote Address
Keynote Update on Private Sector ACO Initiatives
Co-chair Keynote Roundtable: A Lightning Round on the Hot Accountable Care Issues of Today
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11:00 am |
BUNDLED PAYMENT MINI SUMMITS
Special LAN Mini Summit I: The Health Care Payment and Learning Action Network's (LAN) Roadmap for Driving High Performance in Alternative Payment Models
II: Oncology Care & Radiation Therapy Bundles
III: Effective Use of Waivers & Gainsharing in Bundled Payment Projects
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11:00 am |
MACRA MINI SUMMITS
Special LAN Mini Summit I: The Health Care Payment and Learning Action Network's (LAN) Roadmap for Driving High Performance in Alternative Payment Models
IV: MIPS Basics and Myths & Medicare Advantage and Advance APM Status
V: Rural and Safety Net APMs
VI: Risk Adjustment in MIPS and APMs & MIPS and APMs Quality Measures
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12:30 pm |
Joint Networking Luncheon
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1:00 pm |
JOINT ACO/BUNDLED/MACRA LUNCHEON KEYNOTE ROUNDTABLE ON THE FUTURE OF VALUE-BASED CARE
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2:00 pm |
BUNDLED PAYMENT SUMMIT PLENARY SESSION
CMS/CMMI Keynote Address on Bundled Payment Policy
Keynote Update on Private Sector Bundled Payment Initiatives
Co-chair Keynote Roundtable: A Lightning Round on the Hot Bundled Payment Issues of Today
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2:00 pm |
ACO MINI SUMMITS
VII: Accountable Care Case Studies: Aledade & NY ACOs
VIII: Social Determinants of Health & Substance Abuse (Opioids Plus) Programs
IX: Valuebased Contracting & Patient Experience in Accountable Care
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2:00 pm |
MACRA MINI SUMMITS
X: Primary Care First & Direct Contracting
XI: Specialty APMs & Engaging Specialists through Specialty Payment Chassis Design
XII: Using Quality as a Service & Methods for Managing Post Acute Care
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4:00 pm |
MACRA SUMMIT PLENARY SESSION
CMS/CMMI Keynote Address on MACRA Policies
MACRA Keynote Address: Are Alternative Payment Models Better than Fee for Service?
A Lightning Round on the Hot Accountable Care Issues of Today
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4:00 pm |
ACO MINI SUMMITS
XIII: Accountable Care Organizational Resources : NAACOS, ACLC and APG
XIV: Integrating Behavioral Health and Primary Care & Shared Decision Making and Personalized Care into Value-based Arrangements
XV: What's Next for Next Gen ACOs? Applying OCM Strategies to Boost Value-based Contract Opportunities
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4:00 pm |
BUNDLED PAYMENT MINI SUMMITS
XVI: Understanding and Overcoming Barriers to Bundled Payment Adoption: Experience from the Field
XVII: AI, Analytics, Big Data and Blockchain Technologies to Drive Bundled Payment Success
XVIII: Risk/Bundle Selection & Getting "Bundle Ready"
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5:30 pm |
Adjournment and Joint Networking Reception
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DAY III: WEDNESDAY, JUNE 19
JOINT ACO/BUNDLED/MACRA CLOSING PLENARY SESSION
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8:00 am |
Welcome and Introductions
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8:15 am |
Getting to Affordability by Ezekiel J. Emanuel, MD
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8:45 am |
Value-based Payment, Technology, and the Future of Customer Service by Mark D. Smith, MD, MBA
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9:15 am |
Global Value-based Healthcare Initiatives by Arnaud Bernaert, MBA
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9:45 am |
The Challenges and Opportunities for Hospitals and Health Systems in Moving to Value-based Care by Lori Morgan, MBA
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10:15 am |
Transition Break
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10:30 am |
Case Study of BlueCross BlueShield of North Carolina's Value-based Payment Initiatives by James P. Sharp, MPH, JD
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11:00 am |
How Medicare Advantage Related to Value-based Care by John Gorman
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11:45 am |
Strategies to Integrate BPCIA, ACOs and APMs into a Unified Strategy to Deliver People-centered Care
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12:30 pm |
Summit Adjournment
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ACO SUMMIT
BROCHURE NOW AVAILABLE
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Click here to
download the brochure.
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BUNDLED PAYMENT SUMMIT
BROCHURE NOW AVAILABLE
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Click here to
download the brochure.
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MACRA SUMMIT
BROCHURE NOW AVAILABLE
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Click here to
download the brochure.
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GRANTORS
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GOLD
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SILVER
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BRONZE
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SUPPORTED BY
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MEDIA PARTNERS
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TUITION SCHOLARSHIPS
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The ACO Summit, Bundled Payment Summit, and MACRA Summit 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 research organizations.
Click here for more ACO Summit tuition scholarship information.
Click here for more Bundled Payment Summit tuition scholarship information.
Click here for more MACRA Summit tuition scholarship information.
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CONTINUING EDUCATION CREDITS:
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ABQAURP: Approved for up to 15.0 ABQAURP credits.
Accounting Professionals: Approved for up to 15.5 NASBA CPE credits.
Physicians: Approval for 15.00 AMA PRA Category 1™ Credits.
Click here for more ACO Summit Continuing Education information.
Click here for more Bundled Payment Summit Continuing Education information.
Click here for more MACRA Summit Continuing Education information.
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STAY CONNECTED -
ACO SUMMIT
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STAY CONNECTED -
BUNDLED PAYMENT SUMMIT
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STAY CONNECTED -
MACRA SUMMIT
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Tweet using #MACRA
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PARTICIPATION OPTIONS
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TRADITIONAL ONSITE ATTENDANCE
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Simply register, travel to the conference city and attend in person.
Pros: subject matter immersion; professional networking opportunities; faculty interaction.
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LIVE AND ARCHIVED WEBCAST PARTICIPATION
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Watch the conference in live streaming video over the Internet and at your convenience at any time 24/7 for the six months following the event.
The archived conference includes speaker videos and coordinated PowerPoint presentations.
Pros: Live digital feed and 24/7 Internet access for next six months; Accessible in office, at home or anywhere worldwide with Internet access; Avoid travel expense and hassle; No time away from the office.
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ACO SUMMIT WEBCAST INTERFACE SAMPLE
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Click here for a sample stream
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BUNDLED PAYMENT SUMMIT WEBCAST INTERFACE SAMPLE
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Click here for a sample stream
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MACRA SUMMIT WEBCAST INTERFACE SAMPLE
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Click here for a sample stream
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