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CMS: Accelerated Development Learning Program June 20 & 21, 2011

Day 1: ACO Formation: Leadership and Priority Setting

On Day 1, presentations and discussion will emphasize the importance of understanding patient populations, market environment and the core functions of an ACO as a starting point that will guide ACO formation and provider relationships. The plenary, case studies and team based exercises will show how data and market intelligence can be used to set strategic ACO goals and priorities that bind providers and inform ACO development. Participants will also leave the day 1sessions with an understanding of the other ACO competencies they will need to develop

  • 1:00 – 1:15 | Welcome & Introductions
  • 1:15 – 1:30 | Opening Remarks from CMS

Rich Baron, MD, Group Director, Seamless Care, CMS Center for Innovation

John Blum, Deputy Administrator, Centers for Medicare and Medicaid Services

  • 1:30 – 3:30 | Setting Priorities and Leading ACO Formation

How becoming an ACO changes perspective, priorities, and leadership

John Bertko, F.S.A., M.A.A.A., CMS

Essential questions an ACO needs to ask – and what it takes to answer them

Paul M. Katz, MBA, Chief Executive Officer, Intelligent Healthcare | This session will introduce the two-day program. It will demonstrate the importance of grounding the ACO’s strategy on a solid understanding of the population for which it will be responsible, existing patterns of care and opportunities for improvement in that population, clearly defining the role and responsibility of all participating providers for meeting the needs of the population and achieving strategic goals for improvement, establishing a workable organizational structure, and leading efforts to change the way care is organized, delivered and managed. This session will introduce the notion of a “recipe for success” that reflects an ACO’s understanding of the local market it operates in, the specific goals that it will need to achieve, and the core competencies it both has and needs to develop, given the different starting points of each organization.

  • 3:30 – 3:45 | Break
  • 3:45 – 5:30 | Insights from the Field

Participants will learn from the real-world experience of ACO leaders who have developed and implemented organizations that perform the functions of an ACO. Issues to be addressed include leadership and management functions such as priority setting, decision making, and negotiating provider relationships.

Case Study 1: Building an ACO on the foundation of an Integrated Delivery System (IDS)

Craig Samitt, MD, Chief Executive Officer, Dean Health

Case Study 2: Building an ACO on the foundation of an IPA

Karen van Wagner, PhD, Executive Director, North Texas Specialty Physicians

Case Study 3: Building an ACO on the foundation of a Physician-Hospital Organization (PHO)

Lee Sacks, MD, Chief Executive Officer, Advocate Physician Partners

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