Payers, Providers, & Patients: The Impact of ACOs on Accelerating Clinical Integration
Wednesday, March 22nd, 2023 | 2:00 PM - 3:00 PM CT
Hospitals, health systems and providers who participate in a clinically integrated network can take advantage of a stronger healthcare delivery infrastructure with more resources to improve outcomes and the care experience, all while reducing total cost of care.
Despite these benefits, participating in a clinically integrated network can be challenging. Rising costs, payer demands, competing value-based initiatives, and administrative burdens are making it increasingly more difficult for clinically integrated networks to stay aligned and competitive, but there are solutions.
Join this presentation to hear from health system leaders to learn how they have successfully used ACO participation as the chassis to accelerate clinical integration. Through collaboration and customized population health methodologies, affiliated partners and independent providers can come together in a CIN, align with CMS’ goal of having all Medicare beneficiaries managed by an accountable care plan by 2030, and build a sustainable foundation to grow their value-based programs.
Key learnings:
Despite these benefits, participating in a clinically integrated network can be challenging. Rising costs, payer demands, competing value-based initiatives, and administrative burdens are making it increasingly more difficult for clinically integrated networks to stay aligned and competitive, but there are solutions.
Join this presentation to hear from health system leaders to learn how they have successfully used ACO participation as the chassis to accelerate clinical integration. Through collaboration and customized population health methodologies, affiliated partners and independent providers can come together in a CIN, align with CMS’ goal of having all Medicare beneficiaries managed by an accountable care plan by 2030, and build a sustainable foundation to grow their value-based programs.
Key learnings:
- How to use the Medicare Shared Savings Program as the key building block to meeting and exceeding performance requirements for clinically integrated networks formation.
- How to build a value-based care infrastructure that aligns and incentivizes varying levels of performers across all Medicare FFS and Medicare Advantage lives.
- How to glean data that helps uncover gaps in care and identify opportunities to expand services.
- How clinically integrated networks with a variety of participants can lead to better performance.