ACO ADLS: Baltimore, Maryland

A series of three Accelerated Development Learning Sessions were held in select cities around the country in Minneapolis, MN, San Francisco, CA, and Baltimore, MD. Each Accelerated Development Learning Session (ADLS) was an opportunity for leadership from existing or emerging Accountable Care Organizations (ACOs) to develop a broad and deep understanding of how to establish and implement core functions to improve care delivery and population health while reducing growth in costs.

The third and final Accelerated Development Learning Session was held at the Centers for Medicare & Medicaid Services (CMS) in Baltimore, MD, on November 17-18, 2011.

All participants in the Accelerated Development Learning Session were asked to be prepared to:

  1. Conduct pre-session planning,
  2. Attend an intensive in-person meeting to jump start ACO formation by identifying shared goals, key challenges, and core competencies,
  3. Participate in follow-on webinars, and
  4. Complete a comprehensive ACO implementation plan with year-by-year benchmarks over the next
    3 years.

Resources from the Baltimore ADLS held November 17-18, 2011:

Disclaimer: Numerous files on this page are provided by persons or organizations outside of CMS. These files are made available here as a courtesy for archiving purposes. CMS maintains no responsibility for the content or views expressed in these files and cannot guarantee that these files are fully accessible to persons with disabilities.

Agenda

Portions of the program will be broadcast live via free webcast. To view this webcast, visit www.cms.gov/LIVE during times designated by the "**" below.

Day 1 Morning: Strategy—Goals and Organizational Structure

On the morning of Day 1, participants learned from the real-world experience of ACO leaders who have developed and implemented organizations that perform the functions of an ACO. The experience of three different types of organizations, including an IPA, PHO, and IDS, were presented to illustrate different organizational and governance models that pursue broadly similar goals. The private sector perspective was also presented. The participants left Day 1 with a concrete sense of the hard questions their ACO will need to answer concerning leadership and management functions such as priority setting, decision making, and negotiating provider relationships.

8:00 – 8:15

Welcome & Introductions**

Jonathan Blum, MA
Deputy Administrator, Director, Center for Medicare, Centers for Medicare and Medicaid Services

8:15 – 9:00

ACOs and Improving Care for Medicare Beneficiaries**

Don Berwick, MD, MPP
Administrator, Centers for Medicare and Medicaid Services

9:00 – 10:30

Insights From the Field**

Moderator: Richard Baron, MD
Director, Seamless Care Models Group, Centers for Medicare and Medicaid Services

9:00 – 9:30

Case Study 1: Building an ACO on the Foundation of an IPA (PDF)**

Nancy Boerner, MD, MBA
Chief Medical Officer, Monarch HealthCare

9:30 – 10:00

Case Study 2: Building an ACO on the Foundation of a PHO (PDF)**

Paula Phillippe, MA
SVP, Integrated Network and Payer Solutions & Chief HR Officer

10:00 – 10:30

Case Study 3: Building an ACO on the Foundation of an IDS (PDF)**

Craig Samitt, MD, MBA
President and Chief Executive Officer, Dean Health System

10:30 – 11:00Morning Break
11:00 – 11:30

Panel Discussion: Common Challenges, Common Solutions/Distinctive Challenges, Distinctive Solutions**

All Case Study Presenters

Moderator: Richard Baron, MD
Director, Seamless Care Models Group, Centers for Medicare and Medicaid Services

11:30 – 12:30

A Private Sector Perspective on ACOs & the Changing Payer-Provider Relationship**

Scott Sarran, MD, MM
Vice President and Chief Medical Officer, BlueCross BlueShield of Illinois

12:30 – 1:30Lunch Break

Day 1 Afternoon: Care Delivery

The afternoon of Day 1 began as a structured series of learning modules related to core competences essential to becoming an ACO. The learning modules reviewed the core competencies for success as an ACO are intended to provide an interactive opportunity for team-based discussion and peer-to-peer learning. Each module was offered in an “A” track and a “B” track. This afternoon’s modules focused on care delivery.

The “A” track generally was of interest to newly forming ACOs comprised of independent providers with limited experience with information sharing and managing shared financial risk.

The “B” track generally was of interest to integrated delivery systems or independent providers with a history of collaboration and experience with shared financial risk.

1:30 – 5:45Learning Modules 1 & 2
1:30 – 3:30Module 1: Care Delivery – Primary Care & Care Redesign
 

Module 1 "A" Session Faculty: (PDF)

Jonathan Sugarman, MD, MPH
Qualis Health

Module 1 "B" Session Faculty: (PDF)

David Eitrheim, MD
Mayo Clinic Health System

3:30 – 3:45Afternoon Break
3:45 – 5:45Module 2: Care Delivery – Coordinating Care and Managing High Risk, High Cost Beneficiaries
 

Module 2 "A" Session Faculty: (PDF)

Barbara Spivak, MD
MACIPA

Module 2 "B" Session Faculty: (PDF)

Barbara Walters, MD, MBA
Dartmouth-Hitchcock

Day 2 Morning: Governance and Health Information Technology

Day 2 began with a discussion of the organizational and governance challenges that developing ACOs must successfully navigate. It also provided insights into ACOs from the patient perspective.

As a continuation of the previous afternoon, Day 2 also continued the series of learning modules related to core competences essential to becoming an ACO. Each module was offered in an “A” track and a “B” track.

7:00 – 8:00Breakfast with CMS Staff
8:00 – 8:10

Welcome & Introductions**

Rick Gilfillan, MD
Acting Director, Centers for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services

8:10 – 8:45

The Patient Experience**

Amy Berman, BS, RN
Senior Program Officer, The John A. Hartford Foundation

Debra Ness, MS
President, National Partnership for Women & Families

8:45 – 9:45

The Organizational and Governance Challenge of Meeting Needs While Lowering Costs**

Jay Want, MD
Principal, Want Health Care, LLC
(Former President and CEO, Physician Health Partners, LLC)

9:45 – 10:00Morning Break
10:00 – 12:00Learning Module 3: Connecting Providers and Health Information Technology
 

Module 3 "A" Session Faculty: (PDF)

John Blair, MD, MedAllies &
Susan Stuard, MBA, THINC

Module 3 "B" Session Faculty: (PDF)

Karen Van Wagner, PhD
North Texas Specialty Physicians

12:00 – 1:00Lunch Break

Day 2 Afternoon: Putting the Pieces Together and Defining a Path Forward

This afternoon's session 2 concluded the learning modules related to core competences essential success as an ACO.

After the last learning module, the conference concluded with an opportunity for discussion and Q&A with senior CMS staff.

1:00 – 3:00Module 4: Risk Sharing, Incentives, and Startup/Capital Needs
 

Module 4 "A" Session Faculty: (PDF)

Greger Vigen, MBA
Actuarial Consultant

Module 4 "B" Session Faculty: (PDF)

Robert Parke, MBA
Milliman

3:00 – 3:15Afternoon Break
3:15 – 4:15Discussion with Senior CMS Staff (PDF)