View Past Agenda | RISE ACO Connect | A RISE Health Conference

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RISE ACO Connect
September 30 – October 1, 2024
Las Vegas

Past Agenda

 

 

 

Monday - September 30, 2024

11:00 AM 8:30 PM

10:00 AM 7:30 PM

9:00 AM 6:30 PM

8:00 AM 5:30 PM

Registration Desk Open

Grand Ballroom Foyer

11:00 AM 12:00 PM

10:00 AM 11:00 AM

9:00 AM 10:00 AM

8:00 AM 9:00 AM

Networking Breakfast

11:00 AM 9:00 PM

10:00 AM 8:00 PM

9:00 AM 7:00 PM

8:00 AM 6:00 PM

Exhibit Hall Open

Bronze 2 - 4

12:00 PM 12:10 PM

11:00 AM 11:10 AM

10:00 AM 10:10 AM

9:00 AM 9:10 AM

Chairperson Welcome & Opening Remarks

Bronze 2 - 4

Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP, Director Risk Capture, Population Health Management

Mass General Brigham

 

Laura Sheriff, RN, MSN, CPC, CRC 
Risk Adjustment Industry Expert

12:10 PM 12:55 PM

11:10 AM 11:55 AM

10:10 AM 10:55 AM

9:10 AM 9:55 AM

Navigating Compliant Documentation: A Guide to Value-Based Care

Bronze 2 - 4

  • Explore the Core of Value-Based Care
  • Examine how CMS required documentation and coding:
    • Affects Patient Complexity
    • Influences Quality Metrics
    • Determines Resource Allocation and Programs
    • Impacts Patient Outcomes
    • Alters Utilization and Cost Trends

 

Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP, Director Risk Capture, Population Health Management

Mass General Brigham

 

Laura Sheriff, RN, MSN, CPC, CRC 
Risk Adjustment Industry Expert

12:55 PM 1:50 PM

11:55 AM 12:50 PM

10:55 AM 11:50 AM

9:55 AM 10:50 AM

Deep Dive into the ACO REACH Model- Year One and Beyond

Bronze 2 - 4

  • Evaluate the progress of the ACO REACH Model during its first year, and assess important operational processes related to payments and investments in value-based care
  • Discuss some of the challenges that ACO REACH professionals are facing and identify opportunities for improvement
  • Examine the ACO REACH Changes, and how ACOs need to adapt to ensure they are meeting the requirements

 

Athena Santos, MPH, CRC, Executive Director, Quality Performance and Value

AdventHealth Primary Care Network

 

Inna Karyeva, Chief Operating Officer, National Products,

Better Health Group

 

Kim Prendergast, Vice President of Policy,

Community Care Cooperative

1:50 PM 2:25 AM

12:50 PM 1:25 AM

11:50 AM 12:25 AM

10:50 AM 11:25 PM

Networking Break

Bronze 2 - 4

2:25 PM 3:10 PM

1:25 PM 2:10 PM

12:25 PM 1:10 PM

11:25 AM 12:10 PM

Strategies to Create and Maintain a Financially Stable Small to Mid-Sized ACO

Bronze 2 - 4

  • Assess the obstacles that smaller ACOs face in a competitive market to reach organizational and financial goals
  • Identify key components of success for all stakeholders to collaborate to improve efficiency
  • Explore opportunities for growth in the market to remain competitive and achieve the goal of improving health care outcomes with reduced costs

 

Lance Donkerbrook, Chief Executive Officer,

Commonwealth Primary Care ACO

 

Kenneth Persaud MD, CEO

White-Wilson Medical Center

3:10 PM 4:05 PM

2:10 PM 3:05 PM

1:10 PM 2:05 PM

12:10 PM 1:05 PM

Integration of SDoH to Achieve ACO Success

Bronze 2 - 4

  • Identify opportunities to improve behavioral, social, and health factors through Social Determinants of Health
  • Assess collaboration efforts to increase partnerships with Community Based Organizations for the benefit of your members
  • Explore new approaches to improve the accuracy of data of your members social needs, including housing, transportation, and food to create new initiatives to improve care

 

Arumani Manisundaram, Founder & CEO

Netrin Primary Care ACO, LLC

 

Suneksha KC, Executive Director, ACO Strategy & Operations

Netrin Primary Care ACO, LLC

4:05 PM 5:10 PM

3:05 PM 4:10 PM

2:05 PM 3:10 PM

1:05 PM 2:10 PM

Networking Lunch

Bronze 2 - 4

5:10 PM 5:55 PM

4:10 PM 4:55 PM

3:10 PM 3:55 PM

2:10 PM 2:55 PM

Value-Based Contracting for ACO Success

Bronze 2 - 4

  • Discuss the fundamental components of value-based contracting to ensure all parties understand the risk they are inheriting
  • Analyze the differences between global and professional risk to avoid costly errors
  • Evaluate the shared savings that can be achieved and utilize the information to incentivize valuable provider groups

 

Shannon Decker, MD, PhD., MBA, M.Ed., Risk Adjustment Expert,  

VBC One 

 

Brian J. Silverstein, MD, Chief Population Health Officer

Innovaccer

5:55 PM 6:20 PM

4:55 PM 5:20 PM

3:55 PM 4:20 PM

2:55 PM 3:20 PM

Networking Break

Bronze 2 - 4

6:20 PM 7:05 PM

5:20 PM 6:05 PM

4:20 PM 5:05 PM

3:20 PM 4:05 PM

Provider Support Via Pre-Encounter Preparation

Bronze 2 - 4

  • Identify which key stakeholders need to be included in the pre-encounter preparation process
  • Analyse which key pieces of information, including prior authorizations that will be important to prepare
  • Create an informational handout for members to ensure they understand they are part of an ACO and what that means for their health care

 

Moderator

Susan L Waterman, RHIT, CCS, CPC, CRC Director, Risk Adjustment

AHIMA ICD-10-CM/PCS Trainer

Baylor Scott & White Health Plan

 

Panelists 

Athena Santos, MPH, CRC, Executive Director, Quality Performance and Value

AdventHealth Primary Care Network

 

Carolina Espinoza-Strelec, MPH, CMQ, CPHQ, Program Director of Population Health and Clinical Integration

Ascension Medical Group Texas & Seton Health Alliance

7:05 PM 7:50 PM

6:05 PM 6:50 PM

5:05 PM 5:50 PM

4:05 PM 4:50 PM

Tactics to Frame Aligned Values with Providers

Bronze 2 - 4

  • Discuss the value of building trust and aligned goals with clinicians on the front lines when collaborating together to streamline processes
  • Create a standard practice for clinicians that is straightforward, and easy to integrate into current processes in ways that are efficient and clinically meaningful
  • Offer guidance and education to ensure those delivering clinical care understand coding and quality requirements, and equip them with tools to achieve success

 

Moderator

Laura Sheriff, RN, MSN, CPC, CRC 
Risk Adjustment Industry Expert

 

Panelists

Tanya Kapka, MD, MPH, FAAFP, Senior Medical Director, NYC,

Oak Street Health

 

Ava Johnson, Associate Director, Ambulatory CDQI

Mount Sinai Hospital, NYC

7:50 PM 8:00 PM

6:50 PM 7:00 PM

5:50 PM 6:00 PM

4:50 PM 5:00 PM

Chairperson Closing Remarks

Bronze 2 - 4

Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP, Director Risk Capture, Population Health Management
Mass General Brigham

 

Laura Sheriff, RN, MSN, CPC, CRC 
Risk Adjustment Industry Expert

 

8:00 PM 9:00 PM

7:00 PM 8:00 PM

6:00 PM 7:00 PM

5:00 PM 6:00 PM

Networking Cocktail Reception

Bronze 2 - 4

Join us for drinks, hors d’oeuvres, and face-to-face networking with peers.

Tuesday - October 1, 2024

11:00 AM 2:00 PM

10:00 AM 1:00 PM

9:00 AM 12:00 PM

8:00 AM 11:00 AM

Registration Desk Open

Grand Ballroom Foyer

11:00 AM 12:00 PM

10:00 AM 11:00 AM

9:00 AM 10:00 AM

8:00 AM 9:00 AM

Networking Breakfast

Bronze 2 - 4

11:00 AM 5:50 PM

10:00 AM 4:50 PM

9:00 AM 3:50 PM

8:00 AM 2:50 PM

Exhibit Hall Open

Bronze 2 - 4

12:00 PM 12:10 PM

11:00 AM 11:10 AM

10:00 AM 10:10 AM

9:00 AM 9:10 AM

Chairperson Welcome & Opening Remarks

Bronze 2 - 4

Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP, Director Risk Capture, Population Health Management
Mass General Brigham

 

Laura Sheriff, RN, MSN, CPC, CRC 
Risk Adjustment Industry Expert

12:10 PM 12:55 PM

11:10 AM 11:55 AM

10:10 AM 10:55 AM

9:10 AM 9:55 AM

ACO Quality Reporting Requirement Update

Bronze 2 - 4

  • Dissect the challenges related to the ACO REACH claims-based quality measures, CAHPS measure, and the quality withhold
  • Identify strategies to improve quality scores include provider and patient education
  • Explore the Health Equity Plan requirement for the ACO REACH model to ensure your organization is prepared and accurately reporting data

 

 

Margaret Paroski, President and Chief Executive Officer

Catholic Medical Partners

 

Michelle Mirkovič, PT, MHA, Program Director, Regulatory and Value-Based Care
Medical Economics

Southwestern Health Resources

12:55 PM 1:50 PM

11:55 AM 12:50 PM

10:55 AM 11:50 AM

9:55 AM 10:50 AM

Risk Adjustment Coding Improvement for ACO Success

Bronze 2 - 4

  • Ensure providers understand the importance and necessity of accurate risk adjustment coding for the benefit of the members care and revenue
  • Implement a clinical documentation integrity program and conduct regular training with providers to enhance coding improvement
  • Explore analytical tools that can help providers with their goal of streamlining the coding process and improving accuracy

 

Moderator

Syed M. Rizvi, MHA, Director Risk Adjustment & Vendor Operations

Southwestern Health Resources

 

Panelists

Scott Kitchen, Vice President, Clinical and Business Intelligence Catholic Health System

Catholic Medical Partners

 

Michael J. Brown, Vice President, Risk Accuracy 

Tandigm 

 

Wade A. Brosius, DO, Chief Medical Officer,  

PMSI

 

1:50 PM 2:20 PM

12:50 PM 1:20 PM

11:50 AM 12:20 PM

10:50 AM 11:20 AM

Networking Break

Bronze 2 - 4

2:20 PM 3:05 PM

1:20 PM 2:05 PM

12:20 PM 1:05 PM

11:20 AM 12:05 PM

Vendor Identification, Selection and Oversite to for ACO Success

Bronze 2 - 4

  • Explore different types of vendors in the industry that can help improve efficiency with population health management, data interoperability, and cost containment to achieve organizational goals
  • Assess the selection and onboarding process to ensure that the vendor has set goals and KPIs to reach their objective
  • Implement an oversite program to improve communication, and capture potential issues

 

Laura Sheriff, RN, MSN, CPC, CRC 
Risk Adjustment Industry Expert

 

Mrugank Dhone, Manager, Business Intelligence Development

Southwestern Health Resources

3:05 PM 4:05 PM

2:05 PM 3:05 PM

1:05 PM 2:05 PM

12:05 PM 1:05 PM

Networking Lunch

Bronze 2 - 4

4:05 PM 4:55 PM

3:05 PM 3:55 PM

2:05 PM 2:55 PM

1:05 PM 1:55 PM

Case Study: Cost and Utilization Reduction Strategies

Bronze 2 - 4

  • Assess the importance of creating a care management plan for members with chronic diseases to maintain health care levels and reduce utilization
  • Close gaps in care by improving Annual Wellness Visit accuracy, and prepare easy to use information for providers to avoid costly errors
  • Ensure that you have specialty care experts as part of your network, and the opportunity to utilize skilled nursing facilities, and post-acute care options

 

Dr. Lilian Alevato, MD, MBA, CHA, OHCC, FAACM, PCMH-CCE, Medical Director of Clinical Services

Innovacare

 

Michelle Robinson, ACO Executive, IPA, ACO & PCF Director of Operations

Innovacare

4:55 PM 5:40 PM

3:55 PM 4:40 PM

2:55 PM 3:40 PM

1:55 PM 2:40 PM

Industry Leader Conclusion Panel: Lessons Learned

Bronze 2 - 4

  • Review CMS changes impacting ACOs and changes to the ACO REACH Model
  • Assess cost containment strategies that have worked and improved revenue while maintaining health care outcomes
  • Explore opportunities for future growth with CMS goal of shifting all health care into an ACO by 2030

 

Moderator

Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP,

Director Risk Capture, Population Health Management

Mass General Brigham

 

Panelists

Lance Donkerbrook, Chief Executive Officer,

Commonwealth Primary Care ACO

  

Scott Kitchen, Vice President, Clinical and Business Intelligence Catholic Health System

Catholic Medical Partners

5:40 PM 5:50 PM

4:40 PM 4:50 PM

3:40 PM 3:50 PM

2:40 PM 2:50 PM

Chairperson Closing Remarks

Bronze 2 - 4

Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP, Director Risk Capture, Population Health Management
Mass General Brigham

 

Laura Sheriff, RN, MSN, CPC, CRC 
Risk Adjustment Industry Expert