Rise

Registration Desk Open

Grand Salon Foyer

Exhibit Hall Open

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Chairperson Welcome & Opening Remarks

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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

CMS Update: Regulation Changes Impacting ACOs

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• Analyze CMS changes impacting Accountable Care Organizations, including potential changes on the horizon included in the pending final notice
• Discuss specific changes to MSSP and the ACO REACH Model which will have an impact on reporting and current operations
• Assess the impact of the transition from HCC V24 to HCC V28 has on ACOs and their provider engagement efforts

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

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

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• 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

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

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• 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

Integration of SDoH to Achieve ACO Success

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• 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

Value-Based Contracting for ACO Success

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• 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 

Provider Support Via Pre-Encounter Preparation

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• 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

Tactics to Frame Aligned Values with Providers

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• 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

Chairperson Closing Remarks

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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