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PCPCC Center for Accountable Care Questionnaire: Snapshot of Results and Proposed Future Plans

PCPCC Center for Accountable Care Questionnaire: Snapshot of Results and Proposed Future Plans. PCPCC Center for Accountable Care Call December 19, 2011. Q1: “CMS recently published the draft final ACO rule. What are your overall impressions of the final rule verses the initial ACO rule?”.

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PCPCC Center for Accountable Care Questionnaire: Snapshot of Results and Proposed Future Plans

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  1. PCPCC Center for Accountable Care Questionnaire:Snapshot of Results and Proposed Future Plans PCPCC Center for Accountable Care Call December 19, 2011

  2. Q1: “CMS recently published the draft final ACO rule. What are your overall impressions of the final rule verses the initial ACO rule?”

  3. Q2: “At the present time, what is your organization’s intent regarding submitting an application for one of the CMS Programs?”

  4. Q3: “If you answered yes to MSSP T1 or T2, when would you plan on submitting your SSP application?”

  5. Q4: “If you allocate percentages to each of the CMS programs based upon what percentage of health care organizations you predict will ultimately choose one program versus another, how would you assign those percentages (your total should add up to 100% because organizations cannot participate in more than one program)?”

  6. Q5: “Many are concerned about patients’ responses to ACOs. What would make ACOs attractive to patients?” (Please check all that apply)

  7. Q6: “Once our communities and patients are more informed and educated regarding medical homes, what would you expect the marketplace response will be? (Please check all that apply)

  8. Q7: “I would recommend that the PCPCC ACO Center concentrate on the following top-priority topics in the areas of Accountable Care Operations (Task Force #1 Focus)”

  9. Q7: “I would recommend that the PCPCC ACO Center concentrate on the following top-priority topics in the areas of Accountable Care Operations (Task Force #1 Focus)” • Other • How to partner with other non clinical members of the healthcare industry (ie pharmaceutical companies) • Fiscal and IT infrastructure requirements.

  10. Q8: “I would recommend that the PCPCC ACO Center concentrate on the following top-priority topics in the areas of Education and Advocacy (Task Force #2 Focus)”

  11. Q8: “I would recommend that the PCPCC ACO Center concentrate on the following top-priority topics in the areas of Education and Advocacy (Task Force #2 Focus)” • Other • Strategies to educate physicians about their role as independent physicians in the Medical Home concept. • What resources are available outside of consulting services to help organizations achieve progress towards ACO/PCMH (ie NCQA, AMA, Big Pharma resources, etc.)

  12. Q9: “Now that the final ACO rule has been published and organizations will move from a regulatory focus to a more operational one, what additional areas of focus should the PCPCC ACO Center’s Regulatory Task Force concentrate on?”

  13. Question 10: “As the PCPCC’s ACO Center seeks to solidify primary touch (and/or avoid duplicating work) with other PCPCC centers, what would you highlight as the top potential areas of synergy with other centers” • MD/Hospital, MD/Insurance, and PCP/Specialist integration (3) • Efficacious care delivery & coordination (3) • Employer strategies (2) • Consumer engagement-education on ACO/med. Home (2) • ACO relationship with payers (2) • Payment models/reform (2) • Process re-design/optimizing use of EHRs & technology (2) • Data sharing • Population management • Means to share patient information in appropriate ways • ACO resource utilization from industry partners (biotech, pharma, etc) • Lab results, other test results • Medical Neighborhood • Regulatory Advocacy

  14. Q11: “Would you be willing to volunteer to participate in calls with one of more of the ACO Center Task Forces? If so, which one(s)?

  15. Team Volunteers • Operations/Best Practices • David Gans- MGMA (dgans@mgma.com) • Richard May- HuTech Resources (dmay@hutech.net) • Scott Morgan- JH Cohn (smorgan@jhcohn.com) • Sherri Miller- Proactive Health Strategies, Inc. (sherri.miller@proactivehealthstrategies.com) • Education/Advocacy • Sharon West- CAP (swest@cap.org) • Ken Bertka- Catholic Health Partners (bertka@mindspring.com) • Regulatory • Kathryn Bradshaw- Bradshaw Healthcare Solutions (bradshawhcs@gmail.com) • Ellen VanBuskirk- Trizetto (ellen.vanbuskirk@gmail.com) • Integration with Other Centers • Aileen Wehren- Porter Starke Services (awehren@porterstarke.org) • Anita Tanner- COCMHC (Tanner5001@yahoo.com) • Amy Gibson- PCPCC (agibson@pcpcc.net)

  16. Co-Chair Recommended Next Steps • Consolidate Four Sub-Groups into Two • Operations and Best Practices Team (Co-Chairs Samitt and Safran) • Education and Advocacy Team (Co-Chairs Epperly and Childs) • Modify Focus of Monthly Calls • Convert monthly member calls into Webinars to review prioritized topics of interest (see next slide) • Coordinate quarterly calls of two sub-groups to prioritize focus of future webinars • Co-Chairs will have separate quarterly calls to assure coordination and alignment with PCPCC Strategic Plan

  17. Prioritized Topics via Questionnaire

  18. Discussion and Next Steps

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