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Measuring Progress in Accountable Care Webinar March 14, 2013. Speakers: Eugene A. Kroch, Ph.D., vice president and chief scientist at the Premier Research Institute.
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Measuring Progress in Accountable Care WebinarMarch 14, 2013 Speakers: • Eugene A. Kroch, Ph.D., vice president and chief scientist at the Premier Research Institute. • Patrick Falvey, Ph.D., senior vice president and chief integration officer at Aurora Health Care in Wisconsin and Illinois. • Steven Blumberg, senior vice president/executive director of Health Solutions at AtlantiCare in New Jersey. Moderators: Anne-Marie J. Audet, M.D., MSc. , The Commonwealth Fund Stuart Guterman, The Commonwealth Fund A Private Foundation Working Toward a High Performance Health System
Current Status of ACO Implementation in the U.S. Hawaii Puerto Rico Note: the sum of the ACOs reflects the total number of unique, publicly identifiable, confirmed private-payer ACOs as of 08/2012 and public-payer ACOs as of 01/2013.
1. Accountable Care • Conceptual and operational framework to describe ACO along criteria essential to assess and track organizations transforming into the accountable care model (Dartmouth/Berkeley HA - 9/12. NCQA Accreditation Program. • Early assessment of national progress towards accountable care: Health Research and Educational Trust (HRET ) national survey of hospital preparedness for accountable care; Fund Data Brief (Audet/Kenward/Joshi; August 2012). Hospital system perspective. • Established a foundation to track evolution of ACO implementation: Fisher et al national survey of SSP/Pioneer/Private sector ACOs (approx 210 sites surveyed fall 2012). Results forthcoming. • Support work to inform major issues surrounding vulnerable populations in the development and implementation of ACOs. • ACO implementation of the Premier ACO Collaborative identified variation in key domains of ACO readiness (Kroch et al, Fund 2012). • Fund Commission on a High Performance Health System (Guterman et al, 2012). A Private Foundation Working Toward a High Performance Health System
Key Elements for Successful Accountable Care Source: Commission on a High Performance Health System. High Performance Accountable Care: Building on Success and Learning from Experience (New York: The Commonwealth Fund, April 2011). Overall goal: To achieve a high performance health system that is organized to attain better health, better care, and lower costs • Strong Primary Care Foundation • Accountability for Quality of Care, Patient Care Experiences, Population Outcomes, and Total Costs • Informed and Engaged Patients • Commitment to Serving the Community • Criteria for Entry and Continued Participation That Emphasize Accountability and Performance • Multi-Payer Alignment to Provide Appropriate and Consistent Incentives • Payment That Reinforces and Rewards High Performance • Innovative Payment Methods and Organizational Models • Balanced Physician Compensation Incentives • Timely Monitoring, Data Feedback, and Technical Support for Improvement A Private Foundation Working Toward a High Performance Health System
Future Priority Areas: Accountable Care Accountable Care development, implementation and tracking • Monitor development of ACOs – track progress in Medicare (Pioneer, MSSP); state Medicaid; private sector; Multi-payer ACOs. • Identify best practices for critical implementation activities: transition costs, engaging consumers; care management approaches for populations; measures of accountability. • Evaluate impact of accountable care on quality and costs. • Explore local market and community characteristics where ACOs are forming. • Identify other models for organized, population-based, accountable delivery systems. A Private Foundation Working Toward a High Performance Health System
Priority Areas: Accountable Care Payment models to promote integration and population-based accountable care systems • Evaluate adoption of payment policies: bundles, episode-based, shared risk, dimensions of performance rewarded/penalized, impact on provider behavior, redesign and quality and costs . A Private Foundation Working Toward a High Performance Health System
Priority Areas: Accountable Care Payment models to promote integration and population-based accountable care systems • Evaluate adoption of payment policies: bundles, episode-based, shared risk, dimensions of performance rewarded/penalized, impact on provider behavior, redesign and quality and costs . A Private Foundation Working Toward a High Performance Health System
Measuring Progress in Accountable Care WebinarQ & A Session A Private Foundation Working Toward a High Performance Health System
Measuring Progress in Accountable Care WebinarResources • Slides from today’s panelists are available here: http://www.commonwealthfund.org/Events.aspx • For Commonwealth Fund reports on ACOs, including the Premier Research Institute reports, visit:http://www.commonwealthfund.org/Topics/SubTopics/Accountable-Care-Organizations.aspx