The Alliance of Community Health Plans (ACHP) was pleased to host chief financial officers, actuaries and guests from its member organizations to at its collaborative meeting in San Diego on May 24, 2017!
They were joined at the meeting by your clinical colleagues, including the chief medical officers, clinical executives, behavioral health directors, quality leaders and invited guests from ACHP member plans. This provides a great opportunity to network with colleagues from other member organizations and participate in joint discussions over the course of the meeting.
In preparation for the meeting, we have compiled a set of pre-reading/pre-work materials, all of which relates to the topics on the agenda. These materials are designed to set the foundation for our discussions and will be referenced throughout the meeting to help provide perspective and guide insights.
There are two types of materials: “Recommended Pre-work” and “Further Reading.” We ask that you read and/or complete the “Recommended” materials as part of the pre-work. The articles designated as “Further Reading” are pieces we think are valuable, but if you have limited time, we would rather you concentrate that time on the recommended materials.
- Jacque J. Sokolov, M.D., chairman and chief executive officer, SSB Solutions, Inc., will provide a look at the important move from volume to value-based payment models and what the future holds. He has provided this slide presentation as background.
- Susan Horras, director, healthcare finance policy, Health Plan and Population Health Initiatives, and Jim Landman, director, healthcare finance and policy perspectives & analysis, Healthcare Financial Management Association (HFMA), will lead a session on the various APMs and their strengths and opportunities for improvement. HFMA has provided this article as background. Additionally, Health Policy Alternatives prepared a comprehensive overview of HHS’ APM demonstrations and initiatives.
- Grace Terrell, M.D., founding chief executive officer, Envision Genomics, will discuss how to be successful in the new payment models, including what not to do. This article captures the story of Cornerstone Health Care.
Further Reading (optional):
- The Effects of Pay-for-Performance Programs on Health, Health Use, and Processes of Care – discusses the effects of pay-for-performance programs targeted at the physician, group, managerial or institutional level on process-of-care and patient outcomes in ambulatory and inpatient settings.
- Should Medicare Value-Based Purchasing Take Social Risk into Account? and Social Risk Factors and Equity in Medicare Payment – examine the implications of a value-based health care delivery system on patients with social risk factors and on the providers who disproportionately provide care to socially at-risk populations; suggest strategies to account for social risk factors in Medicare payment.
- Effects of Health Care Payment Models on Physician Practice in the United States – describes the effects that alternative health care payment models have on physicians and physician practices in the United States.
Additional information will be provided as it becomes available.
The meeting was held at the Hilton San Diego Resort & Spa in San Diego, California. The meeting began on Wednesday, May 24 at 8:00 a.m. PT and concluded at 4:00 p.m. PT. ACHP will host a networking event for all attendees that evening.
How to Register
This event has passed. Registration for this event has closed.