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According to an August 2017 National Business Group on Health (NBGH) survey 21% of companies are planning to contract with ACOs this year and the NBGH predicts the number of employers offering ACOs could double by 2020.  Medicare has an ambitious goal to tie 90% of fee-for-service (FFS) payments to quality and 50% of spending to Alternative Payment Models (APMs) by this year.

However, the commercial market is still dominated by FFS reimbursement and both Medicare and Medicaid continue to rely heavily on FFS.  Significant structural impediments make the transition from volume to value extremely challenging for providers including the lack of access to actionable data, reporting requirements, and the need to develop and finance the infrastructure necessary to take on risk.

This Webinar covers how to position your organization for success in a value-based environment. Our speakers are from Day Health Strategies, a consulting firm with extensive experience helping organizations to move from volume to value.

Ross Weiler, MBA, CHIE (Principal) has over 25 years of leadership experience in health plan/insurer product development/management and account management; health & welfare benefits consulting; government regulations and programs; and exchanges. He recently led Medicaid ACO transformation and implementation engagements for Massachusetts and North Carolina healthcare organizations.  He was a senior staff member at the Health Connector during the implementation of Massachusetts health care reform and its rollout of the first-in-nation state-based exchange.  Ross received his M.B.A. degree from the Boston University School of Management, concentrating in health care management, and a B.F.A. degree from the Boston Conservatory of Music.

Sarah Matousek, PhD, MPH (Senior Consultant) is currently assisting with the implementation effort for a large Model A MassHealth ACO and leading change management and clinical redesign efforts at two community health centers.  She recently designed a care management solution for a major provider network and evaluated primary care/behavioral health integration efforts for a public agency in Massachusetts.   Sarah is an affiliate member of Atul Gawande’s Ariadne Labs at the Brigham & Women’s Hospital and the Harvard TH Chan School of Public Health.  Sarah holds a PhD in Neurobiology & Anatomy from the University of Rochester and an MPH in Health Policy & Management from Boston University.

This Webinar is a non-commercial presentation sponsored by ZurickDavis

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Posted on Oct 19, 2018