HIMSS17 TOOK PLACE IN ORLANDO, FL

Twenty Years of Risk Capitation, Lessons Learned

February 22, 2017 — 10:00AM EST - 11:00AM EST
Orange County Convention Center
Room: W311E
Session ID: 
164
Continuing Education Credits: 
CME
1.00
CNE
1.00
ACHE
1.00
CAHIMS
1.00
CPHIMS
1.00
ABPM LLSA
1.00

Description

AMITA Health has participated in capitated risk contracts since 1998. Today, the system participates in commercial and federal accountable care/shared savings as well as a commercial HMO contract. Since accepting risk from payers almost 20 years ago, AMITA Health has never missed a budget or failed an audit, and has seen steady increases in quality performance. This success has allowed AMITA Health to grow in a competitive Chicagoland market. AMITA Health’s clinical and operational leaders will present administrative, technical, and clinical lessons that guide their organization in their continued growth of value and risk bearing agreements with payers.

Learning Objectives: 

  • Apply the experiences of a clinical integration leader with 20 years of full capitation experience to my own transition to value-based care
  • Design a program for new payment models that supports both commercial and government contracts built on a foundation of integrated data
  • Illustrate the value of an integrated data set including EHR and Claims data on the operations of a diverse health system supported ACO including governance structure, care coordination programs and practice operations

Audience: 

C-Suite
Physician, CMO, CMIO
Payers

Level: 

Intermediate

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