Twenty Years of Full-Risk Capitation - Lessons Learned
February 22, 2017 — 10:00AM - 11:00AM EST
Orange County Convention Center
Think it’s impossible to demonstrate financial and clinical success under commercial and government full-risk contracts with many different EHRs, through a corporate merger, and in a competitive suburban environment over nearly 20 years? It’s not. The leader of the AMITA Health ACO (created in conjunction with the merger of Adventist Midwest Health and Alexian Brothers Health System in Chicago’s Northwest suburbs) has been operating under a Blue Cross capitation contract for nearly twenty years and a Medicare Shared Savings Program contract for the last three. Throughout that time, the physician-led organization has maintained profitable operations while improving quality scores and meeting all regulatory audit requirements. In this session, learn the secrets of effective EHR/claims data integration, buy vs. build decisions, care management operations and physician governance programs that have driven AMITA’s success.
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