Session ID: 
350

Commercial Risk: Getting Off to a Successful Start

12:00pm - 1:00pm Friday, March 13
Orlando - Orange County Convention Center
W414C

Description

Many medical groups with Medicare or Medicaid alternative payment model experience are now dipping their toes into commercial risk-based contracting. However, they often find that the strategies that worked for Medicare or Medicaid value-based care programs fall short in the commercial space. Summit Health Management (SHM) is a multi-state physician-led organization with 1,000+ providers in value-based care programs and 7+ years of experience in commercial risk. In this advanced-level session for medical group leaders, SHM will share strategies for successfully moving into commercial risk-based payment models and describe how they differ from Medicare and Medicaid. They will explain how to collaborate with a health plan to develop a risk-based payment model appropriate to your medical group’s capabilities, how to effectively negotiate contract terms, and how to build a clinical, operational, and information technology infrastructure that allows your medical group to succeed.

Learning Objectives

  • Explain how managing a commercial population under risk differs from managing a Medicare or Medicaid population
  • Assess the benefits of different terms and models for commercial risk-based contracts, which offer more flexibility than standard Medicare or Medicaid advanced payment models
  • Prepare to negotiate risk-based commercial contract terms with a health plan, including the effective use of data to shape your organization’s strategy
  • Influence patient loyalty and patient engagement to encourage in-network, appropriate utilization
  • Employ information technology to manage organizational performance and monitor plan performance

Speaker(s)

Chief Population Health Officer,
Summit Health Management
Senior Vice President, Medical Affairs and Quality,
Summit Health Management

Continuing Education Credits

ABPM
1.00
ACHE
1.00
CAHIMS
1.00
CME
1.00
CNE
1.00
CPHIMS
1.00

Audience

CEO, COO
CMIO/CMO
Payer

Level

Advanced