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ACO Capitation 101: Understanding Medicare ACOs’ real potential to influence patterns of care
The Medicare ACO is built on a fee for service chassis: ACO patients have the same benefits as any other beneficiary in fee for service Medicare, and providers are paid off the same Medicare fee-for-service fee schedule. Limitations within the standard Medicare fee-based payment system and delays in payment earned through the incentives of the shared savings approach both seriously dilute the effectiveness of incentives.

Medicare is experimenting with alternatives to the straight fee for service and shared savings model by using three different approaches to capitation. As the pioneer ACOs gain experience with the various capitation models and if CMS incorporates capitation in the standard model, Medicare ACOs will gain a powerful tool to influence patterns of care through payment contracts and incentives.

In partnership with MCOL, join Gorman Health Group for a discussion on Medicare’s ACO Capitation experiments on February 15 from 1:00 – 2:00 pm Eastern Time.

Hear from William A. MacBain, Senior Vice President of Gorman Health Group, on the steps CMS is taking to evaluate and potentially change capitation in Medicare ACOs.
Learning Objectives
Key Discussion Topics include
  1. Medicare’s demonstration Pioneer ACO program’s experiment with three different approaches to capitation
  2. The CMS calculation of the guaranteed savings amount: Projections and concerns
  3. Differences between the core population-based model and the capitation alternatives for partial or full capitation.
  4. Projections and expectations: Anticipated results from the Pioneer ACO program
  5. Early lessons from the Pioneer program for commercial ACOs.
  6. Alternatives to the Pioneer ACO program: If you are not in the Pioneer program, what are your options, and are they viable?
Who Should Attend
Interested attendees would include:
  • C-Suite Executives
  • Medical Directors
  • Medicare Operations Executives
  • Provider Contracting Executives and Staff
  • Provider Network Executives and Staff
  • Revenue Cycle Executives
  • Strategy and Planning Executives and Staff
  • Regulatory Affairs and Compliance Executives and Staff  
  • Business Intelligence Executives and Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Medicare Advantage Health Plans
  • Provider Networks
  • Hospital Systems
  • Accountable Care Organizations
  • Government Agencies
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Parties
ACO Capitation 101: Understanding Medicare ACOs’ real potential to influence patterns of care
  Individual Registration Fee: $195. Audio Conference CD-ROM: $40 for attendees; $285 for non-attendees after the event.

Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!

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Topic   Event   CD-ROM
California Trends   California Healthcare Environment: A Forecast for 2012
Thursday, December 15th, 2011
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Midwest Trends   Midwestern Healthcare Environment: A Preview for 2011
Thursday, December 9th, 2011
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ACOs   2011 Accountable Care Web Summit
Thursday, December 8th, 2011
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