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The Accountable Care Journey:
What to Do and When
Bruce Meyer, Valerie Overton, Daniel ChippingMonday, December 11, 2017
These presenters have nothing to disclose.
Overview
Introductions
Background (including ACO results)
Introduction to the Accountable Care Atlas
Q&A
Table Top Discussions and Group Conversation
Introductions
Chief Physician Executive and Senior Executive Vice President, Thomas Jefferson University
Manager, Accountable Care Learning Collaborative
Vice President, Quality and Innovation, Fairview Medical Group
Introductions
Your name
Your organization
Your role
Your organization’s status in value
LAN Alternative Payment Models (APMs)
Payment Linked to Patient Not Services
Limited More Complete“Pay for
Performance”Traditional
LAN Alternative Payment Models (APMs)
29%29% of US health care payments in 2016 were APM Category 3&4
2016 ACO ResultsACO growth continues
1370
563
711
88
0
200
400
600
800
1000
1200
1400
1600
Q22011
Q32011
Q42011
Q12012
Q22012
Q32012
Q42012
Q12013
Q22013
Q32013
Q42013
Q12014
Q22014
Q32014
Q42014
Q12015
Q22015
Q32015
Q42015
Q12016
Q22016
Q32016
Q42016
Q12017
Q22017
Total Medicare Commercial Medicaid
18.79.5
3.9
ACO Lives Per Payer (in Millions)
ACO Contract Growth by Payer Type
2016 ACO ResultsSavings build over time
0%
10%
20%
30%
40%
1 2 3 4
Shar
ed S
avin
gs R
ate
ACO Age (in Performance Years)
2016 ACO ResultsHigher savings in smaller organizations
0%
10%
20%
30%
40%
0-10k 10k-20k 20k-40k 40k-60k 60k+
Shar
ed S
avin
gs R
ate
ACO Attributed Population
ACO ResultsSavings in relationship to quality
-20%
-15%
-10%
-5%
0%
5%
10%
15%
20%
70% 75% 80% 85% 90% 95% 100%
Co
st C
om
par
ed t
o B
en
chm
ark
Quality
Losses
Savings
ACLC Mission
Accelerate the readiness of healthcare organizations to
assume value-based payment models
1. What providers should do
2. When they should do it
3. How they could implement it
ACLC Members
Co-Chairs: Mike Leavitt, Leavitt Partners | Mark McClellan, MD, Duke University
Process and Timeline - 2016
J F M A M J J A S O N D
• Governance and Culture• Financial Readiness• Health IT• Patient Risk Assessment• Care Coordination• Quality • Patient Centeredness
Process and Timeline - 2017
J F M A M J J A S O N D
About the Accountable Care Atlas
Over 160
competencies
Organized into a
logical sequence
Based on
relationships to
other competencies
Includes phases
and work areas
www.accountablecareLC.org/atlas
About the Accountable Care Atlas
Work Areas
www.accountablecareLC.org/atlas
Tips and Considerations
Competencies are placed in relation to each other based on
when they should begin
Phases and work areas (i.e., Governance, Finance, Care
Delivery, and Health IT) orient the reader, rather than dictate
absolute timing or strict ownership
Not all competencies should be managed by the provider.
Partners, such as payers, may be best positioned to fulfill the
need.
The Atlas is suggestive, not prescriptive. Organizations should
customize the Atlas to fit their own needs.
www.accountablecareLC.org/atlas
Accountable Care Atlas
• Identify their position on the path to value•Understand important next steps•Recognize areas they may have overlooked•Prioritize resource allocation
How providers can use the Atlas
www.accountablecareLC.org/atlas
Accountable Care Atlas
•Understand ecosystem and interrelationships•Understand and solve the right problems•Optimize through an iterative process•Recognize interdependencies •Understand difference between movement to
value-based care and movement to risk-based payments
How providers can use the Atlas
www.accountablecareLC.org/atlas
Accountable Care Atlas
• Inflection points•Decision to adopt risk• Type of risk • Integrating multiple organizations
•Communicate with stakeholders• Identify where to partner
How providers can use the Atlas
www.accountablecareLC.org/atlas
Public Comment
1. Download the Accountable Care Atlas (PDF or Excel) at www.accountablecareLC.org/atlas
2. Insert comments and save
3. Email to [email protected]
Case Study Briefs (CSBs)
Two pages
• Organization overview
• Background
• Approach
• Results
• Vendors/Tools
• Challenges with implementation
• Key Learnings
• Contact information
ATLAS Q&A
Activities
1. Identify selection criteria (full group)
2. Select competencies (table tops)
3. Develop competencies (table top)
4. Report to group (full group)
Competency Development Guide
• Definitions
• Principles
• For planners
• For implementers
• Considerations
• For planners
• For implementers
• Indicators
• Resources
THANK YOU
801.538.5082 | [email protected] | 4001 South 700 East suite 700, Salt Lake City, UT 84107
www.accountablecareLC.org/atlas
