NAACOS Data and Analytics Boot Camp 201
Hotel | Main Page
Day 1, February 6
| Time | Content | Speaker(s) |
|---|---|---|
| 8:00 am | Registration and Breakfast (optional) | |
| 9:00 am-9:30 am | Welcome and Introduction | Anna Taylor, AVP Population Health & Value Based Care, MultiCare |
| 9:30 am-10:30 am | How to Recognize Potential Fraudulent Claims in Your Data (Creating a Flagging System) Healthcare fraud is a pervasive and costly problem, impacting not only CMS and taxpayers but also the financial stability and reputation of ACOs. Are you confident you can spot it in your data? Fraudulent claims drain valuable resources, distort performance metrics, and can lead to severe penalties. Early detection is crucial. We have built control charts using standard deviations, calculated percentages of total value and volume, by HCPCS / CPT , aggregated by restructured BETOS to compare and contrast the models. This session will equip you with the knowledge and tools to proactively identify potentially fraudulent claims within your data by building effective flagging systems. | Gabriel Orthous, Director of Value Based Performance and Analytics, Health Choice Network Morgan Power, Senior Vice President Data Analytics, Clarkson Regional Health Services |
| 10:30 am-10:45am | Break | |
| 10:45am-12:00 pm | Breaking Down Claims Data (MSSP, ACO REACH, MA) What You Can and Can’t Do With Claims and How to Overcome Claims data is an important tool in patient care. Accurate data processing and the ability to instill the providers’ trust in the data is crucial in its clinical use. This session will explore common areas of difficulty in data processing and discuss some questions that can be answered by the data and questions that cannot. Finally, we will lay out the steps needed to successfully use claims data, with provider engagement, building a multi-layered risk stratification process to better care for patients. | Morgan Power, Senior Vice President Data Analytics, Clarkson Regional Health Services Henish Bhansali, Chief Medical Officer, Medical Home Network |
| 12:00 pm-1:00 pm | Lunch | |
| 1:00 pm-2:00 pm | Policy Implications | Aisha Pittman, Senior VP of Government Affairs, NAACOS |
| 2:00 pm-3:00 pm | Deep Dive Into Appropriate Diagnosis Coding Impact on Your Contracts (Identify v24-v28 Impact) This session will look into how changes in coding weights from HCC v24 to v28 may impact your ACO contract and strategies to understand options for future contracting efforts. | Wakely Morgan Power, Senior Vice President Data Analytics, Clarkson Regional Health Services |
| 3:00 pm-3:15 pm | Break | |
| 3:15 pm-4:00 pm | Overcoming Obstacles in VBC Data and Analytics This session will provide peer-to-peer activities that focus on ACO or VBC roadblocks or issues. You will have time to brainstorm for potential solutions with your peers in this 1-1 activity. | Melody Danko-Holsomback, VP Education, NAACOS Tabletop Interactive Activity |
| 4:00 pm-5:00 pm | Ready to Report Medicare CQMs, eCQMs, MIPS. This session will provide insight into the challenges of moving to a grouper for data, etc. and how it relates to data needed when quality reporting for an ACO. | Anna Taylor, AVP Population Health & Value Based Care, MultiCare Rohan Choudhari Direct – Product Management |
| 5:30 pm-6:30 pm | Reception |
Day 2, February 7
| Time | Content | Speaker(s) |
|---|---|---|
| 7:30 am | Breakfast (optional) | |
| 8:00 am-8:45 am | AI (Augmented Intelligence) in the Healthcare Data Landscape Join us for an insightful session on the transformative role of Artificial Intelligence (AI) in the healthcare data landscape. We will explore how AI technologies can enhance data analysis, improve patient outcomes, and streamline healthcare operations. Key topics include AI-driven predictive analytics, data integration, and the ethical considerations of using AI in healthcare. Discover how AI is revolutionizing the way we manage and utilize healthcare data for better decision-making and patient care | Anna Taylor, AVP Population Health & Value Based Care, MultiCare Brian Silverstein, M.D. Chief Population Health Officer Lydia Masut, Senior Consultant, Value-Based Care Analytics, Orlando Health Network |
| 8:45 am-9:45 am | Approach to the Decision Between MSSP Track E vs. Enhanced vs. REACH This session will provide insight into questions and strategy for determining ACO contract participation. This will include examples of ACO financial benchmarking to help determine potential benefits and pitfalls for participation. | Brad Heywood, ASA, MAAA, Wakley Stephen Gates, ASA, MAAA, MBA, Wakely Jim Scott Vice President, Underwriting, Lumeris |
| 9:45 am-10:00 am | Break | |
| 10:00 am-11:00 am | Assessing Advanced Data for Opportunities – BCDA This presentation is about the Beneficiary Claims Data API [BCDA]. This session discusses the benefits of using BCDA and how to get started. The BCDA is a new API that allows organizations to access Medicare claims data in FHIR format. The BCDA is currently available to ACO REACH and MSSP participants. The BCDA can be used to improve care coordination and quality. It can also be used to reduce administrative costs. The BCDA is a valuable tool for organizations that want to improve their Medicare business. | Gabriel Orthous, Director of Value Based Performance and Analytics, Health Choice Network Anna Taylor, AVP Population Health & Value Based Care, MultiCare |
| 11:00 am-12:00 pm | Health Equity Data Reporting for REACH: HEDR and HEP This session will cover the challenges we face in reporting of Health Equity Data Reporting (HEDR) and Health Equity Plan (HEP) reporting under the REACH model. We will discuss the barriers and challenges in supporting these reporting efforts, outline the strategies to address these challenges, and look toward the future of capabilities that will reduce our reporting burdens. | Anna Taylor, AVP Population Health & Value Based Care, MultiCare |
| 12:00 pm-12:15 pm | Wrap-up and adjourn | Emily Brower, CEO, NAACOS |
| 12:15 pm-1:15 pm | Networking Lunch |