| Session | Room |
| 10:00 am | Welcome and Overview | Melody Danko-Holsomback, VP of Education NAACOS |
| 10:10 am | How to Present Aggregated Expenditure Reports (EXPU and BEUR) to Leadership and Survive!
Understanding the contents of an MSSP EXPU and BEUR reports and how to interpret and present them to leadership is critical to an assigned data analyst/ therapist. EXPU: This aggregated view provides a comprehensive overview of your healthcare spending patterns, highlighting trends and areas for potential savings. BEUR: This detailed report dives into individual beneficiary spending, enabling you to identify specific areas for targeted intervention and care management. Key takeaways from this session include understanding the components of healthcare spending, how to interpret complex data and identify trends, strategies for reducing healthcare costs, and tips for maximizing the value of your healthcare benefits | Gabriel Orthous, Director of Value Based Performance and Analytics, Health Choice Network |
| 11:00 am | Break | Virtual Lobby |
| 11:10 am | Understanding CCLF Files to Build Reports (MSSP) and the Impact of Churn
This is a high-level discussion about CCLF files, what they are, what they contain, understanding the relationships between them, and the pain points found on this presenter’s journey. How claims files can help with Attribution, intra ACO attribution, and potentially explain why you miss out on attribution so often. | Morgan Power, Senior Vice President Data Analytics, Clarkson Regional Health Services |
| 12:00 pm | Break | Virtual Lobby |
| 12:10 pm | Insourcing vs Outsourcing Data and Analytic Needs
| TBA |
| 1:00 pm | Break | Virtual Lobby |
| 1:10 pm | Breaking Down Benchmarking – Using Benchmarking to Estimate Outcomes (MSSP) and What the Estimator Tool is Missing
In this session, presenters will discuss how the benchmarks are calculated, both historical and updated, at a high level. National-Regional Blended Trend/Update Factors will be explained. Limitations of the Benchmark Estimator Tool, where you get the data for the tool, the calculated fields, and the differences from the settlement process and in the outcome will be discussed. This will help attendees to understand the importance of risk score of the ACO and expenditure growth in the region and nationally from the calculation point of view. | Gabriel Orthous, Director of Value Based Performance and Analytics, Health Choice Network
Morgan Power, Senior Vice President Data Analytics, Clarkson Regional Health Services |
| 2:00 pm | Working Lunch | Virtual Breakouts |
| 3:10 pm | Quality Reporting: The Difference Between eCQMs, CQMs, Medicare CQMs and Digital Quality Data
As CMS continues towards the move of digital measurement, this session will focus on how two ACOs reviewed differences between eCQMs, CQMs, Medicare CQMs as they partner with relevant stakeholders to transition appropriately to a digital quality measurement future for ACO reporting. | Bijal Desai, Director Value Based Care Performance, Northwestern Medicine
Ramsey Abdallah, Assistant VP, Quality Management & Performance Improvement, Northwell Health Physician Partners |
| 4:00 pm | Break | Virtual Lobby |
| 4:10 pm | Data and Analytics to Support Accurate HCC Coding
This session will review how clinical documentation and HCC coding impacts the ACO risk adjustment factor. It will also review key success metrics that indicate performance on this important element of ACO clinical and financial outcomes and include a review of the transition from CMS-HCC v24 to v28. | Erin Hurlburt, Chief Medical Officer, Population and Community Health, Bon Secours Mercy Health
Deann Tate, System Director, Risk Score Accuracy, Bon Secours Mercy Health |
| 5:00 pm | Break | Virtual Lobby |
| 5:10 pm | ACO REACH Reports– Accruing to the Final Settlement
Organizations may desire to understand, throughout the performance year, how their ACO will ultimately perform. This session will explore, at the introductory level, the reports that can be used to obtain assumptions to estimate the final settlement surplus or deficit. Reports to obtain membership, benchmark and risk, and expense assumptions will be discussed, with a higher focus on claims reports. | Emmie Munthali, Senior Director, Actuary, VillageMD
Patricia Garcia, Director of Business Development, Doctors Hospital of Laredo |
| 6:00 pm | Closing Remarks | Melody Danko-Holsomback, VP of Education NAACOS |
