Spring 2025 Conference Agenda
April 22–24
Tuesday–Thursday

NAACOS conferences are the only events organized exclusively by ACOs. 
Schedule: Tuesday (pre-conference workshops): 1:00–5:00 pm ET
Wednesday (Main Meeting): 7:30 am–6:30 pm ET
Thursday (Main Meeting): 7:30 am–2:45 pm ET

Wednesday, April 23

Time

Event

Location

7:00 am

Registration Open
Exhibits Open

Key Ballroom Foyers


7:30 –
8:15 am

Business Partner Breakfast Sponsored by Wellsky

Unlocking value through connectivity at Cleveland Clinic: Boosting ACO outcomes with a data-driven approach 

Speaker: Christine Martin, Cleveland Clinic 

During this session, learn how Cleveland Clinic is optimizing outcomes for their Accountable Care Organization (ACO) and other value-based patients with their new, innovative Post-Acute Care (PAC) program. Christine will share how their PAC program is using technology to better manage high-risk populations, enhance care transitions, and are successfully improving data silos by seamlessly connecting acute and post-acute care providers. Learn how the program has helped them improve patient outcomes, impact skilled nursing facility length of stay, and reduce unnecessary utilization and readmissions. 

Key 9-10


7:30 –
8:15 am

Business Partner Breakfast Sponsored by Stanson Health

Shaping the Future of Healthcare: The Role of Technology and Collaboration in Value-Based Care

Speakers: Deann Tate, Bon Secours Mercy Health; Seth Edwards, Premier Inc. 

The future of care relies on organizations’ ability to break new ground by seamlessly integrating innovative, data-driven solutions with cutting-edge technology. In this session, attendees will learn how combining their dedication to value-based care (VBC), utilization of HCC technology and participation in a population health management collaborative (PHMC) can drive successful outcomes.

Discover the value organizations can unlock by leveraging:

  • The use of artificial intelligence technology to further their work in value-based care.
  • Services and technology designed to enhance HCC coding at the point of care, offering providers code suggestions, actionable alerts and support for the latest V28 updates.
  • Expanded HCC coding functionality to include ambulatory clinical documentation improvement (CDI) teams, enabling quick edits, real-time coding notifications and enhanced collaboration between providers and coders.
  • Technology designed to drive improvements in the risk adjustment factor (RAF) score.
  • A collaborative network that shares insights and best practices with leading healthcare organizations.

Key 11-12


7:30 –
8:15 am

Business Partner Breakfast Sponsored by Brilliant Care

Achieving Value-Based Success: How Augmenting and/or Resourcing Nurse-Led Clinical Support Improves Outcomes, Contract Performance and Reduces Provider Burden

Speakers: Ryan Graham, Privia Health; Alisha Thornton, Brilliant Care

As ACOs continue to navigate the complexities of value-based care, the need for scalable, cost-effective solutions that truly move the needle on outcomes has never been greater. This session explores how nurse-led clinical support programs can augment your care delivery model and reduce provider burden without adding overhead or complexity—while delivering measurable improvements in chronic disease management, post-discharge care, and patient engagement.

You’ll gain insight into how organizations are:

  • Achieving significant reductions in A1C, blood pressure, and avoiding unnecessary ED visits
  • Elevating TCM performance to minimize 30-days readmissions and optimize shared savings
  • Closing eCQM and Medicare Advantage 5-Star quality gaps to help support contract performance goals
  • Implementing solutions with no upfront investment

Key 3-4


8:30 –
10:30 am

Opening Plenary
Seeking Partners in Value:   How Purchasers and Payers Partner with ACOs to Create High-Value Networks of Care

Moderator: Henish Bhansali, Medical Home Network

Panel: Dan Elliott, Centene: Dan Mendelson, Morgan Health and Jordan Vidor, Elevance

Hear from three healthcare payers and purchasers who are driving to deliver better care at lower cost through engaging high-value providers, followed by reactions from ACO leaders.

Reactor Panel: Andrea Osborne, On Belay Health Solutions; Stephen Nuckolls, Coastal Carolina Quality Care

Key 5-8

10:30 –
11:00 am

Coffee Break
Exhibits Open

Key Ballroom Foyers

11:00 am – 12:30 pm

Staying HOME with Dementia: NEW Innovative Models to Deliver Better Outcomes and Significantly Lower Utilization as We Prepare to Care for the Largest Group of Dementia Patients in History
Chair: Jen Moore, MaineHealth ACO
Speakers: Carolyn Clevenger, Emory University; Kris Engskov, RIPPL; Katie Evans, Alzheimer’s Association 

The GUIDE Model & Specialty Care: Learn about CMS’s new GUIDE model and its potential for ACOs to deliver specialized dementia care. Explore emerging models of specialty clinical care that align providers and risk-bearing entities for value-based care and reduced costs.

Learning Objectives:

  • The Hidden Costs of Dementia: Explore the significant financial burden of dementia care, often underestimated due to the unattributed costs of ER visits and hospitalizations.
  • The Looming Care Crisis: Understand the unprecedented surge in dementia cases anticipated in the coming decades and the escalating demand for care in an under-prepared environment. 
  • Empowering Caregivers, A Key to Cost Reduction: Discover how proactive caregiver support, coupled with the right resources, can significantly lower overall care costs for dementia patients.

Key 1-2

11:00 am – 12:30 pm

Beyond the Referral: Building Collaborative Care Networks

Chair: Deepika Kewlani-Varkey, Stellar Health ACO
Speakers: Danielle Larson, Washington Regional; Laura Lowe, Prisma Health; Debra McGill, MaineHealth ACO; Angela Orsky, Prisma Health

Effective care management is critical for achieving optimal outcomes in today’s value-based care environment, but success depends on seamless collaboration across all stakeholders, including the patient. This session will explore innovative strategies to break down silos, align care management initiatives, and engage providers as active partners in the care continuum.

Learning Objectives: 

  • Discover actionable approaches to create a culture of shared accountability, improve care transitions, and drive success in your care management programs.

Key 3-4

11:00 am – 12:30 pm

It’s Mathemagical! How to Decide between MSSP E vs. Enhanced vs. REACH – The Actuarial Process

Chair: Henish Bhansali, Medical Home Network
Speakers: Grace Deering, Medical Home Network; Jennifer Leazzo, Optum; Billy Nguyen, Optum

VBC is more essential than ever for the sustainability of our healthcare system. With the evolving landscape of CMS ACO models – particularly MSSP and ACO REACH – success hinges on a deep understanding of financial methodologies, a rigorous evaluation of key model assumptions, and an honest assessment of organizational readiness. This panel discussion will help you navigate the actuarial decision-making process, providing guidance on financial forecasting, risk track selection, leveraging key data sources, and effectively aligning stakeholders to choose the best CMS ACO model for their organization.

Learning Objectives:

By the end of this session, you will be able to:

  1. Differentiate financial methodologies between MSSP and ACO REACH, including benchmarking, risk adjustment, and savings calculations.
  2. Apply actuarial forecasting techniques to select appropriate risk tracks and accurately project financial performance.
  3. Identify and utilize essential data sources for informed decision-making and improved model outcomes.
  4. Conduct targeted “pressure testing” of critical assumptions (such as beneficiary attribution, utilization patterns, and expenditure projections) to validate financial plans.
  5. Create a clear roadmap, effectively addressing internal alignment, operational needs, and resource allocation, to communicate actionable insights and prepare your organization for successful CMS ACO model participation.

Key 9-10

11:00 am – 12:30 pm

Unmasking Fraud in Value-Based Care: Lessons from 2023 DME Settlements and Strategies for the Next Wave

Chair: Gabe Orthous, Health Choice Care
Speaker: Jake Woods, PSW and NW Momentum Health Partner ACO


In 2023, the Medicare Shared Savings Program (MSSP) achieved record savings of $2.1 billion, yet Accountable Care Organizations (ACOs) faced significant challenges from fraudulent durable medical equipment (DME) billing, notably a $2 billion catheter fraud scheme that skewed financial benchmarks and eroded shared savings. Drawing from real-world settlement data and emerging fraud patterns, this session explores the impact of suspected fraud on ACO performance, using the 2023 catheter billing irregularities as a case study. Attendees will learn proactive strategies to identify and anticipate the next wave of fraud, leveraging tools like the Health Information Exchange (HIE) Electronic Notification Systems (ENS), and enhance reporting mechanisms to safeguard program integrity. Join us to turn lessons learned into actionable defenses against evolving fraud threats in value-based care.

Learning Objectives:

  • Master effective reporting protocols to escalate findings to the CMS Center for Program Integrity (CPI) and Office of Inspector General (OIG), ensuring compliance with ACO requirements and improving fraud recovery outcomes.
  • Understand the Impact of 2023 DME Fraud Settlements: Analyze the scope and financial consequences of the $2 billion catheter fraud scheme identified in 2023, which affected ACO shared savings and benchmarking, as uncovered by NAACOS and settled through federal investigations. Identify key issues from 2023 settlements, including inadequate oversight of DME suppliers and exploitation of Medicare billing codes, that led to widespread anomalous billing.
  • Identify and Anticipate the Next Wave of Fraud: Explore emerging fraud trends beyond DME and predict value-based care model vulnerabilities using data integration efforts’ insights. Develop skills to recognize early warning signs of fraud through data analytics, quality metric anomalies, and provider network shifts, informed by 2023’s lessons.
  • Enhance Detection and Reporting of Irregularities: Learn practical methods to detect irregularities in claims data, leveraging real-time notifications from systems like the HIE ENS and EMR integrations, to flag suspicious activities promptly.

Key 11-12

12:30 –
2:00 pm

Networking Lunch

Exhibits Open

All conference attendees are invited to network with colleagues who share their interests and experiences. Tables will be designated with the following topics as well as open tables. You may also visit our exhibits during this time.

  • Health System ACOs
  • Provider Group ACOs
  • Rural and Underserved
  • High Needs ACOs
  • Direct Primary Care  
  • Global Capitation
  • GUIDE Model
  • TEAM Model
  • MA Risk Arrangements

Key 5-8

Key Ballroom Foyers

2:00 – 
3:30 pm

Moving Beyond Medicare Risk: How to Create a Sustainable Multi-Payer Strategy

Chair: Tori Bratcher, Trinity Health
Speakers: Rebecca Adkins, Jefferson Health; Michael Siegel, UNC; Dan Willis, Aledade

Many organizations often start with Medicare ACOs and MA contracts when they begin their value-based care journey. How does this strategy lead to growth in other payer segments? Does that foundation translate to success with other payers and populations? What capabilities need to be in place for Commercial and Medicaid risk? This session will provide insight and give the audience strategies to transform their risk strategy to support multi-payer growth for larger overall impact.

Learning Objectives:

  • Understand the building blocks and core capabilities of risk management by product segment
  • Analyze and identify opportunities within your market by payer and product segment
  • Evaluate population support needs for VBC improvement efforts across multiple contracts/payor agnostic

Key 1-2

2:00 – 
3:30 pm

Practical Strategies for Success in Medicaid Value-Based Contracting 

Chair: Maria Alexander, Coral Health Advisors
Speakers: Aditya Mahalingam-Dhingra, Community Care Cooperative ACO; Michael Poku, Cooperative ACO

Building on early lessons learned, this advanced session explores the evolving landscape of Medicaid value-based contracting in a variety of states. Expert panelists from ACOs and payers will delve into practical strategies for addressing the unique challenges of value-based contracting for Medicaid populations. Topics will include setting appropriate quality and financial targets, addressing persistent provider access challenges, and implementing approaches to whole-person care. Drawing from years of implementation experience, speakers will share insights on evaluation frameworks for provider partnerships, innovative solutions to network adequacy issues, and practical strategies for managing complex contractual relationships in the Medicaid space.

Learning Objectives:

  • Understand key strategies for developing and refining Medicaid VBC arrangements
  • Compare successful Medicaid contracting models and payment structures that have demonstrated positive outcomes
  • Explore tactics for sustainability amid potential changes to Medicaid

Key 3-4

2:00 –
3:30 pm

Harnessing Agentic AI to Optimize Primary Care for ACOs

Chair: Rick Goddard, Lumeris
Speakers: David Carmouche, Lumeris; Kenny Cole, Ochsner Health System; Lakshmi Halasyamani, Endeavor Health

As value-based care accelerates, the integration of agentic AI—AI systems that can act autonomously while maintaining a human-centered approach—is poised to reshape primary care delivery. This panel explores how agentic AI can streamline care coordination, enhance patient engagement, and improve health outcomes, particularly for complex populations. For value-based models to be successful, reaching the entire population is paramount for both preventative and treatment. Agentic AI is positioned to scale support for early to rising risk populations whereas it was considered too expensive even months ago to support with human support. 

Join a dynamic discussion with leading AI and healthcare experts to explore real-world use cases, strategies for adoption, and the critical role of technology in scaling accountable care. Learn how organizations are using AI not just as a tool for insight but as a partner in action, supporting providers and empowering patients in their health journeys. 

Learning Objectives: 

  • Gain insight into how agentic AI differs from other AI models and its potential to transform primary care within value-based care frameworks. 
  • Learn about successful AI applications in health systems and ACOs, including practical examples of enhanced care delivery and improved patient outcomes. 
  • Discuss the challenges of integrating AI into primary care, including provider buy-in, patient trust, and regulatory considerations, and explore strategies to address these potential barriers. 
  • Discover how ACOs can leverage AI to drive innovation while ensuring equity, efficiency, and alignment with value-based care goals.

Key 9-10

2:00 –
3:30 pm

Model Integration: How ACOs and The TEAM Model Can Work Together
Chair: Andrea Osborne, On Belay Health Solutions

Speakers: Joyce Colton, Ascension Care Management Janet Comrey, Geisinger/Keystone ACO; Rob Mechanic, Institute for Accountable Care

The presentation and panel will provide an overview and of the TEAM model set to launch in 2026.    We will walk through an early financial analysis of the TEAM model to see some predicted winners and losers.   We will hear from a panel of providers who will participate in both an ACO and the TEAM model on how they are looking to be successful in both programs through integration of coordinate efforts and where they believe the focus should be now.  Learn how ACOs can approach selected TEAM model participants to assist with partnership.

Key 11-12

3:30 – 
4:00 pm

Break

Exhibits Open

Key Ballroom Foyers

4:00 – 
5:30 pm

Affinity Group – Compliance and Legal
Facilitators: Jennifer Gasperini, Advocate Health

Kim Busenbark, Wilems Resource Group, LLC

David Ault, Ropes & Gray

Key 1-2

4:00 – 
5:30 pm

Affinity Group – Clinical and Performance Improvement
Facilitators: David VanWinkle, Tandigm Health
Mallory Callahan, Nebraska Health Network

Key 3-4

4:00 – 
5:30 pm

Affinity Group – Operations and Executive
Facilitators: Kaitlyn Huttman, Keystone ACO

Michelle Mirkovic, Southwestern Health Resources

Key 9-10

4:00 – 
5:30 pm

Affinity Group – Data and Analytics
Facilitators: Gabriel Orthous, Health Choice Network

Anna Taylor, MultiCare Connected Care

Key 11-12

5:30 – 
6:30 pm

Reception

Exhibits Open

Key Ballroom Foyers

Thursday, April 24

Time

Event

Location

7:00 am

Registration Open
Exhibits Open

Key Ballroom Foyers

7:30 – 
8:15 am

Business Partner Breakfast Sponsored by Milliman

From Stagnation to Success: Transforming ACO Performance with Data

Speakers: Jason Altieri, Noah Champagne, Amanda Ivanovics, Emma Kramer, Chris Smith, Milliman

Join us for a detailed case study on how ACOs can improve performance using data analysis and strategic planning. This session will cover strategies successful ACOs use, the challenges they face, and the outcomes they achieve. Attendees will gain practical insights into using data-driven methods to enhance performance within their own organizations.

Key 9-10

7:30 – 
8:15 am

Business Partner Breakfast Sponsored by Navina

Elevating the Clinician Experience: How Privia Health Leverages AI to Drive Value-based Care Performance at Scale

Speakers: Keith Fernandez, Privia Health and Dana McCalley, Navina

As ACOs and MSOs scale their value-based care efforts, gaining a comprehensive view of patients’ health status and practice performance is critical to their success. In this session, Dr. Keith Fernandez, EVP and Chief Clinical Officer at Privia Health, will share effective strategies for leveraging AI to accurately capture patient complexity, close care gaps, and drive both clinical and economic performance—all while enhancing the clinician experience. Dr. Fernandez will provide real-world examples and actionable insights on reducing administrative burdens, streamlining workflows, and fostering high clinician engagement. Attendees will discover practical approaches to integrating data-driven solutions for advancing your ACO’s value-based care initiatives across the entire network.

Key 11-12

7:30 – 
8:15 am

Business Partner Sponsored Breakfast – TBD

Key 3-4


8:30 – 
9:15 am

Plenary

Key 5-8

9:15 – 
9:45 am

Coffee Break
Exhibits Open

Key Ballroom Foyers

9:45 –
11:15 am

Lessons Learned from ACOs Who Submitted eCQMs and Medicare CQMs
Chair: Wilson Gabbard, Advocate Health
Speakers: Brandi Apodaca, CHPA; Jennifer Gasperini, Advocate Health; Dara Rader, Bon Secours Mercy Health; Pranali Trivedi, Ascension

In this session, panelists will share their approaches to reporting eCQMs and Medicare CQMs as they prepare for the sunsetting of the Web Interface. ACOs will share an operational perspective and dive into the technical details of reporting to share lessons learned and what to avoid. They will also share data exchange strategies that can be used not only for quality reporting, but also to support accountable care arrangements outside of MSSP. 

Key 1-2

9:45 –
11:15 am

Direct Contracting with Employers:  Aligning Incentives Between Self-Insured Employers and VBC Organizations 
Chair: Kimberly Kauffman, Aledade
Speakers: Brian Felty, Southwestern Health Resources; Janice Walker-Suchyta, Nelson Mullins

Direct Contracting between self-insured employers and value-based care organizations continues to gain momentum as it aligns incentives to improve member care and control medical expense.  But it is not always easy and it is not always successful!  The entity funding the coverage and the entity providing the care must agree on pricing, business terms and care expectations and do all of this in a way that allows for customization and recognizes market variables.  In this session, we will hear from representatives from value-based care organizations and self-funded employers to learn practical considerations, essentials for success and how to assess fit for your organization.

Key 3-4

9:45 –
11:15 am

Perspectives on Prospective Payment: Lessons Learned in ACO REACH
Chair: Eric Becker, Agilon Health
Speakers: Travis Broome, Aledade; Gabriel Drapos, Pearl Health; Soumya Mamidala, Honest Health

Learning Objectives:

  • Inform how CMS might think about implementing prospective payment in future ACO models and more broadly in Medicare reimbursement
  • Understand how prospective payment works in ACO REACH
  • Understand how different ACOs have approached the implementation of prospective payment in ACO REACH
  • Understand how and where prospective payment creates value for ACO beneficiaries and providers

Key 9-10

9:45 –
11:15 am

CMS Townhall

Moderator: Aisha Pittman, NAACOS

Key 11-12

11:15 –
11:30 am

Break

Key Ballroom Foyers

11:30 –
1:00 pm

The Baby-Boomer Tidal Wave — Are ACOs Enough to Help Health Systems Weather the Storm?
Chair: Jenny Reed, Southwestern Health Resources 
Speakers: Rebecca Adkins, Jefferson Health; Michelle Mirkovic, Southwestern Health Resources; Jen Moore, MaineHealth ACO

Medicare is the fastest growing population across the country, creating an economic sustainability challenge for the Medicare trust and health systems who provide the highest levels of care for these members. For over a decade, ACOs and other value-based arrangements have offered a path to value for Medicare and MA, incentivizing proactive, preventative measures over fee for service acute and chronic care. Many believe this is the solution for the Medicare trust. But what is the effect on the delivery system? Some are investing in ACOs, population health services, and health plans. Others are canceling all MA contracts. Some are doing both. In this session we will explore the sustainability challenge facing delivery systems and plausible solutions from experts in this space.  

Learning Objectives:

  • Understand the economic challenge facing hospitals providing care to a growing number of Medicare and MA patients.
  • Describe the types of ACOs and how they decrease or increase the economic impact of a growing Medicare population.
  • Understand how various health systems have created sustainability.
  • Describe potential solutions to sustain necessary components of the healthcare continuum 

Key 1-2

11:30 –
1:00 pm

Connecting ‘Z’ Dots: Advancing Statewide Health Equity through Screening and Coding for SDoH
Chair: Mallory Callahan, Nebraska Health Network
Speakers: Shelley Baldwin, Nebraska Medicine; Becky Jizba, Methodist/Women’s Hospital; Stephen Mohring, UNMC/Nebraska Medicine 

This session with demonstrate clinical applications for SDoH screening showcasing Z and G code capture. The ultimate goal being to improve patient outcomes with state-wide sustainable funding sources while scaling interventions across the ACO. 

Learning Objectives:

  • Identify key strategies for incorporating Z codes into state risk methodology for sustainability in a value-based environment.
  • Explore Nebraska Medicine’s (Epic EMR) use of Community Health Workers and coding modalities to create workforce sustainability. 
  • Explore Methodist Health System’s (Cerner EMR) Community Health Worker integration in multiple levels of care highlighting community collaboration.

Key 3-4

11:30 –
1:00 pm

The Untapped Secret to ACO Success: Why Behavioral Health Holds the Key to Transformation

Chair: Neelam Brar, Total Life Inc.
Speakers: Amanda Larschan, Palm Beach ACO; Beau Munoz, Pearl Health; Elizabeth Todd, Delaware Valley ACO

Untreated depression among aging adults is not only a health crisis—it is a financial one. Approximately 20% of older adults experience mental health conditions, yet fewer than half receive treatment. The consequences extend to chronic disease management, cognitive decline, unplanned hospitalizations, and suboptimal ACO performance metrics. This panel features three executives from leading ACOs who will share their experiences in implementing behavioral health strategies that have successfully improved patient outcomes while reducing costs. Attendees will gain insight into why prioritizing mental health in older adults is essential and how timely interventions, including proactive detection during Annual Wellness Visits, can transform patient care and financial outcomes.

Learning Objectives

  • Quantify the Hidden Costs of Untreated Depression:
    Examine the effects of untreated depression on chronic disease outcomes, cognitive decline, sleep, and nutrition in older adults. Understand how these factors increase healthcare costs and degrade patient quality of life.
  • Overcome Behavioral Health Barriers in Aging Adults:
    Explore evidence-based strategies to address stigma, improve access, and increase utilization of behavioral health services among older adults. Learn techniques to train care teams to initiate sensitive mental health conversations.
  • Leverage Data Analytics for Proactive Care:
    Learn how to use patient data to identify high-risk populations and deliver timely interventions. Explore the role of telehealth and technology in offering cost-effective behavioral health solutions.
  • Integrate Behavioral Health into Annual Wellness Visits:
    Discover proven methods for embedding depression screening and mental health assessments into annual wellness protocols. Gain practical tools to help care teams identify and manage behavioral health needs effectively.
  • Achieve Results with Scalable Behavioral Health Models:
    Hear real-world examples from ACO leaders who successfully implemented scalable behavioral health strategies, achieving significant reductions in costs, fewer unplanned hospitalizations, and higher patient satisfaction.

Key 9-10

11:30 –
1:00 pm

Unlocking the Power of TEFCA: What ACOs Need to Know to Drive Data Sharing Success

Chair: Megan Reyna, Bon Secours Mercy Health

In this session, discover how the Trusted Exchange Framework and Common Agreement (TEFCA) can revolutionize data sharing within ACOs. Our expert panel will explore TEFCA’s framework, key goals, and the direct benefits it brings to your organization. Through real-world examples, we’ll showcase innovative data-sharing solutions enabled by TEFCA, while addressing common concerns about interoperability and workflow improvements. Leave with actionable insights and strategies to harness TEFCA’s potential, helping your ACO stay ahead in a rapidly evolving healthcare landscape.

Key 11-12

1:00 –
2:45 pm

Closing Plenary

Moving Accountable Care Forward: A Washington Update

Moderator: Aisha Pittman, NAACOS

In a time of shifting headlines, policy uncertainty, and newly confirmed leadership at HHS and CMS, the path ahead for accountable care can feel unclear. This session will unpack the latest developments from Washington, provide insight into early signals from federal agencies, and explore what the evolving landscape means for value-based care. You’ll leave with a clearer picture of what’s at stake and a practical roadmap for supporting NAACOS’ advocacy efforts to ensure accountable care continues to move forward.

Key 5-8