Practice Transformation

American Academy of Pediatrics Practice Excellence: Contracting with Providers, ACO’s Integrated Delivery Systems, and IPA’s

Sponsored by the American Academy of Pediatrics’ Practice Excellence Program. This FREE webinar will allow you to take a look at the common characteristics of integrated groups and how these components can work together. Pediatricians and their staff will:

  • Understand key characteristics of successful integrated systems and ACOs
  • Identify ways to maximize effective integration with IDS, ACOs
  • Review current regulatory and legal concerns related to ACOs and IDS
  • Learn about key elements in contracting with IPAs, ACOs and IDS

Accountable Care Organizations (ACO) is a new paradigm building on historical attempts to create integrated delivery systems to manage care more effectively and efficiently. ACOs have the capability to set in motion another “evolution” in the design and configuration of the US health care delivery system. Pediatricians must be ready to assess the ACO transition locally and the relationship to integrated delivery system design. More importantly, pediatricians are urged to actively engage in this process of change to best serve the needs of children and families and the pediatric health care delivery system.


Join us on June 17, 2015 at 1:00 pm EST. To register for this FREE webinar click on Contracting with Providers, ACO’s Integrated Delivery Systems, and IPA’s . Thank you and we look forward to your participation.


Faculty:

Colleen A. Kraft M.D., FAAP Medical Director, Health Network at Cincinnati Children'sColleen A. Kraft, MD, FAAP was a pediatric program director at the Virginia Tech Carilion School of Medicine and senior medical officer for MajestaCare, a Medicaid managed care organization in Virginia.

Dr. Kraft is the co-author of the book Managing Chronic Health Conditions in Child Care and Schools. She has been actively involved in pediatric engagement in school and child care for children with special health care needs. She has served on the Early Brain and Childhood Development workgroup, the Council on Community Pediatrics Executive Committee, and the National Medical Home Project Advisory Committee at the American Academy of Pediatrics. She is a content expert for Text4Baby and serves on the National Head Start Advisory Committee.

Andrew Hertz, MD, FAAP  Medical Director, Rainbow Care Network, UH Rainbow Babies and Children's HospitalAndrew Hertz, MD, FAAP, is a pediatrician with Suburban Pediatrics. He also is Medical Director of University Hospitals Rainbow Care Connection Pediatric Accountable Care Organization (ACO), the Rainbow Call Center and Rainbow Care Network, the region’s largest coordinated group of medical professionals providing care to children and is Assistant Clinical Professor of Pediatrics at Case Western Reserve University School of Medicine. Dr. Hertz is board certified in pediatrics.

A pioneer in the development of after-hours telephone triage services in pediatric practices, Dr. Hertz has published papers and made presentations on the subject at the annual meetings of the Ambulatory Pediatrics Association and the American Academy of Pediatrics. He also speaks frequently to local, regional and national medical conferences on establishing a pediatric ACO.

DID YOU KNOW…….

Changing Payment Models:

  • BCBSA Health Plans are developing (better to say implementing?) value–based programs that are shifting provider payments away from volume to value.
  • 24 million BCBS plan member are currently accessing care through value-based programs such as ACO’s, PCMH, Pay for Performance, and Episode-based Payment programs.
  • United Health Care estimates that 50-70% of its provider networks will be based on value-based contracting over the next 3 years.
  • Through the Value-based Purchasing Medicaid and CHIP collaborative, CMS and state partners are developing new approaches to value-based purchasing by linking quality payment reform and emerging integrated care in payment models.