Past Agenda

Welcome Remarks

Shannon Decker, VP of Clinical Performance
Brown & Toland

Laura Sheriff, RN, MSN, CPC, CRC,
Health Care Industry Specialist

Strategies to Achieve Success in a Value-Based Contracting World

• Understand the fundamentals and objectives of VBC to achieve the Triple/Quadruple Aim
• Discuss strategies and benefits of transitioning from a Fee-For-Service to VBC and the process to achieve the goal
• Identify critical components of health care such as behavioral and mental health, remote patient monitoring, telehealth and SDoH that impact VBC and how to incorporate them into your contracts
• Collaborate with key health care teams to provide quality care to achieve organizational goals

Jason Helgerson, Founder & CEO,
Helgerson Solutions Group
Former New York & Wisconsin Medicaid Director

Analyze CMS and CMMI Changes Impacting Value-Based Contracting

• Assess the transition from Global and Professional Direct Contracting Model to the Realizing Equity, Access, and Community Health (REACH) Model and how it will impact how you operate
• Understand the differences and implications of the new model, including the timeline associated with the change
• Analyze the No Surprise Act and its implication for both payers and providers on network accuracy, out of network coverage, and maximum out of pocket costs

Juliette Price, Chief Solutions Officer,
Helgerson Solutions Group

Tools and Technology Spotlight

Hear from tools and technology experts on how their solutions can improve efficiency in your organization.

Sion Hughes, Senior Consultant,  
Wakely Consulting Group, an HMA company 

Explore the Different Types of Value-Based Contracts

• Discuss the different VBC contracts including capitation, shared risk, bundled payments, and global risk to obtain a complete understanding of each type of contract
• Identify the advantages and disadvantages of each contract related to the location of your plan, membership, and organizational goals
• Assess opportunities for success with each contracting model, and discuss the process of preparing to enter into a VBC agreement

Sara Teppema, Chief Actuary, 
Wildflower Health 

Jason Helgerson, Founder & CEO,
Helgerson Solutions Group
Former New York & Wisconsin Medicaid Director

Analyze the Different Parameters when Building a Value-Based Contract

• Conduct a financial model of the population you serve to calculate the risk
• Evaluate the resources needed for success, including network adequacy, in-home services, mental and behavioral health support, and specialty treatment facilities
• Discuss the Division of Financial Responsibility (DOFR) between the two parties to ensure clarity and understanding

Lance Donkenbrook, Chief Executive Officer,
Commonwealth Primary Care ACO LLC

Tools & Technology Spotlight

Hear from tools and technology experts on how their solutions can improve efficiency in your organization.  

Dr. Steven Buslovich, CEO,   
Patient Pattern  

Contract Navigation- Creating a Contract with Achievable Outcomes

• Analyze the positive attributes each party brings to the agreement to assess the probability of success
• Understand the importance of attainable goals to avoid conflict or complications between the two parties
• Calculate the risk that is shared in the contract, and the process of creating the contract avoiding errors

Juliette Price, Chief Solutions Officer,|
Helgerson Solutions Group 

Analyze for Success: Evaluate Current Value-Based Contracts for Future Improvement

• Purposefully evaluate contracts on a regular basis to calculate the success
• Identify specific areas of the contract that have been less successful and identify ways to improve or remove from future contracts
• Evaluate which changes would improve new contracts with providers to ensure goals are obtained

Laura Sheriff, RN, MSN, CPC, CRC,
Health Care Industry Specialist

Ana Handshuh, Principal,  
Cat5 Strategies 

Physician Compensation Models in Value-Based Care: Successful Downstream Payment Methodologies

• Gain insights from innovative groups that have well-developed models, including downstream capitation, case rates, efficiency incentives to drive organization performance
• Learn how rates and risk pools are developed, and how methods are created to share capitation pools, including the provision of stop loss or risk corridors to protect physicians from adverse selection
• Align incentives of your physicians with those of your organization, bringing your physicians on the road to the value movement

Stephen Linesch, Principal,
Paradigm Group

Understanding ACO REACH, the Key Elements for Payers and Providers, and Strategies to Succeed Under the REACH model

• Hear from industry experts about the key components of the new ACO model – Realizing Equity, Access, and Community Health – and its impacts to your organization
• Understand challenges of delivering care to REACH beneficiaries in a COVID environment and methods to optimize care
• Discuss the differences between Medicare Advantage and ACO REACH and strategies for your organization to succeed in your market

Kevin Healy, CEO,   
Allymar Health Solutions  

Dave Meyer, Revenue Policy Lead,   
Allymar Health Solutions  

Lance Donkenbrook, Chief Executive Officer,   
Commonwealth Primary Care ACO LLC  

Chairperson Closing Remarks

Shannon Decker, VP of Clinical Performance
Brown & Toland

Laura Sheriff, RN, MSN, CPC, CRC,
Health Care Industry Specialist