Webinar: MSSP ACO Financial Results – The State of the MSSP ACO Market

Please join us on Wednesday December 15th, 2021 at 1PM Eastern as Milliman’s Brent Jensen, Matthew Smith and Colleen Norris present findings from their study analyzing available data from 2015 to 2020 for Medicare Shared Savings Program Accountable Care Organizations, in order to provide relevant, timely, and useful information about the current landscape in this arena, in the HealthcareWebSummit event: MSSP ACO Financial Results – The State of the MSSP ACO Market.

Overview

Webinar: Wednesday, December 15, 2021, at 1:00 PM – 2:00 PM Eastern

• Gross savings rate distribution by Track, Benchmark Rates, Risk Scores, Low vs. High revenue, ACO Longevity, and Quality Scores

• Shifts in ACO participation by risk track over time

• Distribution of ACOs by membership and participating provider levels

• Implications of MSSP ACO financial result findings going forward

Milliman Faculty: Brent Jensen, FSA, MAAA, Principal and Consulting Actuary; Matthew Smith, FSA, MAAA Consulting Actuary; and Colleen Norris, FSA, MAAA, Consulting Actuary

In this session, Milliman experts provide relevant, timely and useful information about the state of the MSSP ACO market. Given that MSSPs represent such a large portion of the Medicare FFS landscape, it is worthwhile to look at the available data for how ACOs have performed and evolved over time. We can then use this data to better understand what MSSP features may be associated with financial success. It is just as important to see what factors are not correlated with success or failure in the program.

In order to provide insights on these drivers, Milliman analyzed CY 2020 experience for MSSP ACOs as reported in CMS 2020 Shared Savings Program Public Use Files, as well as 2015-2019 PUFs, to identify and examine key MSSP trends and patterns in shared savings/loss rates, participation, and other key metrics.

Financial results for 2020 may have been materially impacted by the pandemic as well as CMS’s modifications to MSSP rules and regulations. Due to the potential for skewed results, as well as to highlight potentially longer-term observations, prior year savings outcomes were analyzed as well.

Registration Details

• Individual Registration: $195
• Individual Registration and Post-event materials - Includes webinar video and presentation pdf file: $240 for attendees
• Post-event materials for non-attendees - Includes webinar video and presentation pdf file. Available after the event: $260

Register above or download a registration form. You can also register by phone: 209.577.4888. Corporate Site licensing also available. We look forward to your attendance!

MCOL Premium members receive a 50% discount on all Healthcare Web Summit events. Members can get the discount code by logging onto the Premium Member Website and then going to the Premium Member HealthWebsummit page. Non-members can learn about MCOL Premium memberships and sign-up to get the 50% discount on this and future events.

Need a Printable Form? Download a registration form you can fax or mail.

Cure for the Common Webinar

In addition to the main presentation, this webinar will include an opening introductory video, a brief moderated speaker interview, and audience Q&A. Within one business day of your registration, you'll receive login information. You will receive a reminder email 1 day and 1 hour before the live event.

One day after the live webinar, you'll receive a follow-up email which will include a link to the presentation slides. You’re also welcome to provide feedback via this email as well as submit additional questions to be forwarded to the speakers. For support before, during or after the event, please contact HealthcareWebSummit office at 209.577.4888.

Learning Objectives

After attending this webinar, attendees will be able to:

• Identify trends in gross savings rates by a range of factors
• Consider trends in shifts of participation by risk track over time
• Understand the impact of changes in benchmarking methodology on ACO performance
• Examine the distribution of MSSP ACOs by levels of membership and participating provider
• Explore the Implications of MSSP ACO financial result study findings going forward
• Benefit from interactive learning including opportunities to engage with faculty with questions and discussion

Who Should Attend

Interested attendees would include:

• C-Suite Executives
• ACO Executives and Staff
• Finance Executives and Staff
• Provider Network Executives and Staff
• Provider Contracting Executives and Staff
• Analytics Executives and Staff
• Actuarial Executives and Staff
• Business Intelligence Staff
• Policy, Planning and Strategy Executives and Staff
• Other Interested Parties

Attendees would represent organizations including:

• Accountable Care Organizations
• Hospitals and Health Systems
• Provider Networks
• Clinically Integrated Networks
• Medical Groups
• Health Plans
• Solutions Providers
• Life Sciences Organizations
• Associations, Institutes and Research Organizations
• Government Agencies
• Media
• Other Interested Organizations

Faculty

Brent Jensen, FSA, MAAA Principal and Consulting Actuary, Milliman	Brent Jensen, FSA, MAAA, is a Principal and consulting actuary with the Salt Lake City office of Milliman. He joined the firm in 2010. Brent’s consulting experience covers a wide range of health actuarial projects. He leads projects covering risk sharing arrangements and related contracting, financial forecasting, pro forma projections, and bundled payment analyses. He is also has experience in pricing, reserving, and employer benefits consulting. His clients include ACOs, insurance companies, hospitals and physician groups, and employers. Brent is a Fellow with the Society of Actuaries and is a Member of the American Academy of Actuaries. He received a BA in Economics from Brigham Young University.
Matthew Smith, FSA, MAAA Consulting Actuary Milliman	Matthew Smith, FSA, MAAA, is a consulting actuary with the Phoenix office of Milliman. He joined the firm in 2006. For the last several years, Matthew has worked with numerous Medicare Advantage (MA) plan sponsors on the plan design and pricing of their MA bids. He has also worked with multiple clients on CMS bid and financial audits, as well as financial projections for start-up plans, and plans considering expansions to new service areas and adding new lines of business. Matthew has also worked with provider organizations on projects such as: risk settlement validation; contract negotiations; MSSP reporting; and developing benchmarks around prevalence and cost of members with selected conditions or types of procedures. In addition, Matthew has worked with a number of clients on projects that include pricing, reserving, forecasting, claims analysis, risk score analysis, hospital readmissions analysis, drug adherence rate analysis, and applications for federal funding grants and state insurance licenses. Clients served include government agencies, health plans, drug companies, hospital and physician groups, and other organizations He is a Fellow with the Society of Actuaries and a Member of the American Academy of Actuaries. Matthew received a BS in Physics from and a MS in Statistics from Stanford University .
Colleen Norris, FSA, MAAA Consulting Actuary Milliman	Colleen Norris is a consulting actuary with the Denver office of Milliman. She joined the firm in 2008. Colleen specializes in providing analytical and strategic support to organizations engaging in new models of reimbursing providers. She has helped both providers and payers develop quantitative approaches of understanding and measuring the spectrum of potential risk under a variety of potential arrangements. Colleen’s experience includes analyzing changes to provider reimbursement contracts to ensure consistency with desires goals, modeling risk transfers in reimbursement contracts, and developing strategic approaches to manage transferred risks. She has assisted large provider systems with developing models for the appropriate transfer of financial risk to smaller provider units, and has provided strategic and tactical planning for systems looking to optimize their long-term prospects in the era of increased risk-sharing. She also has experience with Medicare ACO (MSSP & Next Gen) and MACRA risk impact assessments and strategic planning. Colleen has experience with using predictive models to help organizations identify, measure, and monitor key risk factors. Her background also includes commercial healthcare benefit plan design, pricing, feasibility studies, and financial modeling. She has developed regulatory filings for health carriers, developed underwriting and rating models, and projected liabilities for incurred but not paid claims. Colleen has an MS degree in Physics, from the University of California, San Diego, and a BS, degree (summa cum laude) in Physics from Creighton University, Omaha, NE.