Webinar: Understanding and Evaluating the ACO REACH Model

Please join us on Wednesday March 30th, 2022 at Noon Eastern as Milliman’s Brent Jensen, Matthew Smith and Colleen Norris provide a deep understanding of ACO REACH model requirements and financial components, including how this program compares to the existing GPDC model as well as MSSP, in the HealthcareWebSummit event: Understanding and Evaluating the ACO REACH Model.

Overview

Webinar: Wednesday, March 30, 2022, at Noon – 1:00 PM Eastern

• Implications and impact of ACO REACH for stakeholders
• How ACO REACH compares to the existing GPDC model as well as to MSSP
• REACH changes to risk adjustment
• The REACH benchmark rates, including the new adjustment based on underserved beneficiaries
• Revised REACH global discounts and quality withholds
• REACH changes to governance

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

On February 24th, CMMI announced revisions to the Medicare FFS Global and Professional Direct Contracting (GPDC) model, which will now be re-branded as the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model. As part of this revision, there will be an application window for this program spanning March 7th through April 22nd.

This session will discuss this new program’s requirements and financial components, including how this program compares to the existing GPDC model as well as MSSP. Attendees will develop a deeper understanding of the ACO REACH model, and the pros and cons of joining or staying in the program vs exploring other options.

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 and moderated 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:

• Explore the implications and impact of ACO REACH for stakeholders
• Ascertain how ACO Reach compares to the existing GPDC model as well as to MSSP
• Examine REACH changes to risk adjustment
• Consider the REACH Benchmark rates, including the new adjustment based on underserved beneficiaries
• Identify revised REACH global discounts and quality withholds
• Understand REACH changes to governance
• 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
• Revenue Cycle 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 an expert in pricing, reserving, and employer health and welfare benefits consulting. His clients include ACOs, DCEs, insurance companies, hospitals and physician groups, and employers. Brent is an expert in the various ACO programs, especially direct contracting. He has supported clients as they evaluate and apply for the various direct contracting tracks. Brent’s recent experience also includes: Payer/Provider risk sharing arrangements Bundled payment development studies Evaluations of Centers of Excellence Provider benchmarking analysis Plan design relativity studies ACA rate filings Annual Statements of Actuarial Opinion Healthcare reform strategy consulting Wellness program ROI studies 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.