Friday, 2:00 p.m. – 3:15 p.m.
Lessons Learned: A Commercial ACO One Year Later
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This presentation focuses on how the integrated model of care developed by Advocate Physician Partners to align physicians, patients, and payers was successfully transitioned to an accountable care-type model, a shared savings model designed to drive enhanced collaboration among physicians, hospitals, payers, and employers. It will explore how governance, technology, financial models, evidence-based medicine, and other measures improve quality and efficiency.
Upon completion of this program, participants will be able to describe a governance structure and physician alignment model supporting cultural change for thousands of independent and employed physicians; describe a model of care that integrates all stakeholders, physicians, patients, and payers with a common goal to improve quality and value of care; design an infrastructure with proven outcomes that impacts clinical care, efficiency, medical & technological infrastructure, patient safety, and patient experience; establish a financial funding model which includes a pay-for-performance incentive, aligning physicians and improving clinical outcomes; describe the use of information technology to support all stakeholders in the delivery of care; identify how to take an existing infrastructure to the next level by incorporating Medical Home and Accountable Care guidelines; and develop a shared savings model that reduces waste and improves care coordination throughout the continuum, resulting in lower costs and more appropriate and effective care for the patient.
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Mark Shields, an internist, is Senior Medical Director for Advocate Physician Partners. Mark has over 25 years experience in management roles with medical groups, insurance companies, hospitals and integrated delivery systems and serves on the boards of several national organizations.