Discuss the Components of MIPS – APM for Track 1 ACOs

• Define the Merit-Based Incentive Payment System (MIPS)
• Explain the differences between the Advanced Alternative Payment Models (APMs) and the Merit-Based Incentive Payment System (MIPS)
• Explain the four categories in the reporting metrics:
  • Quality
  • Clinical Practice Improvement Activities (CPIA)
  • Cost
  • Advancing Care Information (ACI)
• Identify challenges for MIPS
• Create strategies to overcome challenges

Discuss the Components of MIPS for Non-ACO Providers

• Identify the reporting metrics that differ from MIPS – Track 1 ACOs
• Identify preparation and planning strategies for MIPS for eligible clinicians
• Discuss challenges faced with implementing MIPS
• Create strategies to overcome obstacles

Discuss the Components of Advanced Alternative Payment Models (APMs)

• Define the Advanced Alternative Payment Models (APMs) track
• Identify the risks and create strategies to prepare for risks
• Discuss challenges in the Advanced APMs track
• Explore the risks and consider how to avoid downstream risks

Address How Providers Can Prepare for MACRA

• Identify what type of training is most beneficial for your size of delivery system
• Discuss preparation and planning strategies for implementation
• Share lessons learned through implementing preparation strategies

Value-based care redesign involves systematic changes in health care administration and delivery to improve the quality, efficiency, and effectiveness of patient care while reducing costs. Organizations must learn effective network management strategies to manage multi-provider relationships and streamline post-acute care networks for the effective delivery of value-based care models. Navigating multi-provider relationships through development and management of preferred provider networks is essential to optimize bundled payment episodes. This workshop will expand on effective networking strategies for any organization to succeed in bundled payments and hear about the results from physician group practices implementing these strategies. Implementing these strategies can result in a reduction of total episodic cost an average of 15-35%. This is driven by reductions in costly readmissions, IRF utilizations, and SNF utilizations. These strategies also result in dramatic reduction of adverse clinical outcomes, as evaluated through key quality and performance indicators. While navigating multi-provider relationships can be challenging it is a key component of optimizing bundled payment programs.

• Explain how network management is essential in care redesign
• Identify key approaches to manage a PAC network in an episode of care
• Discuss strategies to maximize success in bundled payments
• Understand the impact of a preferred provider network