From Health Affairs Announcements <[email protected]>
Subject Virtual Value-based Payment Summit Announces Two Complimentary Listening Sessions on CMMI Payment Models
Date September 7, 2021 12:02 PM
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**TWO COMPLIMENTARY LISTENING SESSIONS ON CMMI PAYMENT MODELS HOSTED BY
VIRTUAL VALUE-BASED PAYMENT SUMMIT** * Sessions will Provide Input for
CMMI Staff on Key Policy Issues

* CMMI staff will join in watch/listen-only mode

* Listening Session I: How Can ACO and Specialty Models Co-exist?*
Monday, September 20, 2021 from 3:30 pm to 5 pm EDT

* Listening Session II: Supporting Primary Care Practices in
Value-Based Care: Improving Primary and Specialty Care Collaboration
within Federal Initiatives* Wednesday, September 22, 2021 from 3:30 pm
to 5 pm EDT

* Listening Sessions supported by a Grant from the Commonwealth Fund

* Media Partner:

**Health Affairs**

* www.ValueBasedPaymentSummit.com

**PRESS RELEASE**
Phone: 800-503-7414
Email: [email protected]
Website: www.ValueBasedPaymentSummit.com

**REGISTRATION FREE**

**WASHINGTON DC USA -- AUGUST 23, 2021**: The Virtual Collocated
Value-based Care Summit is pleased to announce that it will be offering
two listening sessions on CMMI payment models which will provide input
for CMMI staff on key policy issues. CMMI staff will join in
watch/listen-only mode. Registrants may participate at no cost. Please
see details below.

**REGISTRATION DETAILS -

**REGISTRATION FREE**** * Click here
to register
for Listening Session I

* Click here
to register for Listening Session II

* When registering you may express a preference for "Video
Participation" or "Chat Participation"

* Requirements for "Video Participation":* Agree to fully participate,

* Join session with video on, and

* Participate on mute unless called to comment by moderators

* Video Participation will be extremely limited (no more than 25 for
each Listening Session). Accordingly, the great majority of attendees
will be assigned to listen/watch-only mode Chat Participation.

* To register, individuals will provide basic personal information and
are urged to provide brief written comments on the Listening Sessions
discussion issues/questions. Said comments may be made anonymously at
the choice of the attendee.

* Note that CMMI a staff will receive copies of all registration
comments and text messages shared during the Listening Sessions.

**PARTICIPATION ALTERNATIVES** * Individuals may register to
participate for either or both sessions at no cost.

* To register, individuals will provide basic personal information and
be invited to provide brief written comments on the Listening Sessions
discussion issues/questions set forth below.

* Listening Sessions will be held on Zoom Webinar.

* Each Listening Session will be moderated.

* Two participation alternatives:* Approximately 25 attendees will
join an interactive, moderated video discussions of issues set forth
below (Video Participation).

* All other attendees will participate on listen/watch-only mode with
opportunity to participate via chat on Zoom platform (Chat
Participation).

* CMMI staff will join in watch/listen-only mode.

**LISTENING SESSION I: HOW CAN ACO AND SPECIALTY MODELS CO-EXIST?** *
Monday, September 20, 2021 from 3:30 pm to 5 pm EDT

* Moderated by Francois de Brantes, MBA, SVP, Signify Health & Valinda
Rutledge, MBA, EVP Federal Affairs, America's Physician Groups (APG)

* Issues to be discussed:* Have you had success involving specialists?
If not, what barriers have you experienced integrating single specialty
and/or multi-specialty practices? If so, what does success look like?

* Are there certain specialty areas where you can influence costs as
opposed to others, where you can't? If so, which areas and why?

* Does this differ for procedure episodes (e.g. hip or knee surgery)
compared to complex, chronic medical conditions (e.g. cardiac care,
oncology care)?

* How would you handle overlap if a distinct specialty model co-exists
with an ACO? How would you avoid duplicate payments, as well as
disincentives to join the models?

* Have any barriers prevented your involvement in total cost of care
initiatives? If so, what would need to change to facilitate your
involvement?

* If a specialty-focused model co-exists with a total cost of care
model, how would you handle overlap? Do you have concerns with sharing
risk?

* Is it possible to appropriately incentivize or encourage
participation from both specialists and TCOC entities to engage in an
integrated care model, such that sharing risk is not a point of
competition? Or Can the specialty care models be replaced by total cost
of care models?

* What examples exist of TCOC entities doing exceptional work to align
clinical and financial incentives with specialty care?

**LISTENING SESSION II: SUPPORTING PRIMARY CARE PRACTICE IN VALUE-BASED
CARE: PRIMARY CARE ACCOUNTABILITY FOR SPECIALTY CARE WITHIN FEDERAL
INITIATIVES** * Wednesday, September 22, 2021 from 3:30 pm to 5 pm EDT

* Moderated by Richard J. Baron, MD, President & CEO, ABIM Foundation &
Valinda Rutledge, MBA, EVP Federal Affairs, America's Physician Groups
(APG)

* Issues to be discussed:* When have advanced primary care initiatives
had success involving specialists? What did that success look like and
how did they overcome the many known barriers to integrating care?

* In which specialty areas are advanced primary care practices more
likely to influence costs and utilization effectively? Which specialty
areas show less ability to be influenced by primary care, and should
that be changed?* Does this differ for procedure episodes (e.g. hip or
knee surgery) compared to complex, chronic medical conditions (e.g.
cardiac care, oncology care)? How about regions and practice types
(IPAs, multi-specialty orgs, hospital-based health systems)?

* How does being part of an ACO make this work more or less
effectively?

* Are there specific components of existing specialty-focused models
that impair incentives to coordinate a beneficiary's care with primary
care?

* How would you handle overlap if a distinct CMMI specialty model
co-exists with an advanced primary care model? * How would you avoid
duplicate payments?

* How to handle disincentives to participate in the models?

* Do you have concerns with sharing risk?

* Do the models need more coordination between them, and how would that
happen?

* Should we avoid building new specialty-focused care models in favor
of more broad or global organizational models? What are the trade-offs?

* Is it possible to appropriately encourage participation from both
specialists and advanced primary care models to engage in an integrated
care model? How does that differ from ACO models?

* What quality metrics provide incentives for better primary/specialty
care coordination?

* What flexibilities in Medicare program/payment rules would help
improve coordination between primary and specialty care?

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