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New Policy and Legal Pressures will Encourage Physician Groups to Assume Greater Levels of Financial Risk
[October 02, 2015]

New Policy and Legal Pressures will Encourage Physician Groups to Assume Greater Levels of Financial Risk


CAPG:

WHAT: The 2015 CAPG Colloquium, starting on October 5, will explore entry into risk-based alternative payment models as more and more government and commercial payers demand that providers move from volume to value-based payment systems, and urge physicians and hospitals to take on greater levels of financial and clinical risk.

HOW: Health care journalists are urged to register ASAP for complimentary passes to learn how physicians plan to achieve success by taking on more of the financial risk in treating patients, including elderly and aging baby boomers with multiple frailties and chronic conditions. Registration is required for all media in attendance.

WHEN/WHERE: October 5-7, 2015; Marriott Wardman Park, Washington, D.C.
Link for more information: www.capgcolloquium.com.

NEWSWORTHY TOPICS TO BE COVERED:

  • A new study released by the Integrated Healthcare Association has concluded that commercial HMO and Medicare Advantage (i.e., risk-based coordinated care models), when offered through an integrated delivery system, provide patients with dramatically higher quality care than fragmented, fee-for-service care-in fact, 11 to 46 percent better across the study's six quality measures. As pyers including Medicare, Medicaid, and Exchanges select and proliferate models of coverage and care delivery, this has huge implications for patients across the country, states like California that have largely excluded HMOs from their exchanges in favor of PPO care, and government purchasers that buy a lot of PPO coverage with taxpayer funds.
  • As a trade association, CAPG is committed to moving 90 percent of its 190-plus members' Medicare business into capitated arrangements by 2018. While many of CAPG's physician groups in 39 states are already committed to capitation, others are adopting a variety of new approaches that involve taking financial risk. CAPG's goal supports the Administration's stated goal of moving 50 percent of Medicare payments to value by the end of 2018.
  • Both Congress and the Obama Administration have embraced the transition from volume to value-based payment. And policy priorities, such as implementing MACRA (the Medicare Access and CHIP Reauthorization Act of 2015), are aligning to encourage providers to take on greater levels of financial and clinical risk. Physicians will learn how to prepare their practice for opportunities in risk-based coordinated care models in both Medicare Advantage and Traditional Medicare.



WHO: Thought leaders and clinical experts from top national organizations who have the expertise and knowledge to accomplish change. Participants will hear from policy experts, Congressional advocates, health plan executives and providers about the policy and political factors shaping healthcare today, along with hands-on knowledge for effective operations management and coordinated care excellence. Speakers include:

  • Congressman Kevin Brady (R-TX)
  • Senator Bill Cassidy, MD (R-LA)
  • Patrick Conway, MD, Deputy Administrator for Innovation and Quality, CMS
  • Bernard J. Tyson, Chairman and CEO, Kaiser Permanente
  • Samuel R. Nussbaum, MD, Executive VP and Chief Medical Officer, Anthem, Inc.
  • Mark E. Miller, PhD, Executive Director, Medicare Payment Advisory Commission (MedPAC)

CAPG is the leading association in the country representing physician organizations representing practicing capitated, coordinated care. Membership currently comprises approximately 190 multispecialty medical groups and independent practice associations (IPAs) across 39 states, the District of Columbia and Puerto Rico.


To register as a media representative, contact Daryn Kobata, CAPG Director of Communications: [email protected]; 213-239-5045.


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