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Beyond ACOs: Value-Based Purchasing and Other Accountable Care Delivery Options



Wednesday, April 18, 2012
Product Code - lgn21
Speaker(s): Matthew P. Amodeo, Drinker Biddle & Reath LLP; Julie Scott Allen, Drinker Biddle & Reath LLP
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Accountable Care Organizations (ACOs) are but one of many emerging health care delivery models being driven by significant changes and reforms in the delivery of health care. Many provider organizations are unsure about their ability, and sometimes their desire, to form an ACO. This program will explore the fundamental changes shaping the health care market today, and strategies and opportunities for providers to participate in various value-based payment delivery options best suited to their organization.

Educational Objectives:

• Learn the key drivers of value-based purchasing (VBP).

• Understand the distinctions between VBP and fee-for-service reimbursement.

• Learn the fundamental building blocks that an organization must have in place in order to succeed under a value-based payment model.

• Find out about the many value-based payment and delivery models that are becoming more common place in the market.

• Learn the structural imperatives to succeed under VBP.

Who would benefit from attending this program?

Health care providers, payers, and other health care leaders and advisors interested in value-based payment and accountable care options.

Program Level: Intermediate

Matthew P. Amodeo, Drinker Biddle & Reath LLP; Julie Scott Allen, Drinker Biddle & Reath LLP

Matthew P. Amodeo, Drinker Biddle & Reath LLP
Matthew P. Amodeo is a partner in the Health Care Practice Group. His practice is focused primarily on hospital-physician integration transactions, health care joint ventures and managed care contracting. He also advises several national providers and practice management companies on matters concerning New York regulatory compliance, including NY Medicaid billing issues.

Mr. Amodeo has served as the network contracting lawyer for several HMOs and commercial insurers in the country. He also represents many hospitals and other providers in their managed care contract negotiations. In these capacities, Mr. Amodeo has drafted and negotiated many highly complex risk-sharing and other compensation arrangements. He holds a J.D. from the New England School of Law.

Publications:
• The ACO Final Rule: Good News and Bad News for Physicians (BNA’s Medicare Report, Dec. 1, 2011)
• “Key Contract Definitions” and “The Impact of Health Reform on Payor-Provider Relationships” (AHLA’s Health Plans Contracting Handbook, Nov. 1, 2011)

Speaking Engagements:
• The Final Rule: Considerations for Establishing an Accountable Care Organization (Drinker Biddle ACO Task Force, Nov. 3, 2011)
• ACO Proposed Rules: Establishing an ACO to Participate in the Medicare Shared Savings Program (Drinker Biddle ACO Task Force, Apr. 20, 2011)
• ACO Proposed Rules: Establishing an ACO to Participate in the Medicare Shared Savings Program (Drinker Biddle ACO Task Force, Apr. 13, 2011)

Interviews:
• 2 health systems take joint approach (Milwaukee Journal Sentinel, Dec. 31, 2011)
• Final ACO Rule Reduces Legal Burden (Medical Practice Compliance Alert, Nov. 28, 2011)
• 2012: State of the Industry (Managed Healthcare Executive, Oct. 1, 2011)
• Betting on Bundling (Modern Healthcare, Aug. 29, 2011)
• Tax Exempt Treatment of Accountable Care Organizations Driving New Business; Limited Liability Company, Tax-Exempt Structures Explored for ACOs (BNA Daily Tax Report, Mar. 18, 2011)

Julie Scott Allen, Drinker Biddle & Reath LLP
Julie Scott Allen is a government relations director with the firm’s Government & Regulatory Affairs Practice Group.

For more than 15 years, Ms. Allen’s focus has been government relations, including advocating at the federal and state level and promoting legislative, regulatory and business agendas for nonprofit and for profit clients and national organizations.

Ms. Allen is skilled in assisting clients in developing and achieving legislative and regulatory goals and helping companies to grow business opportunities within the federal market. She provides strategic counsel to clients to help them understand federal programs and policies and how to consider them in the context of their business and advocacy planning. Her practice is focused on Medicare, Medicaid and health care practice and delivery and she works with health care providers, hospital systems, medical device companies, and patient advocacy groups.

This program is CLE-credit eligible.

If you have further questions regarding a specific state or how to file for CLE credit, please contact Bloomberg BNA customer service at 800-372-1033 and ask to speak to the Legal and Business CLE Accreditation Coordinator.

Hardship Policy
Bloomberg BNA offers a hardship policy for any attorney earning less than $30,000 per year. If an attorney wishes to take advantage of this option, he or she must do so in writing and also provide proof of hardship. If approval is granted, a discount of 50% off the full registration price of the program will be awarded.


Questions
For more information about Mandatory or Minimum Continuing Legal Education (MCLE) requirements, visit the American Bar Association website at http://www.abanet.org/cle/mandatory.html.

• Bloomberg BNA Subscriber - OnDemand format $199

• Non-Subscriber - OnDemand format $249

• CD recording of program $199 (Subscriber and Non-Subscriber)

 

Registration for Legal & Business programs is simple. You may either visit the registration page to register -or- call 1-800-372-1033, Option 6, and refer to the date and title of the program. Lines are open Monday through Friday from 8:00 a.m. to 8:00 p.m. ET.