The American Medical Group Association is launching the next phase of its Accountable Care Collaborative: Transforming to a Value-Based System of Care. Medical groups are invited to join this yearlong shared learning program. Phase II of the Collaborative will focus on the fundamental organizational, systems, and culture changes necessary for successful transformation to a value-based system of care, regardless of the path chosen—CMS’s Shared Savings Program, the Pioneer ACO Program, commercial ACOs, or other models yet to emerge. Our goal is to create a rich collaborative experience providing participants with practical solutions and strategies specific to their situation.
Why Join AMGA’s Accountable Care Collaborative?
Many AMGA members have been preparing to become accountable care organizations for some time and are aware that the changes required are enormous. This is not a journey for the uncommitted or faint of heart! Through shared learning, AMGA’s Accountable Care Collaborative can help member organizations achieve fundamental changes that will be required to succeed.
For over a decade, AMGA has used learning collaboratives as a valuable tool for organizational performance improvement. Each collaborative creates a community of knowledge that helps participants accelerate systemic change and make lasting breakthroughs in quality, service, and efficiency. Through the collaborative, AMGA can leverage scarce resources and access to content experts and practice experience while supporting the learning community with dedicated e-forums, a members-only website, and monthly webinars.
Most importantly, members will shape the content, scope, and direction of the learning process. The collaborative will be member-driven―participants will determine educational content priorities and will share what they have learned so that others in the collaborative can adopt what has worked and avoid what has not.
The Collaborative will be structured for participants following five basic pathways to a value-based system of care:
Organizations transforming to a value-based system via one of the pathways above will need to address the following aspects of this endeavor:
Focusing on the areas above, the collaborative will be structured as a blend of workshops that will bring members together in one location and webinars for distance learning. Workshops will consist of general sessions for all members and breakout sessions focused on the specific pathway categories. Key faculty for the collaborative will include representatives from AMGA members that are well on their way in the journey of transforming to value as well as other experts in the field. An ACO Listserv will enable members to share strategies in real time, and white papers and compendiums will be prepared to provide future resources.
The Collaborative Challenge
Redesigning healthcare organizations to focus on value requires a system-wide revolution. Care based solely on fee-for-service payments to a variety of unconnected physicians, hospitals, and ambulatory clinics needs to give way to coordinated, integrated courses of treatment aimed at delivering high-quality care at lower costs to an entire population of patients, including those who have not previously engaged with a healthcare organization. Prevention and primary care need to be stressed as much as treatment of the sick.
In order to produce successful clinical and financial outcomes, the elements of organizational structure and governance, partnerships that share a common vision, and care designed to promote health and functionality all must be robust and systematically working together. Second and equally as important, the payment systems must move away from rewarding the provision of more care toward rewarding better care. And, organizations that have operated successfully under fee-for-service need to find a way to make the transition to value-based payment and still remain viable during the transformation. The bottom line is that the successful accountable care organization must produce significant cost savings.
Most experts believe that the savings will come from three sources:
The total amount that could be saved through more-efficient operations is enormous. The studies noted above suggest that about 30 percent of medical care spending is not associated with the improved health of patients or improved outcomes, and another 10 percent is wasted in administrative costs. The amount to be saved may be as high as 40 percent of total medical spending, or over $2 trillion annually in the next decade.5
How to Join
When you join the Collaborative, we ask that you designate a team of leaders and managers who are prepared to fully participate in the Collaborative activities including in-person meetings, webinars, listservs, and the dedicated website. It is expected that Collaborative members explicitly agree to open sharing of challenges, solutions, expertise, and learnings over the course of the journey to value-based care.
To register, click here or e-mail Joyce Jones at firstname.lastname@example.org or log on to our website at www.amga.org to enroll and pay by credit card. Once you have registered, you will receive an invoice from AMGA. The cost to members is $10,000; the cost to non-members is $20,000.
This fee allows you to send four of your leadership and/or management team to the meetings. Travel and lodging will be at the participant’s expense, but food and beverages will be provided as described in the meeting materials issued prior to each meeting. You may also have an unlimited number of people participate in the webinars and on the listserv and have unlimited access to the ACO website for your group.