CANCELED-ACO Risk-based Managed Care Agreements and the Impact on Provider – Supplier Relationships

Accountable Care Organizations (ACOs) have matured over the past decade to become one of the key pathways to developing risk-based managed care agreements aimed at addressing patient centered value of care. There is a continuum of contracting models that ACOs engage in from pay-for-performance incentives to global capitation. As ACOs move up this continuum creating alignment between the supply chain and clinicians is an opportunity to improve safety, outcomes, and reduce costs.

How do ACO’s translate their risk-based managed care agreements into meaningful supplier-provider value-based contracting relationships? Certainly the need to address cost savings with access to the appropriate and necessary technologies required to provide the best of care will be a high priority. How do these supplier contracts add more value to the required care management model necessary to provide the highest level of care? How does the supply chain team assure physicians that they will be able to access the highest quality products and technologies to advance care under these risk-based managed care agreements?

These questions and their implications will be explored further as the accelerating environment of risk-based managed care evolves. As part of this presentation, we will examine the preparedness that will be essential to “ready” the supply chain profession to respond to this new environment ahead.

How this Session Relates to the Cost, Quality, and Outcomes (CQO) Movement: Risk-based managed care agreements have moved the healthcare industry toward rewarding the care management model on the basis of demonstrating the best outcomes of care, safety and service at the lowest cost (CQO) to our consumers today. Cascading the CQO imperative to meaningful supplier-provider contracting relationships for the goods and services provided will be challenged especially as the industry strives to reach the right balance of coordinated patient care, at the most reasonable cost, without invading the high quality, service and outcomes required for consumers it serves.

*Participants who attend this webinar may earn up to 1 AHRMM Continuing Education Credit toward recertification of the Certified Materials Resource Professional, or the initial or renewal of the AHRMM Fellow designation. In addition, attendees may earn up to 1 ACHE Qualified Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.

Learning Objectives:

• Obtain a clear picture of the current and future state of Accountable Care Organizations (ACOs).
• List the key challenges of value/risk-based managed care agreements and the key implications to supplier-provider contracting arrangements.
• Create a readiness state within a supply chain department to address future value/risk-based contracting arrangements.

Target Audience:

• This webinar is recommended for Vice Presidents Medical Affairs; Supply Chain Executives; Value Analysis Staff; Managed Care Executives; Supplier Account Executives

Presenter:

• Thomas Lubotsky, Vice President Supply Chain, Allina Health
• Lee Sacks, M.D., Former Chief Medical Officer Advocate Aurora Health