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Rural Accountable Care Initiatives: The National Rural Accountable Care Consortium Approach


Mar. 11, 2015
Recorded Online

1:00 - 2:00 p.m. EST

The National Rural Accountable Care Consortium has successfully formed five additional ACO's in 2015 for rural providers following in the steps of the first rural ACO started in 2014. Using the Consortium's unique collaborative model, fifty-two entities, including 28 rural and critical access hospitals, 42 rural health clinics, 12 federally qualified health centers and 9 private physician practices in thirty rural health systems were able to afford and qualify for the Medicare Shared Savings Program. More than 65,000 attributed Medicare beneficiaries from the states of Texas, California, Washington, Iowa, Indiana, Missouri, Oregon, Illinois and Michigan are now benefitting from the program under the care of 1,300 clinicians.

The key economic issues that affect rural providers are that they are low volume with high fixed costs and little or no operating margin and are almost wholly dependent on Federal payments. They constantly struggle to survive, have very limited cash reserves and are totally dependent on Federal payments, which provide no margin for error or “rainy days.” The effect of small cuts to their payments in the past few years has resulted in a record number of closures.

The Medicare Shared Savings Program provides potential opportunities for rural providers to increase volume with local Medicare Beneficiaries, by incentivizing local patients to get care in the community by having Medicare cover residual patient cost-sharing (after supplemental insurance.). As cost-based reimbursed facilities with high fixed costs, increased local volume naturally lowers costs for Medicare while also bringing the patient closer to their medical home. Participation also delivers sought-after CMS claims data for rural providers, and the opportunity to optimally coordinate care in a rural environment where inpatient services are usually less than 30% of a typical rural health system's business.

CMMI is providing grant funding for hundreds of rural communities to join the Medicare Shared Savings Program in 2016, removing the last barrier for rural health systems to get on board. The National Rural Accountable Care Consortium is an affiliation of rural providers who are moving toward new models of care delivery that implement coordinated, patient-centered care to improve the quality of life for their community and reduces avoidable healthcare spending. It provides educational resources and learning networks for existing ACOs and future ACO applicants.

Please join the National Rural Accountable Care Consortium's Lynn Barr on Wednesday, March 11th, 2015 at 1PM Eastern as she discusses the 2014 experience of their initial rural ACO, was well as their approach and initiatives going forward in the Healthcare Web Summit event: Rural Accountable Care Initiatives: The National Rural Accountable Care Consortium Approach.

Participants will be able to:

  • Understand the accountable care initiatives undertaken by the National Rural Accountable Care Consortium.
  • Explore the 2014 experience from the initial rural MSSP ACO affiliated with the Consortium.
  • Consider the unique environment and range of issues faced by rural hospitals, physicians and other providers.
  • Ascertain the potential opportunities that MSSP participation provides rural providers.
  • Examine the Consortium's approach for care coordination services with the chronically ill.
  • Appreciate the implications of delivery of CMS claims data to rural providers.
  • Engage in interactive learning through online question submission, attendee feedback and opportunity for follow-up questions, and networking with attendees, faculty and other professionals through a dedicated LinkedIn group.

To purchase recording and materials:  http://www.healthwebsummit.com/pastevents.htm

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