Innovative Health Care Policies: Using ACO Principles and
Financial Incentives to Improve Health Outcomes

When: Tuesday, January 29th 1 – 2:30 pm ET

How can you successfully use Accountable Care Organization (ACO) principles and financial incentives to promote health outcomes? Join us to learn of the experience gained by several Health Care Innovations Exchange innovators.

The Montefiore Medical Center's initiative established an infrastructure based on ACO principles and achieved improved management of diabetes, asthma, and congestive heart failure and reduced hospital admissions, readmissions, and medical expenses among several key populations.

Blue Cross Blue Shield of Michigan provides financial incentives and supports provider-led quality improvement collaboratives, which have significantly improved quality, reduced costs, and generated a positive return on investment. Innovators from both organizations will share their experience and lessons learned.

The innovations are profiled on the U.S. Agency for Healthcare Research and Quality (AHRQ) Health Care Innovations Exchange as part of a new focus on innovative policies that promote quality health care. The Exchange is a free Federal Web site that offers innovative policy and service delivery profiles, QualityTools, and learning and networking opportunities aimed at speeding the implementation of new and better ways of delivering health care
(http://innovations.ahrq.gov/).

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Stephen Rosenthal, MBA, MS, has been a leader in the development of care management programs and initiatives. He is the President and Chief Operating Officer for The Care Management Company, LLC (CMO), a wholly owned for-profit subsidiary of Montefiore Medical Center and Corporate Vice President for Network Care Management for Montefiore's Integrated Delivery System. Mr. Rosenthal developed and managed Montefiore's Faculty Practice of over 1,000 physicians. Prior to that he developed over a half a million square feet of ambulatory practice programs. He currently chairs the network-wide implementation of Montefiore's Ambulatory Clinical Information Systems.

David A. Share, MD, MPH, is the Senior Vice President of Value Partnerships at Blue Cross Blue Shield of Michigan and serves as Vice Chair of the Board of Directors of the Michigan State Medical Society (MSMS). He serves as an Executive Councilor of the Michigan Antibiotic Resistance Reduction Coalition, and a Director and Secretary of the Washtenaw Health Plan, a county health insurance program for indigent people with no other source of health insurance. Dr. Share serves on the Commission for a High Performance Health System of the Commonwealth Fund and is a Fellow of the American College of Preventive Medicine. He served for 30 years as founding Medical Director of The Corner Health Center in Ypsilanti, a community-based health center for teenagers and their children, where he still practices medicine.

Xavier Sevilla, MD, MBA, FAAP, is Vice President for Clinical Quality for Catholic Health Initiatives in Denver, Colorado. Until August 2012, Dr. Sevilla practiced pediatrics on the West Coast of Florida in a full-functioning Patient Centered Medical Home. In 2010, Dr. Sevilla participated in the Federal subcommittee that chose the Initial Core Set of Child Health Quality Measures for the CHIPRA legislation. He was appointed, in 2009, to the Chair of the Steering Committee of Quality Improvement and Management for the American Academy of Pediatrics. In 2009, he was also appointed to the National Advisory Council of the Agency for Healthcare Research and Quality. He also served on the Steering Committee of Quality Improvement and Management of the American Academy of Pediatrics in 2006. Dr. Sevilla received the Award for Excellence in Health Care Improvement from the Florida Children's Quality Improvement Initiative.

Gerry Fairbrother, PhD, is a Senior Scholar at AcademyHealth, an Adjunct Professor of Health Policy at the George Washington University, and Adjunct Professor of Pediatrics at the University of New Mexico and the University of Cincinnati. Dr. Fairbrother is an experienced health services researcher and evaluator, whose work has emphasized measurement of quality of care, policy research and evaluation, and health information technology and its effects on quality of care. Dr. Fairbrother serves on the Centers for Medicare and Medicaid Services (CMS) Technical Expert Panel, on the National Impact Assessment of CMS Quality Measures and on the National Policy Advisory Committee of the National Initiative for Children's Healthcare Quality. She received the "Best Ohio Health Policy Award for Independent Scholar or Practitioner" from the Health Policy Institute of Ohio.