HCTTF Seeks Candidates for New Position: Associate, Mission Support

Associate, Mission Support

Background:  The Health Care Transformation Task Force (HCTTF) is an industry consortium that brings together patients, payers, providers and purchasers to align private and public sector efforts to clear the way for a sweeping transformation of the U.S. health care system.  The Task Force team is a small yet fast-growing and passionate team dedicated to member service and advancing the adoption of value-based payment and care delivery.  Check us out: www/hcttf.org.  
The Task Force seeks to provide a critical mass of business, operational and policy expertise from the private sector that, when combined with the efforts of the Centers for Medicare & Medicaid Services and other public and private sector stakeholders, can accelerate the pace of delivery system transformation to person-centered, value-based payment models.

Position:  HCTTF seeks dynamic candidates for a new position responsible for supporting Task Force Work Groups, Advisory Groups and staff in further the mission of transforming to valuebased payment. The groups develop best-practice tools and approaches for implementation of value-based payment models in the private sector, as well as timely and actionable policy and program design recommendations. Current areas of focus include accountable care, bundled payment, improving care for high cost patients, consumer priorities, and the path to transformation. The position will work closely with the Director, Payment Reform Models and Director, Transformation Facilitation and Support, and be primarily responsible for: 

  • Providing administrative and technical support for meetings and activities of current and future Task Force Work Groups and Advisory Groups
  • Strategizing with and supporting Task Force Directors with executing on Work Group and Advisory Group Action Plans
  • Conducting research and analysis of various value-based payment topics
  • Helping build and nurture relationships with Task Force members
  • Developing content for, and supporting public-facing web and social media platforms; and,
  • Performing other organizational functions, as needed.

Position Requirements:  Requirements include: 

  • Minimum of two years of work experience in health care related field, either in government, research, business consulting, or with a health care organization. 
  • Strong organizational and time management skills. 
  • Demonstrated analytical reasoning and deductive thought. 
  • Creative and practical, with the ability to act in ways that best support membership and staff goals and objectives. 
  • Self-starter, personally-motivated and interested in value-based care subject matter.  Team player, “roll-up-the-sleeves” attitude. 
  • Strong interpersonal and communication skills for effective support of members and Task Force leadership. 
  • Education:  Bachelor’s degree required; masters or relevant advanced degree preferred. 
  • Competitive salary and benefits package. Applicants should state their salary requirements.

Location:  Washington, DC
Contact:  Applicants should send an email expressing interest and qualifications with current resume to HCTTFjobs@leavittpartners.com.

Read the position description.

Health Care Transformation Task Force Welcomes Caitlin Sweany, Director of Transformation Facilitation & Support

The Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to transform the U.S. health care delivery system to promote value-based, person-centered care, announces the appointment of Caitlin Sweany as the director of transformation facilitation and support, effective immediately.

Read full release.

 

Health Care Transformation Task Force Urges Incoming Administration and Congress to Continue Drive for Value-Based Payments

Aligned Public, Private Payment Reform Critical to Sustaining Momentum for Competitive Marketplace, Reducing Costs, Improving Outcomes

WASHINGTON (December 6, 2016) – The Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to accelerate the pace of U.S. health care delivery system transformation, today called on the incoming Trump-Pence Administration and Congress to continue aligning public and private efforts to replace fee-for-service payments for health care services with value-based alternatives.

“The Task Force strongly urges the new Administration and Congress to affirm their support for the transition to value-based care that reduces cost, improves quality, and more sharply focuses on patient needs … and to urge the industry to continue its important evolution to a modern payment and care delivery system that provides high value, affordable health care through a competitive marketplace,” the Task Force said in a letter to the President and Vice President-elect, the nominees for Secretary of Health and Human Services and Administrator of the Centers for Medicare & Medicaid Services (CMS), and congressional leaders. “Given the significant industry investment and strong progress to date, we urge the new Administration and Congress to send signals of support and encouragement so this transition can be sustained.

“This is not the time for policymakers to waiver or reverse course, which would send a negative message to the industry and chill ongoing transformation efforts.”

The letter reflects the consensus of the Task Force’s 43 member organizations (both for-profit and not-for-profit) and individuals, which include six of the nation’s top 15 health systems and four of the top 25 health insurers, as well as leading national organizations representing employers, patients and their families, and the policy community. As a leading private sector, multi-stakeholder consortium, the Task Force is committed to payment reforms that promote a competitive marketplace for value-based health care and allow health care organizations to transition from a system that rewards volume of services to one that rewards value of care. Task Force payer and provider members are committed to transitioning 75 percent of their business to value-based payment models by 2020, and by the end of 2015 had achieved 41 percent.

 “The United States spends far more than any nation on health care, while our population continues to rank near the bottom in every global measure of health,” said David Lansky, Task Force vice chair and president and CEO of the Pacific Business Group on Health. “Our high spending on health care is reducing the competitiveness of U.S. businesses and the wages of its workers without producing better health. Shifting payment to reward high value care will encourage innovation, coordination, and more efficient use of expensive resources, while creating accountability for improving patients’ health.”

Significant efforts are underway, led by the private sector in combination with ongoing efforts at CMS, to change this reality, with positive results starting to be realized.  “While not fully scaled, the new payment models have made great progress in promoting transparency, reducing cost, and improving quality.  Many organizations are nearing the tipping point for realizing permanent change.  In recent years, the moderation of the rate of Medicare spending increases reflects that the transformation investments are producing a desirable return.”

Unless the new administration sends a positive signal of support for continued changes in the delivery of health care that improve cost and quality the private sector may slow or stop the efforts to date.  “The continued efforts toward models that reduce health care spending and are patient-centric is not a given,” said Angelo Sinopoli, MD, VP Clinical Integration, Greenville Health System, Greenville S.C.  “Major changes in information technology, healthcare work force, delivery system infrastructure, and innovative treatment models are essential for improving patient outcomes and reducing costs.  Without visible support for this direction, some may decide to either stop or slow movement until it is clear the new Administration and Congress will support transformation.”

The letter notes that the transition to value-based payments falls squarely within bipartisan efforts to contain health care costs, which generally exceed general inflation. “No other single policy initiative holds more promise to moderate entitlement spending and to free up needed discretionary resources for other national priorities, like infrastructure and defense,” said Jeff Micklos, executive director of the Task Force.

The move to payment reform and value-based care—also referred to as delivery system reform—has been underway with bipartisan support for more than a decade in response to market demands. With significant avoidable waste in the system, policymakers have long recognized the need to invest in a modernized health care infrastructure, through successive Republican and Democratic administrations and both Democratic- and Republican-controlled Congresses.  The 2015 passage of the Medicare Access and CHIP Reauthorization Act (MACRA) with strong bipartisan support accelerated this momentum by modernizing the way Medicare will pay for physician services to focus on value over volume.

“Well-capitalized entrepreneurial startups are now partnering with providers and payers to help accelerate this transformation, creating rewarding American jobs, and this job creation is projected to continue increasing significantly,” the letter states.

“The Task Force stands ready to be a resource and work with you on these important issues, including sharing the private sector progress made to date and how the sustainability of a truly value-based care delivery system is within reach. We believe these shared learnings, experiences, and initial successes are persuasive for policymakers to continue partnering with industry to help the American health care system reach this important and necessary goal.”

About Health Care Transformation Task Force

Health Care Transformation Task Force is a unique collaboration of patients, payers, providers and purchasers working to lead a sweeping transformation of the health care system. By transitioning to value-based models that support the Triple Aim of better health, better care and lower costs, the Task Force is committed to accelerating the transformation to value in health care. To learn more, visit www.hcttf.org.

Task Force Members: Advocate Health Care • Aetna • agilon health • Aledade •  American Academy of Family Physicians •  Ascension • Atrius Health • Beth Israel Deaconess Care Organization • Blue Cross Blue Shield of Massachusetts • Blue Cross Blue Shield of Michigan • Blue Shield of California • Catholic Health Initiatives • Centra • CEP America • Community Catalyst • Dartmouth-Hitchcock Health • Dignity Health • Evolent Health • Fresenius Medical Care • Greenville Health System • Health Care Service Corporation • Health Connections New Mexico • HealthSouth • Heritage Provider Network • HRHCare Community Health • Mark McClellan • Montefiore • National Health Law Program • National Partnership for Women & Families • Optum • OSF HealthCare • Pacific Business Group on Health • Partners Healthcare • PatientPing • Premier • Providence Health & Services • Remedy Partners • SCL Health • SSMHealth •  The Dartmouth Institute for Health Policy & Clinical Practice • Trinity Health • Tucson Medical Center • Washington State Health Care Authority

 Read the letter

 

 

Health Care Transformation Task Force Welcomes Clare Wrobel, Director of Payment Reform Models

WASHINGTON (July 6, 2016) – The Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to transform the U.S. health care delivery system to promote value-based, person-centered care, announces the appointment of Clare A. Wrobel as the director of payment reform models, effective immediately.

In this role, Wrobel will lead research, and provide strategic guidance on the evolving landscape of alternate payment models (APMs) and value-based care arrangements. Her work will also include analyzing the practical and technical implications of APMs, and leading discussions to develop new Task Force consensus positions that will help guide transformation of the U.S. health care system.

“I am incredibly excited for the opportunity to join this prominent group of health care leaders working to accelerate the transformation of health care across the country,” said Wrobel. “The Task Force plays a critical function in providing a coordinated industry approach to tackling the toughest issues facing our current system, and I am eager to use my experience to contribute to its valuable work.”

Wrobel brings a wealth of expertise in payment reform to the Task Force, as her previous experience includes managing the day-to-day operations for the State Innovation Model (SIM) initiative, a $1 billion program to design and test state-led models of multi-payer health care delivery and payment transformation. Additionally, as team lead at the Center for Medicare & Medicaid Innovation (CMMI), a part of the Centers for Medicare & Medicaid Services (CMS), Wrobel provided strategic guidance and insight to leaders across CMS and the U.S. Department of Health & Human Services (HHS) to support the goals of SIM.

Before joining CMMI, Wrobel held a variety of positions at HHS. As project manager for the Accelerating Transformation Project, she supported the Secretary of HHS, assisting states’ Medicaid health reform and Affordable Care Act implementation. She also worked as the project officer for the State Health Information Exchange Cooperative Agreement Program, during which she managed $56 million in federal grants and represented HHS to state officials across New England.

“Clare brings extensive industry experience and a vast knowledge of the work being conducted at the federal level to transform health care across the United States,” said Jeff Micklos, executive director of the Task Force. “We are very pleased to have her join us as we work together to align private and public sector efforts to achieve our mission.”

Most recently, Wrobel worked as the director of Population Health Solutions at Myers and Stauffer, LC, where she provided expertise on alternative payment models and interpretation of federal policies, such as Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), state innovation waivers, and Medicaid health IT funding to support health care transformation.

Wrobel holds a master’s degree in health services administration from the University of Michigan’s School of Public Health and a bachelor’s degree with honors from the University of Michigan’s Honors College.

About Health Care Transformation Task Force

Health Care Transformation Task Force is an industry consortium that brings together patients, payers, providers and purchasers to align private and public sector efforts to clear the way for a sweeping transformation of the U.S. health care system. Our members are committed to rapid, measurable change, both for ourselves and our country. Our members aspire to having 75 percent of our respective businesses operating under value-based payment arrangements by 2020. To learn more, visit www.hcttf.org.  

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MEDIA CONTACT:
Rebecca Porterfield
Qorvis MSLGROUP
rebecca.porterfield@mslgroup.com

Health Care Transformation Task Force Classifies ACO Models

New Analysis Describes Seven Types of Accountable Care Payment Models

 

WASHINGTON (June 21, 2016) – A new report from the Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to transform the U.S. health care delivery system, offers a comprehensive look at the seven predominant payment models currently used by accountable care organizations. 

“There’s no ‘one size fits all’ accountable care model that will best serve all organizations in all markets,” said Jeff Micklos, executive director of the Task Force. “Decisions about which accountable care model to employ is very fact-specific, with a focus on targeted patient population, relationships between providers and payers, market dynamics, and the goals that the ACO seeks to achieve. This paper is a resource for organizations seeking to better understand accountable care payment arrangements to determine which model is best-suited for them.” 

The paper classifies seven different accountable care payment models:

  • One-sided risk on total cost of care;
  • At-risk care management payments;
  • Two-sided risk on total cost of care;
  • Capitation on limited cost of care;
  • Capitation on limited cost of care with one-sided risk on total cost of care;
  • Capitation on limited cost of care with two-sided risk on total cost of care; and,
  • Capitation on total cost of care.

The paper describes each type of payment arrangement, notes which types of payers and provider organizations use it and outlines the level of risk transfer, as well as the opportunities and challenges unique to each arrangement.

The Task Force includes six of the nation’s top 15 health systems and four of the top 25 health insurers, as well as leading national organizations representing employers, patients and their families. 

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About Health Care Transformation Task Force
Health Care Transformation Task Force is a unique collaboration of patients, payers, providers and purchasers working to lead a sweeping transformation of the health care system. By transitioning to value-based models that support the Triple Aim of better health, better care and lower costs, the Task Force is committed to accelerating the transformation to value in health care. To learn more, visit www.hcttf.org

Media Contact:

Rebecca Porterfield
Qorvis MSLGROUP
202-683-3202
rebecca.porterfield@mslgroup.com

Health Care Transformation Task Force Reports Increase in Value-Based Payments

Progress Report Shows Nearly 40% Increase of Members in Value-Based Payment Arrangements

WASHINGTON (April 12, 2016)–The Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to transform the U.S. health care system, today reported that 41 percent of its provider and payer members’ business were in value-based payment arrangements at the end of 2015, up from the 30 percent in 2014.

Providers reported that slightly more of their business (42 percent) was in value-based arrangements than payers (38 percent).  

The Task Force defines value-based payment arrangements as those which “successfully incentivize and hold providers accountable for the total cost, patient experience and quality of care for a population of patients, either across an entire population over the course of a year or during a defined episode that spans multiple sites of care.” The alternative payment methods members reported include global budgets, bundled payments, and shared savings.

The numbers are based on responses from 23 of the 27 provider or payer Task Force members that responded to the year-end survey. Members responding included five of the nation’s top 10 non-profit health systems and four of the top 25 health insurers. The averages reported are the combined average of each system, and they are not weighted to reflect the organization’s size.

“This substantial progress toward our goal demonstrates the Task Force members’ commitment to accelerating the transformation to a value-based payment models that improve care and lower costs,” said Task Force Executive Director Jeff Micklos.  “While much work remains, Task Force members have built momentum over the past year that sets a positive tone as they move toward the goal of 75 percent in Triple Aim-based, value-based care arrangements by 2020.”    

Task Force members were asked to respond to one of following three questions, based on arrangements in place as of December 31, 2015: 

  1. The percentage of the health plan’s total membership whose care is provided by a provider contracted under a global budget, bundled payment methodology, or a shared savings arrangement (Payer category option);
  2. The percentage of total services that are provided by a provider contracted under a global budget, bundled payment methodology, or a shared savings arrangement (Payer category option); or,
  3. The percentage of current revenue that is from contracts that are under a global budget, bundled payment methodology, or a shared savings arrangement (Provider category approach).

The Centers for Medicare & Medicaid Services announced in March that an estimated 30 percent of Medicare payments were tied to alternative payment models as of January 2016. 

A full list of Task Force members – all committed to putting 75 percent of their business into value-based arrangements that focus on the Triple Aim of better health, better care and lower costs by 2020 – can be found at www.hcttf.org.  

About Health Care Transformation Task Force
Health Care Transformation Task Force is a unique collaboration of patients, payers, providers and purchasers working to lead a sweeping transformation of the health care system. By transitioning to value-based models that support the Triple Aim of better health, better care and lower costs, the Task Force is committed to accelerating the transformation to value in health care. To learn more, visit www.hcttf.org. 

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Media Contact:                             
Jennifer Williamson
Qorvis MSLGROUP
202-683-3289
jennifer.williamson@mslgroup.com

Health Care Transformation Task Force Releases Best Practices for Care Management Programs for High-Need, High-Cost Patients

New White Paper Evaluates Care Management Programs to Identify Building Blocks of Success and Help Health Systems, Payers, and Policymakers Enhance their Strategies

WASHINGTON (February 23, 2016) –The Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to transform the U.S. health care system, today released a white paper that identifies the building blocks of successful care management for high-need, high-cost patients, presents case studies of Task Force member care management programs, and identifies lessons learned and important areas for improvement.

The paper – “Developing Care Management Programs to Serve High-Need, High-Cost Populations”– draws on the evidence and experience of clinically and financially successful programs across the country.

“Our goal is to help health systems, payers, and policymakers enhance person-centered care management strategies, highlight opportunities for alignment, and identify areas where more evidence may be needed to understand the cost and quality impact of care coordination,” said Task Force Executive Director Jeff Micklos. “As appropriate care management services for this population continue to mature, innovative payment models must also be developed to promote effective and accountable delivery of these services.”

Experts from the Task Force’s Improving Care for High-Cost Patients Work Group, composed of Task Force members and partner organizations, identified five lessons learned and opportunities for improvement:

  1. Ensure Meaningful Patient and Caregiver Engagement – Engage patients and informal caregivers, including family, at all levels of care delivery is integral to the success of care management programs. At the community level, patients and caregivers can help bridge a potential gap between acute care and community-based care management resources.
  2. Evaluate Care Management – The Task Force recommends that care management programs include processes for evaluating patient-reported outcomes (PROs) and low- or no-value care.
  3. Define the Scope of Care Management Programs – There is no one-size-fits-all approach for care management. Each program serves its own patient population, reflective of local demographics. 
  4. Tailor Care Management Programs to Individual Patients – Successful care management programs respond to the specific needs of the patient. This is made possible through the establishment of a trusting relationship at the outset of care.
  5. Overcome Resistance to Services – Providers who are philosophically aligned with the program, have a track record in improvement, and who are financial invested in the program’s success may provide the strongest leadership for an effective program. For patients, education, patience, empathy, and peer support are critical in overcoming the fear, anxiety, shame, distrust, or other factors that may influence patient resistance to services.

The white paper is the second in a series of three papers to be developed by the Task Force’s Improving Care for High-Cost Patients Work Group. The first paper focused on methods to identify high-need, high-cost patients. The third paper will offer guidelines to develop payer-provider relationships that promote sustainability of proven innovations.

The Task Force includes six of the nation’s top 15 health systems and four of the top 25 health insurers.  A full list of Task Force members – all committed to putting 75 percent of their business into value-based arrangements that focus on the Triple Aim of better health, better care and lower costs by 2020 – can be found at www.hcttf.org.

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About Health Care Transformation Task Force
Health Care Transformation Task Force is a unique collaboration of patients, payers, providers and purchasers working to lead a sweeping transformation of the health care system. By transitioning to value-based models that support the Triple Aim of better health, better care and lower costs, the Task Force is committed to accelerating the transformation to value in health care. To learn more, visit www.hcttf.org

Media Contact

Jennifer Williamson
Qorvis MSLGROUP
202-683-3289
jennifer.williamson@mslgroup.com

HRHCare Community Health Joins Health Care Transformation Task Force

Alliance of Private Sector Leaders Spearheading Adoption of Value-Based Payment Models

Peekskill, NY (February 18, 2016) – The Health Care Transformation Task Force, a partnership of leading health care payers, providers, purchasers and patient organizations, announced today that HRHCare (Hudson River HealthCare) has joined its membership. 

With more than 40 organizations representing patients, payers, providers and purchasers, the Task Force aims to align private and public sector efforts to transform the U.S. health care system. By developing and disseminating strategy, operational and policy recommendations, it seeks to spark rapid, measurable change across the health care landscape. 

As part of the Health Care Transformation Task Force, HRHCare has committed to put 75 percent of its business into value-based arrangements that focus on the Triple Aim of better health, better care and lower costs by 2020.  

“We believe that transforming our health care system means providing affordable, accessible care for all patients,” said Anne Kauffman Nolon, MPH, President and CEO of HRHCare. “Being a part of the Task Force means that we can help to shape and advance this transformation to ensure that more patients in medically underserved areas are receiving the care they need. This is something HRHCare considers a key part of our mission as a provider of community health care, and we’re proud to partner with others who feel the same way.”

Founded 40 years ago to provide care to the medically underserved population of Peekskill, New York, HRHCare is well-positioned to assist in the health care system transformation and ensure that patients that are medically underserved are receiving value-based care. 

“HRHCare is a welcome addition to our robust alliance, as we boldly seek to deliver the Triple Aim of better health, better care and lower costs,” said Jeff Miklos, executive director of the Task Force. “HRHCare’s expertise will be invaluable as we strive to bring higher quality and more cost effective care to medically underserved populations.”


About Health Care Transformation Task Force
Health Care Transformation Task Force is an industry consortium that brings together patients, payers, providers and purchasers to align private and public sector efforts to clear the way for a sweeping transformation of the U.S. health care system. Our members are committed to rapid, measurable change, both for ourselves and our country. Our members aspire to having 75 percent of our respective businesses operating under value-based payment arrangements by 2020. To learn more, visit www.hcttf.org.  

About HRHCare
HRHCare (Hudson River HealthCare, Inc.) is a nonprofit, New York State licensed, Federally Qualified Health Center (FQHC). Founded 40 years ago to provide care to the medically underserved population of Peekskill, New York, HRHCare is now one of the nation’s largest community health providers. From the Capitol Region to the East-end of Long Island, HRHCare’s network of 26 health centers provides affordable, accessible care to more than 135,000 patients through 500,000 visits annually. Our more than 350 primary care practitioners and 700 specialists and support staff have made HRHCare a destination for high-quality and compassionate care for all.

As HRHCare has grown it has retained its core values of community and compassion. Excelling in patient care, HRHCare provides comprehensive services to anyone who walks through our doors. HRHCare’s health centers provide primary and preventative treatment including adult and pediatric care; obstetrical and gynecological care; family planning; HIV counseling, testing, and referral; dental services; mental health counseling; nutrition counseling; podiatry; WIC services; health education; and a full complement of outreach, translation, transportation, benefits counseling and health insurance enrollment assistance.

HRHCare has a profound commitment to the communities it serves and works to improve community health through partnerships and collaborations with local community leaders, businesses, social service agencies, housing organizations, food banks, agricultural worker alliances and other local stakeholders. HRHCare believes if it wants to ensure quality care for its patients, it should ensure quality pay for its staff, which is why it provides a minimum living wage of $15 an hour for all employees.

To learn more, visit www.hrhcare.org.  

Media Contacts:

Jennifer Williamson (Task Force)
(O) 202.683.3289                
jennifer.williamson@mslgroup.com

Elizabeth Kenigsberg (HRHCare)
(O) 646.930.0222
ekenigsberg@skdknick.com 

Health Care Transformation Task Force Recommends Key Elements to Consider in ACO Agreements

WASHINGTON, D.C. (October 8, 2015) – The Health Care Transformation Task Force today released an Action Memo on best practices to consider when preparing to enter into an effective ACO agreement. The Task Force is a consortium of patients, payers, providers and purchasers working to transform the U.S. health care system.

The memo – “Key Elements to Consider in ACO Agreements” – is intended to be an educational resource for the health care community and focuses on contracting strategies in three main areas: patient experience and access; cost; and quality of care. Key highlights include:

  • Patient Experience and Access – The memo identifies practical contracting strategies to promote patient centeredness, including a focus on the importance of a primary care relationship, coordination and communication, access to timely care, and best practices for care management. To establish a successful ACO, the memo highlights the importance of selecting a designated population with a sufficient or adequate number of patients and calls for a robust information exchange that drives transparency and accountability.
     
  • Cost The memo’s cost section focuses on the financial models necessary for a successful ACO, including whether the model should be based on historical claims experience or community ratings and local cost trends. It stresses that effective ACO contracts should clearly define the financial responsibility between the purchaser, payer, provider and/or patient. Additionally, parties entering into contracts should have a well-defined benchmark or global budget and performance period. As circumstances may change over time, contracts should allow for ongoing access to data and periodic reviews to make necessary adjustments.
     
  • Quality of Care The memo also focuses on clinical management and models of care, outlining the importance of establishing whether clinical management will lie with one source or be shared among multiple stakeholders. The authors share insights for setting and monitoring key quality measures to ensure patients always have access to necessary care.

The memo is the latest product to draw on the robust experience of the Task Force members to increase the momentum of delivery system transformation.

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About Health Care Transformation Task Force
Health Care Transformation Task Force is an industry consortium that brings together patients, payers, providers and purchasers to align private and public sector efforts to clear the way for a sweeping transformation of the U.S. health care system. Our members are committed to rapid, measurable change, both for ourselves and our country. Our members aspire to having 75 percent of our respective businesses operating under value-based payment arrangements by 2020. To learn more, visit www.hcttf.org.

Media Contact:
Philip Newland
Qorvis MSLGROUP
202.683.3141
phil.newland@qorvismsl.com 

Health Care Transformation Task Force Names New Executive Director

WASHINGTON, D.C. - Jeff Micklos is the new executive director of the Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to transform the U.S. health care system. The appointment is effective Oct. 1.

Micklos previously served as executive vice president, management, compliance & general counsel of the Federation of American Hospitals (FAH), a national trade association representing investor-owned and managed community based hospitals and health systems.

Micklos brings this experience to the Task Force to support its efforts to spark rapid, measurable change across the health care landscape. Its members are committed to value-based business and clinical models aligned with improving outcomes and lowering costs.

“I’m very excited to join this dedicated and diverse group of health care industry leaders,” Micklos said.  “Our commitment to help lead the transformation of health care delivery and payment will greatly benefit patients and communities.”

He will be the first Executive Director of the Task Force since its formation in 2014.

“Jeff brings extensive industry experience, a great knowledge of health system issues and public policy, and a strong commitment to delivery system transformation. We are very pleased to have Jeff join, and lead, the Health Care Transformation Task Force team, helping advance our efforts to provide a unique voice from our 39 patient, payer, provider and purchaser members,” said Richard J. Gilfillan, MD, CEO and president of Trinity Health and the Task Force’s chairman.

Micklos brings strong health care policy and extensive association management experience, in addition to a deep knowledge of provider systems. In his FAH position, Micklos served as lead policy advisor on legal and regulatory issues while overseeing operational and compliance functions for his organization, as well as his senior management responsibilities.

Prior to joining the FAH, Micklos was a partner in the national Health Law Department of Foley & Lardner LLP and an attorney in the Office of General Counsel, U.S. Department of Health and Human Services.

 

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About Health Care Transformation Task Force

Health Care Transformation Task Force is an industry consortium that brings together patients, payers, providers and purchasers to align private and public sector efforts to clear the way for a sweeping transformation of the U.S. health care system. Our members are committed to rapid, measurable change, both for ourselves and our country. Our members aspire to having 75 percent of our respective businesses operating under value-based payment arrangements by 2020. To learn more, visit www.hcttf.org

 

CONTACT:
Jeff Micklos
Jeff.micklos@leavittpartners.com
202.774.1415

MEDIA CONTACT:
Philip Newland
Qorvis MSLGROUP
phil.newland@qorvismsl.com

Health Care Transformation Task Force Unveils Roadmap to Identify High Cost Patients

 

New White Paper Intended to Inform the Work of Health Care Systems & Payers Across the Country in Providing Better Care at Lower Costs

WASHINGTON, D.C. – The Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to transform the U.S. health care system, today released a white paper on best practices for identifying costly patients with complex needs who might benefit from targeted care management, ultimately improving care and reducing total costs for the entire health care system.

The paper – “Proactively Identifying the High Cost Population” – addresses the issue that 5 percent of the patients are responsible for 50 percent of health care spending. While providers and payers know this problem exists, many find it challenging to successfully identify these patients and appropriately tailor care delivery for them. Experts from the Task Force’s High Cost Patient Work Group, composed of Task Force members and partner organizations, wrote the paper based on the experience of members and a survey of the relevant literature to help providers and payers across the country pinpoint these patients.

The paper defines three different types of high cost patients – patients with advanced illness, often near the end of life; patients with persistent high spending patterns; and patients with episodic high spending – and presents methods for identifying patients in the first two categories. It also reviews quantitative and qualitative methods for stratifying these patients into care management programs, offering suggested tools and highlighting common errors.

The white paper is the first in a series of three papers to be developed by the Task Force’s High Cost Patient Work Group. Upcoming papers will share best practices in care management for high cost patients and guidelines to develop payer-provider relationships that promote sustainability of proven innovations.

In addition to the High Cost Patient Work Group, the Task Force’s other Work Groups focus on improving the design and implementation of the Accountable Care Organization (ACO) model and developing a common bundled payment framework.

The Task Force includes six of the nation’s top 15 health systems and four of the top 25 health insurers.  A full list of Task Force members – all committed to putting 75 percent of their business into value-based arrangements that focus on the Triple Aim of better health, better care and lower costs by 2020 – can be found at www.hcttf.org

 

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About Health Care Transformation Task Force

Health Care Transformation Task Force is a unique collaboration of patients, payers, providers and purchasers working to lead a sweeping transformation of the health care system. By transitioning to value-based models that support the Triple Aim of better health, better care and lower costs, the Task Force is committed to accelerating the transformation to value in health care. To learn more, visit www.hcttf.org.

Media Contact:
Rebecca Porterfield
Qorvis MSLGROUP
202-683-3202
rebecca.porterfield@mslgroup.com

Major Health Care Players Unite to Accelerate Transformation of U.S. Health Care System

Leaders Forming New Health Care Transformation Task Force Commit to Putting 75% of Their Businesses in Value-based Arrangements by 2020

WASHINGTON, D.C. (January 28, 2015) – Several of the nation’s largest health care systems and payers, joined by purchaser and patient stakeholders, today announced a powerful new private-sector alliance dedicated to accelerating the transformation of the U.S. health care system to value-based business and clinical models aligned with improving outcomes and lowering costs.

The Health Care Transformation Task Force, whose members include six of the nation’s top 15 health systems and four of the top 25 health insurers, challenged other providers and payers to join its commitment to put 75 percent of their business into value-based arrangements that focus on the Triple Aim of better health, better care and lower costs by 2020. 

“The formation of this Task Force and its ambitious goal demonstrate that the private sector embraces a value-based approach to improving care and lowering costs,” said Richard J. Gilfillan, MD, CEO of Trinity Health, the Task Force’s chairman. “We are committed to rapid, measurable change both for ourselves and our country that will improve quality and make health care more accessible for all American families.”

The Task Force’s announcement comes just two days after Secretary of Health and Human Services Sylvia Mathews Burwell announced that Medicare would shift 50 percent of its provider payments into alternative payment arrangements such as accountable care organizations or bundled payments by 2018. Together, the two announcements send a clear signal that the public and private sector are aligning around a new trajectory for health care payments that moves away from fee-for-service and into alternative payment models. 

With deep experience in both private and public sector health care, participants in the Health Care Transformation Task Force provide a critical mass of business, operational and policy expertise to increase the momentum of delivery and payment system reforms. The Task Force’s diverse membership of providers, payers, purchasers and patients, as well as academic and policy leaders, uniquely positions it to offer recommendations to both policymakers and the private sector that reflect consensus and can thus gain wide acceptance and use.

The Task Force will seek to align private and public sector changes in the way providers are paid. “Building a healthier world requires fresh thinking and innovation. It calls for everyone in health care to rally around the single goal of improving health and service while reducing costs – whether you give care, receive care, manage care, or pay for care. This Task Force brings together a cross section of leaders, working together to find better ways to improve the health of people and communities. By joining together, we are well positioned to introduce more effective change, more quickly, with more impactful results,” said Fran Soistman, executive vice president of Government Services, Aetna.

The Task Force will develop timely and actionable policy and program design recommendations for the private sector, the Centers for Medicare & Medicaid Services (CMS), Congress and others; new delivery and payment models; and the best-practice tools, benchmarks and approaches to implement them. Initial priorities include improving the Accountable Care Organization (ACO) model, developing common bundled payment framework and improving care for high-cost patients.  

Today, the Task Force also released its first consensus recommendations on how best to design the next generation of the ACO model in commercial, Medicare and Medicaid programs. The recommendations will form the basis of the Task Force’s upcoming comment letter on the CMS proposed changes to the Medicare Shared Savings ACO program.

The Task Force defines value-based payment arrangements as those which successfully incentivize and hold providers accountable for the total cost, patient experience and quality of care for a population of patients, either across an entire population over the course of a year or during a defined episode that spans multiple sites of care.

While the providers and payers are committing to new business and clinical models, the purchaser and patient members are committing to creating and sustaining the demand, support and education of their constituencies necessary to reach the goal. “Our goal is clear — to reform our health care system so that it finally delivers the high-quality, coordinated, patient- and family-centered care that families deserve,” Debra Ness, president, National Partnership for Women & Families. 

David Lansky, president & CEO of Pacific Business Group on Health, echoed this sentiment saying, “We need to align the way we pay for and deliver care with the outcomes we want: better quality and lower costs. The country cannot continue down the path of fee-for-service medicine that produces fragmented and unsafe care. The cost of health care undermines our global economic competitiveness and erodes the financial security of individuals and families. Our goal is transformation that achieves value and improved health outcomes.”  

Health Care Transformation Task Force Members

Providers

Advocate Health Care
Aledade, Inc.
Ascension
Atrius Health
Dartmouth-Hitchcock Health

Dignity Health
Heritage Provider Network
Optum
OSF HealthCare

Partners HealthCare (Massachusetts)
Premier, Inc.
Providence Health & Services
SCL Health
SSM Health
Trinity Health
Tucson Medical Center Healthcare

Payers

Aetna  
Blue Cross Blue Shield of Massachusetts
Blue Shield of California
Health Care Service Corporation

Purchasers

Caesar's Entertainment, Inc.
Pacific Business Group on Health

 Patients and Families

National Partnership for Women & Families

Partners, Policy Experts and Others

Mark McClellan, Brookings Institution
Dartmouth Institute for Health Policy and Clinical Practice
Chris Dawe, Evolent Health
PatientPing
Remedy Partners

 Leavitt Partners is the implementation partner for the Task Force. Foley & Lardner LLP supports the Task Force as primary legal counsel. To learn more about Health Care Transformation Task Force and stay up to date on its latest recommendations and reports, visit www.hcttf.org.  

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About Health Care Transformation Task Force

Health Care Transformation Task Force is a unique collaboration of patients, payers, providers and purchasers working to lead a sweeping transformation of the health care system. By transitioning to value-based models that support the Triple Aim of better health, better care and lower costs, the Task Force is committed to accelerating the transformation to value in health care. To learn more, visit www.hcttf.org

Media Contact:
Rebecca Porterfield
Qorvis MSLGROUP
202-683-3202
rebecca.porterfield@mslgroup.com