Commercial Risk Learning Objectives

Friday, September 27, 2019 from 10:00 AM to 11:30 AM

We’re looking forward to a Friday morning panel discussion at the NAACOS 2019 Fall Conference, “Contracting with Commercial Payers: Practical tips for successful negotiation and collaboration”.  Both moderator Jamie Reedy, MD, MPH and panelist Luke Hansen, MD are Arcadia customers with deep insight into commercial risk contracting.

The panel discussion will cover practical tips for:

  • Contracting with commercial payers for alternative payment models
  • Creating successful clinical collaborations with health plans
  • Applying skills learned from MSSP to commercial ACOs

The panel’s ACO and health plan executives will share their experiences and advice for translating lessons learned from CMS models to the commercial health plan world.

Arcadia Customers – and Commercial Risk Contracting Experts

Jamie Reedy, MD, MPH is chief of population health at Summit Medical Group, PA – New Jersey and Summit Health Management, LLC.  She is responsible for ensuring the success of value-based care programs for both Summit Medical Group (SMG), the largest independent multispecialty medical group in the country, and Summit Health Management (SHM), an organization born out of the success of SMG that establishes partnerships with independent medical groups nationally to share and implement its care model and best practices. Dr. Reedy provides leadership, medical expertise and business direction for population health and quality activities that support strategic growth, the continuous improvement of care, wellness and greater value. Her position currently involves leadership of numerous, diverse high performing value-based contracts.

She previously served as senior vice president and medical director of population health and quality at SMG and SHM and was also formerly chief of hospital medicine and post-acute care. In those roles, she has overseen the design and implementation of innovative care delivery models involving care management, care navigation, social work, clinical pharmacy and other disciplines. Prior to joining Summit, Dr. Reedy was medical director, compliance officer and a practicing physician with Paramount Medical Group/Westfield Family Practice in Westfield, NJ. In that role, she led an initiative to become a Level-3 National Committee for Quality Assurance recognized Patient-Centered Medical Home.  Dr. Reedy has a bachelor’s degree from New York University and a master’s degree in health policy and management from the Johns Hopkins University School of Hygiene and Public Health. She earned her medical degree at the Robert Wood Johnson Medical School (now known as the Rutgers New Jersey Medical School). She also completed her internship and a residency in family medicine at Robert Wood Johnson. She is board-certified by the American Board of Family Medicine and a diploma of the National Board of Medical Examiners.

Luke Hansen, MD, is vice president and chief medical officer for population health at AMITA Health. He has expertise in population analytics, value-based payment models, and care models supportive of value and population health. In his current role he provides clinical leadership to the population health and clinical integration program at AMITA Health. This includes medical directorship of Medicare and commercial value-based care arrangements and responsibility for population health quality, health system utilization management and care management. Dr. Hansen serves as an adjunct assistant professor at the University of Illinois Chicago School of Public Health, where he teaches the population health course in the Master of Healthcare Administration program. He has published in the Annals of Internal Medicine, the Journal of Hospital Medicine, and Health Services Research on efforts to reduce rehospitalization.

Can’t make NAACOS? We’d still love to chat.