Accountable Care Mastery: The Complete Guide to Leading High-Performance Value-Based Teams
You're under pressure. Rising costs, shrinking margins, and mounting accountability demands are forcing healthcare leaders to rethink how care is delivered. You know the old models aren't sustainable, but transitioning to value-based care feels overwhelming, risky, and poorly defined. Where do you start? How do you align clinicians, operations, and finance around shared outcomes? How do you build a team that's not just compliant, but truly high-performing, accountable, and results-driven? Most frameworks are academic, vague, or disconnected from real-world operations. But Accountable Care Mastery changes that. This is the field manual you've been missing - the precise, step-by-step system to transform your team from fragmented and reactive to unified, value-driven, and financially sustainable. In just 30 days, you'll go from uncertain strategy to a board-ready, action-backed roadmap for leading a high-performance accountable care team, complete with measurable KPIs, stakeholder alignment, and a clear path to cost savings and quality improvement. One regional health system director applied this framework and reduced 30-day readmissions by 27% within six months, while improving physician engagement scores by 41%. No guesswork. No jargon. Just proven methodology used by top-performing ACOs and integrated delivery networks across the U.S. This is not just another training. It’s your competitive advantage in the new era of value-based healthcare. Here’s how this course is structured to help you get there.Course Format & Delivery Details Self-Paced, Immediate Online Access - Learn on Your Terms
This course is designed for busy healthcare executives, clinical leaders, and operations managers who need flexibility without sacrificing depth. From the moment you enrol, you gain secure online access to the full curriculum. The content is fully self-paced, with no live sessions, fixed dates, or time commitments. You control when, where, and how quickly you progress. Most learners complete the core modules in 25 to 35 hours, spread over 4 to 6 weeks. But the fastest adopters begin applying key tools in as little as 72 hours - and see measurable improvements in team alignment and reporting clarity within two weeks. Lifetime Access with Ongoing Updates
Your enrollment includes unlimited lifetime access to all course materials. As value-based care regulations, benchmarks, and best practices evolve, this program is systematically updated - at no additional cost. You’ll always have access to the most current frameworks, tools, and templates used by top-performing organizations. Available Anytime, Anywhere - Fully Mobile-Friendly
Access the full experience on any device - desktop, tablet, or smartphone - with responsive design that ensures clarity and functionality across platforms. Whether you’re preparing for a board meeting on your commute or reviewing care coordination workflows during a quiet shift, everything is available 24/7. Direct Instructor Support & Professional Guidance
You’re not navigating this alone. Enrollees receive structured guidance from a dedicated clinical operations advisor with over 18 years of experience in leading ACO transformations and value-based contracting negotiations. You’ll have direct access for questions, strategy refinement, and content clarification throughout your journey - ensuring you stay on track and apply concepts correctly. Certificate of Completion Issued by The Art of Service
Upon successful completion, you will earn a professional Certificate of Completion in Accountable Care Mastery, issued by The Art of Service - a globally recognised credentialing body with over 400,000 trained professionals across 127 countries. This certification is shareable on LinkedIn, included in CVs, and recognised by healthcare employers as evidence of advanced operational leadership in value-based models. Transparent Pricing - No Hidden Fees
The investment is straightforward and all-inclusive. There are no recurring charges, no upgrade traps, and no hidden fees. Your payment covers everything: full curriculum access, tools, templates, support, and certification. We accept all major payment methods including Visa, Mastercard, and PayPal. 100% Risk-Free: Satisfied or Refunded
If you complete the first two modules and find the content does not meet your expectations, simply request a full refund. No questions, no delays. This is our promise to eliminate your risk and ensure confidence in your decision. Your Access is Guaranteed - Here’s What Happens After Enrollment
After you register, you will immediately receive a confirmation email. Once your course materials are provisioned, you’ll be sent a separate access notification with login instructions and onboarding guidance. This process ensures a secure, organised, and seamless start to your learning journey. “Will This Work For Me?” - We’ve Got You Covered
You might be thinking: This sounds strong, but does it apply to my role? My organisation’s size? My current stage in the value-based journey? Yes. This program has been field-tested and refined with medical directors at rural hospitals, population health managers in large IDNs, and Medicaid ACO leaders navigating complex capitation models. This works even if: you’re new to value-based care, your team resists change, your data infrastructure is limited, or you’ve tried other models that failed to gain traction. With role-specific pathways, scalable templates, and decision trees for low-resource environments, you’ll find actionable strategies no matter your starting point. Over 94% of past participants reported noticeable improvements in cross-functional alignment within 30 days of applying the methodology. Nine hospital CEOs have used this framework to renegotiate payer contracts with higher upside risk-sharing terms. One participant, a former nurse leader turned VP of Care Management, secured a $2.3 million operational improvement grant after presenting her project roadmap developed inside this course. The blueprint works - because it’s built on what actually moves the needle in accountable care.
Module 1: Foundations of Value-Based Care and Accountability - Understanding the shift from volume to value in healthcare delivery
- Core principles of accountable care organisations (ACOs) and value-based payment models
- Differentiating between shared savings, bundled payments, and full capitation
- Historical evolution of value-based care in U.S. healthcare policy
- The Triple Aim framework and its operational implications
- Key performance indicators in value-based contracts: quality, cost, and experience
- The role of risk adjustment and attribution in population health
- Defining accountability within clinical and operational teams
- Barriers to successful value-based transformation and how to overcome them
- Cultural readiness assessment for accountable care adoption
Module 2: Building High-Performance Teams for Accountability - Leadership competencies required for value-based care leadership
- Designing cross-functional accountable care teams: roles and responsibilities
- Developing physician champions and clinical engagement strategies
- Creating shared mental models across siloed departments
- Psychological safety and trust in high-stakes accountability environments
- Aligning incentives across medical, operational, and financial leadership
- Motivating teams through non-financial recognition and feedback loops
- Onboarding and orientation for accountable care team members
- Managing resistance and change fatigue in clinical settings
- Establishing team charters and accountability agreements
Module 3: Strategic Planning for Value-Based Success - Assessing organisational maturity for value-based care
- Gap analysis: current state vs. desired value-based capabilities
- Setting SMART goals for cost, quality, and patient experience
- Developing a 90-day action plan for accountable care launch
- Stakeholder mapping and influence strategy for executive buy-in
- Formulating a compelling business case for board approval
- Prioritising clinical conditions for initial value-based initiatives
- Population segmentation strategies for targeted intervention
- Resource allocation planning for care management and support staff
- Risk assessment and mitigation planning for value-based contracts
Module 4: Governance and Decision-Making in Accountable Care - Designing a governance structure for your accountable care team
- Establishing clinical, operational, and financial steering committees
- Defining decision rights and escalation protocols
- Crafting meeting cadences and reporting templates for accountability
- Integrating data reviews into routine governance workflows
- Conflict resolution strategies in multidisciplinary teams
- Ensuring compliance with regulatory and contractual obligations
- Managing board and executive engagement in value-based initiatives
- Documenting decisions and action items for audit readiness
- Using governance to drive continuous improvement cycles
Module 5: Data Strategy and Performance Monitoring - Essential data sources for value-based care success
- Building a minimum viable data dashboard for team use
- Key metrics: total cost of care, avoidable admissions, ED utilisation
- Tracking HEDIS and STARS measures effectively
- Interpreting claims, EHR, and patient-reported data
- Attribution methodologies and their impact on performance reporting
- Real-time vs. lagging indicators: how to act on both
- Automating routine reporting to reduce team burden
- Creating visual scorecards for team transparency
- Conducting root cause analysis on performance outliers
Module 6: Clinical Integration and Care Coordination - Designing evidence-based care pathways for high-cost conditions
- Standardising clinical protocols across providers and settings
- Integrating telehealth and remote monitoring into care models
- Reducing variation in diagnostic and treatment patterns
- Transitional care best practices to prevent readmissions
- Managing high-risk patient populations proactively
- Implementing structured warm handoffs between providers
- Using risk stratification to allocate care management resources
- Coordinating post-acute care with SNFs, home health, and hospice
- Engaging patients in self-management through structured education
Module 7: Financial Management in Value-Based Contracts - Understanding downside risk and upside sharing mechanics
- Budget neutrality calculations in shared savings programs
- Financial benchmarking: how your organisation compares nationally
- Cost attribution models and episode-based spending analysis
- Identifying cost-saving opportunities without compromising quality
- Reserve funds and contingency planning for financial risk
- Revenue cycle implications of value-based payment
- Calculating return on investment (ROI) for care management programs
- Negotiating favourable terms in payer contracts
- Financial reporting requirements for CMS and private payers
Module 8: Patient Engagement and Experience Excellence - Designing patient-centred care models in value-based settings
- Improving CAHPS scores through structured interventions
- Addressing health literacy and cultural competence in outreach
- Using patient advisory councils to co-design care models
- Personalised care planning with patient-generated health data
- Reducing no-shows and increasing preventive service adherence
- Implementing patient portals and digital engagement tools
- Mapping the patient journey to identify pain points
- Measuring and improving patient activation levels
- Addressing social determinants of health in routine care
Module 9: Technology Enablement and Interoperability - Leveraging EHRs for value-based care reporting and alerts
- Critical functionality: registries, care management modules, dashboards
- Using predictive analytics for early intervention
- Integrating external data sources (claims, labs, devices)
- Ensuring data privacy and HIPAA compliance in data sharing
- Selecting and implementing population health management platforms
- Interoperability standards: FHIR, APIs, and data exchange protocols
- Reducing documentation burden through smart workflows
- Workflow automation for prior authorisations and referrals
- Using AI-driven nudges for clinical decision support
Module 10: Quality Improvement and Measurement Science - Applying the Model for Improvement (AIM) in clinical settings
- Designing PDSA cycles for care delivery optimisation
- Choosing valid and reliable quality metrics for your goals
- Statistical process control for monitoring variation in care
- Benchmarking against national and peer group performance
- Conducting mortality and morbidity reviews with accountability
- Reducing hospital-acquired conditions through system redesign
- Implementing medication safety protocols across transitions
- Tracking surgical and procedural complications systematically
- Closing care gaps in preventive screenings and chronic care
Module 11: Contracting and Payer Strategy - Types of value-based contracts: MSSP, Direct Contracting, commercial
- Analysing contract terms: upside, downside, reinsurance
- Preparing for actuarial reviews and financial modelling sessions
- Building a contracting playbook for payer negotiations
- Developing relationships with payer account managers
- Negotiating quality measure alignment across contracts
- Structured approaches to exit non-performing contracts
- Multi-payer alignment strategies for market consistency
- Understanding risk corridors and stop-loss provisions
- Drafting addendums for new service lines or provider additions
Module 12: Legal, Regulatory, and Compliance Frameworks - CMS regulations for ACOs and value-based programs
- Stark Law and Anti-Kickback Statute implications
- Understanding the Civil Monetary Penalties Law
- Data use agreements and business associate considerations
- Fraud and abuse red flags in value-based arrangements
- Documentation requirements for audit preparedness
- State-level variations in value-based care regulations
- Telehealth and cross-state licensing compliance
- Transparency rules and public reporting obligations
- Handling complaints and regulatory inquiries proactively
Module 13: Workforce Development and Leadership Training - Upskilling teams on value-based care principles and language
- Designing role-specific training for clinicians and staff
- Leadership development for mid-level accountable care managers
- Mentorship programs for emerging clinical leaders
- Using simulation and case studies for applied learning
- Competency frameworks for accountable care professionals
- Onboarding new hires with a value-based mindset
- Evaluating training effectiveness through behaviour change
- Creating a culture of continuous learning and feedback
- Supporting burnout prevention through workload transparency
Module 14: Implementation Roadmap and Change Management - Phased rollout planning for large-scale transformation
- Identifying quick wins to build momentum and credibility
- Communication strategies for internal and external audiences
- Managing competing priorities during transition periods
- Using project management tools for tracking accountability
- Conducting pilot programs before enterprise scaling
- Measuring adoption and engagement across teams
- Adjusting implementation rhythm based on feedback
- Sustaining changes through reinforcement and recognition
- Handing off initiatives to operational teams successfully
Module 15: Advanced Risk Stratification and Predictive Modelling - Understanding risk scores: HCC, CMS-HCC, DxCG, ACG
- Developing custom risk models for local populations
- Identifying complex patients with high utilisation patterns
- Predicting future risk of hospitalisation or functional decline
- Validating and calibrating predictive models over time
- Operationalising risk scores in daily workflows
- Integrating social risk factors into predictive algorithms
- Avoiding risk model bias and ensuring equity
- Dynamic risk adjustment based on new clinical data
- Using predictive insights for resource allocation decisions
Module 16: Community Partnerships and Social Impact - Building collaborations with community-based organisations
- Addressing food, housing, and transportation needs systematically
- Formalising MOUs and service level agreements with partners
- Tracking referrals and outcomes across social service networks
- Integrating community health workers into care teams
- Measuring the ROI of social determinants interventions
- Securing grant funding for community health initiatives
- Advocating for policy changes at the local and state level
- Creating health equity councils with frontline representation
- Reporting social impact to boards and community stakeholders
Module 17: Innovation and Future-Proofing Your Model - Adapting to emerging models: global capitation, D-SNP, P4P
- Incorporating virtual-first and home-based care strategies
- Designing accountable care models for behavioural health integration
- Preparing for performance-based contracting with employers
- Exploring risk-bearing entities and captive insurance options
- Using design thinking to innovate care delivery models
- Piloting new technologies: wearables, remote monitoring, AI
- Scaling successful innovations across the enterprise
- Anticipating regulatory shifts and market disruptions
- Building organisational agility for continuous adaptation
Module 18: Certification, Career Advancement, and Next Steps - Finalising your personal accountable care leadership roadmap
- Submitting your capstone project for review
- Preparing for your Certificate of Completion assessment
- Adding your credential to professional profiles and resumes
- Sharing achievements with your organisation and network
- Pursuing advanced roles: CMIO, Chief Population Health Officer
- Joining national networks and learning collaboratives
- Presenting your work at conferences or to boards
- Accessing alumni resources and ongoing expert updates
- Continuing education pathways in health systems leadership
- Understanding the shift from volume to value in healthcare delivery
- Core principles of accountable care organisations (ACOs) and value-based payment models
- Differentiating between shared savings, bundled payments, and full capitation
- Historical evolution of value-based care in U.S. healthcare policy
- The Triple Aim framework and its operational implications
- Key performance indicators in value-based contracts: quality, cost, and experience
- The role of risk adjustment and attribution in population health
- Defining accountability within clinical and operational teams
- Barriers to successful value-based transformation and how to overcome them
- Cultural readiness assessment for accountable care adoption
Module 2: Building High-Performance Teams for Accountability - Leadership competencies required for value-based care leadership
- Designing cross-functional accountable care teams: roles and responsibilities
- Developing physician champions and clinical engagement strategies
- Creating shared mental models across siloed departments
- Psychological safety and trust in high-stakes accountability environments
- Aligning incentives across medical, operational, and financial leadership
- Motivating teams through non-financial recognition and feedback loops
- Onboarding and orientation for accountable care team members
- Managing resistance and change fatigue in clinical settings
- Establishing team charters and accountability agreements
Module 3: Strategic Planning for Value-Based Success - Assessing organisational maturity for value-based care
- Gap analysis: current state vs. desired value-based capabilities
- Setting SMART goals for cost, quality, and patient experience
- Developing a 90-day action plan for accountable care launch
- Stakeholder mapping and influence strategy for executive buy-in
- Formulating a compelling business case for board approval
- Prioritising clinical conditions for initial value-based initiatives
- Population segmentation strategies for targeted intervention
- Resource allocation planning for care management and support staff
- Risk assessment and mitigation planning for value-based contracts
Module 4: Governance and Decision-Making in Accountable Care - Designing a governance structure for your accountable care team
- Establishing clinical, operational, and financial steering committees
- Defining decision rights and escalation protocols
- Crafting meeting cadences and reporting templates for accountability
- Integrating data reviews into routine governance workflows
- Conflict resolution strategies in multidisciplinary teams
- Ensuring compliance with regulatory and contractual obligations
- Managing board and executive engagement in value-based initiatives
- Documenting decisions and action items for audit readiness
- Using governance to drive continuous improvement cycles
Module 5: Data Strategy and Performance Monitoring - Essential data sources for value-based care success
- Building a minimum viable data dashboard for team use
- Key metrics: total cost of care, avoidable admissions, ED utilisation
- Tracking HEDIS and STARS measures effectively
- Interpreting claims, EHR, and patient-reported data
- Attribution methodologies and their impact on performance reporting
- Real-time vs. lagging indicators: how to act on both
- Automating routine reporting to reduce team burden
- Creating visual scorecards for team transparency
- Conducting root cause analysis on performance outliers
Module 6: Clinical Integration and Care Coordination - Designing evidence-based care pathways for high-cost conditions
- Standardising clinical protocols across providers and settings
- Integrating telehealth and remote monitoring into care models
- Reducing variation in diagnostic and treatment patterns
- Transitional care best practices to prevent readmissions
- Managing high-risk patient populations proactively
- Implementing structured warm handoffs between providers
- Using risk stratification to allocate care management resources
- Coordinating post-acute care with SNFs, home health, and hospice
- Engaging patients in self-management through structured education
Module 7: Financial Management in Value-Based Contracts - Understanding downside risk and upside sharing mechanics
- Budget neutrality calculations in shared savings programs
- Financial benchmarking: how your organisation compares nationally
- Cost attribution models and episode-based spending analysis
- Identifying cost-saving opportunities without compromising quality
- Reserve funds and contingency planning for financial risk
- Revenue cycle implications of value-based payment
- Calculating return on investment (ROI) for care management programs
- Negotiating favourable terms in payer contracts
- Financial reporting requirements for CMS and private payers
Module 8: Patient Engagement and Experience Excellence - Designing patient-centred care models in value-based settings
- Improving CAHPS scores through structured interventions
- Addressing health literacy and cultural competence in outreach
- Using patient advisory councils to co-design care models
- Personalised care planning with patient-generated health data
- Reducing no-shows and increasing preventive service adherence
- Implementing patient portals and digital engagement tools
- Mapping the patient journey to identify pain points
- Measuring and improving patient activation levels
- Addressing social determinants of health in routine care
Module 9: Technology Enablement and Interoperability - Leveraging EHRs for value-based care reporting and alerts
- Critical functionality: registries, care management modules, dashboards
- Using predictive analytics for early intervention
- Integrating external data sources (claims, labs, devices)
- Ensuring data privacy and HIPAA compliance in data sharing
- Selecting and implementing population health management platforms
- Interoperability standards: FHIR, APIs, and data exchange protocols
- Reducing documentation burden through smart workflows
- Workflow automation for prior authorisations and referrals
- Using AI-driven nudges for clinical decision support
Module 10: Quality Improvement and Measurement Science - Applying the Model for Improvement (AIM) in clinical settings
- Designing PDSA cycles for care delivery optimisation
- Choosing valid and reliable quality metrics for your goals
- Statistical process control for monitoring variation in care
- Benchmarking against national and peer group performance
- Conducting mortality and morbidity reviews with accountability
- Reducing hospital-acquired conditions through system redesign
- Implementing medication safety protocols across transitions
- Tracking surgical and procedural complications systematically
- Closing care gaps in preventive screenings and chronic care
Module 11: Contracting and Payer Strategy - Types of value-based contracts: MSSP, Direct Contracting, commercial
- Analysing contract terms: upside, downside, reinsurance
- Preparing for actuarial reviews and financial modelling sessions
- Building a contracting playbook for payer negotiations
- Developing relationships with payer account managers
- Negotiating quality measure alignment across contracts
- Structured approaches to exit non-performing contracts
- Multi-payer alignment strategies for market consistency
- Understanding risk corridors and stop-loss provisions
- Drafting addendums for new service lines or provider additions
Module 12: Legal, Regulatory, and Compliance Frameworks - CMS regulations for ACOs and value-based programs
- Stark Law and Anti-Kickback Statute implications
- Understanding the Civil Monetary Penalties Law
- Data use agreements and business associate considerations
- Fraud and abuse red flags in value-based arrangements
- Documentation requirements for audit preparedness
- State-level variations in value-based care regulations
- Telehealth and cross-state licensing compliance
- Transparency rules and public reporting obligations
- Handling complaints and regulatory inquiries proactively
Module 13: Workforce Development and Leadership Training - Upskilling teams on value-based care principles and language
- Designing role-specific training for clinicians and staff
- Leadership development for mid-level accountable care managers
- Mentorship programs for emerging clinical leaders
- Using simulation and case studies for applied learning
- Competency frameworks for accountable care professionals
- Onboarding new hires with a value-based mindset
- Evaluating training effectiveness through behaviour change
- Creating a culture of continuous learning and feedback
- Supporting burnout prevention through workload transparency
Module 14: Implementation Roadmap and Change Management - Phased rollout planning for large-scale transformation
- Identifying quick wins to build momentum and credibility
- Communication strategies for internal and external audiences
- Managing competing priorities during transition periods
- Using project management tools for tracking accountability
- Conducting pilot programs before enterprise scaling
- Measuring adoption and engagement across teams
- Adjusting implementation rhythm based on feedback
- Sustaining changes through reinforcement and recognition
- Handing off initiatives to operational teams successfully
Module 15: Advanced Risk Stratification and Predictive Modelling - Understanding risk scores: HCC, CMS-HCC, DxCG, ACG
- Developing custom risk models for local populations
- Identifying complex patients with high utilisation patterns
- Predicting future risk of hospitalisation or functional decline
- Validating and calibrating predictive models over time
- Operationalising risk scores in daily workflows
- Integrating social risk factors into predictive algorithms
- Avoiding risk model bias and ensuring equity
- Dynamic risk adjustment based on new clinical data
- Using predictive insights for resource allocation decisions
Module 16: Community Partnerships and Social Impact - Building collaborations with community-based organisations
- Addressing food, housing, and transportation needs systematically
- Formalising MOUs and service level agreements with partners
- Tracking referrals and outcomes across social service networks
- Integrating community health workers into care teams
- Measuring the ROI of social determinants interventions
- Securing grant funding for community health initiatives
- Advocating for policy changes at the local and state level
- Creating health equity councils with frontline representation
- Reporting social impact to boards and community stakeholders
Module 17: Innovation and Future-Proofing Your Model - Adapting to emerging models: global capitation, D-SNP, P4P
- Incorporating virtual-first and home-based care strategies
- Designing accountable care models for behavioural health integration
- Preparing for performance-based contracting with employers
- Exploring risk-bearing entities and captive insurance options
- Using design thinking to innovate care delivery models
- Piloting new technologies: wearables, remote monitoring, AI
- Scaling successful innovations across the enterprise
- Anticipating regulatory shifts and market disruptions
- Building organisational agility for continuous adaptation
Module 18: Certification, Career Advancement, and Next Steps - Finalising your personal accountable care leadership roadmap
- Submitting your capstone project for review
- Preparing for your Certificate of Completion assessment
- Adding your credential to professional profiles and resumes
- Sharing achievements with your organisation and network
- Pursuing advanced roles: CMIO, Chief Population Health Officer
- Joining national networks and learning collaboratives
- Presenting your work at conferences or to boards
- Accessing alumni resources and ongoing expert updates
- Continuing education pathways in health systems leadership
- Assessing organisational maturity for value-based care
- Gap analysis: current state vs. desired value-based capabilities
- Setting SMART goals for cost, quality, and patient experience
- Developing a 90-day action plan for accountable care launch
- Stakeholder mapping and influence strategy for executive buy-in
- Formulating a compelling business case for board approval
- Prioritising clinical conditions for initial value-based initiatives
- Population segmentation strategies for targeted intervention
- Resource allocation planning for care management and support staff
- Risk assessment and mitigation planning for value-based contracts
Module 4: Governance and Decision-Making in Accountable Care - Designing a governance structure for your accountable care team
- Establishing clinical, operational, and financial steering committees
- Defining decision rights and escalation protocols
- Crafting meeting cadences and reporting templates for accountability
- Integrating data reviews into routine governance workflows
- Conflict resolution strategies in multidisciplinary teams
- Ensuring compliance with regulatory and contractual obligations
- Managing board and executive engagement in value-based initiatives
- Documenting decisions and action items for audit readiness
- Using governance to drive continuous improvement cycles
Module 5: Data Strategy and Performance Monitoring - Essential data sources for value-based care success
- Building a minimum viable data dashboard for team use
- Key metrics: total cost of care, avoidable admissions, ED utilisation
- Tracking HEDIS and STARS measures effectively
- Interpreting claims, EHR, and patient-reported data
- Attribution methodologies and their impact on performance reporting
- Real-time vs. lagging indicators: how to act on both
- Automating routine reporting to reduce team burden
- Creating visual scorecards for team transparency
- Conducting root cause analysis on performance outliers
Module 6: Clinical Integration and Care Coordination - Designing evidence-based care pathways for high-cost conditions
- Standardising clinical protocols across providers and settings
- Integrating telehealth and remote monitoring into care models
- Reducing variation in diagnostic and treatment patterns
- Transitional care best practices to prevent readmissions
- Managing high-risk patient populations proactively
- Implementing structured warm handoffs between providers
- Using risk stratification to allocate care management resources
- Coordinating post-acute care with SNFs, home health, and hospice
- Engaging patients in self-management through structured education
Module 7: Financial Management in Value-Based Contracts - Understanding downside risk and upside sharing mechanics
- Budget neutrality calculations in shared savings programs
- Financial benchmarking: how your organisation compares nationally
- Cost attribution models and episode-based spending analysis
- Identifying cost-saving opportunities without compromising quality
- Reserve funds and contingency planning for financial risk
- Revenue cycle implications of value-based payment
- Calculating return on investment (ROI) for care management programs
- Negotiating favourable terms in payer contracts
- Financial reporting requirements for CMS and private payers
Module 8: Patient Engagement and Experience Excellence - Designing patient-centred care models in value-based settings
- Improving CAHPS scores through structured interventions
- Addressing health literacy and cultural competence in outreach
- Using patient advisory councils to co-design care models
- Personalised care planning with patient-generated health data
- Reducing no-shows and increasing preventive service adherence
- Implementing patient portals and digital engagement tools
- Mapping the patient journey to identify pain points
- Measuring and improving patient activation levels
- Addressing social determinants of health in routine care
Module 9: Technology Enablement and Interoperability - Leveraging EHRs for value-based care reporting and alerts
- Critical functionality: registries, care management modules, dashboards
- Using predictive analytics for early intervention
- Integrating external data sources (claims, labs, devices)
- Ensuring data privacy and HIPAA compliance in data sharing
- Selecting and implementing population health management platforms
- Interoperability standards: FHIR, APIs, and data exchange protocols
- Reducing documentation burden through smart workflows
- Workflow automation for prior authorisations and referrals
- Using AI-driven nudges for clinical decision support
Module 10: Quality Improvement and Measurement Science - Applying the Model for Improvement (AIM) in clinical settings
- Designing PDSA cycles for care delivery optimisation
- Choosing valid and reliable quality metrics for your goals
- Statistical process control for monitoring variation in care
- Benchmarking against national and peer group performance
- Conducting mortality and morbidity reviews with accountability
- Reducing hospital-acquired conditions through system redesign
- Implementing medication safety protocols across transitions
- Tracking surgical and procedural complications systematically
- Closing care gaps in preventive screenings and chronic care
Module 11: Contracting and Payer Strategy - Types of value-based contracts: MSSP, Direct Contracting, commercial
- Analysing contract terms: upside, downside, reinsurance
- Preparing for actuarial reviews and financial modelling sessions
- Building a contracting playbook for payer negotiations
- Developing relationships with payer account managers
- Negotiating quality measure alignment across contracts
- Structured approaches to exit non-performing contracts
- Multi-payer alignment strategies for market consistency
- Understanding risk corridors and stop-loss provisions
- Drafting addendums for new service lines or provider additions
Module 12: Legal, Regulatory, and Compliance Frameworks - CMS regulations for ACOs and value-based programs
- Stark Law and Anti-Kickback Statute implications
- Understanding the Civil Monetary Penalties Law
- Data use agreements and business associate considerations
- Fraud and abuse red flags in value-based arrangements
- Documentation requirements for audit preparedness
- State-level variations in value-based care regulations
- Telehealth and cross-state licensing compliance
- Transparency rules and public reporting obligations
- Handling complaints and regulatory inquiries proactively
Module 13: Workforce Development and Leadership Training - Upskilling teams on value-based care principles and language
- Designing role-specific training for clinicians and staff
- Leadership development for mid-level accountable care managers
- Mentorship programs for emerging clinical leaders
- Using simulation and case studies for applied learning
- Competency frameworks for accountable care professionals
- Onboarding new hires with a value-based mindset
- Evaluating training effectiveness through behaviour change
- Creating a culture of continuous learning and feedback
- Supporting burnout prevention through workload transparency
Module 14: Implementation Roadmap and Change Management - Phased rollout planning for large-scale transformation
- Identifying quick wins to build momentum and credibility
- Communication strategies for internal and external audiences
- Managing competing priorities during transition periods
- Using project management tools for tracking accountability
- Conducting pilot programs before enterprise scaling
- Measuring adoption and engagement across teams
- Adjusting implementation rhythm based on feedback
- Sustaining changes through reinforcement and recognition
- Handing off initiatives to operational teams successfully
Module 15: Advanced Risk Stratification and Predictive Modelling - Understanding risk scores: HCC, CMS-HCC, DxCG, ACG
- Developing custom risk models for local populations
- Identifying complex patients with high utilisation patterns
- Predicting future risk of hospitalisation or functional decline
- Validating and calibrating predictive models over time
- Operationalising risk scores in daily workflows
- Integrating social risk factors into predictive algorithms
- Avoiding risk model bias and ensuring equity
- Dynamic risk adjustment based on new clinical data
- Using predictive insights for resource allocation decisions
Module 16: Community Partnerships and Social Impact - Building collaborations with community-based organisations
- Addressing food, housing, and transportation needs systematically
- Formalising MOUs and service level agreements with partners
- Tracking referrals and outcomes across social service networks
- Integrating community health workers into care teams
- Measuring the ROI of social determinants interventions
- Securing grant funding for community health initiatives
- Advocating for policy changes at the local and state level
- Creating health equity councils with frontline representation
- Reporting social impact to boards and community stakeholders
Module 17: Innovation and Future-Proofing Your Model - Adapting to emerging models: global capitation, D-SNP, P4P
- Incorporating virtual-first and home-based care strategies
- Designing accountable care models for behavioural health integration
- Preparing for performance-based contracting with employers
- Exploring risk-bearing entities and captive insurance options
- Using design thinking to innovate care delivery models
- Piloting new technologies: wearables, remote monitoring, AI
- Scaling successful innovations across the enterprise
- Anticipating regulatory shifts and market disruptions
- Building organisational agility for continuous adaptation
Module 18: Certification, Career Advancement, and Next Steps - Finalising your personal accountable care leadership roadmap
- Submitting your capstone project for review
- Preparing for your Certificate of Completion assessment
- Adding your credential to professional profiles and resumes
- Sharing achievements with your organisation and network
- Pursuing advanced roles: CMIO, Chief Population Health Officer
- Joining national networks and learning collaboratives
- Presenting your work at conferences or to boards
- Accessing alumni resources and ongoing expert updates
- Continuing education pathways in health systems leadership
- Essential data sources for value-based care success
- Building a minimum viable data dashboard for team use
- Key metrics: total cost of care, avoidable admissions, ED utilisation
- Tracking HEDIS and STARS measures effectively
- Interpreting claims, EHR, and patient-reported data
- Attribution methodologies and their impact on performance reporting
- Real-time vs. lagging indicators: how to act on both
- Automating routine reporting to reduce team burden
- Creating visual scorecards for team transparency
- Conducting root cause analysis on performance outliers
Module 6: Clinical Integration and Care Coordination - Designing evidence-based care pathways for high-cost conditions
- Standardising clinical protocols across providers and settings
- Integrating telehealth and remote monitoring into care models
- Reducing variation in diagnostic and treatment patterns
- Transitional care best practices to prevent readmissions
- Managing high-risk patient populations proactively
- Implementing structured warm handoffs between providers
- Using risk stratification to allocate care management resources
- Coordinating post-acute care with SNFs, home health, and hospice
- Engaging patients in self-management through structured education
Module 7: Financial Management in Value-Based Contracts - Understanding downside risk and upside sharing mechanics
- Budget neutrality calculations in shared savings programs
- Financial benchmarking: how your organisation compares nationally
- Cost attribution models and episode-based spending analysis
- Identifying cost-saving opportunities without compromising quality
- Reserve funds and contingency planning for financial risk
- Revenue cycle implications of value-based payment
- Calculating return on investment (ROI) for care management programs
- Negotiating favourable terms in payer contracts
- Financial reporting requirements for CMS and private payers
Module 8: Patient Engagement and Experience Excellence - Designing patient-centred care models in value-based settings
- Improving CAHPS scores through structured interventions
- Addressing health literacy and cultural competence in outreach
- Using patient advisory councils to co-design care models
- Personalised care planning with patient-generated health data
- Reducing no-shows and increasing preventive service adherence
- Implementing patient portals and digital engagement tools
- Mapping the patient journey to identify pain points
- Measuring and improving patient activation levels
- Addressing social determinants of health in routine care
Module 9: Technology Enablement and Interoperability - Leveraging EHRs for value-based care reporting and alerts
- Critical functionality: registries, care management modules, dashboards
- Using predictive analytics for early intervention
- Integrating external data sources (claims, labs, devices)
- Ensuring data privacy and HIPAA compliance in data sharing
- Selecting and implementing population health management platforms
- Interoperability standards: FHIR, APIs, and data exchange protocols
- Reducing documentation burden through smart workflows
- Workflow automation for prior authorisations and referrals
- Using AI-driven nudges for clinical decision support
Module 10: Quality Improvement and Measurement Science - Applying the Model for Improvement (AIM) in clinical settings
- Designing PDSA cycles for care delivery optimisation
- Choosing valid and reliable quality metrics for your goals
- Statistical process control for monitoring variation in care
- Benchmarking against national and peer group performance
- Conducting mortality and morbidity reviews with accountability
- Reducing hospital-acquired conditions through system redesign
- Implementing medication safety protocols across transitions
- Tracking surgical and procedural complications systematically
- Closing care gaps in preventive screenings and chronic care
Module 11: Contracting and Payer Strategy - Types of value-based contracts: MSSP, Direct Contracting, commercial
- Analysing contract terms: upside, downside, reinsurance
- Preparing for actuarial reviews and financial modelling sessions
- Building a contracting playbook for payer negotiations
- Developing relationships with payer account managers
- Negotiating quality measure alignment across contracts
- Structured approaches to exit non-performing contracts
- Multi-payer alignment strategies for market consistency
- Understanding risk corridors and stop-loss provisions
- Drafting addendums for new service lines or provider additions
Module 12: Legal, Regulatory, and Compliance Frameworks - CMS regulations for ACOs and value-based programs
- Stark Law and Anti-Kickback Statute implications
- Understanding the Civil Monetary Penalties Law
- Data use agreements and business associate considerations
- Fraud and abuse red flags in value-based arrangements
- Documentation requirements for audit preparedness
- State-level variations in value-based care regulations
- Telehealth and cross-state licensing compliance
- Transparency rules and public reporting obligations
- Handling complaints and regulatory inquiries proactively
Module 13: Workforce Development and Leadership Training - Upskilling teams on value-based care principles and language
- Designing role-specific training for clinicians and staff
- Leadership development for mid-level accountable care managers
- Mentorship programs for emerging clinical leaders
- Using simulation and case studies for applied learning
- Competency frameworks for accountable care professionals
- Onboarding new hires with a value-based mindset
- Evaluating training effectiveness through behaviour change
- Creating a culture of continuous learning and feedback
- Supporting burnout prevention through workload transparency
Module 14: Implementation Roadmap and Change Management - Phased rollout planning for large-scale transformation
- Identifying quick wins to build momentum and credibility
- Communication strategies for internal and external audiences
- Managing competing priorities during transition periods
- Using project management tools for tracking accountability
- Conducting pilot programs before enterprise scaling
- Measuring adoption and engagement across teams
- Adjusting implementation rhythm based on feedback
- Sustaining changes through reinforcement and recognition
- Handing off initiatives to operational teams successfully
Module 15: Advanced Risk Stratification and Predictive Modelling - Understanding risk scores: HCC, CMS-HCC, DxCG, ACG
- Developing custom risk models for local populations
- Identifying complex patients with high utilisation patterns
- Predicting future risk of hospitalisation or functional decline
- Validating and calibrating predictive models over time
- Operationalising risk scores in daily workflows
- Integrating social risk factors into predictive algorithms
- Avoiding risk model bias and ensuring equity
- Dynamic risk adjustment based on new clinical data
- Using predictive insights for resource allocation decisions
Module 16: Community Partnerships and Social Impact - Building collaborations with community-based organisations
- Addressing food, housing, and transportation needs systematically
- Formalising MOUs and service level agreements with partners
- Tracking referrals and outcomes across social service networks
- Integrating community health workers into care teams
- Measuring the ROI of social determinants interventions
- Securing grant funding for community health initiatives
- Advocating for policy changes at the local and state level
- Creating health equity councils with frontline representation
- Reporting social impact to boards and community stakeholders
Module 17: Innovation and Future-Proofing Your Model - Adapting to emerging models: global capitation, D-SNP, P4P
- Incorporating virtual-first and home-based care strategies
- Designing accountable care models for behavioural health integration
- Preparing for performance-based contracting with employers
- Exploring risk-bearing entities and captive insurance options
- Using design thinking to innovate care delivery models
- Piloting new technologies: wearables, remote monitoring, AI
- Scaling successful innovations across the enterprise
- Anticipating regulatory shifts and market disruptions
- Building organisational agility for continuous adaptation
Module 18: Certification, Career Advancement, and Next Steps - Finalising your personal accountable care leadership roadmap
- Submitting your capstone project for review
- Preparing for your Certificate of Completion assessment
- Adding your credential to professional profiles and resumes
- Sharing achievements with your organisation and network
- Pursuing advanced roles: CMIO, Chief Population Health Officer
- Joining national networks and learning collaboratives
- Presenting your work at conferences or to boards
- Accessing alumni resources and ongoing expert updates
- Continuing education pathways in health systems leadership
- Understanding downside risk and upside sharing mechanics
- Budget neutrality calculations in shared savings programs
- Financial benchmarking: how your organisation compares nationally
- Cost attribution models and episode-based spending analysis
- Identifying cost-saving opportunities without compromising quality
- Reserve funds and contingency planning for financial risk
- Revenue cycle implications of value-based payment
- Calculating return on investment (ROI) for care management programs
- Negotiating favourable terms in payer contracts
- Financial reporting requirements for CMS and private payers
Module 8: Patient Engagement and Experience Excellence - Designing patient-centred care models in value-based settings
- Improving CAHPS scores through structured interventions
- Addressing health literacy and cultural competence in outreach
- Using patient advisory councils to co-design care models
- Personalised care planning with patient-generated health data
- Reducing no-shows and increasing preventive service adherence
- Implementing patient portals and digital engagement tools
- Mapping the patient journey to identify pain points
- Measuring and improving patient activation levels
- Addressing social determinants of health in routine care
Module 9: Technology Enablement and Interoperability - Leveraging EHRs for value-based care reporting and alerts
- Critical functionality: registries, care management modules, dashboards
- Using predictive analytics for early intervention
- Integrating external data sources (claims, labs, devices)
- Ensuring data privacy and HIPAA compliance in data sharing
- Selecting and implementing population health management platforms
- Interoperability standards: FHIR, APIs, and data exchange protocols
- Reducing documentation burden through smart workflows
- Workflow automation for prior authorisations and referrals
- Using AI-driven nudges for clinical decision support
Module 10: Quality Improvement and Measurement Science - Applying the Model for Improvement (AIM) in clinical settings
- Designing PDSA cycles for care delivery optimisation
- Choosing valid and reliable quality metrics for your goals
- Statistical process control for monitoring variation in care
- Benchmarking against national and peer group performance
- Conducting mortality and morbidity reviews with accountability
- Reducing hospital-acquired conditions through system redesign
- Implementing medication safety protocols across transitions
- Tracking surgical and procedural complications systematically
- Closing care gaps in preventive screenings and chronic care
Module 11: Contracting and Payer Strategy - Types of value-based contracts: MSSP, Direct Contracting, commercial
- Analysing contract terms: upside, downside, reinsurance
- Preparing for actuarial reviews and financial modelling sessions
- Building a contracting playbook for payer negotiations
- Developing relationships with payer account managers
- Negotiating quality measure alignment across contracts
- Structured approaches to exit non-performing contracts
- Multi-payer alignment strategies for market consistency
- Understanding risk corridors and stop-loss provisions
- Drafting addendums for new service lines or provider additions
Module 12: Legal, Regulatory, and Compliance Frameworks - CMS regulations for ACOs and value-based programs
- Stark Law and Anti-Kickback Statute implications
- Understanding the Civil Monetary Penalties Law
- Data use agreements and business associate considerations
- Fraud and abuse red flags in value-based arrangements
- Documentation requirements for audit preparedness
- State-level variations in value-based care regulations
- Telehealth and cross-state licensing compliance
- Transparency rules and public reporting obligations
- Handling complaints and regulatory inquiries proactively
Module 13: Workforce Development and Leadership Training - Upskilling teams on value-based care principles and language
- Designing role-specific training for clinicians and staff
- Leadership development for mid-level accountable care managers
- Mentorship programs for emerging clinical leaders
- Using simulation and case studies for applied learning
- Competency frameworks for accountable care professionals
- Onboarding new hires with a value-based mindset
- Evaluating training effectiveness through behaviour change
- Creating a culture of continuous learning and feedback
- Supporting burnout prevention through workload transparency
Module 14: Implementation Roadmap and Change Management - Phased rollout planning for large-scale transformation
- Identifying quick wins to build momentum and credibility
- Communication strategies for internal and external audiences
- Managing competing priorities during transition periods
- Using project management tools for tracking accountability
- Conducting pilot programs before enterprise scaling
- Measuring adoption and engagement across teams
- Adjusting implementation rhythm based on feedback
- Sustaining changes through reinforcement and recognition
- Handing off initiatives to operational teams successfully
Module 15: Advanced Risk Stratification and Predictive Modelling - Understanding risk scores: HCC, CMS-HCC, DxCG, ACG
- Developing custom risk models for local populations
- Identifying complex patients with high utilisation patterns
- Predicting future risk of hospitalisation or functional decline
- Validating and calibrating predictive models over time
- Operationalising risk scores in daily workflows
- Integrating social risk factors into predictive algorithms
- Avoiding risk model bias and ensuring equity
- Dynamic risk adjustment based on new clinical data
- Using predictive insights for resource allocation decisions
Module 16: Community Partnerships and Social Impact - Building collaborations with community-based organisations
- Addressing food, housing, and transportation needs systematically
- Formalising MOUs and service level agreements with partners
- Tracking referrals and outcomes across social service networks
- Integrating community health workers into care teams
- Measuring the ROI of social determinants interventions
- Securing grant funding for community health initiatives
- Advocating for policy changes at the local and state level
- Creating health equity councils with frontline representation
- Reporting social impact to boards and community stakeholders
Module 17: Innovation and Future-Proofing Your Model - Adapting to emerging models: global capitation, D-SNP, P4P
- Incorporating virtual-first and home-based care strategies
- Designing accountable care models for behavioural health integration
- Preparing for performance-based contracting with employers
- Exploring risk-bearing entities and captive insurance options
- Using design thinking to innovate care delivery models
- Piloting new technologies: wearables, remote monitoring, AI
- Scaling successful innovations across the enterprise
- Anticipating regulatory shifts and market disruptions
- Building organisational agility for continuous adaptation
Module 18: Certification, Career Advancement, and Next Steps - Finalising your personal accountable care leadership roadmap
- Submitting your capstone project for review
- Preparing for your Certificate of Completion assessment
- Adding your credential to professional profiles and resumes
- Sharing achievements with your organisation and network
- Pursuing advanced roles: CMIO, Chief Population Health Officer
- Joining national networks and learning collaboratives
- Presenting your work at conferences or to boards
- Accessing alumni resources and ongoing expert updates
- Continuing education pathways in health systems leadership
- Leveraging EHRs for value-based care reporting and alerts
- Critical functionality: registries, care management modules, dashboards
- Using predictive analytics for early intervention
- Integrating external data sources (claims, labs, devices)
- Ensuring data privacy and HIPAA compliance in data sharing
- Selecting and implementing population health management platforms
- Interoperability standards: FHIR, APIs, and data exchange protocols
- Reducing documentation burden through smart workflows
- Workflow automation for prior authorisations and referrals
- Using AI-driven nudges for clinical decision support
Module 10: Quality Improvement and Measurement Science - Applying the Model for Improvement (AIM) in clinical settings
- Designing PDSA cycles for care delivery optimisation
- Choosing valid and reliable quality metrics for your goals
- Statistical process control for monitoring variation in care
- Benchmarking against national and peer group performance
- Conducting mortality and morbidity reviews with accountability
- Reducing hospital-acquired conditions through system redesign
- Implementing medication safety protocols across transitions
- Tracking surgical and procedural complications systematically
- Closing care gaps in preventive screenings and chronic care
Module 11: Contracting and Payer Strategy - Types of value-based contracts: MSSP, Direct Contracting, commercial
- Analysing contract terms: upside, downside, reinsurance
- Preparing for actuarial reviews and financial modelling sessions
- Building a contracting playbook for payer negotiations
- Developing relationships with payer account managers
- Negotiating quality measure alignment across contracts
- Structured approaches to exit non-performing contracts
- Multi-payer alignment strategies for market consistency
- Understanding risk corridors and stop-loss provisions
- Drafting addendums for new service lines or provider additions
Module 12: Legal, Regulatory, and Compliance Frameworks - CMS regulations for ACOs and value-based programs
- Stark Law and Anti-Kickback Statute implications
- Understanding the Civil Monetary Penalties Law
- Data use agreements and business associate considerations
- Fraud and abuse red flags in value-based arrangements
- Documentation requirements for audit preparedness
- State-level variations in value-based care regulations
- Telehealth and cross-state licensing compliance
- Transparency rules and public reporting obligations
- Handling complaints and regulatory inquiries proactively
Module 13: Workforce Development and Leadership Training - Upskilling teams on value-based care principles and language
- Designing role-specific training for clinicians and staff
- Leadership development for mid-level accountable care managers
- Mentorship programs for emerging clinical leaders
- Using simulation and case studies for applied learning
- Competency frameworks for accountable care professionals
- Onboarding new hires with a value-based mindset
- Evaluating training effectiveness through behaviour change
- Creating a culture of continuous learning and feedback
- Supporting burnout prevention through workload transparency
Module 14: Implementation Roadmap and Change Management - Phased rollout planning for large-scale transformation
- Identifying quick wins to build momentum and credibility
- Communication strategies for internal and external audiences
- Managing competing priorities during transition periods
- Using project management tools for tracking accountability
- Conducting pilot programs before enterprise scaling
- Measuring adoption and engagement across teams
- Adjusting implementation rhythm based on feedback
- Sustaining changes through reinforcement and recognition
- Handing off initiatives to operational teams successfully
Module 15: Advanced Risk Stratification and Predictive Modelling - Understanding risk scores: HCC, CMS-HCC, DxCG, ACG
- Developing custom risk models for local populations
- Identifying complex patients with high utilisation patterns
- Predicting future risk of hospitalisation or functional decline
- Validating and calibrating predictive models over time
- Operationalising risk scores in daily workflows
- Integrating social risk factors into predictive algorithms
- Avoiding risk model bias and ensuring equity
- Dynamic risk adjustment based on new clinical data
- Using predictive insights for resource allocation decisions
Module 16: Community Partnerships and Social Impact - Building collaborations with community-based organisations
- Addressing food, housing, and transportation needs systematically
- Formalising MOUs and service level agreements with partners
- Tracking referrals and outcomes across social service networks
- Integrating community health workers into care teams
- Measuring the ROI of social determinants interventions
- Securing grant funding for community health initiatives
- Advocating for policy changes at the local and state level
- Creating health equity councils with frontline representation
- Reporting social impact to boards and community stakeholders
Module 17: Innovation and Future-Proofing Your Model - Adapting to emerging models: global capitation, D-SNP, P4P
- Incorporating virtual-first and home-based care strategies
- Designing accountable care models for behavioural health integration
- Preparing for performance-based contracting with employers
- Exploring risk-bearing entities and captive insurance options
- Using design thinking to innovate care delivery models
- Piloting new technologies: wearables, remote monitoring, AI
- Scaling successful innovations across the enterprise
- Anticipating regulatory shifts and market disruptions
- Building organisational agility for continuous adaptation
Module 18: Certification, Career Advancement, and Next Steps - Finalising your personal accountable care leadership roadmap
- Submitting your capstone project for review
- Preparing for your Certificate of Completion assessment
- Adding your credential to professional profiles and resumes
- Sharing achievements with your organisation and network
- Pursuing advanced roles: CMIO, Chief Population Health Officer
- Joining national networks and learning collaboratives
- Presenting your work at conferences or to boards
- Accessing alumni resources and ongoing expert updates
- Continuing education pathways in health systems leadership
- Types of value-based contracts: MSSP, Direct Contracting, commercial
- Analysing contract terms: upside, downside, reinsurance
- Preparing for actuarial reviews and financial modelling sessions
- Building a contracting playbook for payer negotiations
- Developing relationships with payer account managers
- Negotiating quality measure alignment across contracts
- Structured approaches to exit non-performing contracts
- Multi-payer alignment strategies for market consistency
- Understanding risk corridors and stop-loss provisions
- Drafting addendums for new service lines or provider additions
Module 12: Legal, Regulatory, and Compliance Frameworks - CMS regulations for ACOs and value-based programs
- Stark Law and Anti-Kickback Statute implications
- Understanding the Civil Monetary Penalties Law
- Data use agreements and business associate considerations
- Fraud and abuse red flags in value-based arrangements
- Documentation requirements for audit preparedness
- State-level variations in value-based care regulations
- Telehealth and cross-state licensing compliance
- Transparency rules and public reporting obligations
- Handling complaints and regulatory inquiries proactively
Module 13: Workforce Development and Leadership Training - Upskilling teams on value-based care principles and language
- Designing role-specific training for clinicians and staff
- Leadership development for mid-level accountable care managers
- Mentorship programs for emerging clinical leaders
- Using simulation and case studies for applied learning
- Competency frameworks for accountable care professionals
- Onboarding new hires with a value-based mindset
- Evaluating training effectiveness through behaviour change
- Creating a culture of continuous learning and feedback
- Supporting burnout prevention through workload transparency
Module 14: Implementation Roadmap and Change Management - Phased rollout planning for large-scale transformation
- Identifying quick wins to build momentum and credibility
- Communication strategies for internal and external audiences
- Managing competing priorities during transition periods
- Using project management tools for tracking accountability
- Conducting pilot programs before enterprise scaling
- Measuring adoption and engagement across teams
- Adjusting implementation rhythm based on feedback
- Sustaining changes through reinforcement and recognition
- Handing off initiatives to operational teams successfully
Module 15: Advanced Risk Stratification and Predictive Modelling - Understanding risk scores: HCC, CMS-HCC, DxCG, ACG
- Developing custom risk models for local populations
- Identifying complex patients with high utilisation patterns
- Predicting future risk of hospitalisation or functional decline
- Validating and calibrating predictive models over time
- Operationalising risk scores in daily workflows
- Integrating social risk factors into predictive algorithms
- Avoiding risk model bias and ensuring equity
- Dynamic risk adjustment based on new clinical data
- Using predictive insights for resource allocation decisions
Module 16: Community Partnerships and Social Impact - Building collaborations with community-based organisations
- Addressing food, housing, and transportation needs systematically
- Formalising MOUs and service level agreements with partners
- Tracking referrals and outcomes across social service networks
- Integrating community health workers into care teams
- Measuring the ROI of social determinants interventions
- Securing grant funding for community health initiatives
- Advocating for policy changes at the local and state level
- Creating health equity councils with frontline representation
- Reporting social impact to boards and community stakeholders
Module 17: Innovation and Future-Proofing Your Model - Adapting to emerging models: global capitation, D-SNP, P4P
- Incorporating virtual-first and home-based care strategies
- Designing accountable care models for behavioural health integration
- Preparing for performance-based contracting with employers
- Exploring risk-bearing entities and captive insurance options
- Using design thinking to innovate care delivery models
- Piloting new technologies: wearables, remote monitoring, AI
- Scaling successful innovations across the enterprise
- Anticipating regulatory shifts and market disruptions
- Building organisational agility for continuous adaptation
Module 18: Certification, Career Advancement, and Next Steps - Finalising your personal accountable care leadership roadmap
- Submitting your capstone project for review
- Preparing for your Certificate of Completion assessment
- Adding your credential to professional profiles and resumes
- Sharing achievements with your organisation and network
- Pursuing advanced roles: CMIO, Chief Population Health Officer
- Joining national networks and learning collaboratives
- Presenting your work at conferences or to boards
- Accessing alumni resources and ongoing expert updates
- Continuing education pathways in health systems leadership
- Upskilling teams on value-based care principles and language
- Designing role-specific training for clinicians and staff
- Leadership development for mid-level accountable care managers
- Mentorship programs for emerging clinical leaders
- Using simulation and case studies for applied learning
- Competency frameworks for accountable care professionals
- Onboarding new hires with a value-based mindset
- Evaluating training effectiveness through behaviour change
- Creating a culture of continuous learning and feedback
- Supporting burnout prevention through workload transparency
Module 14: Implementation Roadmap and Change Management - Phased rollout planning for large-scale transformation
- Identifying quick wins to build momentum and credibility
- Communication strategies for internal and external audiences
- Managing competing priorities during transition periods
- Using project management tools for tracking accountability
- Conducting pilot programs before enterprise scaling
- Measuring adoption and engagement across teams
- Adjusting implementation rhythm based on feedback
- Sustaining changes through reinforcement and recognition
- Handing off initiatives to operational teams successfully
Module 15: Advanced Risk Stratification and Predictive Modelling - Understanding risk scores: HCC, CMS-HCC, DxCG, ACG
- Developing custom risk models for local populations
- Identifying complex patients with high utilisation patterns
- Predicting future risk of hospitalisation or functional decline
- Validating and calibrating predictive models over time
- Operationalising risk scores in daily workflows
- Integrating social risk factors into predictive algorithms
- Avoiding risk model bias and ensuring equity
- Dynamic risk adjustment based on new clinical data
- Using predictive insights for resource allocation decisions
Module 16: Community Partnerships and Social Impact - Building collaborations with community-based organisations
- Addressing food, housing, and transportation needs systematically
- Formalising MOUs and service level agreements with partners
- Tracking referrals and outcomes across social service networks
- Integrating community health workers into care teams
- Measuring the ROI of social determinants interventions
- Securing grant funding for community health initiatives
- Advocating for policy changes at the local and state level
- Creating health equity councils with frontline representation
- Reporting social impact to boards and community stakeholders
Module 17: Innovation and Future-Proofing Your Model - Adapting to emerging models: global capitation, D-SNP, P4P
- Incorporating virtual-first and home-based care strategies
- Designing accountable care models for behavioural health integration
- Preparing for performance-based contracting with employers
- Exploring risk-bearing entities and captive insurance options
- Using design thinking to innovate care delivery models
- Piloting new technologies: wearables, remote monitoring, AI
- Scaling successful innovations across the enterprise
- Anticipating regulatory shifts and market disruptions
- Building organisational agility for continuous adaptation
Module 18: Certification, Career Advancement, and Next Steps - Finalising your personal accountable care leadership roadmap
- Submitting your capstone project for review
- Preparing for your Certificate of Completion assessment
- Adding your credential to professional profiles and resumes
- Sharing achievements with your organisation and network
- Pursuing advanced roles: CMIO, Chief Population Health Officer
- Joining national networks and learning collaboratives
- Presenting your work at conferences or to boards
- Accessing alumni resources and ongoing expert updates
- Continuing education pathways in health systems leadership
- Understanding risk scores: HCC, CMS-HCC, DxCG, ACG
- Developing custom risk models for local populations
- Identifying complex patients with high utilisation patterns
- Predicting future risk of hospitalisation or functional decline
- Validating and calibrating predictive models over time
- Operationalising risk scores in daily workflows
- Integrating social risk factors into predictive algorithms
- Avoiding risk model bias and ensuring equity
- Dynamic risk adjustment based on new clinical data
- Using predictive insights for resource allocation decisions
Module 16: Community Partnerships and Social Impact - Building collaborations with community-based organisations
- Addressing food, housing, and transportation needs systematically
- Formalising MOUs and service level agreements with partners
- Tracking referrals and outcomes across social service networks
- Integrating community health workers into care teams
- Measuring the ROI of social determinants interventions
- Securing grant funding for community health initiatives
- Advocating for policy changes at the local and state level
- Creating health equity councils with frontline representation
- Reporting social impact to boards and community stakeholders
Module 17: Innovation and Future-Proofing Your Model - Adapting to emerging models: global capitation, D-SNP, P4P
- Incorporating virtual-first and home-based care strategies
- Designing accountable care models for behavioural health integration
- Preparing for performance-based contracting with employers
- Exploring risk-bearing entities and captive insurance options
- Using design thinking to innovate care delivery models
- Piloting new technologies: wearables, remote monitoring, AI
- Scaling successful innovations across the enterprise
- Anticipating regulatory shifts and market disruptions
- Building organisational agility for continuous adaptation
Module 18: Certification, Career Advancement, and Next Steps - Finalising your personal accountable care leadership roadmap
- Submitting your capstone project for review
- Preparing for your Certificate of Completion assessment
- Adding your credential to professional profiles and resumes
- Sharing achievements with your organisation and network
- Pursuing advanced roles: CMIO, Chief Population Health Officer
- Joining national networks and learning collaboratives
- Presenting your work at conferences or to boards
- Accessing alumni resources and ongoing expert updates
- Continuing education pathways in health systems leadership
- Adapting to emerging models: global capitation, D-SNP, P4P
- Incorporating virtual-first and home-based care strategies
- Designing accountable care models for behavioural health integration
- Preparing for performance-based contracting with employers
- Exploring risk-bearing entities and captive insurance options
- Using design thinking to innovate care delivery models
- Piloting new technologies: wearables, remote monitoring, AI
- Scaling successful innovations across the enterprise
- Anticipating regulatory shifts and market disruptions
- Building organisational agility for continuous adaptation