Accountable Care Organization Mastery: Complete Self-Assessment and Strategic Implementation Guide
You're not behind because you're not trying. You're behind because the rules keep changing, and the pressure to deliver value-based care outcomes has never been higher. Every day without a clear, actionable roadmap costs your organization in missed savings, misaligned teams, and fading executive confidence. You’re expected to lead an ACO transformation, but no one gave you the tools, the checklist, or the proven methodology to get it right - until now. Accountable Care Organization Mastery: Complete Self-Assessment and Strategic Implementation Guide is the first comprehensive system designed to take you from uncertain and reactive to fully prepared, board-ready, and strategically aligned in under 30 days. Imagine walking into your next leadership meeting with a fully documented, evidence-based self-assessment, a prioritized implementation plan, and a clear path to CMS reconciliation readiness. That’s exactly what this course delivers - no guesswork, no fluff, just proven steps used by top-performing health systems across the U.S. Sarah M., a Clinical Operations Director in a 400-physician ACO, used this exact guide to reduce care variation by 38% in six months and secure $2.4M in shared savings - all within her first performance year. She didn’t have extra staff or budget. She had clarity, structure, and the right tools. If you're serious about turning compliance into competitive advantage, operational efficiency, and measurable financial return, this is your missing foundation. Here’s how this course is structured to help you get there.Course Format & Delivery Details Self-Paced. On-Demand. Built for Real Leaders With Real Workloads.
This is not a lecture series. This is a high-leverage, action-driven implementation system designed for busy healthcare executives, care coordinators, and compliance leads who need results - not entertainment. The course is fully self-paced, with immediate online access upon enrollment. There are no fixed dates, no scheduled sessions, and no time commitments. You progress at your own speed, fitting learning into your real-world workflow. Most learners complete the core self-assessment and strategic plan in 20–25 hours, with tangible results emerging within the first week. Many report having their first draft of a board-ready ACO maturity assessment within five days. Lifetime Access. Zero Expiration. Every Update Included.
Once you enroll, you own permanent access to all current and future course updates at no additional cost. As regulations evolve, payment models shift, and CMS guidelines change, your materials will be revised and reissued - automatically. The course is mobile-friendly and accessible 24/7 from any device, whether you’re reviewing frameworks on your phone during a care team huddle or finalising your strategic plan from a tablet at home. Direct Support & Expert Guidance - When You Need It
Every enrollment includes structured guidance through step-by-step implementation templates and direct access to expert-reviewed Q&A pathways. You’re not left alone to interpret complex requirements. If you hit a roadblock, clarification is built into each module with annotated decision trees, regulatory crosswalks, and real-world implementation scenarios - all designed to simulate expert consultation without costly consulting fees. Earn a Certificate of Completion Issued by The Art of Service
Upon finishing the course and submitting your implementation plan for review, you’ll receive a globally recognised Certificate of Completion issued by The Art of Service, a leader in healthcare operational excellence training. This certification demonstrates mastery of ACO governance, risk alignment, performance measurement, and implementation planning. It’s shareable on LinkedIn, included in résumés, and increasingly referenced by health systems in promotion and credentialing reviews. Transparent Pricing. No Hidden Fees. 100% Risk-Free.
You pay one straightforward price with no upsells, hidden fees, or subscription traps. The cost covers full access, all materials, certificate issuance, and lifetime updates. - Secure payments accepted via Visa, Mastercard, and PayPal
- Corporate invoicing available upon request
We back this course with an ironclad satisfaction guarantee: If you complete the self-assessment framework and implementation plan and don’t find measurable value in clarity, confidence, or strategic direction, request a full refund within 60 days - no questions asked. “Will This Work for Me?” - Addressing Your Biggest Concern
You may be thinking: “My ACO is unique. We’re small. We’re rural. We’re integrated. We’re not ready for risk. We’re already in full-risk arrangements.” It doesn’t matter. This system works even if you're leading a fledgling ACO with limited data infrastructure, or operating within a complex, multi-hospital system under advanced alternative payment models. Current learners include: - Population Health Managers in safety-net clinics
- Chief Medical Officers in large IDNs
- Quality Directors in rural Medicare ACOs
- Finance Leads preparing for CMS reconciliation
They all had different starting points - but all used this guide to build credible, compliant, high-impact ACO strategies validated by auditors, boards, and payers. After enrollment, you’ll receive a confirmation email, followed by a separate message with your secure access details once your course materials are fully configured. This process ensures system stability and personalised setup for optimal learning. You’re not buying information. You’re investing in proven execution - with full risk reversal and zero downside.
Module 1: Foundations of Accountable Care Organizations - Defining the ACO model in modern healthcare delivery
- Historical evolution from fee-for-service to value-based care
- Key differences between MSSP, Track 1+, ENHANCED, and ACO REACH
- Understanding shared savings and shared risk structures
- The role of CMS and commercial payers in ACO contracts
- Core principles of cost efficiency and quality improvement
- Data-driven care coordination as a strategic differentiator
- Stakeholder mapping: providers, patients, payers, employers
- Legal structures for ACO formation and governance
- Identifying service line opportunities for ACO conversion
Module 2: Regulatory Frameworks and Compliance Requirements - Federal regulations under the Affordable Care Act Section 3022
- ACO participation eligibility and application process
- Triple Aim alignment in regulatory design
- CMS core quality measures and reporting thresholds
- Minimum savings rate and benchmark calculation methodology
- Reconciliation process and timeline overview
- ACO accountability standards for anti-fraud and abuse
- Waivers and exceptions for antitrust compliance
- Requirements for beneficiary assignment and attribution
- Negotiated rates versus fee schedule billing structures
Module 3: Organizational Readiness and Self-Assessment - Conducting a comprehensive ACO maturity assessment
- Scoring clinical integration and operational alignment
- Evaluating data infrastructure and interoperability
- Assessing care management capacity and workforce capability
- Measuring leadership commitment and governance structure
- Financial viability analysis for ACO startup and sustainment
- Risk tolerance assessment across key stakeholder groups
- Identifying readiness gaps in performance measurement
- Mapping current contracts against ACO requirements
- Gap analysis reporting template and prioritisation matrix
Module 4: Governance Structure and Leadership Alignment - Designing effective ACO governing boards
- Board composition best practices by organisation size
- Defining roles and responsibilities for medical and administrative leadership
- Establishing bylaws and decision-making protocols
- Creating standing committees: quality, finance, compliance
- Developing accountability metrics for board members
- Aligning physician incentives with organisational goals
- Engaging independent providers in governance
- Conflict resolution frameworks for multi-entity ACOs
- Board meeting cadence and documentation standards
Module 5: Clinical Integration and Care Coordination - Stages of clinical integration: from alignment to accountability
- Standardising care pathways across provider networks
- Designing condition-specific clinical protocols for chronic disease
- Integrating preventive care into routine workflows
- Establishing accountable care teams with defined roles
- Implementing closed-loop referral management
- Creating care transition checklists and escalation pathways
- Utilising nurse navigators and advanced practice providers
- Reducing avoidable hospitalisations through proactive outreach
- Monitoring care gap closure rates across patient panels
Module 6: Data Infrastructure and Health Information Technology - Evaluating EHR capabilities for ACO reporting needs
- Data aggregation requirements across disparate systems
- Selecting and implementing population health platforms
- Ensuring real-time access to claims and clinical data
- Using risk stratification algorithms to prioritise interventions
- Developing patient registries by condition and risk level
- Creating dashboards for cost, utilisation, and quality
- Ensuring data accuracy and reconciliation between sources
- Implementing secure data sharing agreements
- Testing data latency and refresh frequency benchmarks
Module 7: Financial Modeling and Cost Management - Building a baseline cost model using historical claims
- Calculating total cost of care by attributed population
- Identifying high-cost utilisation patterns and outliers
- Projection modeling for shared savings potential
- Overhead budgeting for ACO operations and staffing
- Contracting with vendors and shared savings carve-outs
- Tracking administrative costs versus clinical spend
- Establishing financial controls and audit readiness
- Understanding benchmark updates and trend adjustments
- Preparing for reconciliation adjustments and clawbacks
Module 8: Quality Measurement and Performance Improvement - CMS core quality measures: overview and weightings
- Electronic Clinical Quality Measures (eCQMs) vs claims-based
- Data submission requirements via CMS Web Interface or QRDA
- Performance benchmarking against national peer groups
- Designing internal quality improvement cycles
- Conducting root cause analysis for underperforming measures
- Setting actionable performance targets by quarter
- Integrating quality feedback into provider evaluations
- Reducing variation in screening and preventive care delivery
- Improving patient experience scores through service design
Module 9: Risk Stratification and Population Health Management - Implementing validated risk scoring models (e.g., CMS-HCC)
- Segmenting attributed populations by risk level
- Targeting high-risk patients for intensive care management
- Designing outreach protocols for moderate-risk cohorts
- Automated flagging of deteriorating patient conditions
- Integrating social determinants of health into risk models
- Monitoring polypharmacy and high-risk medication use
- Reducing ED utilisation through predictive analytics
- Tracking longitudinal outcomes for complex care patients
- Creating feedback loops between clinical and data teams
Module 10: Care Management and Care Team Models - Designing tiered care management models by risk level
- Defining scope of practice for case managers and care coordinators
- Creating standardised care plans with measurable goals
- Documenting care management encounters in EHR systems
- Integrating behavioural health into primary care workflows
- Supporting patients with health literacy challenges
- Managing transitions of care across settings
- Using telephonic and virtual check-ins effectively
- Measuring care management impact on hospitalisations
- Scaling care teams using remote monitoring tools
Module 11: Physician Engagement and Provider Alignment - Assessing current levels of physician buy-in
- Designing communication strategies for provider outreach
- Hosting alignment workshops and roadshows
- Delivering provider-specific performance reports
- Establishing clinical champions and peer mentors
- Integrating quality data into physician compensation
- Addressing resistance through collaborative dialogue
- Creating shared ownership of cost and quality outcomes
- Supporting independent practices with resources
- Maintaining engagement through regular feedback loops
Module 12: Patient Engagement and Consumer-Centred Design - Mapping the patient journey across the care continuum
- Reducing barriers to access and care coordination
- Designing patient-friendly communication materials
- Implementing proactive outreach for preventive services
- Using automated reminders for screenings and follow-ups
- Enhancing patient access through extended hours
- Integrating patient-reported outcomes into care plans
- Measuring and improving patient satisfaction scores
- Reducing no-show rates through behavioural nudges
- Building trust with underserved and vulnerable populations
Module 13: Contracting and Payer Relationships - Negotiating ACO contracts with commercial payers
- Understanding payer-specific requirements and reporting
- Comparing performance guarantees and risk corridors
- Securing advance payments and working capital
- Negotiating bundled payments within ACO framework
- Managing payer audits and data requests
- Developing multi-payer alignment strategies
- Creating payer scorecards for performance transparency
- Building long-term relationships for contract renewals
- Resolving disputes over attribution and savings calculation
Module 14: Legal, Compliance, and Risk Mitigation - Antitrust compliance for provider collaboration
- Stark Law and Anti-Kickback Statute considerations
- Ensuring data privacy under HIPAA regulations
- Establishing compliance oversight committees
- Implementing internal audit protocols
- Documenting decision-making for regulatory defence
- Managing conflicts of interest in leadership
- Protecting against beneficiary intimidation claims
- Monitoring referral patterns for anomaly detection
- Preparing for CMS and OIG audits
Module 15: Performance Monitoring and Continuous Improvement - Setting up monthly performance review meetings
- Analysing trends in quality, cost, and utilisation
- Identifying outliers and investigating root causes
- Implementing rapid-cycle improvement projects
- Tracking progress against strategic plan milestones
- Adjusting targets based on performance data
- Using balanced scorecards for executive reporting
- Sharing performance insights with care teams
- Revising care protocols based on outcomes
- Embedding continuous improvement into culture
Module 16: Strategic Implementation Roadmap Development - Crafting a 12-month ACO implementation timeline
- Defining critical milestones and accountability owners
- Allocating resources by phase and department
- Integrating implementation with existing initiatives
- Creating cross-functional implementation teams
- Developing communication plans for staff and providers
- Establishing feedback mechanisms for course correction
- Preparing for go-live and launch readiness testing
- Documenting lessons learned from pilot phases
- Scaling successful components organisation-wide
Module 17: Advanced ACO Models and Future-Proofing - Transitioning from shared savings to full-risk models
- Preparing for capitated payment arrangements
- Implementing direct primary care integration
- Exploring ACO REACH and Global Budget Models
- Designing value-based insurance designs
- Partnering with employers and self-insured plans
- Integrating home-based care and palliative services
- Adopting predictive analytics for utilisation forecasting
- Investing in digital health platforms for scale
- Positioning your ACO as a preferred network partner
Module 18: Certification, Next Steps, and Career Advancement - Finalising your comprehensive ACO self-assessment report
- Submitting your strategic implementation plan for review
- Receiving feedback and validation from expert reviewers
- Earning your Certificate of Completion from The Art of Service
- Sharing your credential on LinkedIn and professional profiles
- Integrating your plan into executive leadership discussions
- Preparing for board presentation and funding approval
- Leveraging certification for internal promotions
- Joining the global network of ACO-trained professionals
- Accessing ongoing updates and implementation toolkits
- Defining the ACO model in modern healthcare delivery
- Historical evolution from fee-for-service to value-based care
- Key differences between MSSP, Track 1+, ENHANCED, and ACO REACH
- Understanding shared savings and shared risk structures
- The role of CMS and commercial payers in ACO contracts
- Core principles of cost efficiency and quality improvement
- Data-driven care coordination as a strategic differentiator
- Stakeholder mapping: providers, patients, payers, employers
- Legal structures for ACO formation and governance
- Identifying service line opportunities for ACO conversion
Module 2: Regulatory Frameworks and Compliance Requirements - Federal regulations under the Affordable Care Act Section 3022
- ACO participation eligibility and application process
- Triple Aim alignment in regulatory design
- CMS core quality measures and reporting thresholds
- Minimum savings rate and benchmark calculation methodology
- Reconciliation process and timeline overview
- ACO accountability standards for anti-fraud and abuse
- Waivers and exceptions for antitrust compliance
- Requirements for beneficiary assignment and attribution
- Negotiated rates versus fee schedule billing structures
Module 3: Organizational Readiness and Self-Assessment - Conducting a comprehensive ACO maturity assessment
- Scoring clinical integration and operational alignment
- Evaluating data infrastructure and interoperability
- Assessing care management capacity and workforce capability
- Measuring leadership commitment and governance structure
- Financial viability analysis for ACO startup and sustainment
- Risk tolerance assessment across key stakeholder groups
- Identifying readiness gaps in performance measurement
- Mapping current contracts against ACO requirements
- Gap analysis reporting template and prioritisation matrix
Module 4: Governance Structure and Leadership Alignment - Designing effective ACO governing boards
- Board composition best practices by organisation size
- Defining roles and responsibilities for medical and administrative leadership
- Establishing bylaws and decision-making protocols
- Creating standing committees: quality, finance, compliance
- Developing accountability metrics for board members
- Aligning physician incentives with organisational goals
- Engaging independent providers in governance
- Conflict resolution frameworks for multi-entity ACOs
- Board meeting cadence and documentation standards
Module 5: Clinical Integration and Care Coordination - Stages of clinical integration: from alignment to accountability
- Standardising care pathways across provider networks
- Designing condition-specific clinical protocols for chronic disease
- Integrating preventive care into routine workflows
- Establishing accountable care teams with defined roles
- Implementing closed-loop referral management
- Creating care transition checklists and escalation pathways
- Utilising nurse navigators and advanced practice providers
- Reducing avoidable hospitalisations through proactive outreach
- Monitoring care gap closure rates across patient panels
Module 6: Data Infrastructure and Health Information Technology - Evaluating EHR capabilities for ACO reporting needs
- Data aggregation requirements across disparate systems
- Selecting and implementing population health platforms
- Ensuring real-time access to claims and clinical data
- Using risk stratification algorithms to prioritise interventions
- Developing patient registries by condition and risk level
- Creating dashboards for cost, utilisation, and quality
- Ensuring data accuracy and reconciliation between sources
- Implementing secure data sharing agreements
- Testing data latency and refresh frequency benchmarks
Module 7: Financial Modeling and Cost Management - Building a baseline cost model using historical claims
- Calculating total cost of care by attributed population
- Identifying high-cost utilisation patterns and outliers
- Projection modeling for shared savings potential
- Overhead budgeting for ACO operations and staffing
- Contracting with vendors and shared savings carve-outs
- Tracking administrative costs versus clinical spend
- Establishing financial controls and audit readiness
- Understanding benchmark updates and trend adjustments
- Preparing for reconciliation adjustments and clawbacks
Module 8: Quality Measurement and Performance Improvement - CMS core quality measures: overview and weightings
- Electronic Clinical Quality Measures (eCQMs) vs claims-based
- Data submission requirements via CMS Web Interface or QRDA
- Performance benchmarking against national peer groups
- Designing internal quality improvement cycles
- Conducting root cause analysis for underperforming measures
- Setting actionable performance targets by quarter
- Integrating quality feedback into provider evaluations
- Reducing variation in screening and preventive care delivery
- Improving patient experience scores through service design
Module 9: Risk Stratification and Population Health Management - Implementing validated risk scoring models (e.g., CMS-HCC)
- Segmenting attributed populations by risk level
- Targeting high-risk patients for intensive care management
- Designing outreach protocols for moderate-risk cohorts
- Automated flagging of deteriorating patient conditions
- Integrating social determinants of health into risk models
- Monitoring polypharmacy and high-risk medication use
- Reducing ED utilisation through predictive analytics
- Tracking longitudinal outcomes for complex care patients
- Creating feedback loops between clinical and data teams
Module 10: Care Management and Care Team Models - Designing tiered care management models by risk level
- Defining scope of practice for case managers and care coordinators
- Creating standardised care plans with measurable goals
- Documenting care management encounters in EHR systems
- Integrating behavioural health into primary care workflows
- Supporting patients with health literacy challenges
- Managing transitions of care across settings
- Using telephonic and virtual check-ins effectively
- Measuring care management impact on hospitalisations
- Scaling care teams using remote monitoring tools
Module 11: Physician Engagement and Provider Alignment - Assessing current levels of physician buy-in
- Designing communication strategies for provider outreach
- Hosting alignment workshops and roadshows
- Delivering provider-specific performance reports
- Establishing clinical champions and peer mentors
- Integrating quality data into physician compensation
- Addressing resistance through collaborative dialogue
- Creating shared ownership of cost and quality outcomes
- Supporting independent practices with resources
- Maintaining engagement through regular feedback loops
Module 12: Patient Engagement and Consumer-Centred Design - Mapping the patient journey across the care continuum
- Reducing barriers to access and care coordination
- Designing patient-friendly communication materials
- Implementing proactive outreach for preventive services
- Using automated reminders for screenings and follow-ups
- Enhancing patient access through extended hours
- Integrating patient-reported outcomes into care plans
- Measuring and improving patient satisfaction scores
- Reducing no-show rates through behavioural nudges
- Building trust with underserved and vulnerable populations
Module 13: Contracting and Payer Relationships - Negotiating ACO contracts with commercial payers
- Understanding payer-specific requirements and reporting
- Comparing performance guarantees and risk corridors
- Securing advance payments and working capital
- Negotiating bundled payments within ACO framework
- Managing payer audits and data requests
- Developing multi-payer alignment strategies
- Creating payer scorecards for performance transparency
- Building long-term relationships for contract renewals
- Resolving disputes over attribution and savings calculation
Module 14: Legal, Compliance, and Risk Mitigation - Antitrust compliance for provider collaboration
- Stark Law and Anti-Kickback Statute considerations
- Ensuring data privacy under HIPAA regulations
- Establishing compliance oversight committees
- Implementing internal audit protocols
- Documenting decision-making for regulatory defence
- Managing conflicts of interest in leadership
- Protecting against beneficiary intimidation claims
- Monitoring referral patterns for anomaly detection
- Preparing for CMS and OIG audits
Module 15: Performance Monitoring and Continuous Improvement - Setting up monthly performance review meetings
- Analysing trends in quality, cost, and utilisation
- Identifying outliers and investigating root causes
- Implementing rapid-cycle improvement projects
- Tracking progress against strategic plan milestones
- Adjusting targets based on performance data
- Using balanced scorecards for executive reporting
- Sharing performance insights with care teams
- Revising care protocols based on outcomes
- Embedding continuous improvement into culture
Module 16: Strategic Implementation Roadmap Development - Crafting a 12-month ACO implementation timeline
- Defining critical milestones and accountability owners
- Allocating resources by phase and department
- Integrating implementation with existing initiatives
- Creating cross-functional implementation teams
- Developing communication plans for staff and providers
- Establishing feedback mechanisms for course correction
- Preparing for go-live and launch readiness testing
- Documenting lessons learned from pilot phases
- Scaling successful components organisation-wide
Module 17: Advanced ACO Models and Future-Proofing - Transitioning from shared savings to full-risk models
- Preparing for capitated payment arrangements
- Implementing direct primary care integration
- Exploring ACO REACH and Global Budget Models
- Designing value-based insurance designs
- Partnering with employers and self-insured plans
- Integrating home-based care and palliative services
- Adopting predictive analytics for utilisation forecasting
- Investing in digital health platforms for scale
- Positioning your ACO as a preferred network partner
Module 18: Certification, Next Steps, and Career Advancement - Finalising your comprehensive ACO self-assessment report
- Submitting your strategic implementation plan for review
- Receiving feedback and validation from expert reviewers
- Earning your Certificate of Completion from The Art of Service
- Sharing your credential on LinkedIn and professional profiles
- Integrating your plan into executive leadership discussions
- Preparing for board presentation and funding approval
- Leveraging certification for internal promotions
- Joining the global network of ACO-trained professionals
- Accessing ongoing updates and implementation toolkits
- Conducting a comprehensive ACO maturity assessment
- Scoring clinical integration and operational alignment
- Evaluating data infrastructure and interoperability
- Assessing care management capacity and workforce capability
- Measuring leadership commitment and governance structure
- Financial viability analysis for ACO startup and sustainment
- Risk tolerance assessment across key stakeholder groups
- Identifying readiness gaps in performance measurement
- Mapping current contracts against ACO requirements
- Gap analysis reporting template and prioritisation matrix
Module 4: Governance Structure and Leadership Alignment - Designing effective ACO governing boards
- Board composition best practices by organisation size
- Defining roles and responsibilities for medical and administrative leadership
- Establishing bylaws and decision-making protocols
- Creating standing committees: quality, finance, compliance
- Developing accountability metrics for board members
- Aligning physician incentives with organisational goals
- Engaging independent providers in governance
- Conflict resolution frameworks for multi-entity ACOs
- Board meeting cadence and documentation standards
Module 5: Clinical Integration and Care Coordination - Stages of clinical integration: from alignment to accountability
- Standardising care pathways across provider networks
- Designing condition-specific clinical protocols for chronic disease
- Integrating preventive care into routine workflows
- Establishing accountable care teams with defined roles
- Implementing closed-loop referral management
- Creating care transition checklists and escalation pathways
- Utilising nurse navigators and advanced practice providers
- Reducing avoidable hospitalisations through proactive outreach
- Monitoring care gap closure rates across patient panels
Module 6: Data Infrastructure and Health Information Technology - Evaluating EHR capabilities for ACO reporting needs
- Data aggregation requirements across disparate systems
- Selecting and implementing population health platforms
- Ensuring real-time access to claims and clinical data
- Using risk stratification algorithms to prioritise interventions
- Developing patient registries by condition and risk level
- Creating dashboards for cost, utilisation, and quality
- Ensuring data accuracy and reconciliation between sources
- Implementing secure data sharing agreements
- Testing data latency and refresh frequency benchmarks
Module 7: Financial Modeling and Cost Management - Building a baseline cost model using historical claims
- Calculating total cost of care by attributed population
- Identifying high-cost utilisation patterns and outliers
- Projection modeling for shared savings potential
- Overhead budgeting for ACO operations and staffing
- Contracting with vendors and shared savings carve-outs
- Tracking administrative costs versus clinical spend
- Establishing financial controls and audit readiness
- Understanding benchmark updates and trend adjustments
- Preparing for reconciliation adjustments and clawbacks
Module 8: Quality Measurement and Performance Improvement - CMS core quality measures: overview and weightings
- Electronic Clinical Quality Measures (eCQMs) vs claims-based
- Data submission requirements via CMS Web Interface or QRDA
- Performance benchmarking against national peer groups
- Designing internal quality improvement cycles
- Conducting root cause analysis for underperforming measures
- Setting actionable performance targets by quarter
- Integrating quality feedback into provider evaluations
- Reducing variation in screening and preventive care delivery
- Improving patient experience scores through service design
Module 9: Risk Stratification and Population Health Management - Implementing validated risk scoring models (e.g., CMS-HCC)
- Segmenting attributed populations by risk level
- Targeting high-risk patients for intensive care management
- Designing outreach protocols for moderate-risk cohorts
- Automated flagging of deteriorating patient conditions
- Integrating social determinants of health into risk models
- Monitoring polypharmacy and high-risk medication use
- Reducing ED utilisation through predictive analytics
- Tracking longitudinal outcomes for complex care patients
- Creating feedback loops between clinical and data teams
Module 10: Care Management and Care Team Models - Designing tiered care management models by risk level
- Defining scope of practice for case managers and care coordinators
- Creating standardised care plans with measurable goals
- Documenting care management encounters in EHR systems
- Integrating behavioural health into primary care workflows
- Supporting patients with health literacy challenges
- Managing transitions of care across settings
- Using telephonic and virtual check-ins effectively
- Measuring care management impact on hospitalisations
- Scaling care teams using remote monitoring tools
Module 11: Physician Engagement and Provider Alignment - Assessing current levels of physician buy-in
- Designing communication strategies for provider outreach
- Hosting alignment workshops and roadshows
- Delivering provider-specific performance reports
- Establishing clinical champions and peer mentors
- Integrating quality data into physician compensation
- Addressing resistance through collaborative dialogue
- Creating shared ownership of cost and quality outcomes
- Supporting independent practices with resources
- Maintaining engagement through regular feedback loops
Module 12: Patient Engagement and Consumer-Centred Design - Mapping the patient journey across the care continuum
- Reducing barriers to access and care coordination
- Designing patient-friendly communication materials
- Implementing proactive outreach for preventive services
- Using automated reminders for screenings and follow-ups
- Enhancing patient access through extended hours
- Integrating patient-reported outcomes into care plans
- Measuring and improving patient satisfaction scores
- Reducing no-show rates through behavioural nudges
- Building trust with underserved and vulnerable populations
Module 13: Contracting and Payer Relationships - Negotiating ACO contracts with commercial payers
- Understanding payer-specific requirements and reporting
- Comparing performance guarantees and risk corridors
- Securing advance payments and working capital
- Negotiating bundled payments within ACO framework
- Managing payer audits and data requests
- Developing multi-payer alignment strategies
- Creating payer scorecards for performance transparency
- Building long-term relationships for contract renewals
- Resolving disputes over attribution and savings calculation
Module 14: Legal, Compliance, and Risk Mitigation - Antitrust compliance for provider collaboration
- Stark Law and Anti-Kickback Statute considerations
- Ensuring data privacy under HIPAA regulations
- Establishing compliance oversight committees
- Implementing internal audit protocols
- Documenting decision-making for regulatory defence
- Managing conflicts of interest in leadership
- Protecting against beneficiary intimidation claims
- Monitoring referral patterns for anomaly detection
- Preparing for CMS and OIG audits
Module 15: Performance Monitoring and Continuous Improvement - Setting up monthly performance review meetings
- Analysing trends in quality, cost, and utilisation
- Identifying outliers and investigating root causes
- Implementing rapid-cycle improvement projects
- Tracking progress against strategic plan milestones
- Adjusting targets based on performance data
- Using balanced scorecards for executive reporting
- Sharing performance insights with care teams
- Revising care protocols based on outcomes
- Embedding continuous improvement into culture
Module 16: Strategic Implementation Roadmap Development - Crafting a 12-month ACO implementation timeline
- Defining critical milestones and accountability owners
- Allocating resources by phase and department
- Integrating implementation with existing initiatives
- Creating cross-functional implementation teams
- Developing communication plans for staff and providers
- Establishing feedback mechanisms for course correction
- Preparing for go-live and launch readiness testing
- Documenting lessons learned from pilot phases
- Scaling successful components organisation-wide
Module 17: Advanced ACO Models and Future-Proofing - Transitioning from shared savings to full-risk models
- Preparing for capitated payment arrangements
- Implementing direct primary care integration
- Exploring ACO REACH and Global Budget Models
- Designing value-based insurance designs
- Partnering with employers and self-insured plans
- Integrating home-based care and palliative services
- Adopting predictive analytics for utilisation forecasting
- Investing in digital health platforms for scale
- Positioning your ACO as a preferred network partner
Module 18: Certification, Next Steps, and Career Advancement - Finalising your comprehensive ACO self-assessment report
- Submitting your strategic implementation plan for review
- Receiving feedback and validation from expert reviewers
- Earning your Certificate of Completion from The Art of Service
- Sharing your credential on LinkedIn and professional profiles
- Integrating your plan into executive leadership discussions
- Preparing for board presentation and funding approval
- Leveraging certification for internal promotions
- Joining the global network of ACO-trained professionals
- Accessing ongoing updates and implementation toolkits
- Stages of clinical integration: from alignment to accountability
- Standardising care pathways across provider networks
- Designing condition-specific clinical protocols for chronic disease
- Integrating preventive care into routine workflows
- Establishing accountable care teams with defined roles
- Implementing closed-loop referral management
- Creating care transition checklists and escalation pathways
- Utilising nurse navigators and advanced practice providers
- Reducing avoidable hospitalisations through proactive outreach
- Monitoring care gap closure rates across patient panels
Module 6: Data Infrastructure and Health Information Technology - Evaluating EHR capabilities for ACO reporting needs
- Data aggregation requirements across disparate systems
- Selecting and implementing population health platforms
- Ensuring real-time access to claims and clinical data
- Using risk stratification algorithms to prioritise interventions
- Developing patient registries by condition and risk level
- Creating dashboards for cost, utilisation, and quality
- Ensuring data accuracy and reconciliation between sources
- Implementing secure data sharing agreements
- Testing data latency and refresh frequency benchmarks
Module 7: Financial Modeling and Cost Management - Building a baseline cost model using historical claims
- Calculating total cost of care by attributed population
- Identifying high-cost utilisation patterns and outliers
- Projection modeling for shared savings potential
- Overhead budgeting for ACO operations and staffing
- Contracting with vendors and shared savings carve-outs
- Tracking administrative costs versus clinical spend
- Establishing financial controls and audit readiness
- Understanding benchmark updates and trend adjustments
- Preparing for reconciliation adjustments and clawbacks
Module 8: Quality Measurement and Performance Improvement - CMS core quality measures: overview and weightings
- Electronic Clinical Quality Measures (eCQMs) vs claims-based
- Data submission requirements via CMS Web Interface or QRDA
- Performance benchmarking against national peer groups
- Designing internal quality improvement cycles
- Conducting root cause analysis for underperforming measures
- Setting actionable performance targets by quarter
- Integrating quality feedback into provider evaluations
- Reducing variation in screening and preventive care delivery
- Improving patient experience scores through service design
Module 9: Risk Stratification and Population Health Management - Implementing validated risk scoring models (e.g., CMS-HCC)
- Segmenting attributed populations by risk level
- Targeting high-risk patients for intensive care management
- Designing outreach protocols for moderate-risk cohorts
- Automated flagging of deteriorating patient conditions
- Integrating social determinants of health into risk models
- Monitoring polypharmacy and high-risk medication use
- Reducing ED utilisation through predictive analytics
- Tracking longitudinal outcomes for complex care patients
- Creating feedback loops between clinical and data teams
Module 10: Care Management and Care Team Models - Designing tiered care management models by risk level
- Defining scope of practice for case managers and care coordinators
- Creating standardised care plans with measurable goals
- Documenting care management encounters in EHR systems
- Integrating behavioural health into primary care workflows
- Supporting patients with health literacy challenges
- Managing transitions of care across settings
- Using telephonic and virtual check-ins effectively
- Measuring care management impact on hospitalisations
- Scaling care teams using remote monitoring tools
Module 11: Physician Engagement and Provider Alignment - Assessing current levels of physician buy-in
- Designing communication strategies for provider outreach
- Hosting alignment workshops and roadshows
- Delivering provider-specific performance reports
- Establishing clinical champions and peer mentors
- Integrating quality data into physician compensation
- Addressing resistance through collaborative dialogue
- Creating shared ownership of cost and quality outcomes
- Supporting independent practices with resources
- Maintaining engagement through regular feedback loops
Module 12: Patient Engagement and Consumer-Centred Design - Mapping the patient journey across the care continuum
- Reducing barriers to access and care coordination
- Designing patient-friendly communication materials
- Implementing proactive outreach for preventive services
- Using automated reminders for screenings and follow-ups
- Enhancing patient access through extended hours
- Integrating patient-reported outcomes into care plans
- Measuring and improving patient satisfaction scores
- Reducing no-show rates through behavioural nudges
- Building trust with underserved and vulnerable populations
Module 13: Contracting and Payer Relationships - Negotiating ACO contracts with commercial payers
- Understanding payer-specific requirements and reporting
- Comparing performance guarantees and risk corridors
- Securing advance payments and working capital
- Negotiating bundled payments within ACO framework
- Managing payer audits and data requests
- Developing multi-payer alignment strategies
- Creating payer scorecards for performance transparency
- Building long-term relationships for contract renewals
- Resolving disputes over attribution and savings calculation
Module 14: Legal, Compliance, and Risk Mitigation - Antitrust compliance for provider collaboration
- Stark Law and Anti-Kickback Statute considerations
- Ensuring data privacy under HIPAA regulations
- Establishing compliance oversight committees
- Implementing internal audit protocols
- Documenting decision-making for regulatory defence
- Managing conflicts of interest in leadership
- Protecting against beneficiary intimidation claims
- Monitoring referral patterns for anomaly detection
- Preparing for CMS and OIG audits
Module 15: Performance Monitoring and Continuous Improvement - Setting up monthly performance review meetings
- Analysing trends in quality, cost, and utilisation
- Identifying outliers and investigating root causes
- Implementing rapid-cycle improvement projects
- Tracking progress against strategic plan milestones
- Adjusting targets based on performance data
- Using balanced scorecards for executive reporting
- Sharing performance insights with care teams
- Revising care protocols based on outcomes
- Embedding continuous improvement into culture
Module 16: Strategic Implementation Roadmap Development - Crafting a 12-month ACO implementation timeline
- Defining critical milestones and accountability owners
- Allocating resources by phase and department
- Integrating implementation with existing initiatives
- Creating cross-functional implementation teams
- Developing communication plans for staff and providers
- Establishing feedback mechanisms for course correction
- Preparing for go-live and launch readiness testing
- Documenting lessons learned from pilot phases
- Scaling successful components organisation-wide
Module 17: Advanced ACO Models and Future-Proofing - Transitioning from shared savings to full-risk models
- Preparing for capitated payment arrangements
- Implementing direct primary care integration
- Exploring ACO REACH and Global Budget Models
- Designing value-based insurance designs
- Partnering with employers and self-insured plans
- Integrating home-based care and palliative services
- Adopting predictive analytics for utilisation forecasting
- Investing in digital health platforms for scale
- Positioning your ACO as a preferred network partner
Module 18: Certification, Next Steps, and Career Advancement - Finalising your comprehensive ACO self-assessment report
- Submitting your strategic implementation plan for review
- Receiving feedback and validation from expert reviewers
- Earning your Certificate of Completion from The Art of Service
- Sharing your credential on LinkedIn and professional profiles
- Integrating your plan into executive leadership discussions
- Preparing for board presentation and funding approval
- Leveraging certification for internal promotions
- Joining the global network of ACO-trained professionals
- Accessing ongoing updates and implementation toolkits
- Building a baseline cost model using historical claims
- Calculating total cost of care by attributed population
- Identifying high-cost utilisation patterns and outliers
- Projection modeling for shared savings potential
- Overhead budgeting for ACO operations and staffing
- Contracting with vendors and shared savings carve-outs
- Tracking administrative costs versus clinical spend
- Establishing financial controls and audit readiness
- Understanding benchmark updates and trend adjustments
- Preparing for reconciliation adjustments and clawbacks
Module 8: Quality Measurement and Performance Improvement - CMS core quality measures: overview and weightings
- Electronic Clinical Quality Measures (eCQMs) vs claims-based
- Data submission requirements via CMS Web Interface or QRDA
- Performance benchmarking against national peer groups
- Designing internal quality improvement cycles
- Conducting root cause analysis for underperforming measures
- Setting actionable performance targets by quarter
- Integrating quality feedback into provider evaluations
- Reducing variation in screening and preventive care delivery
- Improving patient experience scores through service design
Module 9: Risk Stratification and Population Health Management - Implementing validated risk scoring models (e.g., CMS-HCC)
- Segmenting attributed populations by risk level
- Targeting high-risk patients for intensive care management
- Designing outreach protocols for moderate-risk cohorts
- Automated flagging of deteriorating patient conditions
- Integrating social determinants of health into risk models
- Monitoring polypharmacy and high-risk medication use
- Reducing ED utilisation through predictive analytics
- Tracking longitudinal outcomes for complex care patients
- Creating feedback loops between clinical and data teams
Module 10: Care Management and Care Team Models - Designing tiered care management models by risk level
- Defining scope of practice for case managers and care coordinators
- Creating standardised care plans with measurable goals
- Documenting care management encounters in EHR systems
- Integrating behavioural health into primary care workflows
- Supporting patients with health literacy challenges
- Managing transitions of care across settings
- Using telephonic and virtual check-ins effectively
- Measuring care management impact on hospitalisations
- Scaling care teams using remote monitoring tools
Module 11: Physician Engagement and Provider Alignment - Assessing current levels of physician buy-in
- Designing communication strategies for provider outreach
- Hosting alignment workshops and roadshows
- Delivering provider-specific performance reports
- Establishing clinical champions and peer mentors
- Integrating quality data into physician compensation
- Addressing resistance through collaborative dialogue
- Creating shared ownership of cost and quality outcomes
- Supporting independent practices with resources
- Maintaining engagement through regular feedback loops
Module 12: Patient Engagement and Consumer-Centred Design - Mapping the patient journey across the care continuum
- Reducing barriers to access and care coordination
- Designing patient-friendly communication materials
- Implementing proactive outreach for preventive services
- Using automated reminders for screenings and follow-ups
- Enhancing patient access through extended hours
- Integrating patient-reported outcomes into care plans
- Measuring and improving patient satisfaction scores
- Reducing no-show rates through behavioural nudges
- Building trust with underserved and vulnerable populations
Module 13: Contracting and Payer Relationships - Negotiating ACO contracts with commercial payers
- Understanding payer-specific requirements and reporting
- Comparing performance guarantees and risk corridors
- Securing advance payments and working capital
- Negotiating bundled payments within ACO framework
- Managing payer audits and data requests
- Developing multi-payer alignment strategies
- Creating payer scorecards for performance transparency
- Building long-term relationships for contract renewals
- Resolving disputes over attribution and savings calculation
Module 14: Legal, Compliance, and Risk Mitigation - Antitrust compliance for provider collaboration
- Stark Law and Anti-Kickback Statute considerations
- Ensuring data privacy under HIPAA regulations
- Establishing compliance oversight committees
- Implementing internal audit protocols
- Documenting decision-making for regulatory defence
- Managing conflicts of interest in leadership
- Protecting against beneficiary intimidation claims
- Monitoring referral patterns for anomaly detection
- Preparing for CMS and OIG audits
Module 15: Performance Monitoring and Continuous Improvement - Setting up monthly performance review meetings
- Analysing trends in quality, cost, and utilisation
- Identifying outliers and investigating root causes
- Implementing rapid-cycle improvement projects
- Tracking progress against strategic plan milestones
- Adjusting targets based on performance data
- Using balanced scorecards for executive reporting
- Sharing performance insights with care teams
- Revising care protocols based on outcomes
- Embedding continuous improvement into culture
Module 16: Strategic Implementation Roadmap Development - Crafting a 12-month ACO implementation timeline
- Defining critical milestones and accountability owners
- Allocating resources by phase and department
- Integrating implementation with existing initiatives
- Creating cross-functional implementation teams
- Developing communication plans for staff and providers
- Establishing feedback mechanisms for course correction
- Preparing for go-live and launch readiness testing
- Documenting lessons learned from pilot phases
- Scaling successful components organisation-wide
Module 17: Advanced ACO Models and Future-Proofing - Transitioning from shared savings to full-risk models
- Preparing for capitated payment arrangements
- Implementing direct primary care integration
- Exploring ACO REACH and Global Budget Models
- Designing value-based insurance designs
- Partnering with employers and self-insured plans
- Integrating home-based care and palliative services
- Adopting predictive analytics for utilisation forecasting
- Investing in digital health platforms for scale
- Positioning your ACO as a preferred network partner
Module 18: Certification, Next Steps, and Career Advancement - Finalising your comprehensive ACO self-assessment report
- Submitting your strategic implementation plan for review
- Receiving feedback and validation from expert reviewers
- Earning your Certificate of Completion from The Art of Service
- Sharing your credential on LinkedIn and professional profiles
- Integrating your plan into executive leadership discussions
- Preparing for board presentation and funding approval
- Leveraging certification for internal promotions
- Joining the global network of ACO-trained professionals
- Accessing ongoing updates and implementation toolkits
- Implementing validated risk scoring models (e.g., CMS-HCC)
- Segmenting attributed populations by risk level
- Targeting high-risk patients for intensive care management
- Designing outreach protocols for moderate-risk cohorts
- Automated flagging of deteriorating patient conditions
- Integrating social determinants of health into risk models
- Monitoring polypharmacy and high-risk medication use
- Reducing ED utilisation through predictive analytics
- Tracking longitudinal outcomes for complex care patients
- Creating feedback loops between clinical and data teams
Module 10: Care Management and Care Team Models - Designing tiered care management models by risk level
- Defining scope of practice for case managers and care coordinators
- Creating standardised care plans with measurable goals
- Documenting care management encounters in EHR systems
- Integrating behavioural health into primary care workflows
- Supporting patients with health literacy challenges
- Managing transitions of care across settings
- Using telephonic and virtual check-ins effectively
- Measuring care management impact on hospitalisations
- Scaling care teams using remote monitoring tools
Module 11: Physician Engagement and Provider Alignment - Assessing current levels of physician buy-in
- Designing communication strategies for provider outreach
- Hosting alignment workshops and roadshows
- Delivering provider-specific performance reports
- Establishing clinical champions and peer mentors
- Integrating quality data into physician compensation
- Addressing resistance through collaborative dialogue
- Creating shared ownership of cost and quality outcomes
- Supporting independent practices with resources
- Maintaining engagement through regular feedback loops
Module 12: Patient Engagement and Consumer-Centred Design - Mapping the patient journey across the care continuum
- Reducing barriers to access and care coordination
- Designing patient-friendly communication materials
- Implementing proactive outreach for preventive services
- Using automated reminders for screenings and follow-ups
- Enhancing patient access through extended hours
- Integrating patient-reported outcomes into care plans
- Measuring and improving patient satisfaction scores
- Reducing no-show rates through behavioural nudges
- Building trust with underserved and vulnerable populations
Module 13: Contracting and Payer Relationships - Negotiating ACO contracts with commercial payers
- Understanding payer-specific requirements and reporting
- Comparing performance guarantees and risk corridors
- Securing advance payments and working capital
- Negotiating bundled payments within ACO framework
- Managing payer audits and data requests
- Developing multi-payer alignment strategies
- Creating payer scorecards for performance transparency
- Building long-term relationships for contract renewals
- Resolving disputes over attribution and savings calculation
Module 14: Legal, Compliance, and Risk Mitigation - Antitrust compliance for provider collaboration
- Stark Law and Anti-Kickback Statute considerations
- Ensuring data privacy under HIPAA regulations
- Establishing compliance oversight committees
- Implementing internal audit protocols
- Documenting decision-making for regulatory defence
- Managing conflicts of interest in leadership
- Protecting against beneficiary intimidation claims
- Monitoring referral patterns for anomaly detection
- Preparing for CMS and OIG audits
Module 15: Performance Monitoring and Continuous Improvement - Setting up monthly performance review meetings
- Analysing trends in quality, cost, and utilisation
- Identifying outliers and investigating root causes
- Implementing rapid-cycle improvement projects
- Tracking progress against strategic plan milestones
- Adjusting targets based on performance data
- Using balanced scorecards for executive reporting
- Sharing performance insights with care teams
- Revising care protocols based on outcomes
- Embedding continuous improvement into culture
Module 16: Strategic Implementation Roadmap Development - Crafting a 12-month ACO implementation timeline
- Defining critical milestones and accountability owners
- Allocating resources by phase and department
- Integrating implementation with existing initiatives
- Creating cross-functional implementation teams
- Developing communication plans for staff and providers
- Establishing feedback mechanisms for course correction
- Preparing for go-live and launch readiness testing
- Documenting lessons learned from pilot phases
- Scaling successful components organisation-wide
Module 17: Advanced ACO Models and Future-Proofing - Transitioning from shared savings to full-risk models
- Preparing for capitated payment arrangements
- Implementing direct primary care integration
- Exploring ACO REACH and Global Budget Models
- Designing value-based insurance designs
- Partnering with employers and self-insured plans
- Integrating home-based care and palliative services
- Adopting predictive analytics for utilisation forecasting
- Investing in digital health platforms for scale
- Positioning your ACO as a preferred network partner
Module 18: Certification, Next Steps, and Career Advancement - Finalising your comprehensive ACO self-assessment report
- Submitting your strategic implementation plan for review
- Receiving feedback and validation from expert reviewers
- Earning your Certificate of Completion from The Art of Service
- Sharing your credential on LinkedIn and professional profiles
- Integrating your plan into executive leadership discussions
- Preparing for board presentation and funding approval
- Leveraging certification for internal promotions
- Joining the global network of ACO-trained professionals
- Accessing ongoing updates and implementation toolkits
- Assessing current levels of physician buy-in
- Designing communication strategies for provider outreach
- Hosting alignment workshops and roadshows
- Delivering provider-specific performance reports
- Establishing clinical champions and peer mentors
- Integrating quality data into physician compensation
- Addressing resistance through collaborative dialogue
- Creating shared ownership of cost and quality outcomes
- Supporting independent practices with resources
- Maintaining engagement through regular feedback loops
Module 12: Patient Engagement and Consumer-Centred Design - Mapping the patient journey across the care continuum
- Reducing barriers to access and care coordination
- Designing patient-friendly communication materials
- Implementing proactive outreach for preventive services
- Using automated reminders for screenings and follow-ups
- Enhancing patient access through extended hours
- Integrating patient-reported outcomes into care plans
- Measuring and improving patient satisfaction scores
- Reducing no-show rates through behavioural nudges
- Building trust with underserved and vulnerable populations
Module 13: Contracting and Payer Relationships - Negotiating ACO contracts with commercial payers
- Understanding payer-specific requirements and reporting
- Comparing performance guarantees and risk corridors
- Securing advance payments and working capital
- Negotiating bundled payments within ACO framework
- Managing payer audits and data requests
- Developing multi-payer alignment strategies
- Creating payer scorecards for performance transparency
- Building long-term relationships for contract renewals
- Resolving disputes over attribution and savings calculation
Module 14: Legal, Compliance, and Risk Mitigation - Antitrust compliance for provider collaboration
- Stark Law and Anti-Kickback Statute considerations
- Ensuring data privacy under HIPAA regulations
- Establishing compliance oversight committees
- Implementing internal audit protocols
- Documenting decision-making for regulatory defence
- Managing conflicts of interest in leadership
- Protecting against beneficiary intimidation claims
- Monitoring referral patterns for anomaly detection
- Preparing for CMS and OIG audits
Module 15: Performance Monitoring and Continuous Improvement - Setting up monthly performance review meetings
- Analysing trends in quality, cost, and utilisation
- Identifying outliers and investigating root causes
- Implementing rapid-cycle improvement projects
- Tracking progress against strategic plan milestones
- Adjusting targets based on performance data
- Using balanced scorecards for executive reporting
- Sharing performance insights with care teams
- Revising care protocols based on outcomes
- Embedding continuous improvement into culture
Module 16: Strategic Implementation Roadmap Development - Crafting a 12-month ACO implementation timeline
- Defining critical milestones and accountability owners
- Allocating resources by phase and department
- Integrating implementation with existing initiatives
- Creating cross-functional implementation teams
- Developing communication plans for staff and providers
- Establishing feedback mechanisms for course correction
- Preparing for go-live and launch readiness testing
- Documenting lessons learned from pilot phases
- Scaling successful components organisation-wide
Module 17: Advanced ACO Models and Future-Proofing - Transitioning from shared savings to full-risk models
- Preparing for capitated payment arrangements
- Implementing direct primary care integration
- Exploring ACO REACH and Global Budget Models
- Designing value-based insurance designs
- Partnering with employers and self-insured plans
- Integrating home-based care and palliative services
- Adopting predictive analytics for utilisation forecasting
- Investing in digital health platforms for scale
- Positioning your ACO as a preferred network partner
Module 18: Certification, Next Steps, and Career Advancement - Finalising your comprehensive ACO self-assessment report
- Submitting your strategic implementation plan for review
- Receiving feedback and validation from expert reviewers
- Earning your Certificate of Completion from The Art of Service
- Sharing your credential on LinkedIn and professional profiles
- Integrating your plan into executive leadership discussions
- Preparing for board presentation and funding approval
- Leveraging certification for internal promotions
- Joining the global network of ACO-trained professionals
- Accessing ongoing updates and implementation toolkits
- Negotiating ACO contracts with commercial payers
- Understanding payer-specific requirements and reporting
- Comparing performance guarantees and risk corridors
- Securing advance payments and working capital
- Negotiating bundled payments within ACO framework
- Managing payer audits and data requests
- Developing multi-payer alignment strategies
- Creating payer scorecards for performance transparency
- Building long-term relationships for contract renewals
- Resolving disputes over attribution and savings calculation
Module 14: Legal, Compliance, and Risk Mitigation - Antitrust compliance for provider collaboration
- Stark Law and Anti-Kickback Statute considerations
- Ensuring data privacy under HIPAA regulations
- Establishing compliance oversight committees
- Implementing internal audit protocols
- Documenting decision-making for regulatory defence
- Managing conflicts of interest in leadership
- Protecting against beneficiary intimidation claims
- Monitoring referral patterns for anomaly detection
- Preparing for CMS and OIG audits
Module 15: Performance Monitoring and Continuous Improvement - Setting up monthly performance review meetings
- Analysing trends in quality, cost, and utilisation
- Identifying outliers and investigating root causes
- Implementing rapid-cycle improvement projects
- Tracking progress against strategic plan milestones
- Adjusting targets based on performance data
- Using balanced scorecards for executive reporting
- Sharing performance insights with care teams
- Revising care protocols based on outcomes
- Embedding continuous improvement into culture
Module 16: Strategic Implementation Roadmap Development - Crafting a 12-month ACO implementation timeline
- Defining critical milestones and accountability owners
- Allocating resources by phase and department
- Integrating implementation with existing initiatives
- Creating cross-functional implementation teams
- Developing communication plans for staff and providers
- Establishing feedback mechanisms for course correction
- Preparing for go-live and launch readiness testing
- Documenting lessons learned from pilot phases
- Scaling successful components organisation-wide
Module 17: Advanced ACO Models and Future-Proofing - Transitioning from shared savings to full-risk models
- Preparing for capitated payment arrangements
- Implementing direct primary care integration
- Exploring ACO REACH and Global Budget Models
- Designing value-based insurance designs
- Partnering with employers and self-insured plans
- Integrating home-based care and palliative services
- Adopting predictive analytics for utilisation forecasting
- Investing in digital health platforms for scale
- Positioning your ACO as a preferred network partner
Module 18: Certification, Next Steps, and Career Advancement - Finalising your comprehensive ACO self-assessment report
- Submitting your strategic implementation plan for review
- Receiving feedback and validation from expert reviewers
- Earning your Certificate of Completion from The Art of Service
- Sharing your credential on LinkedIn and professional profiles
- Integrating your plan into executive leadership discussions
- Preparing for board presentation and funding approval
- Leveraging certification for internal promotions
- Joining the global network of ACO-trained professionals
- Accessing ongoing updates and implementation toolkits
- Setting up monthly performance review meetings
- Analysing trends in quality, cost, and utilisation
- Identifying outliers and investigating root causes
- Implementing rapid-cycle improvement projects
- Tracking progress against strategic plan milestones
- Adjusting targets based on performance data
- Using balanced scorecards for executive reporting
- Sharing performance insights with care teams
- Revising care protocols based on outcomes
- Embedding continuous improvement into culture
Module 16: Strategic Implementation Roadmap Development - Crafting a 12-month ACO implementation timeline
- Defining critical milestones and accountability owners
- Allocating resources by phase and department
- Integrating implementation with existing initiatives
- Creating cross-functional implementation teams
- Developing communication plans for staff and providers
- Establishing feedback mechanisms for course correction
- Preparing for go-live and launch readiness testing
- Documenting lessons learned from pilot phases
- Scaling successful components organisation-wide
Module 17: Advanced ACO Models and Future-Proofing - Transitioning from shared savings to full-risk models
- Preparing for capitated payment arrangements
- Implementing direct primary care integration
- Exploring ACO REACH and Global Budget Models
- Designing value-based insurance designs
- Partnering with employers and self-insured plans
- Integrating home-based care and palliative services
- Adopting predictive analytics for utilisation forecasting
- Investing in digital health platforms for scale
- Positioning your ACO as a preferred network partner
Module 18: Certification, Next Steps, and Career Advancement - Finalising your comprehensive ACO self-assessment report
- Submitting your strategic implementation plan for review
- Receiving feedback and validation from expert reviewers
- Earning your Certificate of Completion from The Art of Service
- Sharing your credential on LinkedIn and professional profiles
- Integrating your plan into executive leadership discussions
- Preparing for board presentation and funding approval
- Leveraging certification for internal promotions
- Joining the global network of ACO-trained professionals
- Accessing ongoing updates and implementation toolkits
- Transitioning from shared savings to full-risk models
- Preparing for capitated payment arrangements
- Implementing direct primary care integration
- Exploring ACO REACH and Global Budget Models
- Designing value-based insurance designs
- Partnering with employers and self-insured plans
- Integrating home-based care and palliative services
- Adopting predictive analytics for utilisation forecasting
- Investing in digital health platforms for scale
- Positioning your ACO as a preferred network partner