Health Industry Forum

October 14, 2010

Accountable Care Organizations: Implications for Consumers

Co-Sponsored by the Aetna Foundation and America's Health Insurance Plans

The movement towards ACOs will create many changes for health care consumers. A core issue will be striking an appropriate balance between the broad level of choice that consumers have come to expect with the mandate for ACOs to coordinate care and manage expenditures within delivery networks. This meeting explored potential changes in insurance benefit and network design to align consumer incentives with accountable care, and strategies for hospitals, physicians, and employers to more effectively engage patients in decision making and improve their own health. The forum included a keynote address by CMS Administrator Donald Berwick on the role of ACOs in improving the value of health care services for Medicare beneficiaries.



Conference Report


ACO's: An Introduction to the Coming Debate
Stuart Altman, PhD, Professor of National Health Policy, Brandeis University

ACO's: The Consumer Perspective
Kirsten Sloan, Vice President, National Partnership for Women & Families

ACO’s: Integration or Market Dominance?
Robert Galvin, MD, CEO, Equity Healthcare, the Blackstone Group

Benefit Design and ACOs – Employer and Health Plan Issues
John Bertko, FSA, Visiting Scholar, Brookings

Driving Meaningful Change
Dianne Kiehl, RN, Executive Director, Business Health Care Group

Accountable Care Organizations & Consumerism
Steve Lafferty, Director of Health Benefits, Target

Benefit Design and ACOs
Jeffrey Rice, MD, JD, Aetna - Accountable Care Solutions, Aetna

Benefit Design and ACOs
Samuel Nussbaum, MD, EVP Clinical Health Policy and Chief Medical Officer, Wellpoint, Inc.

NCCN Overview
Patricia Goldsmith, Executive Vice President / Chief Operating Officer, National Comprehensive Cancer Network

How Will ACO’s Engage Patients?
Dick Salmon, MD, PhD, National Medical Executive Performance Measurement and Improvement, CIGNA Healthcare