Value-based contracting: the basics

Learn about value-based contracting and the actuarial analytics behind it in an easy-to-understand and practical way. Get firsthand insights shared by a provider and a payer engaged in real-world value-based contracts.

How do you actually do “value-based care”?

We’ll start by getting the lay of the land and understanding what it means to enter into a value-based contract, followed by value-based care analytics 101. Each day we’lll discuss tactical steps along with real-life examples. If you’re saying “oh we’ll do this when we are ready for VBC” you’re thinking about this too late.
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Things You'll Get From This Course

Breakdowns

We’ll cover building a financial business case, VBC metrics, data required, stakeholders involved.
1

Expert Instructors

The presenters live, eat, breathe, and sleep actuarial and med econ analytics. They know value-based contracts.
2

Tactical Next Steps

Whether you are already in VBC contracts or are in FFS arrangements, after this course you will know what you need to start doing to confidently take on risk in a value-based care landscape.
3

Case Studies

We’ll hear from guest lecturers that have actually operated in value-based care contracts
4

Meet Your Instructor,

Meet Your Instructors

Frank Cheung, FSA, MAAA

Frank Cheung is the Co-Founder and CEO of Accorded, an actuarial intelligence company. A health actuary with over 18 years of experience, Frank has supported providers, health plans, employer groups, and public entities with strategy, pricing, budgeting and forecasting, reimbursement, and risk management. Prior to founding Accorded, he led actuarial, risk, and advanced analytics teams at Blue Shield of California, Deloitte Consulting, and Collective Health. Frank is a Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries.

Ernie Valente, PhD

Ernie Valente is a Solutions Advisor at Accorded, an actuarial intelligence company. He brings over two decades of expertise in healthcare payment models, cost and quality measurement, and health services research to Accorded. With leadership roles at United Healthcare and Optum, Ernie led the development of alternative payment methods and advised on payment and network strategies. At the Blue Cross Blue Shield plans in Minnesota and California, he directed large analytical teams focused on measuring healthcare quality and efficiency.

Ernie holds a Ph.D. and M.A. from the University of North Carolina at Chapel Hill.

Course Syllabus & Schedule

Module 1

Day 1

Intro, Getting Ready for a Value-Based Contract

(6/25, 12-130 PM ET)

We will start by discussing common pitfalls for providers, particularly in specialty care, when they try to take on risk. Then we will cover the milestones that you need to be aware of before negotiating a value-based contract and what it will mean for your business to effectively navigate risk.

Module 2

Day 2

Value-Based Care Analytics

(6/26, 12-130 PM ET)

We walk through the main metrics that make up a value-based contract including inclusion criteria, outlier risk, budget trends, and financial incentives / risk. We will cover the types of data you need and the actuarial analysis that’s required. Because (thankfully) not everyone is an actuary, we will discuss how to set up these analytical work streams.

Module 3

Day 3

Firsthand Accounts, from VBC Contract to Operations

(6/27, 12-130 PM ET)

VBC contracts require work. Learn from industry experts from both sides of the contract on how they went about it, mistakes they won’t repeat, secrets they are willing to share. Come with the VBC questions you want answered.

Module 4

Day 4

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Module 5

Day 5

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Module 6

Day 6

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Module 7

Day 7

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Module 8

Day 8

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Module 9

Day 9

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Module 10

Day 10

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Frequently Asked Questions

Who is this course for?

Anyone who wants to learn about value-based contracts, the role actuarial science plays, and the data and analysis that supports value-based care. 

  • Healthcare companies of any size  trying to take on risk and start their value-based care journey to improve patient health and cost outcomes
  • Healthcare industry vets trying to find efficiency in value-based contracting workflows
  • Anyone that’s heard “value-based care” talked about in a panel and just nodded along out of politeness but weren’t sure what they actually meant and now want to learn more.

How much is it?

Free. Now that’s value.

Do I have to be at every session?

No, but our feelings will be hurt if you skip class.

Is there a lot of work?

What you put in is what you get out. But we are not starting from “what is value-based care?” so come prepared having done pre-read homework before Day 1.