AMGA, Lightbeam Health Solutions Announce Collaborative to Help Health Systems and Providers Excel in Medicare Advantage

Thursday, March 28, 2019

Lightbeam Health Solutions, a leader in end-to-end population health management solutions and services, and the American Medical Group Association (AMGA), a trade association leading healthcare transformation, announced today an 18-month collaborative to help health systems and provider groups maximize the effectiveness of Medicare Advantage (MA) and other value-based contracts. The collaborative will feature content focused on streamlining operational workflows, health outcomes, the patient experience, and increasing coding accuracy.

This initiative will follow AMGA’s successful learning collaborative framework, which has been used in over a dozen collaboratives to deliver measurably improved care and reduced costs. AMGA participants are invited to enroll in the collaborative no later than 5:30 p.m. (PDT) Monday, May 13. Enrollment is on a first come, first-serve basis. The collaborative will begin September of 2019.

This new collaborative will help position AMGA members to excel in MA by aligning with “Triple Aim plus One.” The collaborative will cover developing risk-based infrastructure; understanding and managing patient populations through risk stratification, data analytics, clinical programs, and home-based care. It also seeks to explore how provider groups can transform care delivery systems to meet the socioeconomic and behavioral needs of patients with MA coverage and ensure compliance with documentation regulations while engaging physicians in the process.

AMGA participants will have the opportunity to learn from industry experts on areas including best practices in how to take on downside risk in MA plans, how to develop care models to manage chronic conditions, and how to utilize technology including analytics and predictive modeling to identify and proactively care for high-risk or high-cost groups of patients.

Participants will also learn how to work with health plans to agree upon financial consideration and contract terms, the methodology on how CMS rates those plans and what it means for group practices, and how provider groups can implement care management to satisfy the needs of their patient population.

“As AMGA member organizations continue their journey towards high performance, we see MA strategies as a natural progression,” said Jorge Miranda, EVP & Chief Revenue Officer of Lightbeam Health Solutions. “Organized systems of care are well positioned to execute on population health best practices that will further reduce unnecessary utilization and improve outcomes. We are honored to have been selected by AMGA to participate in this collaborative.”