V99 - Value Based Care Initiatives: Current Status, Major Trends and Future Changes


June 16, 2016

  • External Forces & Industry Knowledge

Presented by

Predictive Analytics and Futurism, Product Development, Reinsurance and Social Insurance & Public Finance sections


This session will provide an update on the CMS and commercial market value based care initiatives and major trends for the commercial, MSSP, Pioneer, Next Gen ACOs; BPCI, CCJR, OCM, PCMH and value purchasing for Medicare FFS programs. This session will also describe the changes to occur in the next five years as promulgated by CMS.

At the conclusion of the session, attendees will be able to:

  • Describe the various value based care initiatives in the commercial and government markets;
  • Demonstrate an understanding of the relative importance of value based care initiatives; and
  • Explain the future changes promulgated by CMS that will occur and their likely implications.




Demonstrating the listening, writing and speaking skills required to effectively address diverse technical and nontechnical audiences in both formal and informal settings.

Professional Values

Adhering to standards of professional conduct and practice where all business interactions are based on a foundation of integrity, honesty and impartiality.

External Forces & Industry Knowledge

Identifying and incorporating the implications of economic, social, regulatory, geo-political and business changes into the design and delivery of actuarial solutions.


Initiating, innovating, inspiring, creating or otherwise acting to influence others regardless of level or role toward a common goal.

Relationship Management & Interpersonal Collaboration

Creating mutually beneficial relationships and work processes toward a common goal.

Technical Skills & Analytical Problem Solving

Applying the actuarial knowledge, skills and judgment required to provide value-added services.

Strategic Insight & Integration

Anticipating trends and strategically aligning actuarial practice with broader organizational business goals.

Results-Oriented Solutions

Providing effective problem solving that addresses relevant interests and needs.