Journey to NextGen ACO at KentuckyOne

Don Lovasz, President, KentuckyOne Health Partners. While forming the health system 4 years ago, CHI’s KentuckyOne also created its Accountable Care Organization (ACO). Currently the KentuckyOne Health Partners (KHP) ACO is ranked in the top decile nationally among over 400 ACOs across the country in terms of quality, total medical spend savings, and covered lives. Becoming a NextGen ACO in January 2017 with two-sided risk has moved the KHP ACO into a consumer model, whereby Medicare beneficiaries can actively select KHP as their care management company. Care managers from KHP will follow their patients across sites of care, resulting in enhanced care transitions, improved clinical outcomes, and reduced medical cost. Don will share lessons learned from this journey, reflecting on critical success factors including technology investments, payer and provider contracting, and care management infrastructure.