The first year of Medicare Advantage delegation presents a significant challenge: while frameworks are in place, operational structures must be developed for population health management (PHM) to function effectively. This session shares Cleveland Clinic’s real-world experience translating PHM frameworks into governance, workflows, workforce readiness and data/reporting systems that meet NCQA Health Plan Accreditation (HPA) standards.
 
Learn innovative, actionable strategies for implementing risk stratification, care coordination workflows, audit-ready documentation, and dashboards that support compliance and high-quality, person-centered care. Additionally, explore the vital role of multidisciplinary workforce training for care coordinators and quality staff in achieving success.

Early successes, lessons learned and ongoing course corrections are presented to provide practical takeaways that other health systems and delegated entities can replicate when implementing PHM programs under Medicare Advantage or other value-based contracts.

Learning Objectives:
•    Describe the operational structures needed to translate population health management (PHM) frameworks into functional delegated workflows.
•    Identify workforce strategies for multi-disciplinary training and engagement of care coordinators and quality staff.
•    Apply practical steps to integrate governance, workflows and dashboards into daily operations.
•    Recognize lessons learned from year-one delegation applicable to other health systems.