Understanding BPCI A For Skilled Nursing Facilities
|
|
- Florence Smith
- 5 years ago
- Views:
Transcription
1 Understanding BPCI A For Skilled Nursing Facilities February 20, 2018 Deanna L. Stephenson Director, Managed Programs
2 Learning Objectives Timeline for implementation How skilled nursing facilities will participate Criteria that skilled nursing facilities must meet for inclusion into initiative Describe model payment and pricing methodology
3 Bundled Payments for Care Improvement BPCI In 2013 The Centers for Medicare and Medicaid Innovation (CMMI) launched BPCI to test bundled payments with acute and post acute providers. 48 clinical episodes were involved. Episodes included inpatient acute care, 30,60 or episodes that included 90 days post discharge
4 CJR Comprehensive Care for Joint Replacement (CJR) In April MSA s (now 34) 48 clinical episodes were involved. Episodes included inpatient acute care, 30,60 or episodes that included 90 days post discharge
5 Episode Payment Models EPM s Short lived initiative announced in 2016 Tested 90 day bundled payment model for heart attack, bypass surgery, and hip /femur fracture treatment Initiative canceled in 2017
6 BPCI Advanced BPCI A Voluntary payment model Single payment and risk track with a 90 day episode period 29 Inpatient Clinical Episodes 3 Outpatient Clinical Episodes Qualifies as Advanced Alternative Payment Model, tied to performance on quality measures Preliminary pricing provided prospectively
7 BPCI A Objectives Care Redesign Data Analysis and Feedback Financial Accountability Health Care Provider Engagement Patient and Caregiver Engagement
8 Questions
9 What is Different between BPCI A and BPCI 1.0 BPCI A BPCI 1.0 Clinical Episodes 29 IP Episodes, 3 OP Episodes 48 IP conditions Episode Initiator Hospitals, Physician Groups Hospitals, Physician Groups, PAC Providers Episode duration 90 days 30,60 or 90 days Reconciliation Semi- annual Quarterly Pricing Prospective based on blend of historical and regional, risk adjusted Is Program Voluntary Yes Yes Risk Adjusted- tied to quality Yes No EHR technology required Yes problematic for PAC! Retrospective based on historical performance NOT risk adjusted
10 BPCI A Implementation Timeline GO LIVE October 1 st 2018 January 9 th - CMS Request for applications January 11 th Application portal opens March 12 th Application portal closes June 2018 CMS offers Participant Agreements to Applicants August 2018 Signed Participant Agreements due to CMS October 1 st GO LIVE January 1, 2020 Next application period
11 How do SNFs Participate in BPCI A Only hospitals and physician groups can initiate episodes under BPCI A. SNFs and other downstream providers can participate as NPRA (Net Payment Reconciliation Amount) Sharing Partners NPRA Sharing Partners can share risk with Convener and Episode Initiators (hospitals or physician groups) & with other downstream providers, physicians, accountable care groups and other PAC providers. NPRA payment capped at 50% of total Medicare FFS expenditure for the clinical episode.
12 3 Potential Roles SNFs Can Play in BPCI A 1. Preferred Referral Partner Supports Conveners/ Episode Initiators Part of preferred network for BPCI patients Do not assume financial risk 2. Risk Sharing Partner Supports Conveners /Episode Initiators Assume financial risk for BPCI patients Agreement may include SNF stay only or all PAC services 3. BPCI A Convener Directly Participates (most difficult) Assume financial risk for entire episode Identify and manage episode initiators
13 Preferred Referral Partner Receives patients from wide referral network Not a lot of experience in a risk environment Does not have strong market relationships Operate among peers in a competitive environment Maintains current referral sources in a live market without assuming any formal financial risk --- most safe
14 Risk Sharing Partner May be in relationships with physicians, ACOs and PAC providers MUST have a written agreement with convener or episode initiator Can accept risk for SNF stay or 90 day episode SNF can take a larger role and manage the entire PAC 90 day episode Can only share 50% of total Medicare FFS spending for clinical episode This is sharing financial risk ( upside and downside) - more risk
15 BPCI A Convener Contracts directly with CMS on behalf of Episode Initiators Must be able to provide proof of organizational ability to assume financial risk ( CMS provides specific amount) Must meet EHR requirements Implement care design initiatives specific to quality measures Report on all quality measures Be able to identify any and all sharing agreements This is most risk
16 Preferred Referral Partner Provide high quality SNF care SNF Evaluation Develop strong relationships with referral partners Risk Sharing Partner All the above + financial risk, achievement of goals and development of other downstream providers. BPCI A Convener All the above + manage hospital / physician group episode initiators, use EHR technology and manage claims data coming from CM
17 How to Be A Strategic SNF Identify hospitals and physicians that you have strong relationships with to create partnership and relationships You have got to know how your data works including trends and be able to compare yourself to your peers Develop a portfolio to be able to present all your strengths to other providers
18 What About BPCI Model 3? Model 3 made most sense for PAC providers to advance to Providers could actually formulate outcomes for patients and report to CMS Model 3 has 550 SNFs enrolled in BPCI Phase 2 The Ask: Make BPCI A more flexible in order to allow more SNF participation
19 BPCI A Cons Loses progress made in BPCI Model 3 Missed opportunities to create Physician SNF partnerships and prevent re-hospitalizations
20 Resources Questions on BPCI Application process: BPCI Additional Information:
21
22 Deanna Stephenson Director, Managed Programs
23
Bundled Payments for Care Improvement Advanced (BPCI Advanced)
January 26, 2018 Bundled Payments for Care Improvement Advanced (BPCI Advanced) Introduction and Background The Centers for Medicare & Medicaid Services (CMS) has had a history of reviewing existing payment
More informationRE: Bundled Payments for Care Improvement Advanced. Dear Ms. Verma:
Seema Verma Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue, S.W., Room 445-G Washington, DC 20201 RE: Bundled Payments for Care Improvement Advanced
More informationBPCI Advanced and Bundled Payment Overview. Ann Conrath, Director of Business Development
BPCI Advanced and Bundled Payment Overview Ann Conrath, Director of Business Development SIGNATURE MEDICAL GROUP Multi-specialty physician group with more than 160 physicians and 500,000 patient visits
More informationCMS RELEASES BPCI SECOND ANNUAL EVALUATION REPORT
CMS RELEASES BPCI SECOND ANNUAL EVALUATION REPORT Introduction On September 19, 2016, CMS released the second annual evaluation report for Models 2-4 of the Bundled Payments for Care Improvement (BPCI)
More informationBPCI Advanced Lauren Kuenstner, MPH Keith Horvath, MD Phoebe Ramsey, JD
BPCI Advanced Lauren Kuenstner, MPH Keith Horvath, MD Phoebe Ramsey, JD February 8, 2017 Start Date Timeframe BPCI Advanced Program Overview OCTOBER 1, 2018 6 PERFORMANCE YEARS Savings CONTINGENT ON COST
More informationCMS APPROVES BUNDLED PAYMENT FOR CARE IMPROVEMENT ADVANCED (BPCI-A) Ready. Set. Go? EDWARD STALL, CRAIG TOLBERT AND MICHAEL WOLFORD
CMS APPROVES BUNDLED PAYMENT FOR CARE IMPROVEMENT ADVANCED (BPCI-A) Ready. Set. Go? BY EDWARD STALL, CRAIG TOLBERT AND MICHAEL WOLFORD BPCI ADVANCED (BPCI-A) // READY. SET. GO? I. BPCI ADVANCED AND THE
More informationIn formulating the structure of Advanced BPCI, SHM asks that CMS keep the following recommendations in mind:
March 9, 2017 Amy Bassano, Acting Director Center for Medicare and Medicaid Innovation Centers for Medicare and Medicaid Services 7500 Security Blvd. Baltimore, MD 21244 Dear Ms. Bassano: The Society of
More informationMACRA Session 3: Alternative Payment Model Planning Key Elements. June 13, 2016/ 12:00-1:00 PM EST
MACRA Session 3: Alternative Payment Model Planning Key Elements June 13, 2016/ 12:00-1:00 PM EST How to Participate Today 2 Today s Presenters Craig Tolbert Principal, DHG Healthcare Works in the DHG
More informationHow to Succeed with Bundled Payments
A Programmatic Approach for Sustainable Change The Centers for Medicare and Medicaid Services (CMS) recently published its final CMS decision to move forward with the ruling for the Comprehensive Care
More informationBundled Payments for Care Improvement Decisions THE FIRST IN DHG HEALTHCARE S SERIES ON BUNDLED PAYMENTS October 2014
WHAT HEALTHCARE EXECUTIVES SHOULD CONSIDER IN Bundled Payments for Care Improvement Decisions THE FIRST IN DHG HEALTHCARE S SERIES ON BUNDLED PAYMENTS October 2014 Melinda Hancock PARTNER Melinda.Hancock@dhgllp.com
More informationQuality Payment Program. Quality Payment Program (QPP) Overview
Quality Payment Program (QPP) Overview 1 The Quality Payment Program Mission: We will work to earn the trust of clinicians and patients by designing, implementing and constantly evolving a quality payment
More informationA New Day in Orthopedic Devices. Proven Products + Highest Quality Manufacturing + Lowest Cost = WE WIN!
A New Day in Orthopedic Devices Proven Products + Highest Quality Manufacturing + Lowest Cost = WE WIN! August 26, 2016 THE PROBLEM: UNSUSTAINABLE ORTHOPEDIC SURGERY AND DEVICE COSTS Aging, active population:
More informationTableau and Cerner's HealtheIntent Advancing health and care
Welcome # T C 1 8 Tableau and Cerner's HealtheIntent Advancing health and care Peter Smart Senior Director & Solution Executive, Analytics Cerner Corporation Agenda About Cerner Cerner and Tableau Population
More informationEnabling Sustainability Under Value-Based Care. October 28, 2016
Enabling Sustainability Under Value-Based Care October 28, 2016 2 Agenda 1 Transition from Volume to Value 2 Foundations of Population Health Management 3 Clinical Integration as a Vehicle 4 Population
More informationNetwork Development. Creating a strategic advantage through integration and alignment across the healthcare ecosystem
Network Development Creating a strategic advantage through integration and alignment across the healthcare ecosystem Michael Strilesky, Principal // Michael Lutkus, Sr. Manager 2 PINNACLE SPEAKER PROFILE
More informationCOMMUNITY CARE OF BROOKLYN IPA: SUSTAINING HEALTHCARE TRANSFORMATION EFFORTS
COMMUNITY CARE OF BROOKLYN IPA: SUSTAINING HEALTHCARE TRANSFORMATION EFFORTS Tina Hansen Pickett Senior Director, Sustainability and Strategic Initiatives Department of Population Health Maimonides Medical
More informationRemington s ACO-Home Health-Post-Acute Collaborative (AHHPAC)
Remington s ACO-Home Health-Post-Acute Collaborative (AHHPAC) Triple Aim Stakeholder Solutions To ACO-Home Health-PAC Partnerships Program Begins: June 14, 2016 Registration Ends: April 1, 2016 A Combined
More informationM*Modal CDI Solutions. Elevating Clinical Documentation Improvement with Artificial Intelligence
M*Modal CDI Solutions Elevating Clinical Documentation Improvement with Artificial Intelligence At a time when the long-term viability of healthcare organizations is directly dependent on meeting the twin
More informationM*Modal CDI Solutions
M*Modal CDI Solutions #1 CDI Software, 2019 KLAS Category Leader Elevating Clinical Documentation Improvement with Artificial Intelligence At a time when the long-term viability of healthcare organizations
More informationHigh-Impact People Development in Post-Acute Care
National Forum - Orlando, FL December 10-13, 2017 A12/B12 High-Impact People Development in Post-Acute Care Disclosures Mike Billings is employed as the President of Infinity Rehab Derek Fenwick is employed
More informationWEDI 2015 Health Information Exchange Value and ROI Survey
Welcome to the Workgroup for Electronic Data Exchange (WEDI) 2015 Health Information Exchange Value and ROI Survey. WEDI is a multi-stakeholder coalition dedicated to solving the most critical problems
More informationMACRA Year 2 Moving out of the Transition Period and Into Reality February 16, 2018
MACRA ear 2 Moving out of the Transition Period and Into Reality February 16, 2018 February 16, 2018: Where are we in MACRA implementation? The 2018 performance year is underway. Cost will take effect
More informationOverview and Progress Update: Medicare Performance Initiative (MPI)
Overview and Progress Update: Medicare Performance Initiative (MPI) Britt Reynolds, President Hospital Operations Scott Richardson, Senior Vice President Operations Finance and Performance Management &
More information3. Why is California taking the lead in this area? 4. Is this just a California initiative? Aren t ACOs important throughout the country?
Integrated Healthcare Association (IHA) and Pacific Business Group on Health (PBGH) Partner on Commercial ACO Measurement & Benchmarking Initiative FREQUENTLY ASKED QUESTIONS 1. What is the Commercial
More informationBecoming risk-capable: A group s transformation story
Becoming risk-capable: A group s transformation story By Doral Davis-Jacobsen, MBA, FACMPE, MGMA member, and Stefan Magura, MGMA member ACMPE Fellow Medical practices are at a tipping point today when
More informationQuality Measurement to Enhance Care
Quality Measurement to Enhance Care National Association of Medicaid Directors Fall Conference November 12, 2013 Rachel Nuzum, Vice President Federal & State Policy The Commonwealth Fund A Private Foundation
More informationMerit-based Incentive Payment System (MIPS) Performance Feedback Fact Sheet
Merit-based Incentive Payment System (MIPS) Performance Feedback Fact Sheet The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ended the Sustainable Growth Rate (SGR) formula, which would
More informationRevenue Integrity and Chargemaster Boot Camp
*** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview The provides education on chargemaster and revenue integrity concepts in a classroom format. The program will relate
More informationDeveloping Your Orthopedic Strategy
Developing Your Orthopedic Strategy by Cecily Lohmar ~ Principal, New Heights Group Cecily@reach-newheights.com ~ 704-895-3410 Ask any hospital administrator what their key service lines are and orthopedics
More informationWebinar Agenda. Webinar Etiquette. HTH Iowa SHIP IRCTC Webinar For more Information, please contact:
Welcome to the HOMETOWN HEALTH IRCTC CLOSING WEBINAR A PORTION OF THESE MATERIALS WERE PRODUCED PURSUANT TO 2016-2017 IOWA SHIP GRANT. Webinar Agenda Welcome & A Look Back Jennie Price Managed Care & Contract
More informationOverview of Alternative Payment Models QPP Performance Year 2018 An Introductory Guide for CRNAs in Year 2. August 2018
Overview of Alternative Payment Models QPP Performance Year 2018 An Introductory Guide for CRNAs in Year 2 August 2018 Learning Objectives MACRA and Quality Payment Program Overview Alternative Payment
More informationThe Future of Healthcare Information Technology. John D. Halamka MD
The Future of Healthcare Information Technology John D. Halamka MD A Brief History of Time The National policies from Brailer to DeSalvo Interoperability - from HITSP to Argonaut Patient/Family Engagement
More informationMedicare Shared Savings Program 2018 Performance Year Kickoff
Medicare Shared Savings Program 2018 Performance Year Kickoff For Participating Accountable Care Organizations January 8, 2018 Performance-Based Payment Policy Group Medicare Shared Savings Program DISCLAIMER
More informationBravely Addressing Disputed Claims
Bravely Addressing Disputed Claims 2014 Winter Institute & Annual Meeting Indiana Pressler Memorial Chapter of HFMA February 28, 2014 John Woerly, MSA, RHIA, CHAM, FHAM (317)590-3067 john.woerly@accenture.com
More informationRevenue Cycle Management: A Life Cycle Approach for Performance Measurement and System Justification
Revenue Cycle Management: A Life Cycle Approach for Performance Measurement and System Justification 2009-2010 HIMSS Financial Systems Revenue Cycle Task Force May 2010 2010 Healthcare Information and
More informationImproving Healthcare Performance through Analytics and Cultural Transformation
About the Organization OSF Healthcare Pioneer ACO Facilities in Illinois and Michigan 11 Hospitals 108 Locations Serving nearly 700,000 Patients 2 Pursuing Clinical and Operational Excellence Analysis
More informationThank you for joining today s webinar: An Overview of The New Jersey Medicaid Accountable Care Organization Business Planning Toolkit
Thank you for joining today s webinar: An Overview of The New Jersey Medicaid Accountable Care Organization Business Planning Toolkit We will begin shortly. 1 An Overview of The New Jersey Medicaid Mdi
More informationA Process for Developing Implementation Metrics that Prepare Organizations for Value Based Payments
A Process for Developing Implementation Metrics that Prepare Organizations for Value Based Payments Authors: Stephanie King, Senior Consultant, and Allen Miller, CEO Overview New York State s (NYS) Delivery
More informationOptum. One. Award-winning intelligent health analytics platform
One Award-winning intelligent health analytics platform The One intelligent health platform enables health care providers to manage patient populations in a valuebased world. The platform combines the
More informationCertification in Healthcare Revenue Integrity (CHRI) Exam Outline
Certification in Healthcare Revenue Integrity (CHRI) Exam Outline I. EDUCATION 30 items (16 recall/10 application/4 analysis) a. Rules and Regulations 1. Provide expert advice in coding guidelines and
More informationBravely Addressing Disputed Claims John Woerly, RHIA, CHAM, FHAM Senior Principal, Accenture
Bravely Addressing Disputed Claims John Woerly, RHIA, CHAM, FHAM Senior Principal, Accenture Session Outline Session Objectives Defining Disputed Claims Operational Impacts Conceptual Model Organizational
More informationPreparing for 2015: Navigating CMS and the ACA
Preparing for 2015: Navigating CMS and the ACA Jennifer Lundblad, PhD, MBA VHA Upper Midwest June 24, 2013 Today s session You are to be commended for looking out to 2015 trying to think ahead beyond the
More informationValue Based Purchasing
This transcript is intended to provide webinar content in an alternate format to aid accessibility. We apologize for any inaudible or unclear content as a result of audio quality. Value Based Purchasing
More informationMIPS Small Practice Office Hours: Aiming for Success in 2018 June 12, 2018
This transcript is intended to provide webinar content in an alternate format to aid accessibility. We apologize for any inaudible or unclear content as a result of audio quality. MIPS Small Practice Office
More informationProvider Network Analytics:
Provider Network Analytics: Achieving Shared Savings in an MSSP ACO by Mapping Network Referral Patterns, Closing Gaps in Service, and Reducing Out of Network Patient Leakage The Client One of Fibroblast
More informationAgenda / Overview. Trinity Health: Unified Enterprise Ministry
Don t Take Those Old Records off the Shelf: Change Your Tune Using Real-Time Monitors to Focus on Risks Identified by OIG, CMS and Other Regulators Andrei M. Costantino, MHA, CFE, CHC Director, Organizational
More informationClinical Documentation Improvement Boot Camp
Clinical Documentation Improvement Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Launch a successful CDI career with help from the experts at ACDIS.
More informationClinical Documentation Improvement Boot Camp
Clinical Documentation Improvement Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Launch a successful CDI career with help from the experts at ACDIS.
More informationCategory 2 Involving Your Stakeholders in the Strategic Planning Process & Aligning Strategic Goals
2012 Category 2 Involving Your Stakeholders in the Strategic Planning Process & Aligning Strategic Goals Baylor Waxahachie at A Glance FY11 Statistics 2,988 inpatient admissions Baylor Medical Center at
More informationClinical Documentation Improvement Boot Camp
*** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Launch a successful CDI career with help from the experts at ACDIS. The CDI Boot Camp is ACDIS premier training for
More informationClinical Documentation Improvement Boot Camp
*** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Launch a successful CDI career with help from the experts at ACDIS. The CDI Boot Camp is ACDIS premier training for
More informationROAD MAP. Road Map Assessing Your Readiness for Value-based Care: 7 Key Areas to Focus On
ROAD MAP Road Map Assessing Your Readiness for Value-based Care: 7 Key Areas to Focus On In a recent survey of healthcare leaders, 94 percent revealed they were on a path to implementing some form of value-based
More informationCopyright All Rights Reserved.
Copyright 2013. All Rights Reserved. No part of this document may be reproduced or shared with anyone outside of your organization without prior written consent from the author(s). You may contact us at
More informationThe Value of Agile Self-Service Analytics. Mike Zuschin Director, Decision Support & Business Intelligence March 3 rd 2016
The Value of Agile Self-Service Analytics Mike Zuschin Director, Decision Support & Business Intelligence March 3 rd 2016 Agenda Cleveland Clinic & Early Analytics Success: The Phantom Menace Meeting Increased
More informationNotice of Waivers of Certain Fraud and Abuse Laws in Connection With the Bundled Payments for Care Improvement Model 2.
Notice of Waivers of Certain Fraud and Abuse Laws in Connection With the Bundled Payments for Care Improvement Model 2 July 26,2013 Section 1115A(d)(l) ofthe Social Security Act (the Act) authorizes the
More informationReady for a new EHR?
Ready for a new EHR? 5 questions to help you determine if you should make the switch Many practices are struggling to maintain profitability and patient volume due to increasing regulatory requirements
More informationLeveraging Crimson to Support Network Utilization Strategy
Crimson Population Risk Management Leveraging Crimson to Support Network Utilization Strategy January 25, 2016 2 Managing Your Screen To minimize the control panel To minimize the presentation area Minimizes
More information3M Health Information Systems 3M Core Grouping Software
3M Health Information Systems 3M Core Grouping Software Delivering value-added software to your EHR s revenue cycle and analytic workflows Denial management Scheduling Registration Charge capture Coding
More informationEvolving Hospital Finance Roles and Strategic Financial Planning 2014 SC HFMA Annual Institute Myrtle Beach
2013 CliftonLarsonAllen LLP Evolving Hospital Finance Roles and Strategic Financial Planning 2014 SC HFMA Annual Institute Myrtle Beach May 27, 2014 cliftonlarsonallen.com Agenda-Two Key Aspects of the
More informationStrategic Insights for the Distribution Channel
Healthcare Supply Chain 2015 Strategic Insights for the Distribution Channel 2010 2050 Demographic Provider Shortages Funding Cuts Quality Measures Thought Leaders Project Goals Understand key market trends
More informationThe Path to Clinical Enterprise Maturity DEVELOPING A CLINICALLY INTEGRATED NETWORK
The Path to Clinical Enterprise Maturity DEVELOPING A CLINICALLY INTEGRATED NETWORK dhgllp.com/healthcare Kevin Locke PRINCIPAL Kevin.Locke@dhgllp.com 330.606.4699 Michael Strilesky SENIOR MANAGER Michael.Strilesky@dhgllp.com
More informationCalendar Year 2018 Medicare Hospital Outpatient Prospective Payment System Proposed Rule
Calendar Year 2018 Medicare Hospital Outpatient Prospective Payment System Proposed Rule August 2017 This document is presented for informational purposes only and is not intended to provide reimbursement
More informationGetting Started with MIPS
Getting Started with MIPS A concise overview of MIPS and introducing you to MIPS Solutions by Mingle Analytics Presented by: Dr. Dan Mingle President and CEO 1 What we plan to cover: An overview of MIPS
More informationRural Provider Leadership Summit
Rural Provider Leadership Summit Sally Buck, MS Chief Executive Officer Terry Hill, MPA Senior Advisor for Rural Health Leadership and Policy August 10, 2016 The Center s Purpose The National Rural Health
More informationThe Rhode Island APCD. Analytics Approach for State Power Users
The Rhode Island APCD Analytics Approach for State Power Users Jim Lucht Informatics Manager October 29, 2015 Origins of RI APCD Strong interest in using data small state, early support for EHRs, PCMH
More informationKey Activities. Ofer Reizes, Ph.D. Skills Development Director
Key Activities Ofer Reizes, Ph.D. Skills Development Director 1 Key Activities Core Question: What key activities required for your Value Propositions? Key Partners Key Activities Key Resources Value Proposition
More informationSI Benchmarking Data Elements
Introductory data Participant Agreement Are you willing to be identified to peer organizations for more in-depth, one-on-one discussions? Organization ID number (entered by SI) What fiscal year does this
More informationCreating Pre-Patient Relationships through Employer Outreach
Employer Engagement as a Consumer Acquisition Strategy: Creating Pre-Patient Relationships through Employer Outreach Jan Hess Vice President Professional and Administrative Services, St. Luke s Hospital
More informationMeaningful Data Sharing to Enable APMs
Meaningful Data Sharing to Enable APMs MACRA Summit December 1, 2016 Kelly Cronin, MS, MPH, Director, Office of Care Transformation, ONC/HHS Quality Quality Payment Payment Program Program Strategic Strategic
More informationAchieving clinical outcomes improvement through data-driven decision-making and process engineering
Achieving clinical outcomes improvement through data-driven decision-making and process engineering Seth Bata Director, Clinical & Business Analytics May 6, 2016 Mission Analytics I May 6, 2016 I 1 Key
More informationImproving Revenue Integrity Through Effective Coding and Denials Management
Improving Revenue Integrity Through Effective Coding and Denials Management June 1, 2018 HFMA Massachusetts/Rhode Island Chapter Christy Matheson, RHIA, CCS Medical Record Associates, LLC OBJECTIVES: Understand
More informationSooner, Better, Faster: Harnessing the Power of Big Data in Healthcare. Somesh Nigam, Ph.D. SVP and Chief Analytics & Data Officer
1 Sooner, Better, Faster: Harnessing the Power of Big Data in Healthcare Somesh Nigam, Ph.D. SVP and Chief Analytics & Data Officer 2 Uniquely positioned to be a catalyst for change Connected to all key
More information2017 Final Rule for MIPS/MACRA Medicare s New Quality Payment Program Dr. Dan Mingle
Starting at Noon EDT 11/9/2016 2017 Final Rule for MIPS/MACRA Medicare s New Quality Payment Program Dr. Dan Mingle Register for Webinars or Access Recordings http://mingleanalytics.com/webinars 2017 Final
More informationThe New York State Practice Transformation Network (NYSPTN)
Request for Proposal New York State Practice Transformation Network Clinical Measurement Tool Issued: August 8 th, 2016 Proposals Due: August 26 th, 2016 1 Contents No table of contents entries found.
More informationInnovative Tools States are using in Long Term Care and the Implication for HCBS
Innovative Tools States are using in Long Term Care and the Implication for HCBS State Risk-Mitigation Strategies Strategies states are using to mitigate the inherent risks of logistically dispersed home
More informationelevating the role of finance at Mary Lanning Healthcare
CASE STUDY REPRINT November 2013 Amanda Hoffman Jay Spence healthcare financial management association hfma.org elevating the role of finance at Mary Lanning Healthcare One central Nebraska hospital sought
More informationSHP Scorecards: SHP FOR AGENCIES. Practical Applications for Compensation Incentive Models. Zeb Clayton VP of Client Services, SHP
SHP FOR AGENCIES Zeb Clayton VP of Client Services, SHP Chris Attaya VP of Business Intelligence, SHP Carolyn Flietstra Executive Vice President, Atrio Home Care SHP Scorecards: Practical Applications
More informationGetting Started with MIPS
Getting Started with MIPS A concise overview of MIPS and introducing you to MIPS Solutions by Mingle Analytics Presented by: Dr. Dan Mingle President and CEO 1 What we plan to cover: An overview of MIPS
More informationNHS Central London CCG QIPP Development 2014/15
NHS Central London CCG QIPP Development 2014/15 Contents Section 1: Context Section 2: Our Commitment System Wide Change Section 3: Key Activities Section 4: Benchmarking Tools Examples of Benchmarking
More informationCrafting a Telehealth Strategy for Population Health
Crafting a Telehealth Strategy for Population Health Interested in learning more about the dedicated resources available through Population Health Advisor? Contact Ellie Barlow at barlowe@advisory.com
More informationForm CMS Transmittal 15 Changes. Compu-Max Version December 11, 2018
Form CMS-2552-10 - Transmittal 15 Changes Compu-Max 2552-10 Version 2018.12 December 11, 2018 Form CMS-2552-10 Transmittal 15 Changes - Contents Review of significant changes in Form CMS-2552-10, Transmittal
More informationSneak Peak: CAQH CORE Call on Valuebased. Report FOR CAQH CORE PARTICIPANTS ONLY. February 22, :00 3:00 PM ET CAQH, All Rights Reserved.
Sneak Peak: CAQH CORE Call on Valuebased Payment Report FOR CAQH CORE PARTICIPANTS ONLY February 22, 2018 2:00 3:00 PM ET Logistics Presentation Slides and How to Participate in Today s Session You can
More informationBalancing Value & Burden: CMS Electronic Quality Reporting
Balancing Value & Burden: CMS Electronic Quality Reporting Session #199, February 14, 2019 Michelle Schreiber, MD, Director, Quality Measurement and Value-Based Incentives Group Debbie Krauss, MS BSN RN,
More informationAddressing Health Care Recruitment and Retention Challenges
Addressing Health Care Recruitment and Retention Challenges 2018 Talent Management Summit Robert Alldred-Hughes M.HRM, CHRL Chief Executive, Human Resources & Support Services 2017/2018 & 2018/2019 Outstanding
More informationOptum One. The Intelligent Health Platform
Optum One The Intelligent Health Platform The Optum One intelligent health platform enables healthcare providers to manage patient populations. The platform combines the industry s most advanced integrated
More informationOutsourcing, Contracting and Pricing Issues for Employers, Plans and Providers
Outsourcing, Contracting and Pricing Issues for Employers, Plans and Providers Pricing Strategy Discussion September 13, 2006 Presented by: Mike Nugent Director 312 583 4153 Pricing Presentation Objectives
More informationPlanning for Successful Medical Device Reimbursement:
Planning for Successful Medical Device Reimbursement: So Your Device Is Cleared, By Tiffini Diage, MPH Health Economics NAMSA White Paper Key Considerations for Targeting Success of Medical Device Sales
More informationSeptember 6, File Code: CMS 1676-P
September 6, 2017 Seema Verma Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: 1676-P P.O. Box 8016 Baltimore, MD 21244-8013 File Code: CMS 1676-P
More information360 O Healthcare BI Solution
360 O Healthcare BI Solution BI solutions - HTC's complete healthcare management suite - that includes HMS, LIMS, Payer, Provider, Physician, and Insurance Management Data Analytics Gives a 360 O Healthcare
More information2018 Final Rule from CMS for. Alternative Payment Models
2018 Final Rule from CMS for Starting at Noon EST Wed 12/13/2017 Alternative Payment Models Dr. Dan Mingle Register for Webinars or Access Recordings http://mingleanalytics.com/webinars 2017 Mingle Analytics
More informationOzcan: Chapter 9 Productivity. ISE 468 Spring 2013 Dr. Joan Burtner
Ozcan: Chapter 9 Productivity ISE 468 Spring 2013 Dr. Joan Burtner Outline Productivity Improvement Trends in Healthcare Productivity: Consequences of Medicare Prospective Payment System (PPS) Productivity
More informationQuality Payment Program: Advancing Clinical Information
Quality Payment Program: Advancing Clinical Information July 2017 In Partnership with Alliant Quality South Carolina Office of Rural Health Center for Practice Transformation MACRA/QPP Medicare Access
More informationOUR NEW QUEST. Grounded in Today s Realities While Building for the Future. Steve Rusckowski President and Chief Executive Officer
OUR NEW QUEST Grounded in Today s Realities While Building for the Future Steve Rusckowski President and Chief Executive Officer Safe Harbor Disclosure This presentation may contain forward-looking statements.
More informationEmpowering Medicaid Payment and Delivery Transformation with Claims Data. Laura Braslow, Director
Empowering Medicaid Payment and Delivery Transformation with Claims Data Laura Braslow, Director Agenda 2 Medicaid payment and delivery system transformation is a key strategy for states seeking to control
More information31st Annual J.P. Morgan Healthcare Conference
Quest Diagnostics 31st Annual J.P. Morgan Healthcare Conference January 9, 2013 Safe Harbor Disclosure This presentation may contain forward looking statements. Readers are cautioned not to place undue
More informationNATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE. Health and Social Care Directorate. Indicator Process Guide. Published December 2017
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Health and Social Care Directorate Indicator Process Guide Published December 2017 Please note that this is an interim factual update to the NICE Indicator
More informationPQRS Reporting and Meaningful Use Attestation for 2016
PQRS Reporting and Meaningful Use Attestation for 2016 August 25, 2016 11:00 AM Mountain Time Welcome, we ll get started in moment Please mute your phones! Agenda Overview PQRS for 2016 Requirements Reporting
More informationClinical Integration Self- Assessment Tool v.2.1 (Network/IPA version)
Clinical Integration Self- Assessment Tool v.2.1 (Network/IPA version) By Alice G. Gosfield, JD Alice G. Gosfield, J.D. Alice G. Gosfield and Associates, P.C. 2309 Delancey Place Philadelphia, PA 19103
More informationRevenue Cycle Management. Yes No Comments
Revenue Cycle Management Billing Requirement 1) Provide a flexible schedule for the generation of patient bills based on patient type and payer/payer healthplan or medical service. 2) Provide for several
More information