Kansas PTN webinar 10/19/2015
|
|
|
- Calvin Sharp
- 7 years ago
- Views:
Transcription
1 Transforming Clinical Practice Initiative Kansas Informational Webinar October 19, :00-1:00 p.m. CST For Today s Webinar During today s webinar, we will mute all participant lines. Questions and comments should be typed in to the Chat function on the right side of your screen. The presenters will address during the Question & Answer section at the end of the presentation. Slides and a recording of this webinar will be made available on the Kansas Healthcare Collaborative website within one week. Thank you for participating! 2 1
2 Today s Agenda Introductions Kansas Involvement and Supporters Background and Context: The Shift from Volume to Value Overview of the Transforming Clinical Practice Initiative and the Compass Practice Transformation Network Question & Answer Contact Information 3 Introductions: Today s Presenters Tom Evans, MD, FAAFP President and CEO Iowa Healthcare Collaborative Kendra Tinsley, MS, CPPS Executive Director Kansas Healthcare Collaborative Thomas Bell President and CEO Kansas Hospital Association Ashley Thompson, MPH Director, Transforming Clinical Practice Initiative Iowa Healthcare Collaborative Jerry Slaughter Executive Director Kansas Medical Society 4 2
3 The Transforming Clinical Practice Initiative (TCPI) The Center for Medicare & Medicaid Innovation (CMMI) Transforming Clinical Practice Initiative (TCPI) Support and Alignment Networks (SAN) Practice Transformation Networks (PTN) 10 Awardees 29 Awardees 5 The Compass Practice Transformation Network (Compass PTN) and State Leads Primary Convener and Awardee: Iowa Healthcare Collaborative 6 3
4 Kansas Involvement 7 The Compass PTN Opportunity: A Word From KHA and KMS Thomas Bell President and CEO Kansas Hospital Association Jerry Slaughter Executive Director Kansas Medical Society 8 4
5 Background and Context: The Shift from Volume to Value 9 HHS Sets the Stage for Change U.S. Department of HHS Secretary Sylvia M. Burwell Three Strategies to Drive Progress: 1. Incentives to reward high-quality health care 2. Improving the way care is delivered 3. Accelerate availability of information to guide decision making TCPI was listed as a specific strategy to improve care delivery in the U.S. Source: The New England Journal of Medicine, January 26,
6 HHS Sets Value-Based Payment Goals Target Percentage of Payments in FFS Linked to Quality and Alternative Payment Models by 2016 and % 50% 85% 90% GOALS: All Medicare FFS (Categories 1 4) FFS linked to quality (Categories 2 4) Alternative payment models (Categories 3 4) Source: 11 MACRA, SGR and MIPS Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) Signed in to law April 2015 Permanently repeals the 1997 Sustainable Growth Rate (SGR) Physician Fee Schedule (PFS) Update Changes Medicare PFS Payments MACRA: Must Choose Between Two Value-Based Payment Tracks Merit-Based Incentive Payment System (MIPS) Alternative Payment Models (APM) 12 6
7 MIPS: Move to Pay for Performance Incentives and Increasing Clinician Accountability Even Within FFS PQRS, MU and VM will combine into a single payment adjustment under MIPS in 2019 CY 2019 CY 2020 CY % 15% 10% 50% 25% 15% 15% 45% 25% 15% 30% 30% Quality PQRS Measures EHR Use Meaningful Use Measures Resource Use Cost Measures Source: The Medicare Access & CHIP Reauthorization Act of Clinical Improvement Care Coordination, Patient Satisfaction, Access Measures 13 APM: Bonus Rewards Participation in New Models and Signals High Expectations for Risk-Based Models Required Percentage of Revenue Under Risk-Based Payment Models % Required for All Providers 25% N/A Option 1 OR Option 2 N/A 25% 50% 2023 and on 75% N/A 25% 75% Source: The Advisory Board 14 7
8 So, where does TCPI fit in to this? TCPI is the major national initiative designed to provide hands-on support to 140,000 physicians and other clinicians for developing the skills and tools needed to improve care delivery and transition to alternative payment models. HHS Secretary Sylvia M. Burwell 15 Transforming Clinical Practice Initiative: The Compass Practice Transformation Network and Iowa Healthcare Collaborative 16 8
9 History: Iowa Healthcare Collaborative Community initiative in 2003, incorporated in 2005 Provider-convened, community coalition to improve quality, safety and value Performance improvement vs. public reporting Align and equip health care providers for continuous improvement Promote responsible public reporting of healthcare information Raise the standard of healthcare 17 Context for Transforming Clinical Practices With the passage of the Affordable Care Act in 2010 came renewed efforts to improve our health care system. Efforts guided by focus on better health, better health care, and lower costs through quality improvement. Clinicians want to improve care for their patients, and to position their practices to thrive in a pay for value system. Increasing accountabilities from care delivery reform programs (e.g. Medicare Shared Savings Program). 16% (185,000) of clinicians are currently participating in CMS advanced care delivery models or model tests. With Innovation Center support, successful clinical practice leaders can support their peers with direct technical assistance to help them transform their practices. Source: CMS TCPI PTN Information Webinar, November 20,
10 A Whole New Sport 19 A Whole New Sport 20 10
11 Clinical Practice Leaders Have Already Charted the Pathway to Clinical Transformation Traditional Approach Patient s chief complaints or reasons for visit determines care. Care is determined by today s problem and time available today. Care varies by scheduled time and memory/skill of the doctor. Patients are responsible for coordinating their own care. Clinicians know they deliver high quality care because they are well trained. It is up to the patient to tell us what happened to them. Transformed Practice We systematically assess all our patients health needs to plan care. Care is determined by a proactive plan to meet patient needs. Care is standardized according to evidence-based guidelines. A prepared team of professionals coordinates a patient s care. Clinicians know they deliver high quality care because they measure it and make rapid changes to improve. You can track tests, consults, and followup after the ED and hospital. Source: Adapted from Duffy, D. (2014). School of Community Medicine, Tulsa, OK. 21 Transforming Clinical Practice Initiative Model Aligns with the criteria for innovative models set forth in the Affordable Care Act: Promoting broad payment, practice reform and care coordination Establishing community-based health teams to support chronic care management, and Promoting improved quality and reduced cost through collaborative networks that support practice transformation Moves clinician practices through 5 phases of transformation Supported by Practice Transformation Networks (PTN), Support & Alignment Networks (SAN), Quality Improvement Organizations and others. Source: CMS TCPI PTN Information Webinar, November 20,
12 TCPI: 5 Phases of Transformation Source: CMS TCPI PTN Information Webinar, November 20, TCPI is a Sustainable Practice Redesign A collaborative, peer based learning initiative with focused, onsite improvement An opportunity to engage clinicians, patients, families and communities in stronger local partnerships to improve care Bi-directional learning and strengthening of healthcare policy Source: CMS TCPI PTN Information Webinar, November 20,
13 TCPI Goals 1 Support more than 150,000 clinicians in their practice transformation work 2 Improve health outcomes for millions of Medicare, Medicaid and CHIP beneficiaries and other patients 3 Reduce unnecessary hospitalizations for 5 million patients 5 4 Generate $1 to $4 billion in savings to the federal government and commercial payers Sustain efficient care delivery by reducing unnecessary testing and procedures 6 Build the evidence base on practice transformation so that effective solutions can be scaled Source: CMS TCPI PTN Information Webinar, November 20, Practice Transformation in Action Transforming Clinical Practice (TCP) would employ a three pronged approach to national technical assistance. Aligned Federal and State programs with support contractor resources This technical assistance would enable large scale transformation of more than 150,000 clinicians practices to deliver better care and result in better health outcomes at lower costs. Communities Practice Transformation Networks (PTNs) to provide on the ground support to practices Primary and Specialty Care Clinicians and Practices Ambulatory and Post Acute Care Support and Alignment Networks (SANs) to achieve alignment with medical education, maintenance of certification, more Hospitals and Healthcare Systems Public Health Services Source: CMS TCPI PTN Information Webinar, November 20,
14 The Compass Practice Transformation Network (Compass PTN) and State Leads Primary Convener and Awardee: Iowa Healthcare Collaborative Dedicated Clinical and Operational Leads, Quality Improvement Advisors in each state To support participating clinicians and practices 27 7 Key Benefits to Participating Clinicians 1. Optimizes health outcomes for your patients 2. Promotes coordination of care for your patients 3. Learn from high performers how to effectively engage patients and families in care planning 4. More time spent caring for your patients 5. Alignment with new and emerging federal policies 6. Opportunities to be part of the national leadership in practice transformation efforts 7. No cost or risk to participate in TCPI or PTN Source: CMS TCPI PTN Information Webinar, November 20,
15 Compass PTN Participant Expectations Join the PTN by signing a charter indicating that you will focus on the Initiative s aims Progress through the five identified phases of practice transformation over four years using technical assistance and peer-led support Identify a PTN point of contact in your clinic to receive and disseminate information to clinicians from the PTN, CMS and other contractors Collect and submit data monthly via secure web portal beginning in late 2015/early 2016 Participate in 4-month PDSA improvement cycles coupled with in-person (regional or statewide) learning sessions Participate in educational venues and share experiences 29 Call to Action Complete the Kansas PTN Charter online at:
16 Q & A 31 For More Information about TCPI: Your Compass PTN/Iowa Healthcare Collaborative Contact: Your Kansas Contact: Ashley Thompson, MPH Director, Transforming Clinical Practice Initiative Iowa Healthcare Collaborative thompsona@ihconline.org (515) Kendra Tinsley, MS, CPPS Executive Director Kansas Healthcare Collaborative ktinsley@khconline.org (785)
17 33 17
MACRA: Medicare's Shift to Value-based Delivery & Payment Models. Presented by Amy Mullins, MD, CPE, FAAFP
MACRA: Medicare's Shift to Value-based Delivery & Payment Models Presented by Amy Mullins, MD, CPE, FAAFP Current State Over Utilization Volume over Value Fee for Service Silos of Care 2 Push Toward Value
CMS Listening Session: Merit-Based Incentive Payment System (MIPS)
CMS Listening Session: Merit-Based Incentive Payment System (MIPS) Kate Goodrich, MD, MHS, Director, Center for Clinical Standards and Quality Pierre Yong, MD, MPH, MS, Acting Director, Quality Measurement
Medicare Access and CHIP Reauthorization Act of 2015 Merit-Based Incentive Payment System and Alternative Payment Model Provisions
Medicare Access and CHIP Reauthorization Act of 2015 Merit-Based Incentive Payment System and Alternative Payment Model Provisions Department of Health & Human Services Centers for Medicare & Medicaid
MACRA Overview and RFI
MACRA Overview and RFI HIT Joint Committee October 6, 2015 Kate Goodrich, MD MHS Director, Quality Measurement and Valuebased Incentives Group CMS Medicare Access and CHIP Reauthorization Act (MACRA) The
Mount Sinai Care: A Medicare Shared Savings Program Primer. Brett Bernstein, MD, AGAF, FASGE Medical Director, Provider Partners of Mount Sinai IPA
Mount Sinai Care: A Medicare Shared Savings Program Primer Brett Bernstein, MD, AGAF, FASGE Medical Director, Provider Partners of Mount Sinai IPA Mount Sinai Health System Network Mount Sinai Health System
STATEMENT OF ACHIEVING THE PROMISE OF HEALTH INFORMATION TECHNOLOGY BEFORE THE UNITED STATES SENATE COMMITTEE ON HEALTH, EDUCATION, LABOR & PENSIONS
STATEMENT OF PATRICK CONWAY, MD, MSc ACTING PRINCIPAL DEPUTY ADMINISTRATOR, DEPUTY ADMINISTRATOR FOR INNOVATION AND QUALITY, AND CHIEF MEDICAL OFFICER, CENTERS FOR MEDICARE & MEDICAID SERVICES ON ACHIEVING
Best Practices and Strategies to Engage ACOs, Incentive Programs and Emerging Payment Models JUSTIN T. BARNES
Best Practices and Strategies to Engage ACOs, Incentive Programs and Emerging Payment Models JUSTIN T. BARNES CHAIRMAN EMERITUS, EHR ASSOCIATION CO-CHAIR, ACCOUNTABLE CARE COMMUNITY OF PRACTICE About Justin
Adding Value to. Provider Compensation. June 13, 2016. Healthcare Strategy Group OHA Presentation 2016. Adding Value to. Physician Compensation
Provider Compensation June 13, 2016 1 Who are We? About (HSG) Hospital-physician integration specialists since 1999 Strategic, best practice approach to employed physician networks and independent physician
MACRA: Looking Ahead - Implications Across the Care Continuum. May 16, 2016/ 12:00-1:00 PM EST
MACRA: Looking Ahead - Implications Across the Care Continuum May 16, 2016/ 12:00-1:00 PM EST 1 Today s Presenter Melinda Hancock Partner, DHG Healthcare Leads a team in developing DHG Healthcare s next
Alternative Payment Models Impacting Care Delivery Across the Care Continuum
Alternative Payment Models Impacting Care Delivery Across the Care Continuum AT A GLANCE Contributing Tenant Partners The recent announcement by HHS and CMS accelerates the movement away from FFS and provides
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Summary of SGR Repeal and Replacement Provisions
ACOG Government Affairs May 2015 The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Summary of SGR Repeal and Replacement Provisions This landmark bipartisan legislation, signed into law
5/19/2016 MIPS AND MACRA: MAKING SENSE OF THE NEW REGULATIONS AND PAYMENT SYSTEMS. No Disclosures AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS
MIPS AND MACRA: MAKING SENSE OF THE NEW REGULATIONS AND PAYMENT SYSTEMS 1 No Disclosures 2 1 To Better Understand the Future.. We must remember the past regarding physician payment. 3 THE SGR SGR=Sustainable
How Health Reform Will Affect Health Care Quality and the Delivery of Services
Fact Sheet AARP Public Policy Institute How Health Reform Will Affect Health Care Quality and the Delivery of Services The recently enacted Affordable Care Act contains provisions to improve health care
THE EVOLUTION OF CMS PAYMENT MODELS
THE EVOLUTION OF CMS PAYMENT MODELS December 3, 2015 Dayton Benway, Principal AGENDA Legislative Background Payment Model Categories Life Cycle The Models LEGISLATIVE BACKGROUND Medicare Modernization
Minnesota EHR Incentive Program
Minnesota EHR Incentive Program Meaningful Use in Minnesota: Changes in the Medicaid EHR Incentive Program Landscape June 2016 Today s Speaker Dean Ewald MN EHR incentive program (MEIP) Team Lead Government
Overview of Physician Payment System Reforms in the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2)
Overview of Physician Payment System Reforms in the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2) June 18, 2015 Prepared for The Health Collaborative akingump.com 2015 Akin Gump Strauss
HFMA Region 9 Webinar Are You on the Right Path to Value?
HFMA Region 9 Webinar Are You on the Right Path to Value? March 21, 2016 P. Todd DeWeese, MBA Vice President The Affordable Care Act s Path to Payment Reform and Corresponding Impact on the Health Care
The ABCs of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
The ABCs of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Medicare Access and CHIP Reauthorization Act (MACRA) Repeals the Sustainable Growth Rate Moves to a payment system based on
Updates on CMS Quality, Value and Public Reporting
Updates on CMS Quality, Value and Public Reporting Federation of American Hospitals Policy Conference Kate Goodrich, MD MHS Director, Quality Measurement and Value Based Incentives Group, CMS June 17,
REQUEST FOR INFORMATION
REQUEST FOR INFORMATION Agency/Office: Department of Health and Human Services Centers for Medicare & Medicaid Services Center for Medicare and Medicaid Innovation Type of Notice: Request for Information
Advanced Models of Primary Care: Care Management Plus pilot and dissemination
Advanced Models of Primary Care: Care Management Plus pilot and dissemination Presented by David A. Dorr, MD, MS; Oregon Health & Science University, dorrd@ohsu.edu Funded by The John A. Hartford Foundation,
CMS QCDR (Qualified Clinical Data Registry) and Other Ways PPRNet Can Help with Value-Based Payment
CMS QCDR (Qualified Clinical Data Registry) and Other Ways PPRNet Can Help with Value-Based Payment Cara Litvin MD, MS Assistant Professor MUSC Department of Medicine Agenda Provide an update of the current
February 26, 2016. Dear Mr. Slavitt:
February 26, 2016 Mr. Andy Slavitt Acting Administrator Centers for Medicare & Medicaid Services (CMS) Department of Health and Human Services Attention: CMS-3321-NC PO Box 8016 Baltimore, MD 21244 Re:
CMS Perspectives on Transparency and The Use of Data to Drive Patient Centered Care
CMS Perspectives on Transparency and The Use of Data to Drive Patient Centered Care Niall Brennan Chief Data Officer Centers for Medicare & Medicaid Services @N_Brennan Introduction CMS is the largest
CMS is requesting information to aid in the planning and implementation of the MIPS in the following areas:
Summary of Medicare s Request for Information on the Provisions in MACRA which Allow for Implementation of Alternative Payment Models and a Merit-Based Incentive Payment System On September 28, 2015, the
Introduction to the GLPTN Program. Provider Office & Physician Organization Briefing
Introduction to the GLPTN Program Provider Office & Physician Organization Briefing What is the GLPTN? The GLPTN is one of 29 Practice Transformation Networks (PTNs) funded under the brand new CMS Transforming
Value-Based Purchasing for Critical Access Hospitals
Value-Based Purchasing for Critical Access Hospitals Jane F. Jerzak, RN, CPA Partner, WIPFLI August 2015 Value-Based Purchasing Concepts for Critical Access Hospitals (CAHs) Objective of the Discussion:
Implications for I/T/U
Outpatient CMS Quality Measurement Programs Implications for I/T/U CAPT Michael Toedt, MD, FAAFP Acting Chief Medical Information Officer Office of Information Technology, Indian Health Service NIHB 2015
A MACRA Overview. A web discussion with guests Ivy Baer, Gayle Lee, and Tanvi Mehta of AAMC
A MACRA Overview A web discussion with guests Ivy Baer, Gayle Lee, and Tanvi Mehta of AAMC An Affinity Group Brought to you by HFMA and Vizient Sponsored by Kaufman Hall June 6, 2016 Meeting Notes Plan
SGR Repeal and Medicare Provider Payment Modernization Act of 2015: Timeline of Implementation
SGR Repeal and Medicare Provider Payment Modernization Act of 2015: Timeline of Implementation 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026+ Base Update Jan Jun: 0 July- Dec: 0.5 0.5% 0.5%
Key Information. QP or Partial QP Determination
HIMSS MACRA NPRM Fact Sheet Alternative Payment Models: Qualifying Alternative Payment Model Participant & Partial Qualifying Alternative Payment Model Participant Determination Key Information During
CMS Innovation and Health Care Delivery System Reform
CMS Innovation and Health Care Delivery System Reform Dr. Patrick Conway, M.D., MSc CMS Chief Medical Officer and Deputy Administrator for Innovation and Quality Director, Center for Medicare and Medicaid
MACRA & APMs: More than Acronyms June 2, 2016
MACRA & APMs: More than Acronyms June 2, 2016 Agenda 1. Framework 2. CMS Quality Initiatives 3. MACRA - MIPS or APM? 4. Alternative Payment Models 5. Case Study 2 Alternative Payment Models Transitioning
Value-Based Payment and Health System Transformation
Value-Based Payment and Health System Transformation National Health Policy Forum Patrick Conway, M.D., MSc CMS Chief Medical Officer Deputy Administrator for Innovation and Quality Director, Center for
New Landscape of Medicine: Reaching Alternative Payment Models through Practice Transformation
New Landscape of Medicine: Reaching Alternative Payment Models through Practice Transformation Amy Nguyen Howell, MD, MBA, FAAFP Chief Medical Officer CAPG: Who We Are 2 CAPG represents close to 300 physician
EHR Incentive Programs in 2010 & Beyond
CMS Listening Session: EHR Incentive Programs in 2018 & Beyond Kate Goodrich, MD, MHS, Director, Center for Clinical Standards and Quality Robert Anthony, Deputy Director, Quality Measurement & Value-Based
Accountable Care Platform
The shift toward increased collaboration, outcome-based payment and new benefit design is transforming how we pay for health care and how health care is delivered. UnitedHealthcare is taking an industry
February 29, 2016. Andy Slavitt, Acting Administrator Centers for Medicare & Medicaid Services 200 Independence Ave., SW Washington, DC 20201
Andy Slavitt, Acting Administrator Centers for Medicare & Medicaid Services 200 Independence Ave., SW Washington, DC 20201 Dear Acting Administrator Slavitt: On behalf of the American Academy of Family
MIPS. ACR Issues Analysis of Proposed MACRA MIPS Rule
ACR Issues Analysis of Proposed MACRA MIPS Rule The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule (CMS-5517-P) on April 27, 2016, to establish many of the provisions of Medicare
Medical Malpractice - Interoperability Measurement For physicians
Karen DeSalvo, MD, MPH, MSc Acting Assistant Secretary for Health U.S. Department of Health and Human Services Office of the National Coordinator for Health Information Technology Attention, RFI Regarding
Accountable Care Organizations: From Promise to Progress
Accountable Care Organizations: From Promise to Progress April 24, 2013 We strongly encourage you join the call by receiving a call back. If you choose to dial in, please be sure to use your attendee #
Building Physician Leadership in Performance Improvement
Building Physician Leadership in Performance Improvement Dana Richardson, RN, MHA Director, PCPI Operations & Strategic Initiatives Dana.richardson@ama-assn.org 312-464-4074 Physician Quality Report* A
PROGRAM OVERVIEW. Your Local Contact: Enter your org Information here
General eligibility The H3 consortium invites small practice providers in SE Wisconsin, NE Illinois and Northern Indiana (including Indianapolis). Clinics are eligible to participate if they: Have 10 providers
October 15, 2010. Re: National Health Care Quality Strategy and Plan. Dear Dr. Wilson,
October 15, 2010 Dr. Nancy Wilson, R.N., M.D., M.P.H. Senior Advisor to the Director Agency for Healthcare Research and Quality (AHRQ) 540 Gaither Road Room 3216 Rockville, MD 20850 Re: National Health
Request for Information on Assessing Interoperability for MACRA (HHS-ONC-2016-0008)
June 3, 2016 Dr. Karen DeSalvo, M.D., M.P.H., M.Sc. National Coordinator for Health Information Technology U.S. Department of Health and Human Services 330 C Street SW Washington, D.C. 20024 Re: Request
Accelerating Innovation in Health Care Payment and Delivery: The CMS Innovation Center
Accelerating Innovation in Health Care Payment and Delivery: The CMS Innovation Center William J. Kassler, MD, MPH Chief Medical Officer, New England Region Center for Medicare & Medicaid Innovation We
Repeal the Sustainable Growth Rate (SGR), avoiding annual double digit payment cuts;
Background Summary of H.R. 2: The Medicare Access and CHIP Reauthorization Act of 2015 SGR Reform Law Enacts Payment Reforms to Improve Quality, Outcomes, and Cost On April 16, 2015, the President signed
PHOTO HERE. Monarch Pioneer ACO: Designing and Implementing a Successful Shared Risk Model
PHOTO HERE Monarch Pioneer ACO: Designing and Implementing a Successful Shared Risk Model March 2014 Agenda About Monarch HealthCare Monarch s Pioneer ACO Experience Monarch s Evolving ACO Strategy Future
Leadership Summit for Hospital and Post-Acute Long Term Care Providers May 12, 2015
Leveraging the Continuum to Avoid Unnecessary Utilization While Improving Quality Leadership Summit for Hospital and Post-Acute Long Term Care Providers May 12, 2015 Karim A. Habibi, FHFMA, MPH, MS Senior
Transforming Healthcare through Data-Driven Solutions. Pay for Performance Solutions
Transforming Healthcare through Data-Driven Solutions Pay for Performance Solutions Medicare Access and CHIP Reauthorization Act of 2015 MACRA Enacted April 15, 2015 10/14/2015 Copyright Mingle Analytics
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ HEALTHCARE REVENUE CYCLE MANAGEMENT TRENDS IN ALTERNATIVE PAYMENT MODEL ADOPTION
RESEARCH AND REPORT BY $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ HEALTHCARE REVENUE CYCLE MANAGEMENT TRENDS IN ALTERNATIVE PAYMENT
Medicare Program; Request for Information Regarding Implementation of the Merit
This document is scheduled to be published in the Federal Register on 10/20/2015 and available online at http://federalregister.gov/a/2015-26568, and on FDsys.gov DEPARTMENT OF HEALTH AND HUMAN SERVICES
Crosswalk of the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2) April 21, 2015
Crosswalk of the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2) April 21, 2015 ACP has developed a cross-walk analysis of legislation in the 114 th Congress to permanently repeal Medicare
Sustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation
Sustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation Proposal 113 th Congress - - H.R.4015/S.2000 114 th Congress - - H.R.1470 SGR Repeal and Annual Updates General
Changes for Calendar Year 2015 Physician Quality Programs and Other Programs in the Medicare Physician Fee Schedule
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 FACT SHEET FOR IMMEDIATE RELEASE October 31, 2014 Contact: CMS
Beyond the EHR: What s Next?
Beyond the EHR: What s Next? Trudi Matthews Senior Policy Advisor Kentucky REC What s the Problem? U.S. health care system is the most expensive in the world and has mediocre health outcomes. Spending
Navigating CMS Incentive Programs for Eligible Professionals Why It Matters and What You Need to Know. Dr. Paul Mulhausen, CMO
Navigating CMS Incentive Programs for Eligible Professionals Why It Matters and What You Need to Know Dr. Paul Mulhausen, CMO Objectives Better understand CMS Incentive Programs and payment adjustments
Health System Transformation Post Affordable Care Act
Health System Transformation Post Affordable Care Act Patrick Conway, MD, MSc Acting Principal Deputy Administrator and Chief Medical Officer, CMS Deputy Administrator for Innovation and Quality Director,
June 27, 2016. Dear Mr. Slavitt:
Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue, S.W., Room 445-G Washington, DC 20201 RE: CMS-5517-P, Medicare Program;
Medicare Access and CHIP Reauthorization Act of 2015 H.R. 2
Medicare Access and CHIP Reauthorization Act of 2015 H.R. 2 The American Medical Association and over 750 national and state-based physician and specialty organizations have gone on record in support of
Health System Transformation Post Affordable Care Act
Health System Transformation Post Affordable Care Act Patrick Conway, MD, MSc Acting Principal Deputy Administrator and Chief Medical Officer, CMS Deputy Administrator for Innovation and Quality October
Current Health IT Challenges and Opportunities in
Current Health IT Challenges and Opportunities in Population Health A presentation to the National Advisory Council on Nurse Education and Practice January 12, 2016 Kathleen C. Kimmel, RN, BSN, MBA/MHA,
The 2014 Patient- Centered Primary Care Home (PCPCH) Recognition Criteria
The 2014 Patient- Centered Primary Care Home (PCPCH) Recognition Criteria Deepti Shinde, MPP and E. Dawn Creach, MS Patient-Centered Primary Care Home Program Oregon Health Authority October 2, 2013 Welcome!
Crowe Healthcare Webinar Series
New Payment Models Crowe Healthcare Webinar Series Audit Tax Advisory Risk Performance 2014 Crowe Horwath LLP Agenda Bundled Care for Payment Improvements Payment Models Accountable Care Organizations
The Accountable Care Organization: An Introduction
January 2011 The Accountable Care Organization: An Introduction The healthcare reform discussion introduced new terms and ideas and reintroduced many concepts explored in the past: value-based healthcare,
Patient Centered Medical Home: An Approach for the Health Plan
: An Approach for the Health Plan By Marissa A. Harper and JoAnn E. Balara Excellence in healthcare consulting The Medical Home Concept Works Recent Medicare demonstration projects on Patient Centered
Federal and State Health Care Policy Status Report
Federal and State Health Care Policy Status Report Speaker: Matthew Anderson, J.D. Friday, July 10, 2015 2:30 3:20 p.m. Lake Osakis/Minnewaska/Miltona This session is sponsored by: Matthew Anderson Matt
CMS Quality Strategy 2016
CMS Quality Strategy 2016 Table of Contents Overview... 1 Introduction... 2 Organizational Tenets... 3 Vision... 3 Mission... 3 Values... 4 The CMS Quality Strategy Goals... 5 Foundational Principles...
THE LANDSCAPE OF MEDICAID ALTERNATIVE PAYMENT MODELS
POLICY BRIEF September 2014 THE LANDSCAPE OF MEDICAID ALTERNATIVE PAYMENT MODELS Authored by: America s Essential Hospitals staff KEY FINDINGS States have increasingly sought to establish alternative payment
MIPS Performance Scoring: Understanding How CMS Proposes to Calculate Performance Is Key to Preparing for MIPS Participation
MIPS Performance Scoring: Understanding How CMS Proposes to Calculate Performance Is Key to Preparing for MIPS Participation By Robert F. Atlas, Lesley R. Yeung, and M. Brian Hall IV June 2016 On May 9,
CMS Innovation and Health Care Delivery System Reform and IOM Future of Nursing Report Recommendations
CMS Innovation and Health Care Delivery System Reform and IOM Future of Nursing Report Recommendations Janet Heinrich, DrPH, RN, FAAN Center for Medicare and Medicaid Innovation May, 2015 The CMS Innovation
CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS
CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS American Urological Association Quality Improvement Summit
Accountable Care Organizations (ACOs)
Accountable Care Organizations (ACOs) Pantea Ghasemi, USC Pharm.D. Candidate 2015 Sarkis Kavarian, UOP Pharm.D. Candidate 2015 Preceptor Dr. Craig Stern Pro Pharma Pharmaceutical Consultants, Inc. April
Meaningful Use: Stage 3 and Beyond
Meaningful Use: Stage 3 and Beyond NJHIMSS/NJHFMA Winter Event January 28, 2016 2016 Oscislawski LLC MU Hardship Relief Act of 2015 Due to the tardiness of the final CMS rule, it is virtually impossible
The Impact of Value- Based Purchasing in the Healthcare Industry
The Impact of Value- Based Purchasing in the Healthcare Industry Presented By: Kim Charland, BA, RHIT, CCS Senior Vice President Clinical Innovation for Panacea Healthcare Solutions and Editor of VBPmonitor
Paying Through the Nose: New Payment Models for Physician Reimbursement March 16, 2015. AAO-HNS Leadership Forum Arlington, Virginia. www.ober.
Paying Through the Nose: New Payment Models for Physician Reimbursement March 16, 2015 AAO-HNS Leadership Forum Arlington, Virginia Kristin Carter Principal Ober Kaler kccarter@ober.com Christopher Dean
State Innovation Model
State Innovation Model P a t i e n t C e n t e r e d M e d i c a l H o m e W e b i n a r M a y 1 1, 2 0 1 6 1 Agenda SIM Overview & Updates Patient Centered Medical Home Overview Questions 2 1 SIM Overview
March 28, 2016. Dear Acting Administrator Slavitt:
March 28, 2016 Andrew Slavitt, Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS 1644-P P.O. Box 8013 Baltimore, MD 21244 8013 Re: Medicare
The Honorable David Durenberger Former U.S. Senator from Minnesota. Evan Falchuk Vice Chairman, Best Doctors, Inc.
November 17, 2015 Andrew Slavitt Administrator Center for Medicare and Medicaid Services (CMS) U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 445-G 200 Independence Avenue,
Re: Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2016, File Code CMS 1631 P
Via Electronic Submission (www.regulations.gov) September 8, 2015 Mr. Andrew Slavitt Acting Administrator Centers for Medicare & Medicaid Services ATTN: CMS 1631 P 7500 Security Blvd. Baltimore, MD 21244-8013
Health IT within the Current Landscape and Future of Innovative Payment Models
Health IT within the Current Landscape and Future of Innovative Payment Models HIMSS16 Business of Healthcare Symposium February 29, 2016 John Rancourt, Deputy Director, Office of Care Transformation,
VALUE BASED PURCHASING
HEALTH WEALTH CAREER VALUE BASED PURCHASING EMPLOYEE BENEFITS PLANNING ASSOCIATION MARY KAY O NEILL, MD, MBA FEBRUARY 25, 2016 WHAT ARE THE GOALS OF ACOS AND VBCS? A fundamental shift in how health care
INTEGRATED CARE WORKGROUP Meeting #2 FEBRUARY 25, 2015
INTEGRATED CARE WORKGROUP Meeting #2 FEBRUARY 25, 2015 2 # Topic Time Leader 1 Welcome and Introductions 10:00 10:10 Foster Gesten, MD 2 Ground Rules recap 10:10 10:15 Susan Stuard 3 Recap of last meeting
2016 A CAPG WHITE PAPER
CAPG s Guide to Alternative Payment Models: Case Studies of Risk-Based Coordinated Care 2016 A CAPG WHITE PAPER With special thanks to Dr. Bart Wald for his assistance on this project. Table of Contents
HIMSS Public Policy Initiatives in 2015: Using Health IT to Enable Healthcare Transformation Jeff Coughlin Senior Director Federal & State Affairs
HIMSS Public Policy Initiatives in 2015: Using Health IT to Enable Healthcare Transformation Jeff Coughlin Senior Director Federal & State Affairs March 26, 2015 Agenda Meaningful Use Stage 3 NPRM 2015
Operational Plan. Iowa Operational Plan Page 1
Operational Plan Iowa Operational Plan Page 1 Iowa Operational Plan Page 2 Iowa Operational Plan Page 3 Key Personnel for Model Test The below outlined organizations and departments will work collaboratively
October 7, 2015. Dear Secretary Burwell and Acting Administrator Slavitt:
The Honorable Sylvia Mathews Burwell Secretary Department of Health and Human Services 200 Independence Avenue, SW Washington, DC 20201 Acting Administrator Centers for Medicare & Medicaid Services Department
Multistakeholder Collaborative Leads Initiative on Health Care Quality Measurement
Multistakeholder Collaborative Leads Initiative on Health Care Quality Measurement February 2016 Frequently Asked Questions: What is the goal of the Collaborative? There is a great demand today for accurate,
Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), H.R. 2, Pub. Law 114-10
Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), H.R. 2, Pub. Law 114-10 AMA section-by-section summary H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 or MACRA, was passed
Home Health Value-Based Purchasing. April 6, 2016 12:00-3:45 pm
Home Health Value-Based Purchasing April 6, 2016 12:00-3:45 pm Learning Objectives Understand the changing health care landscape, including various models of value-based purchasing Learn how the HHVBP
IU Health Quality Partners
FREQUENTLY ASKED QUESTIONS 1) What is IU Health Quality Partners? It is a clinically integrated provider group; it is not a contracted health insurance plan network where physicians receive a set fee for
Health Care Economics and Audiology: Why are WE Feeling the Pain? Disclosures. Disclosure 1/6/2016
Health Care Economics and Audiology: Why are WE Feeling the Pain? Robert Fifer, Ph.D. University of Miami Miller School of Medicine Mailman Center for Child Development Disclosures Employed by the University
Daniel Mingle, MD MS 219 Streaked Mt Rd, South Paris, ME 04281 (207) 441-3064 Daniel.Mingle@mingleanalytics.com
Daniel Mingle, MD MS 219 Streaked Mt Rd, South Paris, ME 04281 (207) 441-3064 Daniel.Mingle@mingleanalytics.com Healthcare Consultant Optimizing Healthcare Systems on an EMR Platform With over 30 years
The Changing Health Care Delivery and Payment Landscape from a Policy Perspective
The Changing Health Care Delivery and Payment Landscape from a Policy Perspective Presented by: Camille S. Bonta, MHS Summit Health Care Consulting April 19, 2016 Health Care Spending is Rising National
Patient-Centered Medical Home and Meaningful Use
Health Home Series: Patient-Centered Medical Home and Meaningful Use Presenters: Christine Stroebel, MPH, PCIP/NYC REACH Natalie Fuentes, MPH, PCIP/NYC REACH Alan Silver, MD, MPH/IPRO March 27, 2012, 2:00
10/19/2015. Meaningful Use: Current and Future Environment. Agenda. MGMA Annual Conference Nashville, TN October 13, 2015
Meaningful Use: Current and Future Environment MGMA Annual Conference Nashville, TN October 13, 2015 Agenda Current Environment Stage 2 Flexibility Final Rule Key challenge for practices A look Ahead at
LEARNING WHAT WORKS AND INCREASING KNOWLEDGE
About This Series In February 2010, the George Washington University School of Public Health and Health Services, Department of Health Policy released Changing po 2 licy: The Elements for Improving Childhood
EHR Incentive Program Updates. Jason Felts, MS HIT Practice Advisor
EHR Incentive Program Updates Jason Felts, MS HIT Practice Advisor An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123. Step 2: Enter code 2071585#. Step 3: Mute your
Population Health Management Innovation Payer and Provider Collaboration. Population Health Management Innovation Payer and Provider Collaboration
Population Health Management Innovation Payer and Provider Collaboration Population Health Management Innovation Payer and Provider Collaboration Agenda Strategic Context Population Health Journey Key
Meeting of the Advisory Panel on Outreach and Education (APOE) Centers for Medicare and Medicaid Services March 27, 2013.
701 Pennsylvania Avenue, Ste. 800 Washington, DC 20004 2654 Tel: 202 783 8700 Fax: 202 783 8750 www.advamed.org Meeting of the Advisory Panel on Outreach and Education (APOE) Centers for Medicare and Medicaid