Feeling the Pressure Yet?

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1 Feeling the Pressure Yet? Solutions for Physician Independence and Integration GHHA Fall Happy Hour Conference Your Healthcare Think Tank Norris Conference City Centre 816 Town & Country Blvd., Suite 210 Houston, Texas Thursday, October 16, :00 pm to 7:00 pm Cocktails & Hors d'oeuvres Provided Free Parking Join the Greater Houston Healthcare Alliance for a lively Happy Hour discussion featuring informa on for doctors, prac ce administrators, ancillary providers, independent hospitals and ASC s to thrive in today s healthcare environment. Take the opportunity for a quick consult with GHHA Members (over 15 professional healthcare service organiza ons and locally-based leading healthcare academicians) to give you insight immediately. Seating is limited Please Register at

2 Agenda Woody Moore Master of Ceremonies 4:00 PM Registration and Networking Sign up for 15 minute Quick Consults - See Page 8 4:30 PM Roundtable 1 Innovative Physician Organization Models Maximizing Reimbursement in Today s New Payment System Models Dr. Dianne Love: Clinical Integration, ACOs and PHOs Stuart Miller: Clinical Integration & Antitrust Dorma Kohler: Group Practices Without Walls Wes Spears: Systems & Clinical Integration Kim Dunn, M.D.: Medical Home, Telemedicine and Patient Engagement Services Moderator: Trina Fowlkes 5:40 PM Bridges to Excellence Recognition Put some extra $$ in your pocket NOW! Dawn Wang, Harris County Medical Society 6:00 PM Roundtable 2 Value Based Reimbursement Navigating the Transition from a Fee for Service to a Value Based Reimbursement Model John Adams: IPA s, Bundled Pricing Catherine Lightfoot: Accruing for Risk John Going: Impact on Financial Position Jeff Levy: Limiting Risk for Capitation Lori Ramirez: The Impact of Narrow Networks on Ancillary Providers Moderator: Mark Worthen 7:00 PM Microsoft Surface Pro 3 Drawing Sponsored by: ** Must be Present to Win 1

3 Innovative Physician Organizations Dianne B. Love, MBA, PhD Roundtable Leader Dr. Dianne B. Love is an educator and healthcare consultant, based in Houston, Texas. She is an associate professor of healthcare administration at the University of Houston Clear Lake where she instructs advanced degree students in managed care, strategic planning, group practice management and the financial aspects of the healthcare business. She is also the founder, and served as the director of, the MBA for Physicians program. at the University of Houston Clear Lake. She is an adjunct professor in the Auburn University Physician Executive MBA program. She was a co-developer of the American Society of Anesthesiologists and Southern Medical Association Certificate in Business Administration programs and currently serves a faculty member in both programs. Value Based Reimbursement John W. Adams, Jr. Roundtable Leader John W. Adams, Jr. joined Global Healthcare Alliance (Global) as a founding director, president and chief executive officer in Under his leadership, Global has grown from a modest service organization to an award-winning, industry leader providing revenue cycle management services to healthcare providers. Mr. Adams has more jadams@globalhca.com than 30 years of diversified experience in the healthcare industry. He served in executive positions for The Methodist Hospital in Houston and Texas Children s Hospital, and held positions with National Heritage Insurance Company; American Medical, International, and Hospital Affiliates, International. Mr. Adams is a Fellow of American College of Healthcare Executives and a member of the Medical Group Management Association. He earned his Bachelor of Business Administration from the University of Texas at Austin and his Master of Science in Healthcare Administration from the University of Houston Clear Lake. 2

4 Innova ve Physician Organiza ons Roundtable Trina Fowlkes Moderator Trina Fowlkes is the Healthcare Services Manager at Amegy Bank. Her team provides comprehensive banking services including start-up prac ce financing, personal loans, mortgages and lines of credit. Clients will also benefit from our best in class treasury management services such as receipt processing and management with imaging and indexing, merchant card processing, credit cards, fraud protec on, and check recovery. At Amegy, we have the flexibility to customize our products for each of our clients, knowing that banking is not a one size fits all environment. Speak with an Amegy Banker today by calling or visit us online at Kim Dunn, M.D. drdunn@yourdoctorprogram.com Medical Home, Telemedicine & Patient Engagement Services Dr. Kim Dunn is a recognized interna onal leader in telemedicine, medical home, and physician leadership development for quality. She established KDunn and Associates, PA, dba The HealthQuilt Network, which is an interdisciplinary Independent Prac ce Associa on commi ed to value based care contrac ng for a new model of care that is pa ent centered, telemedicine based, and driven to improve quality and service at the best cost for the pa ent. Prac oners that are members of The HealthQuilt Network adhere to verifiable standards to meet The Physician Quality Standard TM. Dorma L. Kohler, MBA, CMPE dkohler@alteramedgroup.com Group Practices without Walls Dorma Kohler, MBA, CMPE is the President of AlteraMed Group, a full service Prac ce Management Services Organiza on. As a seasoned team of professionals, AlteraMed Group provides a wealth of prac ce management services and consul ng exper se that support physician prac ces of all special es and size. Helping physicians achieve financial success while managing the day-to-day administra ve burdens of their prac ces remains the sole focus of the AlteraMed team. 3

5 Stuart Miller Clinical Integration & Antitrust Stuart Miller is an experienced healthcare transac onal and regulatory lawyer. Stuart represents all types of healthcare providers from the individual physician to hospital systems. Stuart is also a professor at UHCL where he teaches a graduate level course on Healthcare Law. Stuart graduated from Columbia University and The University of Texas School of Law. Wes Spears wes.spears@weston.com IT Systems & Clinical Integration The Weston Group is a provider of solu ons in informa on technologies including adap ve systems based on the Unicist Logical Approach. Historically, the value proposal of TWG includes all aspects IT for physicians groups, suppor ng their opera ons. This includes system selec on, implementa on, support and integra- on, hardware and so ware maintenance and applica on development and customiza on. The Weston Group provides services to single physicians through groups of more than 50 physicians and can provide services in an outsourced, turnkey fashion or in coordina on with exis ng resources. Mr. Spears role is in ensuring that the systems and people are in place to remain reliable and responsive to client needs. Woody Moore physadvocate1@aol.com Master of Ceremonies Woodrow M. Moore, as The Physician's Advocate, is an independent and unbiased resource to assist progressive physicians, private equity sources and health systems develop and operate physician-ventured healthcare services. Services include development and opera on of start up and opera onal Ambulatory Surgery Centers (ASC), Freestanding ER Centers, hospital interim C-suite management as well as regulatorycompliance turnaround engagements for troubled facili es. Mr. Moore is also Founder of the "United Voice of the Texas ASC Industry", the Texas ASC Society. 4

6 Value Based Reimbursement Roundtable Mark S. Worthen, CPA, FHFMA Moderator Mark Worthen is a CPA, licensed in Texas and Louisiana, a Cer fied Healthcare Financial Professional, and a Fellow of the Healthcare Financial Management Associa on. Mark is President of the Texas Gulf Coast Chapter of the Healthcare Financial Management Associa on. He also serves on the Healthcare Commi ee for the Houston CPA Society and is on the Board of the Texas Chapter of the Risk Management Associa on. Mark is the Healthcare Banking Manager for Trustmark Na onal Bank in Houston. John Going, CFP john@johngoing.com Impact on Financial Position A specialist in asset protec on, financial planning & employee benefits for physicians, their families and their prac ces, John Going has been showing physicians how to make smart choices with their money since 1999 as the founder of Going Financial. It s this specializa- on that allows him to provide the best available wealth management solu ons while keeping on the cu ng edge of opportuni es in financial planning. Jeff Levy jeff.levy@usi.biz Limiting Risk for Capitation Specializing in Medical Professional Liability Insurance, Jeff Levy has built his career helping Physicians and Healthcare Facili es design solu ons to their insurance needs. His prac ce is focused on delivering innova ve and costeffec ve insurance programs, and providing valuable consul ng advice to new and exis ng clients. 5

7 Catherine Lightfoot, CPA, CHBC catherine.ligh Accruing for Risk Healthcare CPAs and Accountants, EEPB is a leading Healthcare Advisory Firm commi ed to doctors specific needs. We solve and secure cash-flow and profitability enhancements, minimizing taxes and securing reserves for re rement to ensure your lifestyle. New technology like EEPB s Doctor Dashboard allows doctors to do what they do best by taking away the headaches, and the worry by serving up the data you need when you need it. EEPB is Your Trusted Advisor con nuously serving doctor's needs for nearly 30 years. Lori Ramirez lramirez@elitesurgicalaffiliates.com The Impact of Narrow Networks on Ancillary Providers The benefits for physicians and pa ents alike from Elite's business model are countless. "For our physicians, we provide a niche opportunity, we offer majority ownership, and we provide higher returns than others in the industry," "The bo om line is our physicians are aligned with us... and they have a vested interest in providing the best quality and consistency of care - thereby ul mately benefi ng our pa ents. Lori has successfully partnered with hundreds of surgeons and credits the success of her company by living by Elite's corporate mo o: "What's good for our pa ents and physicians is good for us." Monica de la Cerda, MBA monica.delacerda@weston.com GHHA Officer & Producer Ms. de la Cerda currently serves as the Opera ons Manager of The Weston Group, a reliable provider of solu ons in informa on technologies for the healthcare industry. She serves as the Vice- President on the board for ZCH of Zonta Interna onal and as a current officer for the Greater Houston Healthcare Alliance. She was part of the original team that executed INeedaDoc.com, the first ever na onally localized doctor search engine and partner with Clear Channel Communica ons. Her background includes Director of Web Services at IP2M and Healthcare Dialog, a New York City based ad agency that specializes in na onal hospital systems and FDA cleared pharmaceu cal marke ng. Monica later formed Calls Work, LLC, a Healthcare marke ng and consul ng firm which provides solu ons for hospitals and physician prac ces. 6

8 Spotlight - GHHA Members to Know C. Scott Nichols Sco.Nichols@strasburger.com C. Sco Nichols counsels health care providers regarding development of strategies to maximize reimbursement and compliance with applicable state and federal laws. Sco advises providers regarding development of processes to handle RAC/CMS/ Medicare audits and appeals and represent them throughout the appeal process. Sco also represents health care providers, including physicians and hospitals, in connec on with medical staff creden aling and peer review ma ers. He represents providers who are the subject of fraud inves ga ons including by the OIG, state and federal, and insurance company special inves ga on units. Tobin Lassen tobin.lassen@globalhca.com Mr. Tobin Lassen, co-founder and vice president of business development of Global Healthcare Alliance, has more than 20 years in the healthcare industry with specific experience in revenue cycle management and bundled healthcare payment and administra on. Boyd Yarbrough byarbrough@elitesurgicalaffiliates.com Boyd credits the "stellar" Elite team and the company's "winning philosophy" as keys to why the organiza- on has come out on top. "We're certainly not the biggest company of our kind out there - but we definitely strive to be the best. If we have two surgery centers or 20 surgery centers... we want them to be the best two or 20 surgery centers in the country." Robert Becktell Bob@beck-ford.com Beck-Ford is a Commercial General Contractor, who specializes in the construc on of shopping centers, medical facili es, hospitals, surgery centers, health care, imaging centers, dental offices, private educa onal facili es, churches, banks, offices, fitness centers and retail buildings. 7

9 Pam Potter, MBA, CMPE, FHFMA, FACHE pam.po A Cer fied Medical Prac ce Execu ve and ac ve administrator, Ms. Po er is Past President of Gulf Coast Medical Group Management Associa on and Texas MGMA, Past Legisla ve Chair for TMGMA and President Elect of the Texas Gulf Coast Chapter HFMA. She is a professor at UHCL teaching Medical Reimbursement and a Fellow of both HFMA and ACHE. Her clinical background is in medical technology and radiology, receiving her undergraduate degree in Medical Technology from Texas Tech University. She obtained her MBA in Health Care Administra- on from Our Lady of the Lake University Quick Consult Overview Participating in the conference will be 15 leading professional healthcare service organizations including academicians from the healthcare field. This is your opportunity to sign up for as many 15 minute quick consults as time permits live at the conference. These consults will take place at the member tables. Plan accordingly to take advantage of these no obligation sessions to assess how GHHA may help your organization thrive. Suggested topics: Informa on Technology Financial Planning Banking Services ACOs and PHOs Legal Services Managed Care Consul ng ASC Managed Services Insurance Bundled Pricing Medical Billing Revenue Cycle Management Healthcare Consul ng IPAs Healthcare Staffing Group Prac ce w/o Walls EMR Meaningful Use HIPAA Compliance Security Risk Analysis Telemedicine MSOs Medical Professional Malprac ce Construc on Financing Treasury Management Services Asset Protec on for Physicians Wealth Management /Protec on Interim C-Suite Roles Appeal & Denial Management Adjudica on of Claims Syndica on Facility Design Procurement & Accredita on Sign up at the registration table early or directly at the GHHA Members table during the conference. Con nuing Medical Educa on (CME) Credit This program is approved for educational credit by an accredited CME provider and designates this educational activity for a maximum of 3 hours in AMA PRA Category 1 credits. Please register online to attend and then check in at the event to claim the hours of credit for this program s educational activity. 8

10 Your Healthcare Think Tank The Greater Houston Healthcare Alliance, GHHA, was formed in 2010 with the idea of helping independent physicians remain independent by aggregating the best organizations serving the physician market. All GHHA members specialize in healthcare and operate in the Houston area. Currently, GHHA has over 15 members and works hand-in-hand to provide various services ranging from assistance in or outsourcing of basic practice operations, to advanced consulting on cutting edge healthcare organizations models and processes for physicians to thrive in today s market. Please contact GHHA regarding any services or questions and we will find the right solutions for you and your practice. 9

11 Direc ons The Norris Conference Center is located at City Center off of the Sam Houston Tollway West at I-10 West. A parking garage may be accessed (to the right) from the beltway service road while heading north from Memorial Drive. 10

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