EMS Changes, Challenges and Opportunities under Healthcare Reform. Thursday, April 26, pm ET 1 pm CT Noon MT 11am PT

Size: px
Start display at page:

Download "EMS Changes, Challenges and Opportunities under Healthcare Reform. Thursday, April 26, 2012 2pm ET 1 pm CT Noon MT 11am PT"

Transcription

1 1 EMS Changes, Challenges and Opportunities under Healthcare Reform Thursday, April 26, pm ET 1 pm CT Noon MT 11am PT

2 2 Complimentary Live Webinar Today s Speakers: Jay Fitch PhD, Fitch & Associates Dan Voss TriTech Product Manager

3 3 The TriTech Difference Leader in the EMS and public safety software market More than 2,500 agencies installations rely on our solutions Stable company with the resources to remain a leader in the era of rapid technology changes with the experience to know what is needed Your partner in the staying up-to-date on regulatory compliance and the latest technology trends

4 4 EMS Solutions Installed and Online EMS billing software Electronic Patient Care Reporting Computer- Aided Dispatch for EMS Mobile VisiNet Mobile Dispatch for Mobile Dispatch Unit EMS

5 5 Complimentary Live Webinar Questions? Contact Info: TriTech Software Systems

6 Preparing for Operating in an Accountable (ACO) System Jay Fitch, PhD Fitch & Associates

7 Accountable Care Ambulance Service Who s Paying for Our Services

8 1. Face Facts CMS Projections for National Healthcare Spending (Amount in Billions) CY $5, % $4,500 $4,353 $4,000 $3,500 $3,000 $2,500 $2,000 National Health Expenditures (billions) National Health Expenditures as a Percent of Gross Domestic Product $2,113 $1,981 $1,855 $1,735 $2,241 $2,379 $2,510 $2, % 17.7% $2,770 $2, % 18.0% $3,313 $3, % 18.2% $3, % $4,062 $3, % 19.8% 20.3% 20.0% 19.0% 18.0% $1, % 17.0% $1, % 15.9% 15.9% 16.0% 16.2% 16.0% $500 $ % Source: Centers for Medicaid & Medicare Services - NHE Projections , Forecast Summary and Selected Tables

9

10 Why Change Care Delivery Primary Care Specialty Care Ambulatory Hospital and ED Skilled Nursing Nursing Home Home Health

11 ACO s as Integrators of Care Primary Care Specialty Care Ambulatory Hospital and ED Patients Skilled Nursing Nursing Home Home Health

12

13 What is Accountable Care Accountable Care highlights the need for physicians, hospitals, other providers, payers, and patients and their caregivers to work collaboratively to ensure and measurably improve appropriate, high-quality, efficient and cost-effective delivery of healthcare.

14

15

16 Big Picture

17 2. Become More Accountable Not Just Response Times - Anymore Outcomes Orientation Accountability?

18

19 3. Become More Efficient Work Smarter Ensure schedules match demand Deployment plans followed Maximizing available unit hours Develop People for Expanded Roles

20 4. Become More Integrated w/ Healthcare Systems Quality Processes & More Services You can Provide?

21 5. Think Innovation Where do we (can we) add value? Health Care Innovation Challenge Grant

22 6. Prepare for New Service Delivery Models One Approach - Community Paramedicine Multiple models of CP Primary Care, Substitution, Community Coordination Curriculum Developed

23 7. Make Amends With Others Relationships people, processes & systems Reduce Turf & Arrogance Issues

24 8. Diversify Revenues Training services Communications services Occupational health & safety Billing & collection Vehicle maintenance services

25 9. Communicate Impact Communicate with staff & other stakeholders Position external stakeholders to become advocates Communicate by the rule of five Facts about what is happening Why it is happening What it means to them

26 10. Know Your Numbers A new & improved funding approach is likely coming Generally, means reduced traditional revenues for those not providing high value services Competitive forces Activity based expense budgets Revenue & cash flow budgets Know the impact

27 11. Become Agile vs. Fragile

28 12. Don t Forget the Mission Reduce Lives Lost Reduce Pain & Suffering < Expenses Catastrophic Illness/Injury

29 Remember the Serenity Prayer

30 Special Discount Enter TTWebinar and receive $25 off pinnacle-ems.com

31 31 Complimentary Live Webinar Questions? Contact Info: TriTech Software Systems

32 The Leader in Public Safety and Medical Transport

US Hospital Information Systems Overview and Outlook, 2013 2020 Managing Information in an Era of Reform

US Hospital Information Systems Overview and Outlook, 2013 2020 Managing Information in an Era of Reform US Hospital Information Systems Overview and Outlook, 2013 2020 Managing Information in an Era of Reform December 2014 Contents Section Slide Number Executive Summary 11 Market Background 19 The EHR Landscape

More information

2013 PLUS Medical PL Symposium Credentialing in the World of ACOs

2013 PLUS Medical PL Symposium Credentialing in the World of ACOs 2013 PLUS Medical PL Symposium Credentialing in the World of ACOs Chicago April 10-11, 2013 Credentialing in the World of ACOs MODERATOR: Fay A. Rozovsky, JD, MPH, DFASHRM, President, The Rozovsky Group,

More information

Urgent Care Industry Overview

Urgent Care Industry Overview Urgent Care Industry Overview September 2013 Investment banking services are provided by Harris Williams LLC, a registered broker-dealer and member of FINRA and SIPC, and Harris Williams & Co. Ltd, which

More information

Accountability and Innovation in Care Delivery Models

Accountability and Innovation in Care Delivery Models Accountability and Innovation in Care Delivery Models Lisa McDonnel Senior Vice President, Network Strategy & Innovation, United Healthcare November 6, 2015 Today s discussion topics Vision Our strategic

More information

What you need to know about Health Reform, Accountable Care, and Collaborative Care

What you need to know about Health Reform, Accountable Care, and Collaborative Care ACO and Collaborative Care - The Basics What you need to know about Health Reform, Accountable Care, and Collaborative Care Healthcare is changing Costs vs. volume ACO Benefits How to Achieve ACO Health

More information

OBJECTIVES AGING POPULATION AGING POPULATION AGING IMPACT ON MEDICARE AGING POPULATION

OBJECTIVES AGING POPULATION AGING POPULATION AGING IMPACT ON MEDICARE AGING POPULATION OBJECTIVES Kimberly S. Hodge, PhDc, MSN, RN, ACNS-BC, CCRN- K Director, ACO Care Management & Clinical Nurse Specialist Franciscan ACO, Inc. Central Indiana Region Indianapolis, IN By the end of this session

More information

13.8% Inflation-adjusted GDP (billions) Cumulative growth 2009 to Q3 2015. Exhibit 1 Steady U.S. Economic Growth After a Severe Recession $17,000

13.8% Inflation-adjusted GDP (billions) Cumulative growth 2009 to Q3 2015. Exhibit 1 Steady U.S. Economic Growth After a Severe Recession $17,000 Exhibit 1 Steady U.S. Economic Growth After a Severe Recession Inflation-adjusted GDP (billions) $17,000 $16,000 $15,000 $14,000 $13,000 13.8% Cumulative growth 2009 to Q3 2015 $12,000 $11,000 $10,000

More information

INTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS. Karen Unholz, RN, BSN

INTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS. Karen Unholz, RN, BSN INTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS Karen Unholz, RN, BSN Origins of the Accountable Care Organization ACOs originated from the Patient Protection and Affordable Care Act (Healthcare Reform)

More information

Bellin-ThedaCare Healthcare Partners a Pioneer Accountable Care Organization. George Kerwin President/CEO Bellin Health

Bellin-ThedaCare Healthcare Partners a Pioneer Accountable Care Organization. George Kerwin President/CEO Bellin Health Bellin-ThedaCare Healthcare Partners a Pioneer Accountable Care Organization George Kerwin President/CEO Bellin Health Objectives Describe the characteristics of Bellin-ThedaCare Healthcare Partners and

More information

Accountable Care Organization Overview

Accountable Care Organization Overview Accountable Care Organization Overview Presented by: Bill Wachs & Kai Tsai April 28, 2015 This webinar is brought to you by the American Hospital Association s Center for Healthcare Governance. Backed

More information

PSYCHIATRY IN HEALTHCARE REFORM SUMMARY REPORT A REPORT BY AMERICAN PSYCHIATRIC ASSOCIATION BOARD OF TRUSTEES WORK GROUP ON THE ROLE OF

PSYCHIATRY IN HEALTHCARE REFORM SUMMARY REPORT A REPORT BY AMERICAN PSYCHIATRIC ASSOCIATION BOARD OF TRUSTEES WORK GROUP ON THE ROLE OF ROLE OF PSYCHIATRY IN HEALTHCARE REFORM SUMMARY REPORT A REPORT BY AMERICAN PSYCHIATRIC ASSOCIATION BOARD OF TRUSTEES WORK GROUP ON THE ROLE OF PSYCHIATRY IN HEALTHCARE REFORM 2014 Role of Psychiatry in

More information

Regulating Hospital Spending in Maryland

Regulating Hospital Spending in Maryland Regulating Hospital Spending in Maryland Rate Regulation and Certificate of Need Managing Health System Capacity NIHCM Foundation December 1, 2008 1 Maryland 2010 projected population of 5.9 million Population

More information

Premier ACO Collaboratives Driving to a Patient-Centered Health System

Premier ACO Collaboratives Driving to a Patient-Centered Health System Premier ACO Collaboratives Driving to a Patient-Centered Health System As a nation we all must work to rein in spiraling U.S. healthcare costs, expand access, promote wellness and improve the consistency

More information

How Health Reform Will Affect Health Care Quality and the Delivery of Services

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

More information

WPS Medical Management

WPS Medical Management Medical Management WPS Medical Management Controlling Costs through Compassionate Support Managing Costs. Improving Outcomes. Just one employee with catastrophic medical claims can send your health insurance

More information

Healthcare Debt Sales

Healthcare Debt Sales Slide Presentation: Healthcare Debt Sales Tips to Boost Revenue and Effectively Manage Patient Relationships From Live Webinar on February 14, 2013 Healthcare Debt Sales: Tips to Boost Revenue & Effectively

More information

Webinar: Next Generation ACO Implications: Impact of the New CMS ACO Model

Webinar: Next Generation ACO Implications: Impact of the New CMS ACO Model Webinar: Next Generation ACO Implications: Impact of the New CMS ACO Model a HealthcareWebSummit Event, 1PM Eastern, Wednesday, April 22nd, 2015 Individual Registration Fee: $195. Post-Event Materials:

More information

The Accountable Care Organization: An Introduction

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,

More information

Reforming and restructuring the health care delivery system

Reforming and restructuring the health care delivery system Reforming and restructuring the health care delivery system Are Accountable Care Organizations and bundling the solution? Prepared by: Dan Head, Principal, RSM US LLP dan.head@rsmus.com, +1 703 336 6536

More information

Re-Examining the Affordable Care Act

Re-Examining the Affordable Care Act Re-Examining the Affordable Care Act May 2015 Table of Contents Reexamining the Affordable Care Act... 3 What Is the ACA?... 3 CMS s Relationship with the ACA... 3 Part A Providers The Shift to Pay-for-Performance...

More information

Nursing Home, Assisted Living, Hospice, and Home Care Markets

Nursing Home, Assisted Living, Hospice, and Home Care Markets Experts Look Ahead at the Nursing Home, Assisted Living, Hospice, and Home Care Markets September 30, 2014 Hyatt Regency O Hare, Chicago, Illinois Erik Johnson Avalere Health Andrew Van Ostrand First Quality

More information

Decision Support & Business Intelligence. The Next Generation. Derek Morkel, CEO GAFFEY Healthcare

Decision Support & Business Intelligence. The Next Generation. Derek Morkel, CEO GAFFEY Healthcare Decision Support & Business Intelligence The Next Generation Derek Morkel, CEO GAFFEY Healthcare Measurement is the core of any process ---------------------------------------------------------------------------

More information

EMSC Company Overview JP Morgan Investor Conference January 2009

EMSC Company Overview JP Morgan Investor Conference January 2009 EMSC Company Overview JP Morgan Investor Conference January 2009 1 2 Cautionary Statement Regarding Forward-Looking Statements Certain statements and information in this presentation may be deemed to be

More information

Charting the Future of Primary Care: Care Coordination/Case Management

Charting the Future of Primary Care: Care Coordination/Case Management Charting the Future of Primary Care: Care Coordination/Case Management ASA-NYAM Forum March 19, 2009 Cheryl Schraeder, RN, PhD Director of Policy & Practice Initiatives Institute for Healthcare Innovation

More information

Proposed Rule: Medicare Program; Medicare Shared Savings Program; Accountable Care Organizations (CMS-1461-P)

Proposed Rule: Medicare Program; Medicare Shared Savings Program; Accountable Care Organizations (CMS-1461-P) Via online submission to http://www.regulations.gov February 6, 2015 Sylvia M. Burwell Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS 1461

More information

BCBSM 2015-2016 PG5 P4P Program Population Health Management Champion Measure

BCBSM 2015-2016 PG5 P4P Program Population Health Management Champion Measure BCBSM 2015-2016 PG5 P4P Program Population Health Management Champion Measure Blue Cross Blue Shield of Michigan Hospital Incentive Programs May 15, 2015 Kristen Frey kfrey@bcbsm.com Mark Huizenga mhuizenga@bcbsm.com

More information

Early Lessons learned from strong revenue cycle performers

Early Lessons learned from strong revenue cycle performers Healthcare Informatics June 2012 Accountable Care Organizations Early Lessons learned from strong revenue cycle performers Healthcare Informatics Accountable Care Organizations Early Lessons learned from

More information

E. Christopher Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences

E. Christopher Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences Accountable Care Organizations and You E. Christopher Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences CEO, OSU Faculty Group Practice Chair, Department of Surgery Ohio State University

More information

HEALTHCARE REFORM OCTOBER 2012

HEALTHCARE REFORM OCTOBER 2012 HEALTHCARE REFORM Tracking ACO Growth Nationally OCTOBER 2012 The enclosed slides are intended to provide you with a snapshot of how private sector accountable care organizations (ACOs) have formed since

More information

Critical Access Hospitals and

Critical Access Hospitals and Critical Access Hospitals and Health Care Reform What s in it for you? Patient Protection and Affordable Care Act (ACA) Fundamental changes Moving Medicare from payment for services to payment for outcomes

More information

Introduction to Healthcare and Public Health in the US: Financing Healthcare

Introduction to Healthcare and Public Health in the US: Financing Healthcare Introduction to Healthcare and Public Health in the US: Financing Healthcare Lecture 2 Audio Transcript Slide 1 Welcome to Introduction to Healthcare and Public Health in the US: Financing Healthcare.

More information

Maximizing Efficiency and Productivity in Your Rural ER. Bruce Penner, RN David D. Luehr, MD

Maximizing Efficiency and Productivity in Your Rural ER. Bruce Penner, RN David D. Luehr, MD Maximizing Efficiency and Productivity in Your Rural ER Bruce Penner, RN David D. Luehr, MD Can we afford to continue as we are? What if your ER had to pay for itself? What if you were rated on patient

More information

ehealth Exchange Onboarding Overview Jennifer Rosas, ehealth Exchange Director Kati Odom, ehealth Exchange Implementation Manager

ehealth Exchange Onboarding Overview Jennifer Rosas, ehealth Exchange Director Kati Odom, ehealth Exchange Implementation Manager ehealth Exchange Onboarding Overview Jennifer Rosas, ehealth Exchange Director Kati Odom, ehealth Exchange Implementation Manager Introduction to the ehealth Exchange Rapidly growing network for securely

More information

Accountable Care Organizations. Rick Shinto, MD Aveta Health Inc. July 20, 2010

Accountable Care Organizations. Rick Shinto, MD Aveta Health Inc. July 20, 2010 Accountable Care Organizations Rick Shinto, MD Aveta Health Inc. July 20, 2010 1 Health Care Reform- New Models of Care Patient Protection and Affordable care Act (PPACA 2010) controlling costs and improving

More information

Tim Turner Tim Turner & Associates, LLC TEXAS. Health Information Technology Advisory Committee (HITAC)

Tim Turner Tim Turner & Associates, LLC TEXAS. Health Information Technology Advisory Committee (HITAC) Tim Turner Tim Turner & Associates, LLC TEXAS Health Information Technology Advisory Committee (HITAC) Track 1: Getting Started, Organization and Governance Texas Health Information Technology Advisory

More information

CMS-1600-P 201. As we discussed in the CY 2013 PFS final rule with comment period, we are

CMS-1600-P 201. As we discussed in the CY 2013 PFS final rule with comment period, we are CMS-1600-P 201 I. Complex Chronic Care Management Services As we discussed in the CY 2013 PFS final rule with comment period, we are committed to primary care and we have increasingly recognized care management

More information

OBSERVATION CARE EVALUATION AND MANAGEMENT CODES

OBSERVATION CARE EVALUATION AND MANAGEMENT CODES REIMBURSEMENT POLICY OBSERVATION CARE EVALUATION AND MANAGEMENT CODES Policy Number: ADMINISTRATIVE 232.8 T0 Effective Date: April, 205 Table of Contents APPLICABLE LINES OF BUSINESS/PRODUCTS... APPLICATION...

More information

Health Policy 201 drugs. Ellen Andrews, PhD Fall 2011

Health Policy 201 drugs. Ellen Andrews, PhD Fall 2011 Health Policy 201 drugs Ellen Andrews, PhD Fall 2011 benefits Since the mid-1990s, when researchers developed a new wave of medicines to treat HIV/AIDS, the U.S. death rate from AIDS dropped about 70 percent.

More information

Management Services Organizations: Efficiency in Payer Engagement. Today s Discussion

Management Services Organizations: Efficiency in Payer Engagement. Today s Discussion Management Services Organizations: Efficiency in Payer Engagement Ohio Association of Community Health Centers July 2014 Contact Us Andrew Principe andy@starlingadvisors.com Amanda Stangis, MPH amanda@starlingadvisors.com

More information

What is an Accountable Care Organization & Why is it Important to Your Home Infusion Company?

What is an Accountable Care Organization & Why is it Important to Your Home Infusion Company? What is an Accountable Care Organization & Why is it Important to Your Home Infusion Company? Lisa Harvey McPherson RN, MBA, MPPM EMHS Vice President Continuum of Care & Chief Advocacy Officer Disclosures

More information

ACOs ECONOMIC CREDENTIALING BUNDLING OF PAYMENTS

ACOs ECONOMIC CREDENTIALING BUNDLING OF PAYMENTS ACOs ECONOMIC CREDENTIALING BUNDLING OF PAYMENTS There are a number of medical economic issues Headache Medicine Physicians should be familiar with as we enter a new era of healthcare reform. Although

More information

Overview of Pending Payment Reform Legislation in Massachusetts

Overview of Pending Payment Reform Legislation in Massachusetts Overview of Pending Payment Reform Legislation in Massachusetts Presentation by Michael Bailit to: Minnesota Health Care Reform Task Force June 4, 2012 Context for Massachusetts Payment Reform 2006: Passage

More information

HFMA Region 9 Webinar Are You on the Right Path to Value?

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

More information

Center for Medicare and Medicaid Innovation

Center for Medicare and Medicaid Innovation Center for Medicare and Medicaid Innovation Summary: Establishes within the Centers for Medicare and Medicaid Services (CMS) a Center for Medicare & Medicaid Innovation (CMI). The purpose of the Center

More information

Current State of Home Health Care. Robert J. Rosati, PhD IOM Workshop on the Future of Home Health September 30, 2014

Current State of Home Health Care. Robert J. Rosati, PhD IOM Workshop on the Future of Home Health September 30, 2014 Current State of Home Health Care Robert J. Rosati, PhD IOM Workshop on the Future of Home Health September 30, 2014 Overview Medicare Home Health Care Eligibility Services Size and Expenditures Traditional

More information

HITAM. Business Intelligence for Hospitals: Empowering Healthcare Providers to Make Informed Decisions through Centralized Data Analysis

HITAM. Business Intelligence for Hospitals: Empowering Healthcare Providers to Make Informed Decisions through Centralized Data Analysis Business Intelligence for Hospitals: Empowering Healthcare Providers to Make Informed Decisions through Centralized Data Analysis Healthcare providers today are impacted by an acute combination of rising

More information

How To Get A Meaningful Use Of Your Ehr

How To Get A Meaningful Use Of Your Ehr Making the Most of Meaningful Use: Why Choosing the Right EHR Matters Most healthcare professionals understand how electronic health records (EHRs) can drive greater patient engagement and improve the

More information

Impact of Health Care Reform on. California Ambulance Association September 19, 2012

Impact of Health Care Reform on. California Ambulance Association September 19, 2012 Impact of Health Care Reform on California s EMS System California Ambulance Association September 19, 2012 Impact of Health Care Reform on California s EMS System What is the Cost of Readiness? Patient

More information

Frequently Asked Questions American Recovery and Reinvestment Act and the HITECH Act. Basics of the Bill

Frequently Asked Questions American Recovery and Reinvestment Act and the HITECH Act. Basics of the Bill Frequently Asked Questions American Recovery and Reinvestment Act and the HITECH Act Basics of the Bill How does the $19 billion that s allocated to Health IT break down in the Stimulus Bill? There is

More information

A BILL FOR AN ACT. Concerning the compiling and reporting of hospital charge data for the benefit of healthcare consumers.

A BILL FOR AN ACT. Concerning the compiling and reporting of hospital charge data for the benefit of healthcare consumers. A BILL FOR AN ACT 1 2 Concerning the compiling and reporting of hospital charge data for the benefit of healthcare consumers. Bill Summary Requires each hospital in the State of Colorado to provide to

More information

2015 ACO Survey Results Webinar. September 8, 2015 12:30 2:00 pm ET

2015 ACO Survey Results Webinar. September 8, 2015 12:30 2:00 pm ET 2015 ACO Survey Results Webinar September 8, 2015 12:30 2:00 pm ET **Audio for this webinar streams through the web. Please make sure the sound on your computer is turned on and you have speakers. If you

More information

Do You Know Your Collection Percentage?

Do You Know Your Collection Percentage? EMS Economics March 26, 2008 Douglas M. Wolfberg,, Esquire A Key to Financial Success: Properly Measure Your Billing Performance Do You Know Your Collection Percentage? Gross Collection Versus Net Collection

More information

URAC PATIENT CENTERED HEALTH CARE HOME PROGRAMS

URAC PATIENT CENTERED HEALTH CARE HOME PROGRAMS URAC PATIENT CENTERED HEALTH CARE HOME PROGRAMS Today s Speaker Christine G. Leyden, RN, MSN SVP & GM Client Services, Chief Accreditation Officer 7/27/2011 2011 URAC 2 Learning Objectives for Today s

More information

Your Healthcare Solutions Partner

Your Healthcare Solutions Partner At the Forefront of Healthcare Transformation Your Healthcare Solutions Partner The UCF REC is transforming healthcare every day. A leader in the widespread adoption of Electronic Health Records since

More information

The Abaris Group 2013/2014 AMBULANCE INDUSTRY REPORT

The Abaris Group 2013/2014 AMBULANCE INDUSTRY REPORT The Abaris Group 2013/2014 AMBULANCE INDUSTRY REPORT About the Authors Jenifer Goodwin is an award winning writer, editor and researcher with over 20 years of experience working for consulting, marketing

More information

HCCA COMPLIANCE INSTITUTE. HCCA - AHIA Auditing & Monitoring Focus Group Progress Report

HCCA COMPLIANCE INSTITUTE. HCCA - AHIA Auditing & Monitoring Focus Group Progress Report HCCA COMPLIANCE INSTITUTE New Orleans, LA Tuesday, April 19, 2005 Workshop from 3:00pm 4:00pm HCCA - AHIA Auditing & Monitoring Focus Group Progress Report Randall Brown, CIA Baylor Healthcare System Corporate

More information

Accountable Care Organizations

Accountable Care Organizations Accountable Care Organizations CG-CAHPS, and Transparency Thomas Schlesinger, Ph.D Gundersen Lutheran Health System La Crosse, WI Integrated Delivery System Approximately 6,500 Total Employees 776 providers

More information

Accountable Care Platform

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

More information

Are Health Care Costs in Alaska spiraling out of control?

Are Health Care Costs in Alaska spiraling out of control? Are spiraling out of control? An overview Mouhcine Guettabi, PhD Institute of Social and Economic Research University of Alaska Anchorage 5/9/2015 Outline General Overview 1 General Overview What do we

More information

Ambulatory Surgery Centers: Valuation Process & Key Benchmarks

Ambulatory Surgery Centers: Valuation Process & Key Benchmarks Ambulatory Surgery Centers: Valuation Process & Key Benchmarks Chance Sherer, CVA Director 1 PRESENTATION OVERVIEW I. Industry Background II. III. Valuations: When and Why Types of Transactions IV. Overview

More information

Health Research Institute 2014 June. Medical cost trend: Behind the numbers 2015 Chart pack

Health Research Institute 2014 June. Medical cost trend: Behind the numbers 2015 Chart pack Health Research Institute 2014 June Medical cost trend: Behind the numbers 2015 Chart pack HRI projects 2015 s medical cost trend to be 6.8% a modest increase over our 2014 projection of 6.5%. As more

More information

CMS Physician Quality Reporting Programs Strategic Vision

CMS Physician Quality Reporting Programs Strategic Vision CMS Physician Quality Reporting Programs Strategic Vision FINAL DRAFT March 2015 1 EXECUTIVE SUMMARY As the largest payer of healthcare services in the United States, the Centers for Medicare & Medicaid

More information

Welcome. ICD-10 Road to Ten : ICD-10 Implementation Guidance

Welcome. ICD-10 Road to Ten : ICD-10 Implementation Guidance Welcome ICD-10 Road to Ten : ICD-10 Implementation Guidance Jean Stevens, RHIT, CCS-P AHIMA ICD-10 Ambassador and OSMA education consultant Melissa Little, Medicaid Health Systems Administrator, Ohio Medicaid

More information

The healthcare industry is changing more rapidly than ever, creating new opportunities for those who stand ready to seize them. Who are we?

The healthcare industry is changing more rapidly than ever, creating new opportunities for those who stand ready to seize them. Who are we? The healthcare industry is changing more rapidly than ever, creating new opportunities for those who stand ready to seize them. COGNIZANT AT A GLANCE In this increasingly dynamic business environment,

More information

Change your perspective and watch your health care savings add up.

Change your perspective and watch your health care savings add up. 5537 Change your perspective and watch your health care savings add up. Let us show you how much you can save by exploring self-funding solutions. Welcome to the brave new world of benefits plans. The

More information

Health reform gives Idaho new opportunities to provide homeand

Health reform gives Idaho new opportunities to provide homeand Health Reform: New Opportunities For Idaho To Invest in Home- and Community-Based Services Health reform gives Idaho new opportunities to provide homeand community-based services (HCBS) through Medicaid,

More information

Proven Innovations in Primary Care Practice

Proven Innovations in Primary Care Practice Proven Innovations in Primary Care Practice October 14, 2014 The opinions expressed are those of the presenter and do not necessarily state or reflect the views of SHSMD or the AHA. 2014 Society for Healthcare

More information

MANAGEMENT S DISCUSSION CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION AS OF AND FOR THE SEPTEMBER 30, 2014 AND 2013 AND ANALYSIS OF FINANCIAL

MANAGEMENT S DISCUSSION CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION AS OF AND FOR THE SEPTEMBER 30, 2014 AND 2013 AND ANALYSIS OF FINANCIAL MANAGEMENT S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION AS OF AND FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2014 AND 2013 The following information should be

More information

Health System Transformation Post Affordable Care Act

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

More information

Jackson Health System Observations and Recommendations. Duane J. Fitch, CPA, MBA President March 15, 2010

Jackson Health System Observations and Recommendations. Duane J. Fitch, CPA, MBA President March 15, 2010 Jackson Health System Observations and Recommendations Duane J. Fitch, CPA, MBA President March 15, 2010 JHS Observations Jackson Health System An academic health system with a public healthcare mission

More information

Financial Implications: The Push from Inpatient to Outpatient Care

Financial Implications: The Push from Inpatient to Outpatient Care Financial Implications: The Push from Inpatient to Outpatient Care Brian Baumgardner & Mitchell Mongell THE TRANSFORMATION TO CONSUMER-DRIVEN HEALTHCARE FINANCIAL IMPLICATIONS:THE PUSH FROM INPATIENT TO

More information

Medicaid 101. The basics of publicly funded healthcare.

Medicaid 101. The basics of publicly funded healthcare. Medicaid 101 The basics of publicly funded healthcare. Medicare Vs Medicaid Medicare: Over 65, or Disabled Federally Managed program Medicaid Resource & Need Based State Federal Partnership Social Security

More information

Observation Care Evaluation and Management Codes Policy

Observation Care Evaluation and Management Codes Policy Policy Number REIMBURSEMENT POLICY Observation Care Evaluation and Management Codes Policy 2016R0115A Annual Approval Date 3/11/2015 Approved By Payment Policy Oversight Committee IMPORTANT NOTE ABOUT

More information

What is Home Care Case Management?

What is Home Care Case Management? What is Home Care Case Management? Printed in USA Arcadia Home Care & Staffing www.arcadiahomecare.com Case Management: What is it why is it important? While different approaches to healthcare today are

More information

Health reform gives Nebraska new opportunities to provide homeand

Health reform gives Nebraska new opportunities to provide homeand Health Reform: New Opportunities For Nebraska To Invest in Home- and Community-Based Services Health reform gives Nebraska new opportunities to provide homeand community-based services (HCBS) through Medicaid,

More information

July 17, 2015. Submitted electronically to: www.regulations.gov

July 17, 2015. Submitted electronically to: www.regulations.gov Andy Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS 2390 P P.O. Box 8016 Baltimore, MD 21244 8016 Submitted electronically

More information

Health reform gives Massachusetts new opportunities to provide

Health reform gives Massachusetts new opportunities to provide Health Reform: New Opportunities For Massachusetts To Invest in Home- and Community-Based Services Health reform gives Massachusetts new opportunities to provide home- and community-based services (HCBS)

More information

Sentimental Journey. Ambulance Model Project

Sentimental Journey. Ambulance Model Project Sentimental Journey Ambulance Model Project The program is a collaborative effort between hospice organizations and EMS transport services to provide special trips to requested destinations for inhouse

More information

Caryl A. Serbin President and Founder Serbin Surgery Center Billing, LLC and. Becky Ziegler-Otis

Caryl A. Serbin President and Founder Serbin Surgery Center Billing, LLC and. Becky Ziegler-Otis 1 Presented by Caryl A. Serbin President and Founder Serbin Surgery Center Billing, LLC and Becky Ziegler-Otis Administrator Ambulatory Surgical Center of Stevens Point 2 ASC STEVENS POINT Days in A/R

More information

Development of a Vermont Pilot Community Health System To Achieve the Triple Aims

Development of a Vermont Pilot Community Health System To Achieve the Triple Aims Development of a Vermont Pilot Community Health System To Achieve the Triple Aims Webinar February 23, 2010 Jim Hester PhD Director Vermont Health Care Reform Commission Outline Context: Vermont Health

More information

The Importance of Aging Services Networks in the Developing Managed Care Environment

The Importance of Aging Services Networks in the Developing Managed Care Environment The Importance of Aging Services Networks in the Developing Managed Care Environment Leading Age Missouri September 2015 Michael A. Scavotto Management Performance Associates, Inc. St Louis, Missouri Environment

More information

HEALTHCARE REFORM CARE DELIVERY AND REIMBURSEMENT MODELS. April 10, 2014

HEALTHCARE REFORM CARE DELIVERY AND REIMBURSEMENT MODELS. April 10, 2014 HEALTHCARE REFORM CARE DELIVERY AND REIMBURSEMENT MODELS April 10, 2014 1 MARKETPLACE UPDATE 2 MARKETPLACE - ESSENTIAL HEALTH BENEFITS 3 MARKETPLACE - METAL LEVELS 4 WHAT IS THE HEALTH INSURANCE MARKETPLACE

More information

Regional Extension Centers: Support for EMR Adoption and Meaningful Use Achievement. Jennifer McAnally Director, tnrec

Regional Extension Centers: Support for EMR Adoption and Meaningful Use Achievement. Jennifer McAnally Director, tnrec Regional Extension Centers: Support for EMR Adoption and Meaningful Use Achievement Jennifer McAnally Director, tnrec The State of Healthcare Today The United States ranks: 37 th 72 nd 41 st 46 th Overall

More information

What is an Accountable Care Organization & Why is it Important to Your Home Infusion Company? Disclosures. Overview 3/10/2015

What is an Accountable Care Organization & Why is it Important to Your Home Infusion Company? Disclosures. Overview 3/10/2015 What is an Accountable Care Organization & Why is it Important to Your Home Infusion Company? Lisa Harvey McPherson RN, MBA, MPPM EMHS Vice President Continuum of Care & Chief Advocacy Officer Disclosures

More information

Meaningful Use, ICD-10 and HIPAA 5010 Overview, talking points and FAQs

Meaningful Use, ICD-10 and HIPAA 5010 Overview, talking points and FAQs Meaningful Use, ICD-10 and HIPAA 5010 Overview, talking points and FAQs Providence Health & Services is committed to using technology and evidence-based practices to deliver the highest quality care in

More information

ACCOUNTABLE CARE ORGANIZATION (ACO): SUPPLYING DATA AND ANALYTICS TO DRIVE CARE COORDINATION, ACCOUNTABILITY AND CONSUMER ENGAGEMENT

ACCOUNTABLE CARE ORGANIZATION (ACO): SUPPLYING DATA AND ANALYTICS TO DRIVE CARE COORDINATION, ACCOUNTABILITY AND CONSUMER ENGAGEMENT ACCOUNTABLE CARE ORGANIZATION (ACO): SUPPLYING DATA AND ANALYTICS TO DRIVE CARE COORDINATION, ACCOUNTABILITY AND CONSUMER ENGAGEMENT MESC 2013 STEPHEN B. WALKER, M.D. CHIEF MEDICAL OFFICER METRICS-DRIVEN

More information

GLOSSARY. The Well-Managed Healthcare Organization, 7 th edition. 2010 K.R. White and J.R. Griffith 1

GLOSSARY. The Well-Managed Healthcare Organization, 7 th edition. 2010 K.R. White and J.R. Griffith 1 GLOSSARY GLOSSARY 360-degree or multi-rater review. Formal evaluation of performance by subordinates, superiors, and peers of the individual or unit Accountability hierarchy. A reporting and communication

More information

Meaningful Use for Eligible Providers. Session One: ARRA Meaningful Use Overview

Meaningful Use for Eligible Providers. Session One: ARRA Meaningful Use Overview Meaningful Use for Eligible Providers Session One: ARRA Meaningful Use Overview How to Navigate This Session Articulate offers many features that may assist with using recorded training. Please check out

More information

Partnering with Managed Care Organizations: A Case Study for Success

Partnering with Managed Care Organizations: A Case Study for Success Partnering with Managed Care Organizations: A Case Study for Success Tracy Altman, M.H.Ed. Manager, Provider Services & Contracting Molina Healthcare Most Trusted on ACA: Doctors and Nurses, Federal and

More information

A YEAR OF THE PIONEERS

A YEAR OF THE PIONEERS CLIENT BRIEFING AUGUST 2013 A YEAR OF THE PIONEERS CMS s report on the early results of the Pioneer ACO program contains important information. But to understand it correctly you have to remember what

More information

CMS Innovation Center Improving Care for Complex Patients

CMS Innovation Center Improving Care for Complex Patients CMS Innovation Center Improving Care for Complex Patients ECRI Institute Dr. Patrick Conway, M.D., MSc CMS Chief Medical Officer and Deputy Administrator for Innovation and Quality Director, Center for

More information

The Organization and Performance of Accountable Care Organizations: Early Evidence Thomas D Aunno, Ph.D. Columbia University

The Organization and Performance of Accountable Care Organizations: Early Evidence Thomas D Aunno, Ph.D. Columbia University The Organization and Performance of Accountable Care Organizations: Early Evidence Thomas D Aunno, Ph.D. Columbia University Innovation in Health Care Delivery Systems McCombs Healthcare Initiative University

More information

Embracing Accountable Care: 10 Key Steps

Embracing Accountable Care: 10 Key Steps Embracing Accountable Care: 10 Key Steps Sivakumar Nandiwada and Vijay Sylvestine Abstract For quite some time now, the U.S. healthcare market has been grappling with issues of spiraling costs and disparities

More information

EHR Certification and Meaningul Use: Sorting it Out. Karen Bell, MD Chair, CCHIT REC Summit October 4, 2010 San Francisco, California

EHR Certification and Meaningul Use: Sorting it Out. Karen Bell, MD Chair, CCHIT REC Summit October 4, 2010 San Francisco, California EHR Certification and Meaningul Use: Sorting it Out Karen Bell, MD Chair, CCHIT REC Summit October 4, 2010 San Francisco, California Topics The importance of establishing goals for EHR investment Types

More information

Revenue Cycle Management Optimized

Revenue Cycle Management Optimized rreturnsttopbooth2014final.indd 1 6/13/2014 9:32:34 AM Revenue Cycle Management Optimized Powerful technology combined with expert knowledge and resources Innovative Revenue Cycle Management brought to

More information

RESPONSIVE. RELIABLE. RESPECTED. Case Study: AMR Patient Satisfaction Survey Provides Meaningful Comparisons to CAHPS Criteria

RESPONSIVE. RELIABLE. RESPECTED. Case Study: AMR Patient Satisfaction Survey Provides Meaningful Comparisons to CAHPS Criteria RESPONSIVE. RELIABLE. RESPECTED. Case Study: AMR Patient Satisfaction Survey Provides Meaningful Comparisons to CAHPS Criteria AMR 3 AMR FOCUSES ON PATIENT SATISFACTION Patient satisfaction and experience

More information

CENTENE TO COMBINE WITH HEALTH NET IN TRANSACTION VALUED AT APPROXIMATELY $6.8 BILLION

CENTENE TO COMBINE WITH HEALTH NET IN TRANSACTION VALUED AT APPROXIMATELY $6.8 BILLION FOR IMMEDIATE RELEASE CENTENE TO COMBINE WITH HEALTH NET IN TRANSACTION VALUED AT APPROXIMATELY $6.8 BILLION Creates Leading Platform for Government-Sponsored Programs and One of the Largest Medicaid Managed

More information

The CFO s Role in an Enterprise Data Warehouse Rollout

The CFO s Role in an Enterprise Data Warehouse Rollout Search the Site or Browse by Topic My Account JOIN EDUCATION PUBLICATIONS FORUMS CAREERS MARKETPLACE INDUSTRY INITIATIVES CFO FORUM ARTICLES TOOLS ASK THE EXPERTS LISTSERV FORUM DIRECTORY NEWS COLLECTION

More information