Accountable Care Organizations (ACOs) are organizations of health care providers who provide care to a group of patients. Created in an attempt to decrease the cost of service delivery and increase efficiency, value and profit, these organizations are new territory for the CPA professional. This presentation was given to the Michigan Association of Certified Public Accountants at their Healthcare Conference on April 23, 2013.
Accelerate your Cloud Migration Journey (Level 100)
Many enterprises have realized the benefits of migrating services to the cloud and are considering the next stage in their journey. In this webinar we will take you through the principles of cloud migration including the business benefits, cloud economics, methodologies and tools to accelerate your journey. We will also discuss the key enablers for cloud adoption based on real examples.
This is a Level 100 webinar
Speakers: Manav Prabhakar, Practice Manager, AWS Professional Services
Jon Austin, Principal Solutions Architect, Amazon Web Services
Parijat Mishra, Solutions Architect Manager, Amazon Web Services
Bahmni - affordable, simple and scalable EMR system that can be installed from a primary health care clinic to a integral part of a national health records strategy/implementation.
This presentation was originally presented at AEHIN: https://aehin.hingx.org/bahmni
An Overview of Best Practices for Large Scale Migrations - AWS Transformation...Amazon Web Services
Whether you are moving a small application or entire datacenters, migrating to the cloud can be a complex process. In this session, we will share some of the common challenges that our customers face on their journey to the cloud and discuss how these challenges can be overcome. We will outline the patterns of success that we have observed from partnering with hundreds of customers on their large-scale migrations as well as highlight the mechanisms we have created to help our customers migrate faster.
About the Event:
AWS Transformation Day is designed for enterprise organizations migrating to the cloud to become more responsive, agile and innovative, while staying secure and compliant. Join us for this one-day event and we’ll share our experiences of helping enterprise customers accelerate the pace of migration and adoption of strategic services.
Who should attend?
This event is recommended for IT and business leaders who are looking to create sustainable benefits and a competitive advantage by using the AWS Cloud. CIOs, CTOs, CISOs, CDOs, CFOs, IT leaders and IT professionals, enterprise developers, business decision makers, and finance executives.
AWS Immersion Day Zurich, kreuzwerker & AWS, 30. Mai 2022kreuzwerker GmbH
The Slides from AWS Immersion Day, 30.Mai 2022 at the AWS Office in Zurich.
Page 1-58: Manuel Vogel, kreuzwerker about Landing Zone with superwerker.
Page 59-113: Ermin Dzinic, AWS about Data Lake Set Up.
Page 114-153: Oliver Gehrmann, kreuzwerker about FinOps and Cost Optimization.
Page 154-170: Maria Nunzes, AWS about AWS-Programs for Startups.
Accelerate your Cloud Migration Journey (Level 100)
Many enterprises have realized the benefits of migrating services to the cloud and are considering the next stage in their journey. In this webinar we will take you through the principles of cloud migration including the business benefits, cloud economics, methodologies and tools to accelerate your journey. We will also discuss the key enablers for cloud adoption based on real examples.
This is a Level 100 webinar
Speakers: Manav Prabhakar, Practice Manager, AWS Professional Services
Jon Austin, Principal Solutions Architect, Amazon Web Services
Parijat Mishra, Solutions Architect Manager, Amazon Web Services
Bahmni - affordable, simple and scalable EMR system that can be installed from a primary health care clinic to a integral part of a national health records strategy/implementation.
This presentation was originally presented at AEHIN: https://aehin.hingx.org/bahmni
An Overview of Best Practices for Large Scale Migrations - AWS Transformation...Amazon Web Services
Whether you are moving a small application or entire datacenters, migrating to the cloud can be a complex process. In this session, we will share some of the common challenges that our customers face on their journey to the cloud and discuss how these challenges can be overcome. We will outline the patterns of success that we have observed from partnering with hundreds of customers on their large-scale migrations as well as highlight the mechanisms we have created to help our customers migrate faster.
About the Event:
AWS Transformation Day is designed for enterprise organizations migrating to the cloud to become more responsive, agile and innovative, while staying secure and compliant. Join us for this one-day event and we’ll share our experiences of helping enterprise customers accelerate the pace of migration and adoption of strategic services.
Who should attend?
This event is recommended for IT and business leaders who are looking to create sustainable benefits and a competitive advantage by using the AWS Cloud. CIOs, CTOs, CISOs, CDOs, CFOs, IT leaders and IT professionals, enterprise developers, business decision makers, and finance executives.
AWS Immersion Day Zurich, kreuzwerker & AWS, 30. Mai 2022kreuzwerker GmbH
The Slides from AWS Immersion Day, 30.Mai 2022 at the AWS Office in Zurich.
Page 1-58: Manuel Vogel, kreuzwerker about Landing Zone with superwerker.
Page 59-113: Ermin Dzinic, AWS about Data Lake Set Up.
Page 114-153: Oliver Gehrmann, kreuzwerker about FinOps and Cost Optimization.
Page 154-170: Maria Nunzes, AWS about AWS-Programs for Startups.
My CIO Says that We're Going All-In and Migrating to AWS, Now What?Amazon Web Services
The complexities of a cloud transformation program that involves the migration of 100s or even 1000s of servers can present a significant challenge to program management, and the coordination of IT teams tasked with success and support of these readiness and migration activities. This session outlines AWS's highly repeatable and scalable framework and method that is helping customers get ready for and accelerate execution of their all-in migration or operational readiness for net-new production workloads on AWS.
Analyze key aspects to be considered before embarking on your cloud journey. The presentation outlines the strategies, approach, and choices that need to be made, to ensure a smooth transition to the cloud.
Tutorial on Principles of Health Interoperability, presented at Informatics for Health Conference, Manchester 23 April 2017. Covers SNOMED CT, HL7 and FHIR and why interoperability is hard.
The presentation talks about the components of FHIR, its distribution and use. Scenarios for the introduction of FHIR in the country using HL7 V3 are also offered.
Cloud migration is more than simply a business efficiency or a cost-saving measure. It’s a critical step towards digital transformation, innovation and operational resilience that has opened up opportunities for those who’ve embraced cloud adoption.
Whether you are looking to embark on your cloud migration or scaling the number of applications you’re moving to the cloud, it does not need to be a daunting task or one that you go at alone. AWS offers 10 years of experience helping businesses to efficiently move their legacy on-premises systems to the cloud. We work closely alongside numerous local delivery partners to help you meet your business needs.
Our Cloud Migration insights forum helps you to learn how to simplify your cloud journey with AWS.
This year, the focus goes beyond technology to mining business insights around how cloud enables strategic industry trends such as Open and Virtual Banking and Insurance, Security and Compliance, Data Analytics and AI/ ML, FinTech and RegTech, Surveillance and more through sharing of best practices and use cases. In sessions led by customers, partners, industry leaders and AWS subject matter experts, you’ll learn how AWS helps financial institutions to focus on the innovation and outcomes that truly drive business forward. Business stakeholders, market makers, and technology owners will all learn something new, valuable and actionable.
As you consider moving out of your data center and begin developing a cloud-first strategy, you will need support for large-scale migrations. Learning from the journey undertaken by some of our largest customers, we will share best practices, provide guidance on planning your large-scale migrations, and focus on business processes over just technology. Join us and learn how the AWS ecosystem of AWS Partner Network (APN) consulting and technology partners along with AWS Professional Services can facilitate your large-scale migrations needs.
AWS Summit Singapore - Managing a Database Migration Project | Best PracticesAmazon Web Services
Blair Layton, Business Development Manager - Database, APAC, AWS
The AWS Database Migration Service (DMS) and AWS Schema Conversion Tool (SCT) help lower costs, risks and the duration of your database migration and data replication projects but, how do you use them to maximum effect? This session will discuss some of the best practices that AWS has learned through our own Professional Services engagements and from customers who have shared their experience.
The presentation explores the CSR initiatives of Aravind Eye Hospitals. The efforts to create a holistic approach to providing eye care to the underprivileged section of the society and end to end integration of product and services to generate a low cost, strategic competitive model.
Cloud Migration Cookbook: A Guide To Moving Your Apps To The CloudNew Relic
The process of building new apps or migrating existing apps to a cloud-based platform is complex. There are hundreds of paths you can take and only a few will make sense for you and your business. Get a step-by-step guide on how to plan for a successful app migration.
Attorney Edward J. Castellani recently spoke at the Michigan Association of Certified Public Accountants Nonprofit Conference on "Merger of Nonprofit Corporations – Legal and Accounting Issues". The presentation addressed how two nonprofits can legally merge into one nonprofit entity. He also addressed the appropriate steps that need to be taken by both directorship and membership corporations mergers to be approved by the Attorney General.
Fraser Trebilcock teamed up with Lansing Regional Chamber of Commerce to present a free seminar to help employers keep up with changes related to Health Care Reform. This is the fourth presentation in the Business Education Series, titled "Navigating the ACA Marketplace: Guidance for Small Businesses and Individuals". Michael James, Senior Health Care and Business Attorney from Fraser Trebilcock, presented the keynote presentation.
My CIO Says that We're Going All-In and Migrating to AWS, Now What?Amazon Web Services
The complexities of a cloud transformation program that involves the migration of 100s or even 1000s of servers can present a significant challenge to program management, and the coordination of IT teams tasked with success and support of these readiness and migration activities. This session outlines AWS's highly repeatable and scalable framework and method that is helping customers get ready for and accelerate execution of their all-in migration or operational readiness for net-new production workloads on AWS.
Analyze key aspects to be considered before embarking on your cloud journey. The presentation outlines the strategies, approach, and choices that need to be made, to ensure a smooth transition to the cloud.
Tutorial on Principles of Health Interoperability, presented at Informatics for Health Conference, Manchester 23 April 2017. Covers SNOMED CT, HL7 and FHIR and why interoperability is hard.
The presentation talks about the components of FHIR, its distribution and use. Scenarios for the introduction of FHIR in the country using HL7 V3 are also offered.
Cloud migration is more than simply a business efficiency or a cost-saving measure. It’s a critical step towards digital transformation, innovation and operational resilience that has opened up opportunities for those who’ve embraced cloud adoption.
Whether you are looking to embark on your cloud migration or scaling the number of applications you’re moving to the cloud, it does not need to be a daunting task or one that you go at alone. AWS offers 10 years of experience helping businesses to efficiently move their legacy on-premises systems to the cloud. We work closely alongside numerous local delivery partners to help you meet your business needs.
Our Cloud Migration insights forum helps you to learn how to simplify your cloud journey with AWS.
This year, the focus goes beyond technology to mining business insights around how cloud enables strategic industry trends such as Open and Virtual Banking and Insurance, Security and Compliance, Data Analytics and AI/ ML, FinTech and RegTech, Surveillance and more through sharing of best practices and use cases. In sessions led by customers, partners, industry leaders and AWS subject matter experts, you’ll learn how AWS helps financial institutions to focus on the innovation and outcomes that truly drive business forward. Business stakeholders, market makers, and technology owners will all learn something new, valuable and actionable.
As you consider moving out of your data center and begin developing a cloud-first strategy, you will need support for large-scale migrations. Learning from the journey undertaken by some of our largest customers, we will share best practices, provide guidance on planning your large-scale migrations, and focus on business processes over just technology. Join us and learn how the AWS ecosystem of AWS Partner Network (APN) consulting and technology partners along with AWS Professional Services can facilitate your large-scale migrations needs.
AWS Summit Singapore - Managing a Database Migration Project | Best PracticesAmazon Web Services
Blair Layton, Business Development Manager - Database, APAC, AWS
The AWS Database Migration Service (DMS) and AWS Schema Conversion Tool (SCT) help lower costs, risks and the duration of your database migration and data replication projects but, how do you use them to maximum effect? This session will discuss some of the best practices that AWS has learned through our own Professional Services engagements and from customers who have shared their experience.
The presentation explores the CSR initiatives of Aravind Eye Hospitals. The efforts to create a holistic approach to providing eye care to the underprivileged section of the society and end to end integration of product and services to generate a low cost, strategic competitive model.
Cloud Migration Cookbook: A Guide To Moving Your Apps To The CloudNew Relic
The process of building new apps or migrating existing apps to a cloud-based platform is complex. There are hundreds of paths you can take and only a few will make sense for you and your business. Get a step-by-step guide on how to plan for a successful app migration.
Attorney Edward J. Castellani recently spoke at the Michigan Association of Certified Public Accountants Nonprofit Conference on "Merger of Nonprofit Corporations – Legal and Accounting Issues". The presentation addressed how two nonprofits can legally merge into one nonprofit entity. He also addressed the appropriate steps that need to be taken by both directorship and membership corporations mergers to be approved by the Attorney General.
Fraser Trebilcock teamed up with Lansing Regional Chamber of Commerce to present a free seminar to help employers keep up with changes related to Health Care Reform. This is the fourth presentation in the Business Education Series, titled "Navigating the ACA Marketplace: Guidance for Small Businesses and Individuals". Michael James, Senior Health Care and Business Attorney from Fraser Trebilcock, presented the keynote presentation.
Summary of the Changes to the Michigan Nonprofit Corporations Act that Affect...Fraser Trebilcock Lawyers
Effective January 15, 2015, Governor Snyder signed into law Senate Bills 623, 624 and 929. These three Bills amend the Michigan Nonprofit Corporation Act (the "Act") which is the law under which most trade associations operate. Some of the amendments require action by management to amend bylaws or articles of incorporation, but most will not.
In a seminar titled, “Get Your Ducks In A Row,” Fraser Trebilcock attorney Marlaine C. Teahan shared her legal experience with families on topics that included: differences between wills and trusts and how to choose between them, the best planning ideas for minor and special needs children, and more.
Fraser Trebilcock attorneys Beth Latchana and Mark Kellogg spoke this week at the Institute of Continuing Legal Education’s 27th Annual Tax Conference. In their overview of health care reform, they detailed most important aspects of the ACA, including: the health insurance marketplace, employer classification, the Pay or Play Mandate, reporting requirements, group health plan mandates, the individual insurance mandate, the Small Business Health Option Program, and the Small Business Health Care Affordability Tax Credits.
Attorney Michael James spoke to Michigan Association of CPAs yesterday on his presentation "Accountable Care Organizations 2.0". The presentation addressed the hundreds of pages of recently proposed regulations related to ACOs that represent the most dramatic overhaul of the Medicare Shared Savings Program since its inception. Other insights in the presentation:
- Current Regulatory Environment for Integrated Models
- How Environment Evolves Under Proposed Regulations
- Various Requirements Needed for ACOs
- Potential Risks Under Current ACO Models
To learn more, contact attorney Michael James at mjames@fraserlawfirm.com or 517-377-0823. Michael James is a senior attorney at Fraser Trebilcock, providing representation and counseling related to all facets of business enterprise and health care matters.
NOTE: Information contained in this presentation is only current as of the blog publish date. For updated information, refer to the Fraser Trebilcock Health Care Reform blog: fraserlawfirm.com
At the State Bar of Michigan's Upper Michigan Legal Institute 2014, attorney Marlaine Teahan spoke on various Probate and Estate Planning updates, including durable powers of attorney and the importance of including digital assets in estate planning.
In early July, the Department of Treasury announced it is delaying a key mandate of the Affordable Care Act: what's known as the 'Pay or Play' mandate. While pushing pause on this mandate gives large employers another year to prepare, we strongly advise businesses not to wait to start making strategic decisions. For more information, contact Fraser Trebilcock Senior Health Care and Business Attorney Mike James at mjames@fraserlawfirm.com or 517.377.0823. You can also find more information at www.milhealthlaws.com.
Retirement plans are subject to a very complex web of regulations governing their administration, and mistakes inevitably happen, even in the best-run plans. Recently, Brian Gallagher presented to Plante Moran on the various programs available for correcting such errors. If your organization would be interested in a similar presentation, or if you have questions about correcting errors involving your own retirement plan, please contact Fraser Trebilcock Employee Benefits attorney, Brian Gallagher at 517.377.0886 or bgallagher@fraserlawfirm.com.
Final regulations recently announced by the Obama Administration give two levels of delay to employers who had previously been required to offer insurance coverage to their employees next year. With this second round of delays, come a second wave of questions from employers.
This week, Attorney Michael James and Rehmann Group’s Don McAnelly addressed key Affordable Care Act regulations and deadlines in a webinar.
Melisa Mysliwiec's presentation addresses social security benefits for children with disabilities for both themselves and their families and the proper steps to claim supplemental security income. Other insights from her talk included:
- Eligibility for Supplemental Security Income for Children with Disabilities
- Resources Included in Supplemental Security Income
- Proper Steps for Supplemental Security Income for Disabled Adult Children
- Correct Methods for Contacting the Social Security Administration
For more information on creating and revising plans for children with disabilities, contact attorney Melisa M.W. Mysliwiec at mmysliwiec@fraserlawfirm.com or 616-301-0800.
Health Care Reform Strategies for Small Employers:
• Health Care Tax Credits and Penalties
• The Recently Delayed Pay or Play Mandate
• Health Insurance Exchanges
• SHOPs
• Other Cost-Savings Opportunities
• Strategic Decision Making for Large and Small Employers
• And more!
Understanding reimbursement models for 2014, including Accountable Care Organizations (ACO's), Private Payer Models, and Health Care Reform Initiatives.
Imagine a healthcare system where people live long, healthy lives, receiving quality, affordable care, with clinicians nationwide collaborating to improve outcomes. That's Accountable Care! Learn the benefits of becoming an ACO in this insightful eBook.
What is an Accountable Care Organizations (ACO) How does an ACOs .pdfwasemanivytreenrco51
What is an Accountable Care Organizations (ACO)? How does an ACO\'s economics work to
manage costs and quality?
Solution
Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care
providers, who come together voluntarily to give coordinated high quality care to their Medicare
patients.
An accountable care organization (ACO) is a healthcare organization characterized by a payment
and care delivery model that seeks to tie provider reimbursements to quality metrics and
reductions in the total cost of care for an assigned population of patients. A group of coordinated
health care providers forms an ACO, which then provides care to a group of patients. The ACO
may use a range of payment models (capitation, fee-for-service with asymmetric or symmetric
shared savings, etc.). The ACO is accountable to the patients and the third-party payer for the
quality, appropriateness and efficiency of the health care provided. According to the Centers for
Medicare and Medicaid Services (CMS), an ACO is \"an organization of health care providers
that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who
are enrolled in the traditional fee-for-service program who are assigned to it.
Design and Structure
There is no single organizational model for developing an ACO. ACOs may be formed and
organized by health systems using employed and contracted physicians, by integrated delivery
systems, by physician groups (either primary care or multispecialty) or through joint ventures or
contractual relationships among providers. Regardless of the organizational structure, an ACO
must be physician-led and physician-driven. Physician leadership is critical because an ACO is
primarily a vehicle for clinical integration, not financial or risk integration. Only physicians are
able to develop, monitor and adjust clinical care protocols that can more efficiently use resources
based on documented effectiveness.
Qualifying ACOs will be assigned a pool of patients whose care the ACO will be responsible for
managing in a cost-effective and clinically appropriate manner. The ACO will need to develop
internal mechanisms for monitoring and managing costs and quality that cut across traditional
reporting lines and result in a higher degree of clinical interdependence than is typical in a less-
integrated medical community.
The PPACA states that any of the following groups of providers of services and suppliers that
have established a mechanism for shared governance are eligible to participate, in accordance
with regulations to be developed by the Secretary of Health and Human Services (HHS):
ACOs Under Health Reform
Section 3022 of PPACA requires HHS to establish a shared savings program under which
qualifying ACOs may be eligible for incentive payments. The criteria in the statute, which will
need to be further defined by regulation, include:
ACOs will be required to measure and report their progress to HHS, includ.
Accountable Care Organizations and Physician Joint Ventures .docxAMMY30
Accountable Care Organizations and Physician Joint Ventures
Jeffrey P. Harrison
Chapter 9
“I will continue with diligence to keep abreast of advances in medicine. I will treat without exception all who seek my ministrations, so long as the treatment of others is not compromised thereby, and I will seek the counsel of particularly skilled physicians where indicated for the benefit of my patient.”
—from The Hippocratic Oath (modern version)
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
1
Learning Objectives
Demonstrate an understanding of the interparty relationships associated with healthcare joint ventures and accountable care organizations.
Understand some of the dynamics and controversies surrounding the concept of accountable care organizations as an alternative approach to the current marketplace.
Demonstrate a basic understanding of the patient-centered medical home with attention to how it supports network-based delivery systems.
Master the concept of physician–hospital alignment and health system integration including consumer, provider, and regulatory developments.
Assess the emerging role of medical groups and hospital-owned group practices across the continuum of healthcare services.
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
2
Key Terms and Concepts
Accountable care organization (ACO)
Clinical integration
Equity-based joint venture
Hospitalist model
Integrated physician model
Medical foundation
Patient-centered medical home (PCMH)
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
3
Introduction
A positive relationship between hospitals and physicians is important to the success of the US healthcare system, because hospitals and physicians can be both collaborators and competitors.
Many hospitals and healthcare systems have moved to various models of physician integration through which hospitals hope to capture market share and physicians seek financial security.
After the Affordable Care Act (ACA) was passed in 2010, physician–hospital alignment became driven by another factor: cost control and quality outcomes in the accountable care era (Reiboldt 2013).
Physicians work in a wide range of settings and serve in leadership positions that have significant responsibility for quality of care.
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
4
Clinical Integration
What Is It?
Coordination of patient care between hospitals and physicians across the healthcare continuum— e.g., an accountable care organization (ACO).
Provides an opportunity to coordinate services through centralized scheduling, electronic health records, clinical pathways, management of chronic diseases, and innovative quality improvement programs.
Clinical integration is necessary to delivering high-quality, affordable care in the current environment (Jacquin 2014).
Clinical.
Establishing a Community-based Framework for ACOs - slide-share 120116Jennifer D.
With the rapid growth of state Medicaid, Medicare, and commercial ACOs, now is the time to establish best practices for addressing the full spectrum of patient needs within an accountable care setting.
Accountable Care Organizations: 4 Physician BenefitsGreenway Health
Why would physicians join an Accountable Care Oragnization (ACO)? This informative slide presentation gives a brief overview of ACOs, their benefits, and four reasons physicians may have for joining one.
ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...Health Catalyst
As the types and structures of Accountable Care Organizations (ACOs) and Clinically Integrated Networks (CINs) continue to evolve, organizations moving into value-based care face an ever-changing landscape. Alternative payment model arrangements have driven provider organizations to hone in on specific tactics to meet their contractual and strategic objectives.
Please join Health Catalyst Senior Vice President Dr. Amy Flaster and Population Health Management Consultant Jonas Varnum as they discuss the evolution of the ACO and CIN models, what new tools ACOs employ today to promote success, and lessons learned from organizations that have succeeded in alternative payment models. They will dive deep into lessons learned in addition to providing a primer on what has always been and continues to be vitally important to success in value based care. Specifics they will cover include:
- Approaches to simplify quality metric reporting
- Enhanced methodology that zeroes in on identifying high-value opportunities to improve patient populations
- Key tips to expand your business with new contracts
Dr. Flaster and Mr. Varnum’s combined experience make them uniquely qualified to guide you in your ACO or CIN journey. Dr. Flaster comes from a clinical background where she worked as Associate Medical Director at Partners HealthCare - one of the largest ACOs in the country. Mr. Varnum is a professional services strategy leader with demonstrated expertise delivering payment model transformation and helping providers and payers to strategically adjust their operations.
RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...BBPMedia1
Marvin neemt je in deze presentatie mee in de voordelen van non-endemic advertising op retail media netwerken. Hij brengt ook de uitdagingen in beeld die de markt op dit moment heeft op het gebied van retail media voor niet-leveranciers.
Retail media wordt gezien als het nieuwe advertising-medium en ook mediabureaus richten massaal retail media-afdelingen op. Merken die niet in de betreffende winkel liggen staan ook nog niet in de rij om op de retail media netwerken te adverteren. Marvin belicht de uitdagingen die er zijn om echt aansluiting te vinden op die markt van non-endemic advertising.
Enterprise Excellence is Inclusive Excellence.pdfKaiNexus
Enterprise excellence and inclusive excellence are closely linked, and real-world challenges have shown that both are essential to the success of any organization. To achieve enterprise excellence, organizations must focus on improving their operations and processes while creating an inclusive environment that engages everyone. In this interactive session, the facilitator will highlight commonly established business practices and how they limit our ability to engage everyone every day. More importantly, though, participants will likely gain increased awareness of what we can do differently to maximize enterprise excellence through deliberate inclusion.
What is Enterprise Excellence?
Enterprise Excellence is a holistic approach that's aimed at achieving world-class performance across all aspects of the organization.
What might I learn?
A way to engage all in creating Inclusive Excellence. Lessons from the US military and their parallels to the story of Harry Potter. How belt systems and CI teams can destroy inclusive practices. How leadership language invites people to the party. There are three things leaders can do to engage everyone every day: maximizing psychological safety to create environments where folks learn, contribute, and challenge the status quo.
Who might benefit? Anyone and everyone leading folks from the shop floor to top floor.
Dr. William Harvey is a seasoned Operations Leader with extensive experience in chemical processing, manufacturing, and operations management. At Michelman, he currently oversees multiple sites, leading teams in strategic planning and coaching/practicing continuous improvement. William is set to start his eighth year of teaching at the University of Cincinnati where he teaches marketing, finance, and management. William holds various certifications in change management, quality, leadership, operational excellence, team building, and DiSC, among others.
Personal Brand Statement:
As an Army veteran dedicated to lifelong learning, I bring a disciplined, strategic mindset to my pursuits. I am constantly expanding my knowledge to innovate and lead effectively. My journey is driven by a commitment to excellence, and to make a meaningful impact in the world.
RMD24 | Retail media: hoe zet je dit in als je geen AH of Unilever bent? Heid...BBPMedia1
Grote partijen zijn al een tijdje onderweg met retail media. Ondertussen worden in dit domein ook de kansen zichtbaar voor andere spelers in de markt. Maar met die kansen ontstaan ook vragen: Zelf retail media worden of erop adverteren? In welke fase van de funnel past het en hoe integreer je het in een mediaplan? Wat is nu precies het verschil met marketplaces en Programmatic ads? In dit half uur beslechten we de dilemma's en krijg je antwoorden op wanneer het voor jou tijd is om de volgende stap te zetten.
Unveiling the Secrets How Does Generative AI Work.pdfSam H
At its core, generative artificial intelligence relies on the concept of generative models, which serve as engines that churn out entirely new data resembling their training data. It is like a sculptor who has studied so many forms found in nature and then uses this knowledge to create sculptures from his imagination that have never been seen before anywhere else. If taken to cyberspace, gans work almost the same way.
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What is the TDS Return Filing Due Date for FY 2024-25.pdfseoforlegalpillers
It is crucial for the taxpayers to understand about the TDS Return Filing Due Date, so that they can fulfill your TDS obligations efficiently. Taxpayers can avoid penalties by sticking to the deadlines and by accurate filing of TDS. Timely filing of TDS will make sure about the availability of tax credits. You can also seek the professional guidance of experts like Legal Pillers for timely filing of the TDS Return.
What are the main advantages of using HR recruiter services.pdfHumanResourceDimensi1
HR recruiter services offer top talents to companies according to their specific needs. They handle all recruitment tasks from job posting to onboarding and help companies concentrate on their business growth. With their expertise and years of experience, they streamline the hiring process and save time and resources for the company.
What are the main advantages of using HR recruiter services.pdf
Accounting for Accountable Care Organizations
1. ACCOUNTING FOR
ACCOUNTABLE CARE
ORGANIZATIONS
Michael H. James, JD - President & CEO, Genesys
PHO, LLC, Flint
Michael P. James, JD, MBA, CSSGB - Senior
Attorney, Fraser Trebilcock, Detroit & Lansing
Moderator: David S. Nathan, CPA - Executive
Director, Assurance, Ernst & Young, LLP, Detroit
2. The Patient Protection &
Affordable Care Act (ACA)
Became law in March 2010.
Supreme Court upholds constitutionality of ACA
June 2012.
Authorized creation of Medicare Shared Savings
Program (MSSP).
3. Medicare Shared
Savings Program (MSSP)
MSSP designed to improve beneficiary outcomes
and increase value of care by promoting:
Accountability for patient population;
Coordination of care for services;
Investment in infrastructure; and
Redesign of care processes.
4. What are ACOs?
ACOs are the vehicles through which
providers/suppliers participate in the MSSP.
A legal entity designed to manage and coordinate care
for Medicare fee-for-service beneficiaries under the
MSSP.
5. Fundamental Principles of ACOs
Improve
Care for
Beneficiari
es
Enhance Health
in its
Population
Reduce
Growth of
Beneficiary
Expenditur
es
What are ACOs?
6. ACO Providers
Providers:
Hospital;
Critical Access Hospital ("CAH");
Skilled Nursing Facility;
Comprehensive Outpatient Rehabilitation Facility
("CORF");
Home Health Agency;
Hospice participating in Medicare;
Clinic;
Rehabilitation Agency;
Public Health Agency (limited); or
Community Mental Health Center (limited).
7. ACO Suppliers and Professionals
Suppliers:
Physician or other practitioner, or an entity other than a
provider, that furnishes health care services under
Medicare.
ACO Professionals:
An ACO provider/supplier who is either:
1) a physician; or
2) a practitioner (a physician assistant, a nurse
practitioner, or a clinical nurse specialist).
8. ACO Participants
ACOs are a collaboration of
Participants, Providers, Suppliers and Professionals.
Participants: Individual or group of ACO
providers/suppliers that alone or together with one
or more other ACO Participants comprises an ACO.
9. ACO Formation and Participation
There is a distinction between individuals and
entities that are permitted to form an ACO and those
that are merely allowed to participate in an ACO
that has already been created.
10. There are seven groups of ACO Participants eligible to form an
ACO:
ACO professionals in group practice arrangements;
Networks of individual practices of ACO professionals;
Partnerships or joint venture arrangements between hospitals
and ACO professionals;
Hospitals employing ACO professionals;
CAHs that bill under Method II;
Rural Health Clinics ("RHC"); and
Federally Qualified Health Centers ("FQHC").
Who Can Form an ACO?
11. Other Medicare-enrolled Providers and Suppliers are eligible to
participate in an ACO:
Who Can Participate in an ACO?
• Skilled Nursing
Facilities
• Pharmacies
• CORFs
• Home Health
Agencies
• Nursing Homes
• Medicare-Enrolled
Hospices
• Outpatient Clinics
(limited)
• Rehabilitation Agencies
or Public Health
Agencies
• Long-Term Care
Hospitals
• Community Mental
Health Centers (limited)
12. ACO Legal Structures
The Structure of an ACO must allow for:
Receipt and distribution of MSSP payments to
participating providers and suppliers;
Repayment of shared losses to CMS;
Mechanisms for compliance with quality care and
performance standards; and
Fulfillment of the governance, leadership and
management and patient-centeredness criteria of the
MSSP.
13. ACO Legal Structures
The ACO must be a legal entity formed under
applicable State, Federal or Tribal Law.
Partnership;
Corporation;
Limited Liability Company;
Foundation; or
Other Legal Entity.
14. ACO Legal Structures
Do you form a new entity or can you use an existing
entity for your ACO?
15. Types of ACOs
Integrated Delivery System Model ACO
CMS
Health System ACO
Hospital Physicians
Skilled
Nursing
Facility
Etc.
16. Types of ACOs
PHO Model ACO
PHO
ACO
Hospital
Independent
Practice
Assn.
CMS
17. Types of ACOs
Independent Practice Association Model ACO
IPA
ACO
CMS
PhysicianPhysicianPhysicianPhysician
18. Types of ACOs
Group Practice Model ACO
Group
Practice
ACO
CMS
SpecialistsHospital
19. ACO Governance and Governing Body
An ACO must establish a mechanism for shared
governance.
An ACO must maintain an identifiable governing
body with appropriate authority.
ACO Participants must have meaningful
participation in both the composition and control of
the ACO's governing body.
20. ACO Governance and Governing Body
ACOs are designed to be provider-led
organizations.
At least 75% of the control of the ACO's governing
body must be held by ACO participants.
21. ACO Governance and Governing Body
The ACO governing body must include at least one
Medicare beneficiary representative.
Goal: Ensure that patients' interests are properly
represented as the ACO seeks to improve care for
beneficiaries and enhance health in the population.
The governing body of a Pioneer ACOs must also
include a Consumer Advocate.
22. ACO Governance and Governing Body
The type of governing body used by an ACO will
have will depend on its corporate structure.
Corporation – Board of Directors
Limited Liability Company – Board of Managers
Foundation – Board of Trustees
23. Legal Risks to ACOs
Fiduciary Duties and Ethical Conflicts
Corporate Practice of Medicine
Stark Laws, Anti-Kickback Statute and Civil
Monetary Penalties
24. ACO Operations: Leadership / Management
An ACO's leadership and management structure is
designed to be a dual system:
Administrative; and
Clinical.
26. ACO Operations: Clinical Systems
Clinical management and oversight of the ACO
must be managed by a senior-level medical director
who is a physician and one of the ACO's
providers/suppliers.
Board-certified physician;
Licensed in a State in which the ACO operates; and
Physically present on a regular basis at a location
participating in the ACO.
27. ACO Operations: Administrative Systems
The appointment and removal of the ACO's
operational leader must be under the control of the
ACO's governing body.
An ACO's operations must be managed by an
executive, officer, manager, general partner, or
similar party.
Must have the ability to influence or direct clinical
practice to improve efficiency processes and
outcomes.
28. Required Processes &
Patient-Centered Criteria
An ACO must promote:
evidence-based medicine;
patient and caregiver engagement;
reporting on quality and cost measures; and
coordinating care.
An ACO must also have a patient-centric focus that
is promoted by the governing body and integrated
into practice by leadership and management.
29. CMS prefers that an ACO have a certain number of
assigned Medicare beneficiaries to participate in the
MSSP:
ACO – 5,000 beneficiaries; and
Pioneer ACO – 15,000 beneficiaries.
ACO Membership
30. During the application process, CMS evaluates the
number of beneficiaries historically assigned to the
applicable ACO participants during each of the
three years preceding the proposed effective date of
the ACO contract.
A beneficiary is assigned to an ACO based on that
beneficiary’s utilization of primary care services by
an ACO physician during an MSSP cycle.
ACO Membership
31. ACO Membership
5% of Members
= 45% of costs
15% of Members
= 35% of costs
80% of Members
= 20% of costs
32. Physician Networks
Need to have enough ACO Professionals so that
most health care services can be provided through
the network.
33. Utilization Management
Predictive Modeling for Last 2 Years of Life:
Medical homes
Home Calls
Care Plans
Navigators
ER / Hospital
Hospice
Multiple Chronic Diseases:
Medical home
Care Plans
Team Care
Navigator
ER / Hospital
34. Utilization Management
Chronic Disease:
Medical Home
Care Plans
Team Care
ER / Hospital
All Others:
Medical
Contact & Education
Care Plans
ER / Hospital
35. Payment Evolution
Insurance License.
Claims Processing.
Alignment of Fee Structures.
Incentive to Move from Volume to Value.
Quality Monitoring Systems.