AAFP Government Relations Director Kevin Burke's 2013 SLC presentation on AAFP's Federal Priorities and the status of AAFP supported legislation at the federal level.
In this webinar, we explore the topic of Meaningful Use (MU) hardship exceptions. This should be of great interest to practices who are unable to attest for MU Stage 2 through no fault of their own. Here you'll find background on the exceptions, the categories CMS uses to determine valid hardships, and basic instructions on how to apply.
Physician Payment Reforms: The Future of MIPS and APMs – Value-Based Payments...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Lesley Yeung - Value-Based Payments Crash Course Webinar Series - May 16, 2016.
Topics include:
* An overview of the physician payment reforms included in the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”)
* A summary of the Merit-Based Incentive Payment System (“MIPS”) and Alternative Payment Models (“APMs”) Proposed Rule (publication is expected in the spring of 2016)
* Opportunities for provider engagement with the Centers for Medicare & Medicaid Services to shape physician payment reform efforts
http://www.ebglaw.com/events/physician-payment-reforms-the-future-of-mips-and-apms-value-based-payments-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Home Care Compliance Program Presentation (sound embed)wedas4jc
I custom designed this PowerPoint template for our agency and I put together the presentation. Since Compliance can be a dull subject, the Compliance Manager wanted to me to create a “fun feel” presentation. You will notice that in the music clip on one of the slides and some of the graphics. Please view in slide show mode to get the best feel of the presentation and to hear the sound.
The rate of heart disease in the United States has been growing exponentially over the past few years as the population continues to rise and the prevalence of obesity and diabetes expands. Low levels of exercise and poor consumption habits have created a situation where far more people require cardiac care and the rates of death associated with cardiovascular illness are around 25%. According to the Centers for Disease Control and Prevention, over half a million people experience a major heart attack each year. With the influx of heart disease patients, the cardiac care specialty has grown significantly and the demand for unlicensed providers such as the telemetry technician have skyrocketed. This has created several new employment opportunities for those who want to help with patient care without needing a college degree or extensive training. While it is possible to find work in the department without having previous experience or credentials, those who have both are more likely to get hired and are generally paid more. In an effort to increase the compensation package, applicants can complete a couple years of college coursework, formal training, and national certification. A proactive approach to career advancement is usually the best strategy and will allow people to take advantage of strong job and salary growth in the industry for the foreseeable future.
Home Care Compliance Program Presentation (sound embed)wedas4jc
The document discusses Health and Home Care's compliance program. It outlines how the program monitors areas of risk identified by the NY Office of the Inspector General work plan through internal auditing. Audit findings are used to develop corrective action plans. The compliance program is overseen by a compliance committee. Future plans include expanding audits, clinical reviews, and educational initiatives to ensure continued compliance.
Developing a Web-based Integrated Dashboard for Health Information Systems, D...JSI
Presentation for the American Public Health Association & Expo, Atlanta, GA. November 2017:
Purpose: To examine the process and impact of developing an integrated, web-based dashboard for Health Information Systems Data: With the technical assistance from the USAID funded Health Systems Strengthening (HSS) program implemented by JSI Research & Training Institute, Inc., the Sindh Department of Health has developed an integrated on-line health information dashboard, linking all vertical program Management and Information Systems (MIS), and documenting all Lady Health Workers (LHW). Methods: In addition to supporting dashboard development, HSS has focused on improving the quality of data that is being generated through the routine health information system. The approach adopted by HSS includes direct support to staff working at on-line data entry points so that accurate and complete information is recorded. HSS also provides infrastructure support to district M&E cells. Results: The dashboard consolidates data from existing DHIS, MNCH-MIS and other vertical programs databases, all of which are supervised by the district M&E Cells. This integrated dashboard serves as the provincial dashboard and is fully interoperable with the DHIS and M&E systems in Sindh. As the project has matured, data quality continues to be improved. Discussion and Policy Recommendations: This online system resulted in desk-based, real-time data monitoring, through data dashboards and visual displays. Currently, online data of all public health facilities and in all districts across Sindh province is in place, and is being used for decision making. Health managers can review the performance of each and every health facility and provide feedback to improve the quality of data for achieving the desired targets.
American Recovery and Reinvestment Act of 2009 HITckuyehar
The American Recovery and Reinvestment Act of 2009 allocates approximately $22 billion to promote health information technology. It provides incentives for healthcare providers to adopt electronic health records through Medicare and Medicaid incentive payments. It also establishes standards for interoperability and sets deadlines for implementing electronic health records with penalties for non-compliance. The funding supports various programs and organizations to achieve goals of improved healthcare quality, safety and efficiency through health information technology.
Slideshow presentation from the NC Association of County Commissioners' update at the 2016 City-County Management Association Winter Seminar on Feb. 5.
In this webinar, we explore the topic of Meaningful Use (MU) hardship exceptions. This should be of great interest to practices who are unable to attest for MU Stage 2 through no fault of their own. Here you'll find background on the exceptions, the categories CMS uses to determine valid hardships, and basic instructions on how to apply.
Physician Payment Reforms: The Future of MIPS and APMs – Value-Based Payments...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Lesley Yeung - Value-Based Payments Crash Course Webinar Series - May 16, 2016.
Topics include:
* An overview of the physician payment reforms included in the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”)
* A summary of the Merit-Based Incentive Payment System (“MIPS”) and Alternative Payment Models (“APMs”) Proposed Rule (publication is expected in the spring of 2016)
* Opportunities for provider engagement with the Centers for Medicare & Medicaid Services to shape physician payment reform efforts
http://www.ebglaw.com/events/physician-payment-reforms-the-future-of-mips-and-apms-value-based-payments-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Home Care Compliance Program Presentation (sound embed)wedas4jc
I custom designed this PowerPoint template for our agency and I put together the presentation. Since Compliance can be a dull subject, the Compliance Manager wanted to me to create a “fun feel” presentation. You will notice that in the music clip on one of the slides and some of the graphics. Please view in slide show mode to get the best feel of the presentation and to hear the sound.
The rate of heart disease in the United States has been growing exponentially over the past few years as the population continues to rise and the prevalence of obesity and diabetes expands. Low levels of exercise and poor consumption habits have created a situation where far more people require cardiac care and the rates of death associated with cardiovascular illness are around 25%. According to the Centers for Disease Control and Prevention, over half a million people experience a major heart attack each year. With the influx of heart disease patients, the cardiac care specialty has grown significantly and the demand for unlicensed providers such as the telemetry technician have skyrocketed. This has created several new employment opportunities for those who want to help with patient care without needing a college degree or extensive training. While it is possible to find work in the department without having previous experience or credentials, those who have both are more likely to get hired and are generally paid more. In an effort to increase the compensation package, applicants can complete a couple years of college coursework, formal training, and national certification. A proactive approach to career advancement is usually the best strategy and will allow people to take advantage of strong job and salary growth in the industry for the foreseeable future.
Home Care Compliance Program Presentation (sound embed)wedas4jc
The document discusses Health and Home Care's compliance program. It outlines how the program monitors areas of risk identified by the NY Office of the Inspector General work plan through internal auditing. Audit findings are used to develop corrective action plans. The compliance program is overseen by a compliance committee. Future plans include expanding audits, clinical reviews, and educational initiatives to ensure continued compliance.
Developing a Web-based Integrated Dashboard for Health Information Systems, D...JSI
Presentation for the American Public Health Association & Expo, Atlanta, GA. November 2017:
Purpose: To examine the process and impact of developing an integrated, web-based dashboard for Health Information Systems Data: With the technical assistance from the USAID funded Health Systems Strengthening (HSS) program implemented by JSI Research & Training Institute, Inc., the Sindh Department of Health has developed an integrated on-line health information dashboard, linking all vertical program Management and Information Systems (MIS), and documenting all Lady Health Workers (LHW). Methods: In addition to supporting dashboard development, HSS has focused on improving the quality of data that is being generated through the routine health information system. The approach adopted by HSS includes direct support to staff working at on-line data entry points so that accurate and complete information is recorded. HSS also provides infrastructure support to district M&E cells. Results: The dashboard consolidates data from existing DHIS, MNCH-MIS and other vertical programs databases, all of which are supervised by the district M&E Cells. This integrated dashboard serves as the provincial dashboard and is fully interoperable with the DHIS and M&E systems in Sindh. As the project has matured, data quality continues to be improved. Discussion and Policy Recommendations: This online system resulted in desk-based, real-time data monitoring, through data dashboards and visual displays. Currently, online data of all public health facilities and in all districts across Sindh province is in place, and is being used for decision making. Health managers can review the performance of each and every health facility and provide feedback to improve the quality of data for achieving the desired targets.
American Recovery and Reinvestment Act of 2009 HITckuyehar
The American Recovery and Reinvestment Act of 2009 allocates approximately $22 billion to promote health information technology. It provides incentives for healthcare providers to adopt electronic health records through Medicare and Medicaid incentive payments. It also establishes standards for interoperability and sets deadlines for implementing electronic health records with penalties for non-compliance. The funding supports various programs and organizations to achieve goals of improved healthcare quality, safety and efficiency through health information technology.
Slideshow presentation from the NC Association of County Commissioners' update at the 2016 City-County Management Association Winter Seminar on Feb. 5.
Health Decisions Webinar: April 2014 ACA Cost SharingSi Nahra
Si Nahra presented on the ticking time bomb of liability from cost sharing requirements under the Affordable Care Act. The new rules require preventive care to have no cost sharing, set annual limits on out-of-pocket costs, and require that all cost sharing like copays and deductibles count toward the out-of-pocket maximum. Health plans now face the risk of incorrectly applying these complex rules and overcharging or undercharging members, creating legal liability. Nahra recommends plans carefully audit claims to identify errors, work with payers to resolve issues, and put monitoring in place to prevent future non-compliance.
The document discusses the S&I Framework Transitions of Care Initiative which aims to improve electronic exchange of core clinical information during care transitions. Over 150 members reached consensus on unambiguous definitions of core data elements for care transitions and agreed on using the Consolidated CDA standard for clinical summaries in Meaningful Use Stage 2. Pilots will test implementing the standard to enable cost-effective exchange of standardized care transition information. The initiative brings together various programs to specify a constrained CDA standard that meets their immediate goals for care transitions.
Most employers are still learning about private exchanges, with over half being familiar but only 6.4% currently using them. The top perceived benefits are helping employees make more cost-conscious choices and offering a wider array of options. When setting up an exchange, employers want tools for plan comparison, online access, consolidated enrollment and billing. Attributes like COBRA compliance and carrier integration are also important. Most employers learn about exchanges from independent research, brokers and consultants rather than carriers or third-party administrators.
De Pere Area Chamber Affordable Care Act Presentation, Daren Allen, Common Gr...Cheryl Detrick
Presentation on the Affordable Care Act given by Daren Allen, Vice President of Sales & Business Development for the Common Ground Healthcare Cooperative to De Pere Area Chamber of Commerce on 9/11/13.
The document summarizes a workshop for early implementer sites of the Long Term Conditions Year of Care Commissioning programme. It includes an agenda with presentations on NHS England pricing and evaluation approaches, updates from individual early implementer sites, and tasks to be completed. Site updates discuss progress made in 2014/2015 and plans for 2015/2016, including engaging stakeholders, analyzing data, defining cohorts, and establishing new models of care. The document outlines discussions and next steps around priority areas for the payment system, costing of NHS services, and evaluation approaches.
Healtho5 ecosystem of mobile applications will encourage new ways of integrating healthcare Insurance, healthcare service delivery and product sales on a digital platform.
The document discusses the Australian government's current project to examine the feasibility of sustainability reporting. The project will assess sustainability reporting by mid-2012 through a reference group and pilot programs with relevant consultation. Key considerations for the project include working within existing Australian reporting guidelines and standards, avoiding additional reporting burdens, and using existing reporting bases, indices and metrics where possible. The document also outlines some of the main issues to consider in designing a sustainability reporting system, such as scope, standards, assurance, and implementation challenges.
South East of England Mental Health CEO ForumSarah Amani
Despite their impossible schedule & demands, the CEOs of mental health trusts in the South East of England kindly allowed us to discuss the latest access and quality standard.
The document discusses two presentations from the Care Quality Commission on improving oversight of care services. [1] It summarizes the findings of reviews that found people staying in hospitals when they did not need to be and actions taken to improve community services. [2] It outlines the CQC's role in enforcing standards and inspections under a new joint program to move people out of hospitals and into community support. [3] Finally, it discusses the CQC's strategic review that aims to regulate different services tailored to their needs and strengthen relationships with the public, providers, and partners.
Investments in Behavioral Health: Drivers and Outlook - Behavioral Health Cra...Epstein Becker Green
Webinar by attorney Purvi Maniar of Epstein Becker Green - April 5, 2016. Part of the Behavioral Health Crash Course Webinar Series.
This webinar will provide:
* A discussion of the main drivers of growth in investment in behavioral health, including the focus on population health management and mental health parity laws
* The outlook for providers of behavioral health services, including an overview of areas of legal focus and potential competition
http://www.ebglaw.com/events/investme...
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
The document discusses the evolving rural healthcare environment and significant changes occurring in recent years. It notes increased rural-urban affiliations, physicians transitioning to hospital employment, declining patient volumes, growth of high-deductible health plans, and reduced Medicare payments. It summarizes changes in federal healthcare reform, Medicaid managed care, commercial insurance, and new payment models like accountable care organizations and bundled payments that are putting pressure on rural hospital finances and operations.
The document summarizes the Capacity Assessment Project (CAP), which aims to understand how NSW Health services have adapted to reforms since 2011 that shifted responsibilities to regional and local levels. CAP involves two concurrent activities - an Activity Based Funding review led by KPMG, and a System Capacity Assessment examining governance across four domains. The eight-month project will produce reports on each participating health service and the NSW system overall to identify strengths, challenges, and opportunities going forward.
The document summarizes a project in Kenya that aimed to improve public health supply chains through establishing leadership teams and using data dashboards. The project established Impact Teams across 10 counties to analyze supply chain data, identify issues, and develop solutions. Dashboards with color-coded visualizations were created to provide transparent, actionable data on reporting rates and stockouts. Preliminary results found lower stockout rates in Impact Team districts compared to non-Impact Team districts. Challenges included lack of data use, coordination issues after responsibilities were devolved to counties, and need for leadership skills and continuous improvement culture.
What does ARRA, HITECH and Meaningful Use mean to youHealth 2.0
The document discusses the concepts of ARRA, HITECH, and Meaningful Use as they relate to adopting and using electronic health records (EHRs) in a meaningful manner. It provides an overview of the regulatory definitions and goals of Meaningful Use, as well as the three main regulations from CMS and ONC that specify requirements and standards. It also summarizes key aspects of the proposed EHR incentive programs for eligible professionals and hospitals, including eligibility, payment amounts and timelines, reporting requirements, and clinical quality measures.
The Physician Quality Reporting System (PQRS) provides incentives for eligible professionals who satisfactorily report data on quality measures for Medicare Part B patients. In 2011, eligible professionals can earn a 1% incentive by reporting on at least 3 measures. Starting in 2015, the PQRS program will use a value-based payment modifier to differentially pay physicians based on quality and cost performance measures. Alignment between PQRS and Meaningful Use is increasing, with many measures overlapping to reduce reporting burden. The future of PQRS includes expanding the number of measures and applying the value modifier to more physician groups over time.
A empresa de tecnologia anunciou um novo smartphone com câmera aprimorada, tela maior e bateria de longa duração por um preço acessível. O dispositivo tem como objetivo atrair mais consumidores em mercados emergentes com suas especificações equilibradas e preço baixo. Analistas esperam que as melhorias e o preço baixo impulsionem as vendas do novo aparelho.
Health Decisions Webinar: April 2014 ACA Cost SharingSi Nahra
Si Nahra presented on the ticking time bomb of liability from cost sharing requirements under the Affordable Care Act. The new rules require preventive care to have no cost sharing, set annual limits on out-of-pocket costs, and require that all cost sharing like copays and deductibles count toward the out-of-pocket maximum. Health plans now face the risk of incorrectly applying these complex rules and overcharging or undercharging members, creating legal liability. Nahra recommends plans carefully audit claims to identify errors, work with payers to resolve issues, and put monitoring in place to prevent future non-compliance.
The document discusses the S&I Framework Transitions of Care Initiative which aims to improve electronic exchange of core clinical information during care transitions. Over 150 members reached consensus on unambiguous definitions of core data elements for care transitions and agreed on using the Consolidated CDA standard for clinical summaries in Meaningful Use Stage 2. Pilots will test implementing the standard to enable cost-effective exchange of standardized care transition information. The initiative brings together various programs to specify a constrained CDA standard that meets their immediate goals for care transitions.
Most employers are still learning about private exchanges, with over half being familiar but only 6.4% currently using them. The top perceived benefits are helping employees make more cost-conscious choices and offering a wider array of options. When setting up an exchange, employers want tools for plan comparison, online access, consolidated enrollment and billing. Attributes like COBRA compliance and carrier integration are also important. Most employers learn about exchanges from independent research, brokers and consultants rather than carriers or third-party administrators.
De Pere Area Chamber Affordable Care Act Presentation, Daren Allen, Common Gr...Cheryl Detrick
Presentation on the Affordable Care Act given by Daren Allen, Vice President of Sales & Business Development for the Common Ground Healthcare Cooperative to De Pere Area Chamber of Commerce on 9/11/13.
The document summarizes a workshop for early implementer sites of the Long Term Conditions Year of Care Commissioning programme. It includes an agenda with presentations on NHS England pricing and evaluation approaches, updates from individual early implementer sites, and tasks to be completed. Site updates discuss progress made in 2014/2015 and plans for 2015/2016, including engaging stakeholders, analyzing data, defining cohorts, and establishing new models of care. The document outlines discussions and next steps around priority areas for the payment system, costing of NHS services, and evaluation approaches.
Healtho5 ecosystem of mobile applications will encourage new ways of integrating healthcare Insurance, healthcare service delivery and product sales on a digital platform.
The document discusses the Australian government's current project to examine the feasibility of sustainability reporting. The project will assess sustainability reporting by mid-2012 through a reference group and pilot programs with relevant consultation. Key considerations for the project include working within existing Australian reporting guidelines and standards, avoiding additional reporting burdens, and using existing reporting bases, indices and metrics where possible. The document also outlines some of the main issues to consider in designing a sustainability reporting system, such as scope, standards, assurance, and implementation challenges.
South East of England Mental Health CEO ForumSarah Amani
Despite their impossible schedule & demands, the CEOs of mental health trusts in the South East of England kindly allowed us to discuss the latest access and quality standard.
The document discusses two presentations from the Care Quality Commission on improving oversight of care services. [1] It summarizes the findings of reviews that found people staying in hospitals when they did not need to be and actions taken to improve community services. [2] It outlines the CQC's role in enforcing standards and inspections under a new joint program to move people out of hospitals and into community support. [3] Finally, it discusses the CQC's strategic review that aims to regulate different services tailored to their needs and strengthen relationships with the public, providers, and partners.
Investments in Behavioral Health: Drivers and Outlook - Behavioral Health Cra...Epstein Becker Green
Webinar by attorney Purvi Maniar of Epstein Becker Green - April 5, 2016. Part of the Behavioral Health Crash Course Webinar Series.
This webinar will provide:
* A discussion of the main drivers of growth in investment in behavioral health, including the focus on population health management and mental health parity laws
* The outlook for providers of behavioral health services, including an overview of areas of legal focus and potential competition
http://www.ebglaw.com/events/investme...
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
The document discusses the evolving rural healthcare environment and significant changes occurring in recent years. It notes increased rural-urban affiliations, physicians transitioning to hospital employment, declining patient volumes, growth of high-deductible health plans, and reduced Medicare payments. It summarizes changes in federal healthcare reform, Medicaid managed care, commercial insurance, and new payment models like accountable care organizations and bundled payments that are putting pressure on rural hospital finances and operations.
The document summarizes the Capacity Assessment Project (CAP), which aims to understand how NSW Health services have adapted to reforms since 2011 that shifted responsibilities to regional and local levels. CAP involves two concurrent activities - an Activity Based Funding review led by KPMG, and a System Capacity Assessment examining governance across four domains. The eight-month project will produce reports on each participating health service and the NSW system overall to identify strengths, challenges, and opportunities going forward.
The document summarizes a project in Kenya that aimed to improve public health supply chains through establishing leadership teams and using data dashboards. The project established Impact Teams across 10 counties to analyze supply chain data, identify issues, and develop solutions. Dashboards with color-coded visualizations were created to provide transparent, actionable data on reporting rates and stockouts. Preliminary results found lower stockout rates in Impact Team districts compared to non-Impact Team districts. Challenges included lack of data use, coordination issues after responsibilities were devolved to counties, and need for leadership skills and continuous improvement culture.
What does ARRA, HITECH and Meaningful Use mean to youHealth 2.0
The document discusses the concepts of ARRA, HITECH, and Meaningful Use as they relate to adopting and using electronic health records (EHRs) in a meaningful manner. It provides an overview of the regulatory definitions and goals of Meaningful Use, as well as the three main regulations from CMS and ONC that specify requirements and standards. It also summarizes key aspects of the proposed EHR incentive programs for eligible professionals and hospitals, including eligibility, payment amounts and timelines, reporting requirements, and clinical quality measures.
The Physician Quality Reporting System (PQRS) provides incentives for eligible professionals who satisfactorily report data on quality measures for Medicare Part B patients. In 2011, eligible professionals can earn a 1% incentive by reporting on at least 3 measures. Starting in 2015, the PQRS program will use a value-based payment modifier to differentially pay physicians based on quality and cost performance measures. Alignment between PQRS and Meaningful Use is increasing, with many measures overlapping to reduce reporting burden. The future of PQRS includes expanding the number of measures and applying the value modifier to more physician groups over time.
A empresa de tecnologia anunciou um novo smartphone com câmera aprimorada, tela maior e bateria de longa duração por um preço acessível. O dispositivo tem como objetivo atrair mais consumidores em mercados emergentes com suas especificações equilibradas e preço baixo. Analistas esperam que as melhorias e o preço baixo impulsionem as vendas do novo aparelho.
Virginia AFP's lobbyist Hunter Jamerson's presentation from the 2013 SLC on the unique Medicaid reform approach being followed in the state of Virginia.
This document discusses several proposals to expand health insurance coverage in Colorado, including:
1) An analysis of 7 proposals that estimates their impact on the uninsured rate, health spending, and subsidies. It finds that a single-payer system could reduce the uninsured rate the most but increase health spending the most as well.
2) Colorado's health exchange Connect for Health, which has helped over 400,000 Coloradans get financial assistance for insurance plans. Over 300,000 people have visited the site and over 30,000 have purchased plans.
3) Estimates that the Affordable Care Act could reduce Colorado's uninsured rate from over 800,000 to around 400,000 by 2016 by expanding Medicaid and creating
Connect for Colorado's Lindy Hinman's 2013 SLC presentation on health insurance marketplaces and what the Connect for Colorado organization has done to get their state insurance marketplace up and running.
This document discusses opioid abuse and how innovation in treatment can save lives. It focuses on buprenorphine treatment for opioid addiction. Buprenorphine is a partial opioid agonist that works by blocking other opioids while reducing withdrawal symptoms and cravings. Studies show buprenorphine treatment keeps more patients in treatment programs compared to placebo. The author's clinic has successfully treated over 100 patients through buprenorphine group visits combined with counseling and motivational interviewing techniques. Patients report buprenorphine saves lives and allows them to function while remaining sober. The document concludes buprenorphine access and substance use treatment saves lives.
A empresa de tecnologia anunciou um novo sistema operacional para computadores pessoais. O novo sistema operacional tem um design modernizado e recursos aprimorados de segurança e privacidade para proteger os usuários. A nova versão será lançada globalmente no final deste ano e a empresa espera que seja bem recebida pelos consumidores.
The Ohio AFP's presentation 2013 SLC presentation on their communications & advocacy campaign surrounding the Medicare Medicaid primary care parity payment that won them the Leadership in State Government Advocacy award.
This document discusses workforce challenges facing HRSA, health centers, and managing primary care needs. It provides an overview of HRSA priorities and programs, the populations served by HRSA funding, and HRSA's presence in Colorado. It also summarizes health center fundamentals, growth nationally and in Colorado from 2008-2012, and strategies to improve quality including partnerships, electronic health records adoption, patient-centered medical home recognition, and meeting clinical outcome goals. Challenges of workforce recruitment and retention as well as strategies to address them through partnerships are also outlined.
This document summarizes Oregon's experience increasing primary care spending through legislative and collaborative efforts. It outlines how Oregon created a patient-centered medical home program, increased transparency of primary care spending across payers, and eventually mandated a minimum primary care spending threshold of 12% of total medical expenditures. Key lessons included starting with less controversial policies, using data to drive transparency and goals, and engaging a multi-stakeholder collaborative. The presentation recommends similar best practices for other states seeking to invest more in primary care.
Health IT Summit Denver 2014 - "Anatomy of a Health System"
This unique discussion series explores behind-the-scenes looks at the most progressive and high performing health systems in the country. Panelists will discuss critical areas such as go-live strategy, vendor management, patient engagement, IT governance and more. Attendees will walk away with a better understanding of how departments can effectively work together, tangible strategies for delivering high quality care while maintaining an efficient and secure health information system.
Moderator: Cynthia Burghard, Research Director, IDC Health Insights
Marc Lassaux, CTO, Technical Director Beacon Project, Quality Health Network
Justin Aubert, Chief Financial Officer, Quality Health Network
Kevin Fitzgerald, MD, CMO, Rocky Mountain Health
The CMS Innovation Center hosted a special webinar featuring Dr. Patrick Conway, CMS Deputy Administrator for Innovation and Quality and CMS Chief Medical Officer, on Monday, November 10, 2014 from 10:30am – 11:30 am ET. Dr. Conway will provided an update about the work of the CMS Innovation Center and the models being tested to improve better care for patients, better health for our communities, and lower costs through improvement for our health care system. Opportunities for questions were provided.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The document provides an overview of meaningful use and the EHR incentive programs. It discusses the stages of meaningful use, eligibility requirements, incentive payment schedules, requirements for evidencing meaningful use such as objectives and measures, the EHR certification process, and next steps for providers in registering for incentive programs in 2011. The presentation was given by Scott Rogerson of consulting firm The Hill Group to prepare attendees for meaningful use.
The document summarizes the Medicare Access and CHIP Reauthorization Act (MACRA) which repeals the Sustainable Growth Rate formula and shifts Medicare payments to value-based and alternative payment models. MACRA establishes two payment tracks - the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs). MIPS consolidates existing quality programs and provides payment incentives or penalties based on a performance score. APMs offer additional rewards for physicians meeting thresholds for payments or patients in eligible models.
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.
An Insider's Guide to Working with CMS - Shari LingCancerSupportComm
This document summarizes a presentation given by Shari Ling, Deputy Chief Medical Officer at CMS, to the Cancer Policy Institute at the Cancer Support Community. Some key points:
- CMS is focused on developing more patient-centered quality measures that assess outcomes important to patients and caregivers. They welcome input from patient advocacy groups.
- CMS aims to align quality measures across different healthcare settings to reduce reporting burden and focus measurement on the issues that matter most to patients.
- CMS is responsible for administering Medicare, Medicaid, and other large healthcare programs, and uses quality measurement to incentivize higher quality, more coordinated care, and payment reform efforts like value-based purchasing.
This document provides an overview of the Medicare and Medicaid EHR Incentive Program for hospitals. It discusses who is eligible, how incentive payments are calculated, the meaningful use requirements including core and menu objectives, and clinical quality measures. Key details include that hospitals can receive incentives from both Medicare and Medicaid by meeting meaningful use through CMS, incentive payments are based on Medicaid and Medicare patient volumes and discharged and range from $2 million to multi-year payments, and Stage 1 meaningful use involves completing 14 core objectives and 5 out of 10 menu objectives.
Healthcare Innovations and Regulatory Compliance InitiativesTatiana Cornell
The document discusses key aspects and requirements of the Affordable Care Act (ACA) of 2010 and Section 6041. It summarizes that the ACA mandated all US residents have health insurance, increased the number of insured, and required healthcare organizations to establish compliance programs. Section 6041 requires providers to obtain a National Provider Identifier, enroll in programs like MassHealth, and adhere to regulations to ensure standards of care and minimize risks. The ACA helped strengthen healthcare organizations' risk management strategies through greater accountability and oversight of providers.
Working with Regulators: A Focus on CMS | June 24, 2014 | All SlidesCancerSupportComm
CMS is seeking input from patient advocacy groups like the Cancer Support Community on developing quality measures that focus on issues that matter most to patients and caregivers. CMS measures quality of cancer care across different settings and aims to align measures across public and private payers to reduce reporting burden and consistently focus on important patient issues. CMS oversees large healthcare programs that impact over 100 million Americans and seeks to transform the healthcare system to make it more patient-centered, outcomes-focused, coordinated, and sustainable.
Maintaining compliance while compensating physicians for quality and cost sav...Jessica Nickerson
This document summarizes a presentation given by Alex Higgins of VMG Health and Joe Wolfe of Hall Render on maintaining compliance while compensating physicians for quality and cost savings through pay-for-performance models. It provides an overview of trends in P4P arrangements, regulatory guidance associated with paying physicians for quality and cost savings, and tips for ensuring fair market value in P4P models. The document also discusses a compliance checklist for paying physicians based on quality and cost savings metrics.
Medicare Shared Savings Program--Foundation for a Clinically Integrated NetworkPYA, P.C.
Call them what you will—accountable care organizations, clinically integrated networks, community care organizations—collaborative efforts between independent providers are cropping up to address the challenges created by new payment and delivery models. Already faced with disparities in healthcare not found in urban areas, rural providers must develop new affiliation strategies to overcome these obstacles.
PYA Principal Martie Ross, in partnership with the National Rural Health Association, conducted a Rural Accountable Care Organizations webinar, "Medicare Shared Savings Program--Foundation for a Clinically Integrated Network."
The document summarizes the proposed Medicare Shared Savings Program which aims to promote accountable care through accountable care organizations (ACOs). It discusses key elements of the proposed rule including ACO qualification requirements, benchmark calculations for determining savings, performance measures tied to quality, and a timeline for implementation beginning in 2012. The overall goal is to align payments with value through shared savings models to reduce costs while improving care quality.
The healthcare transformation from fee for service to fee for outcomes just got an adrenaline shot in the arm April 27th when the Department of Health and Human Services surprised many in the market by announcing a Quality Payment Program, a proposed set of new rules to take effect in 2019 based on key provisions of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
The Evolving Role of the Compliance Officer in the Age of Accountable CarePYA, P.C.
PYA Consulting Principals Jeff Ellis and Martie Ross presented at the Health Care Compliance Association 2013 Midwest Regional Compliance Conference in Overland Park, Kansas. Ellis and Ross teamed up to explore, “The Evolving Role of the Compliance Officer in the Age of Accountable Care.”
This document discusses state health care policy issues in 2012, including:
1. State budgets have faced large cumulative budget gaps between 2002-2013 totaling over $820.5 billion, putting pressure on states to cut programs.
2. The Affordable Care Act provides opportunities for states through expanding Medicaid eligibility and benefits, establishing health insurance exchanges, and pilot programs.
3. Key policy issues for states in 2012 include implementing health reform, addressing ongoing budget shortfalls, and debating scope of practice and workforce laws.
The Evolving Role of the Compliance Officer in the Age of Accountable CarePYA, P.C.
Much has been written about new competencies physicians must develop in the face of payment and delivery system reform. But providers are not the only ones seeing their roles change. Compliance officers, who serve as organizations’ internal police officers, will have many new challenges. PYA Principal Martie Ross presented a national Health Care Compliance Association (HCCA) webinar entitled “The Evolving Role of the Compliance Officer In the Age of Accountable Care.”
This document discusses how healthcare organizations can connect quality data requirements from meaningful use (MU) to operational improvements. It provides an overview of MU implications for staffing, alliances/referrals, and use of quality data. Organizations are encouraged to use quality metrics and outcomes data to tell their quality story, maximize benefits across payors and programs, and operationalize MU by focusing on users and workflow. As MU requirements progress, organizations will need to assess changing IT and staffing needs to effectively support higher data volumes and complexity.
The Biggest Threat to Western Civilization _ Andy Blumenthal _ The Blogs.pdfAndy (Avraham) Blumenthal
Article in The Times of Israel by Andy Blumenthal: China and Russia are commonly considered the biggest military threats to Western civilization, but I believe that is incorrect. The biggest strategic threat is a terrorist Jihadi Caliphate.
Here is Gabe Whitley's response to my defamation lawsuit for him calling me a rapist and perjurer in court documents.
You have to read it to believe it, but after you read it, you won't believe it. And I included eight examples of defamatory statements/
Youngest c m in India- Pema Khandu BiographyVoterMood
Pema Khandu, born on August 21, 1979, is an Indian politician and the Chief Minister of Arunachal Pradesh. He is the son of former Chief Minister of Arunachal Pradesh, Dorjee Khandu. Pema Khandu assumed office as the Chief Minister in July 2016, making him one of the youngest Chief Ministers in India at that time.
Acolyte Episodes review (TV series) The Acolyte. Learn about the influence of the program on the Star Wars world, as well as new characters and story twists.
El Puerto de Algeciras continúa un año más como el más eficiente del continente europeo y vuelve a situarse en el “top ten” mundial, según el informe The Container Port Performance Index 2023 (CPPI), elaborado por el Banco Mundial y la consultora S&P Global.
El informe CPPI utiliza dos enfoques metodológicos diferentes para calcular la clasificación del índice: uno administrativo o técnico y otro estadístico, basado en análisis factorial (FA). Según los autores, esta dualidad pretende asegurar una clasificación que refleje con precisión el rendimiento real del puerto, a la vez que sea estadísticamente sólida. En esta edición del informe CPPI 2023, se han empleado los mismos enfoques metodológicos y se ha aplicado un método de agregación de clasificaciones para combinar los resultados de ambos enfoques y obtener una clasificación agregada.
Your Go-To Press Release Newswire for Maximum Visibility and Impact.pdfPressReleasePower4
This downloadable guide explains why press releases are still important for businesses today and the challenges you might face with traditional distribution methods. Learn how [Your Website Name] offers a comprehensive solution for crafting compelling press releases, targeting the right media outlets, and maximizing visibility.
Essential Tools for Modern PR Business .pptxPragencyuk
Discover the essential tools and strategies for modern PR business success. Learn how to craft compelling news releases, leverage press release sites and news wires, stay updated with PR news, and integrate effective PR practices to enhance your brand's visibility and credibility. Elevate your PR efforts with our comprehensive guide.
2. Thank You
• SLC Organizers
– Michelle Greenhalgh
– Amber Melaney
• Additional GR Staff
– Lorlita Alexander
– Jessie Williams
• Headquarters Staff
– Karin Reid
3. AAFP Federal Priorities – 2013
• Implementation of Health Care
Marketplace
• Medicare Physician Payment
Reform
• GME and Primary Care Workforce
Assistance
5. Implementation of Health
Care Marketplaces
• The AAFP convened an ACA Work
Group with reps from 8 areas to
develop educational resources for
members and patients.
• The effort was headed by Amber
Melaney, AAFP’s analyst in state
government relations
6. Implementation of Health
Care Marketplaces
• The group created materials in four
components:
– Member and Chapter Educational
Resources
– Presentation for Family Medicine
Faculty
– Webinar for Physician Small
Business Owners (November 6)
– ACA Implementation Interactive Map
8. Implementation of Health
Care Marketplaces
• The AAFP ACA landing page contains
AAFP-developed resources:
– Understanding Health Insurance
Marketplaces
– Health Care Reform: What It Means for Me
– New Health Care Law and Medicare: What
to Expect
– How Health Care Reform Will Affect Family
Physicians
9. Implementation of Health
Care Marketplaces
• The landing page also contains
information from healthcare.gov
that details the costs and coverage
of health insurance plans in
Marketplaces.
10. Implementation of Health Care
Marketplaces
• Congress of Delegates and Scientific
Assembly
• Social Media
• CMS Champion for Coverage
Designation
• Blog by Dr. Blackwelder
• aafp.org and FamilyDoctor.org
Carousels
• CHEX and ANN Articles
11. SGR
• Fee Schedule Conversion Factor
will decline 24.7% on January 1,
2014 unless Congress acts.
• Congressional Committees
– House Energy & Commerce Com.
– House Ways & Means Com.
– Senate Finance Committee
12. SGR
• House Energy & Commerce
Committee proposal
– Medicare Patient Access and Quality
Improvement Act (HR 2810)
– AAFP letters of April 15, June 10 and
July 16.
– July 31, 2013 – approved by a vote
of 51 to 0.
13. SGR- HR 2810 Outline
• Cost: $175 billion over 10 years
• SGR repealed
• Update of conversion factor for
2014-2018 is 0.5% annually
• Eligible Professional Organizations
will create “Peer Cohorts”
• Peer Cohorts determine “core
measure sets”
14. SGR- HR 2810 Outline
• Core measure sets include quality
measures and clinical practice
improvement activities.
• Physicians will be paid (beginning
in 2019) according to their
performance in their peer cohort.
• Bonuses up to 1.5%; penalties of
as much as 1.5%
15. SGR- HR 2810 Outline
• Alternative Payment Models
– Emphasis on care coordination
– Fast track for evaluated models (like
PCMH)
– Encourages development of payment
codes for complex chronic diseases
– Encourages adjustments for
misvalued physician payments
16. Finance/Ways and Means
•
•
•
•
•
Cost: $150 billion over 10 years
SGR repealed
No peer cohorts
0% update for 10 years
Emphasis on value-based
purchasing and alternative
payment model
17. Finance/Ways and Means
• Care Coordination payments are
authorized in 2015 for all those in
PCMH (or other approved APM)
• Appropriate use criteria, provider
endorsed, for advanced imaging
• Fix misvalued payments (RUC)
• Make Medicare data more
transparent
18. Finance/Ways and Means
• Beginning in 2024, annual update
of -1% for FFS; +2% for APM
• APMs are eligible for 5% bonus
and PCMH are qualified
• APMs are excluded from valuebased payments and reporting
requirements
19. Finance/Ways and Means
• NPs & PAs will be eligible for care
coordination payment
• Provides “assistance for smaller
practices” – undefined
• Value based purchasing for FFS is
an aggressive one – beginning in
2017 – 8% (increasing to 10%) of
Medicare payment at risk
20. Finance/Ways and Means
• No conversations yet about budget
offsets
• No clear path or process to get the
measure passed this year
• Congress has some 15 legislative
days left this year
• Prediction: short-term extension of
SGR, w/ final action in spring 2014
21. GME & Workforce Issues
• Continue to promote the Primary
Care Workforce Access
Improvement Act (HR 487)
• Advocate for primary care medical
student support
• Title VII Health Professions Grants
22. AAFP Federal Priorities - 2013
• Contact
Kevin J. Burke, Director
AAFP Government Relations
1133 Connecticut Ave., NW (#1100)
Washington, DC 20036
kburke@aafp.org
(888) 794-7481 (toll free)