Quality, Value and Payment for Healthcare Providers
AUG. 10, 10 - 11:30 AM ET
Quality, Value and Payment for Healthcare Providers

​Overview

In this webinar we address the many efforts that the Medicare program is currently undertaking and/or is in the process of developing.  The latest major efforts involve mandates from MACRA (Medicare Access & CHIP Reauthorization Act) relative to the discontinuation of the SGR (Sustainable Growth Rate) through implementation of programs such as MIPS (Merit-Based Incentive Payment System).  Some of the initiatives from Medicare involve cost-savings through efficiency improvement, while others involve effectiveness improvement through better care.

Webinar Objectives

  •  discuss the fundamental challenge between reducing payment and improving quality of healthcare
  • review the various Medicare payment systems from a quality and value perspective
  • review twin goals of efficiency (reduced costs) and effectiveness (increase quality)
  • discuss the main initiatives from Medicare concerning quality, value and associated payment impacts for all types of healthcare providers
  • review the current Medicare quality programs for hospitals
  • analyze the proposals from Medicare concerning the implementation of the MACRA-mandated Merit-Based Incentive Program
  • review current Medicare quality and value-purchasing for other healthcare providers such as HHAs, SNFs, and DME
  • examine the future of quality and value-based initiatives from Medicare and the anticipated impacts from such initiatives
  • discuss special approaches being taken by the Medicare program at both an organizational level as well as at a service level

Target Audience

Hospital Management, Medical Staff Organization Personnel, Clinical Department Managers, Utilization Review and Case Management Personnel, Clinical Staff, Nursing Staff, Physicians, Non-Physician Practitioners, Physician Practice Managers, Clinic Administrators, Financial Analysts, Revenue Cycle Specialists, Chargemaster Coordinators, Provider-Based Clinic Staff, Compliance Personnel, Other Interested Personnel

Webinar Outline

  • Overview of Quality and Value Initiatives from Medicare
    • Quality Reporting
    • Value-Based Purchasing
    • Payment Adjustments for Quality
    • Patient to Physician Relationship
    • Congressional Actions
  • Review Medicare Payment Systems
    • Fee Schedules
    • Prospective Payment Systems
    • Hybrid Payment Systems
    • Cost-Based Payment Systems
  • Hospital Quality Programs
    • Inpatient Quality Reporting (IQR)
    • Outpatient Quality Reporting (OQR)
    • Value-Based Purchasing (VBP)
    • Hospital-Acquired Condition Reduction Program (HAC)
    • Readmission Reduction Program (RRP)
    • Electronic Health Record (EHR)
  • Physician Quality and Value Programs
    • Sustainable Growth Rate (SGR)
    • Current Initiatives
      • PQRS – Physician Quality Reporting System
      • Value-Based Payment Modifier (VM)
      • EHR Initiative
      • Physician Feedback System
      • Value-Based Payment Modifier
    • Merit-Based Incentive Payment System (MIPS)
    • Alternative Payment Models (APM)
  • Other Healthcare Providers
    • Value-Based Purchasing for HHAs.
    • Value-Based Purchasing for SNFs
    • Quality Reporting for LTCHs
    • DME Initiatives
    • Other Healthcare Providers
  • Trends and the Future
    • Budget Neutral Implementation
    • Costs for Reporting and Maintaining Reimbursement
    • Incentives versus Penalties
  • Sources for Further Information

About the Speaker

Dr. Duane Abbey is a management consultant and president of Abbey & Abbey Consultants, based in Ames, Iowa. For over twenty years Abbey & Abbey, Consultants, Inc. has provided superior healthcare consulting services to hospitals, hospital systems, physicians, medical clinics and integrated delivery systems.

Abbey & Abbey, Consultants, Inc. specializes in healthcare consulting primarily in the areas of:

  • Payment systems - reimbursement consulting
  • Delivery systems - organization of healthcare delivery
  • Compliance - developing compliance programs - emphasis in the coding, billing and reimbursement areas

In addition to his consulting, Dr. Abbey has been an invited presenter for hospital associations, medical societies, and other groups. He has also published both articles and books on health care topics. Dr. Abbey earned his graduate degrees from the University of Notre Dame and Iowa State University.

Continuing Education Credits

CATEGORIES:
Hospital; Administration; Workforce
   REGISTER 
  
     

Registration

Instruct-Online is offering this webinar to IHA members. Registration is $150/phone line for this course. Advanced registration is suggested to ensure delivery of webinar materials. Please register by August 8.

Payment Options: Payment can be made online by credit card. If paying by check, please indicate this payment option online and mail check by August 8. Checks should be made payable to Instruct-Online. 

Mail check payment to:
Instruct Online
955 W. Forevergreen Road
North Liberty, IA 52317

Questions

Webinar content, registration and continuing education questions should be emailed to Katie Ingle of Instruct-Online or call 319-626-3295. Other inquiries may be emailed to Laura Gilbert or 317-423-7793.

Cancellation & Refund Policies

For cancellations made at least seven days in advance, a $50 cancellation fee will be retained. Refunds will not be issued for cancellations made within six days of the date of the webinar.          

FEATURED

  • 2019-10-24 00:00:00Annual Membership MeetingOct. 24-25, 2019https://www.ihaconnect.org/member/professional-development/Pages/Annual-Membership-Meeting.aspx24-25 OCT 2019
  • 2019-08-27 00:00:00Perinatal Substance Use: Supportive Care for Infants, Mothers and StaffInnovative, supportive care approaches designed to improve outcomes for families and avoid staff burnout for those caring for this vulnerable population. https://www.ihaconnect.org/member/professional-development/Pages/Perinatal%20Substance%20Use.aspx27 AUG 2019

    Perinatal Substance Use: Supportive Ca...

    Innovative, supportive care approaches designed to improve outcomes for families and avoid staff burnout for those caring for this vulnerable population.

  • 2019-06-04 00:00:00Patient Safety SummitIHA’s Indiana Patient Safety Center annually hosts a statewide patient safety summit to enable us all to step back, assess the work we’ve done and set our sights on making Indiana the safest place in the world to receive health care. https://www.ihaconnect.org/member/professional-development/Pages/Patient-Safety-Summit.aspx4 JUN 2019

    Patient Safety Summit

    IHA’s Indiana Patient Safety Center annually hosts a statewide patient safety summit to enable us all to step back, assess the work we’ve done and set our sights on makin....

  • 2019-04-25 00:00:00Gateway to Work Overview WebinarJoin IHA and FSSA for an overview of HIP's new Gateway to Work Programhttps://www.ihaconnect.org/member/professional-development/Pages/Gateway-to-Work-Webinar.aspx3:00 p.m. ET
    WEBINAR

    Gateway to Work Overview Webinar

    Join IHA and FSSA for an overview of HIP's new Gateway to Work Program