Texas State Chapters Free Webinar
Tuesday, March 18, 2014
12:00-1:30 pm CST
Healthcare Reform: The Movement From Volume to Value - What Is the End State, and How Do We Get There?
Course 1403w| CPE: none | Level: Basic | Prerequisites: None
Topic Description: Consumers, employer groups, and governmental payors are demanding value for their healthcare dollars. To meet these demands for increasing value, providers are working with payors to revise payment methodologies that create the mutual incentives designed to reward the improved value. The Patient Protection and Affordable Care Act, a major driver in the evolution of the reimbursement system, has also generated a new-found impetus among many payors and providers to create more-innovative incentive-based payment systems. Hospitals and physicians are also discovering opportunities to become more closely integrated in the coordination of healthcare services, and new models of coordinated clinical care delivery are emerging. These new models support the delivery of safe, timely, equitable, efficient, and patient-focused care for a defined population and entail a greater degree of financial integration and interdependence between providers - often achieved through the development of provider networks or accountable care organizations (ACOs).
Learning Objectives:The attendees will be able to (1) Discuss the overall movement toward value-based payment delivery models and review emerging reimbursement models that are being used to achieve greater efficiencies, outcomes, and transparency. (2) Identify the core competencies that provider organizations will need in order to move toward greater clinical integration and succeed in the new era of healthcare reform. (3) Identify the essential characteristics of an alignment model needed to support ACO development. (4) Understand the financial, legal, and organizational framework of an ACO.
Target Audience: CEO, CFO, Managed Care Directors, Chief Strategy Officer and others involved in payor contracting and population health initiatives.
Jim Donohue, Senior Manager, ECG Management Consultants, Inc. | Mr. Donohue is a Senior Manager in ECG’s Boston office and works in the firm’s Contracting and Reimbursement practice. He has nearly 20 years of experience in the healthcare industry, he has been assisting provider organizations with issues related to payor reimbursement and revenue realization, as well as evaluating and executing strategies to project and improve upon their financial performance. Mr. Donohue has conducted dozens of consulting engagements for clients, focusing on managed care contracting, innovative and conventional reimbursement strategies, business operations, and strategic planning. Mr. Donohue holds a master of business administration degree, with a concentration in healthcare management, from the Boston University Graduate.View entry →
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