Slide Deck

21 Slides available anytime
  • 21 Slides

Medicare's Overhaul of Physician Payments

 

Gain an understanding of the updated payment changes reflective in the new year within Medicare restructured specifically for physicians.

Medicare is expected to impose far-reaching changes in how physicians are paid starting in 2019. The Centers for Medicare & Medicaid Services (CMS) has proposed the first major re-do in almost 20 years in how evaluation and management (E&M) services will be paid - these are an important part of billings for almost all specialties. CMS has proposed to simplify the E&M payment structure in ways that will, if adopted as proposed, create winners and loser and be disruptive for many specialties. This rule also contains various changes in the Quality Payment Program (QPP) that will affect physicians that do not participate in Advanced Alternative Payment Mechanisms, which include certain Accountable Care Organizations. CMS has also proposed various changes to Medicare's ACO program; the proposals have been criticized as 'raising the bar' for ACOs, making this alternative more difficult for physicians to use to share in savings or avoid payment cuts. Physician practices will thus have to weigh a revised set of options as they seek to avoid payment reductions and secure higher payments for their services. This topic will explore the changes CMS actually adopts for implementation in 2019 and equip participants to understand and react appropriately to these changes.

Agenda

Faculty

Thomas Gustafson, PhD

Thomas Gustafson, PhD

Arnold & Porter LLP

  • Policy Advisor in Arnold & Porter’s Life Sciences and Healthcare Regulatory Practice, where he concentrates on Medicare reimbursement and related issues and on health policy generally
  • Distinguished 30-year career at the United States Department of Health and Human Services (HHS) in 1976 included more than 20 years at CMS, where he held several executive posts responsible for Medicare and Medicaid legislation, strategic planning, research and demonstrations, operations, and development and implementation of regulations
  • In 2003, Dr. Gustafson was named Deputy Director of the Center for Medicare Management (CMM), which coordinated the fee-for-service portion of the Medicare program and set payment rates for more than a million providers
  • Advised health-care providers, device and pharmaceutical manufacturers, and trade associations on a wide array of issue areas, including: physician, hospital and end-stage renal disease reimbursement systems; accountable care organizations; laboratory coverage, coding and payment; and launch and reimbursement issues for devices and pharmaceuticals
  • J.D. degree, Williams College; PhD, Yale University
Paul Rudolf, MD, JD

Paul Rudolf, MD, JD

Arnold & Porter Kaye Scholer LLP

  • Partner in Arnold & Porter’s Life Sciences and Healthcare Regulatory Practice
  • Experienced in both Medicare and FDA legal, regulatory and policy issues and is widely recognized for advising clients with coverage, coding, and reimbursement issues relating to Medicare’s physician and hospital payment systems
  • Practiced medicine for more than 15 years and taught at George Washington University before becoming a Medicare Carrier Medical director
  • Joined CMS, where he led policy development for the physician fee schedule and the hospital outpatient prospective payment system
  • J.D. degree, The George Washington University’ MD the University of Florida
No photo available

John McInnes, MD, JD

Arnold & Porter Kaye Scholer LLP

  • Counsel in Arnold & Porter’s Life Science and Healthcare Regulatory Practice, where he specializes in reimbursement issues affecting physicians and other practitioners and device and pharmaceutical manufacturers
  • Practiced as a board-certified ophthalmologist for several years before becoming a lawyer
  • Served for several years at CMS directing the divisions responsible for the development of national Medicare payment policies for hospital outpatient departments, ambulatory surgery centers, and physician services, among others
  • Led a team charged with developing, implementing and evaluating new payment models now included in the QPP
  • J.D. degree, University of Texas; MD degree, Duke University

All of your training, right here at Lorman.

Pay once and get a full year of unlimited training in any format, any time!

  • Live Webinars
  • OnDemand Webinars
  • MP3 Downloads
  • Course Manuals
  • Audio Recordings*
  • Executive Reports
  • White Papers and Articles
  • Sponsored Live Webinars

Additional benefits include:

  • State Specific Credit Tracker
  • Members Only Newsletter
  • All-Access Pass Course Concierge

* For audio recordings you only pay shipping

Questions? Call 877-296-2169 to speak with a real person.

Sign Up Today

Access to all training products $699/year

Unlimited Lorman Training

With the All-Access Pass there is no guessing what you will need for your yearly training budget. $699 will cover all of your training needs for an entire year!

Easy Registrations

Once you purchase your All-Access Pass you will never be any further than one-click away from attending any Lorman training course.

Invest in Yourself

You haven't gotten to where you are professionally by luck alone; it's taken a lot of hard work and training. Invest in yourself with the All-Access Pass.