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Impact of Health Care Reform on Health Care Providers

Health care providers face multiple challenges and are presented with numerous opportunities brought about by the enactment of the Patient Protection and Affordable Care Act and the Health Care Reconciliation Act, commonly referred to as health care reform or ACA. While advancing the overarching themes of accountability, efficiency, quality and access to care, health care reform also will focus providers on alignment strategies and integration to enable coordination of care and ability to manage bundled payments. Hospitals will need to adapt to Medicare value-based purchasing while physicians can benefit from increased rates of payment through a quality driven relative value unit modifier. With the anticipated onset of as many as 34 million newly insured under the insurance mandate and coverage expansion to include preventative care, providers will be required to find necessary capital and personnel to respond to a potentially unprecedented demand for their services while incentives will be provided to encourage medical students to take up primary care. For tax-exempt hospitals, there are also new obligations to satisfy additional requirements for demonstrating they are meeting the needs of their communities and physicians will face increased scrutiny on their economic interests in referrals and payments from drug manufacturers. Putting health care reform in perspective for providers, our panel of nationally recognized legal authorities will bring to bear their depth of knowledge in health care reform and their experiences in the policy arena, creating new structures for care delivery and advising on regulatory compliance.


Runtime: 91 minutes
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Why Lorman?

Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

Overview and Focus of ACA Payment and Health Care Delivery Reforms

  • Overview of Reforms in the Context of ACA
  • General Impact of Quality Incentive Programs on Payment Reform
  • Incentives for New Patient Care Models

Demonstration Programs

  • Center for Medicare and Medicaid Innovation (CMMI)
  • Accountable Care Organization Programs

Changes to Medicare Payment Systems for Sustainability and Budget

  • Changes to Payment Update Systems for Fee Schedules
  • Acceleration of Competitive Bidding for DME
  • Independent Payment Advisory Board
  • Coordination of Medicare and Medicaid Dual Eligibles
  • Enhancements to Program Integrity

Related Ongoing Legislative Discussions

  • Congressional Doc Fix Discussions and Payment Reforms
  • Sequestration and Deficit Reduction

Provider-Based Initiatives

  • Governance for Community Health (Community Needs, Public Health, Health Information Exchange)
  • Patient Engagement/Consumer Health (Portals/Personal Health Records/Social Media)
  • Wellness and Outreach (Wellness Programs, Work-Based Clinics, Telehealth)
  • Care Coordination (Accountable Care Organizations, Patient-Centered Medical Homes, CMMI Initiatives)
  • Physician Alignment (Bundled Payments, Accountable Care Organizations)
  • Quality and Performance Reporting (Value Based Purchasing, Readmissions, Clinical Documentation Improvement, Analytics)
  • Impact of Health Insurance Exchanges
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Why Lorman?

Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

OnDemand Course

This course was last revised on September 19, 2013.

Call 1-866-352-9540 for further credit information.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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Why Lorman?

Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Gerry Hinkley

Gerry Hinkley

Pillsbury Winthrop Shaw Pittman LLP

  • Partner in the Los Angeles office of Pillsbury Winthrop Shaw Pittman LLP
  • Legal practice emphasizes health care provider representation in transactions and regulatory compliance
  • Chair, Health Care Industry Team, Pillsbury Winthrop Shaw Pittman LLP
  • Vice chair, HIMSS Legal Task Force
  • Regularly lectures on health care reform, privacy and security
  • Ranked by Chambers USA, Healthcare: Transactional - National, Healthcare - California (2005 to 2013)
  • Recognized by Best Lawyers in America, Health Care Law (2007 to 2013), Legal 500 U.S., Data Protection and Privacy (2011 to 2013), Best of the Best USA, Health Care, Euromoney/Legal Media Group (2011 to 2013)
Nandan Kenkeremath

Nandan Kenkeremath

  • Vice president of government relations and public policy QSI/NextGen Healthcare
  • Practice emphasizes health information technology policy and delivery system reform
  • Formerly vice president at Marwood Group focusing on evaluating impacts of and outlook for health care policy, and particularly Medicare and Affordable Care Act, on numerous provider groups
  • Formerly senior counsel on House Committee on Energy and Commerce focusing on health care policy
  • Vice president Health Information Management Systems Society Legal Task Force and active in various policy committees
  • J.D. degree, University of Virginia School of Law; B.S. degree, Massachusetts Institute of Technology
Amy S. Leopard, Esq.

Amy S. Leopard, Esq.

Bradley Arant Boult Cummings LLP

Amy Leopard

  • Partner in the Nashville office of Bradley Arant Boult Cummings LLP
  • Practice emphasizes health care regulatory issues
  • Counsel on strategic and transactional alignment strategies, with focus on provider relationships and use of health information and technology
  • Selected for Best Lawyer in America for Healthcare, 2006 to 2012
  • J.D. degree, Case Western Reserve University; M.S. degree in hospital administration, University of Alabama at Birmingham
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Why Lorman?

Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

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Product ID: 392459
Published 2013
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