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OnDemand Webinar

Medicare's New Value-Based Purchasing Program for Hospitals: Prepare Now to Maximize Your Incentive Payments

PPACA required that CMS implement an inpatient hospital value-based purchasing (VBP) program, which will tie Medicare payment to the quality performance of acute care hospitals paid under the inpatient prospective payment system (IPPS).

 Earlier this year, CMS issued a final rule to implement the VBP program. The VBP program ushers in a new phase in Medicare's history as a payer for health care services. Nearly every IPPS hospital in the country is currently in the middle of a quality performance period that will affect their Medicare payments starting on October 1, 2012. This OnDemand Webinar will acquaint the audience with CMS's recent final rule on the VBP program and offer practical advice to hospital executives and those attorneys that represent them to help them prepare for the VBP program.

Runtime: 89 minutes
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Over 32 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

Essential Elements of Medicare's VBP Program, Both for FFY 2013 and Beyond

  • Quality Measures Used
  • Performance Standards and Periods Employed
  • CMS's Scoring and Payment Methodologies

Policy Implications of the Program

Areas of Controversy

Practical Considerations for Hospitals

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Why Lorman?

Over 32 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 Webinar

This course was last revised on December 13, 2011.

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 32 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

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Donald H. Romano – Moderator

Foley & Lardner LLP

  • Of counsel to Foley & Lardner LLP, in the firm’s Washington D.C. office
  • Counsels clients on regulatory compliance matters, particularly those pertaining to the Anti-Kickback Statute, the physician self-referral statute (Stark Law), HIPAA, and the Medicare enrollment regulations
  • Advises hospitals and other providers and suppliers on Medicare reimbursement issues
  • Prior to joining Foley & Lardner LLP, he was a partner in another Washington D.C. based law firm, and prior to that he had more than 25 years of experience in the Department of Health and Services, including as a senior attorney in the Office of General Counsel, and as a Division Director in the Centers for Medicare & Medicaid Services
  • In that latter position, he was responsible for, among other things, Stark policy, Provider Reimbursement Review Board procedures, and the Anti-Markup Rule
  • Frequent speaker and writer on health law topics
  • Immediate past chair of the American Bar Association Health Law Section’s Interest Group on Fraud and Compliance, and is a vice-chair of the American Health Lawyers Association’s Regulations, Accreditation and Payment Group
  • Admitted to the Bars of the District of Columbia, Maryland and Massachusetts
  • J.D. degree, University of Baltimore; B.A. degree, Towson University
  • Can be contacted at 202-945-6119
Lisa Grabert

Lisa Grabert

American Hospital Association

Lisa Grabert, MPH

  • Senior associate director of policy at the American Hospital Association
  • Supports the development of quality polices on behalf of more than 5,000 member hospitals
  • Works with various different stakeholders in endorsing, adopting and implementing quality measures
  • Focuses on enabling integration of health care service delivery by developing policies regarding bundled and global payments and accountable care organizations
  • Prior to the AHA, was a policy analyst in the Hospital and Ambulatory Policy Group at the Centers for Medicare & Medicaid Services where she supported the strategic and operational implementation of CMS’ value-based purchasing initiatives for both inpatient and physician office fee-for-service Medicare
  • Worked at the Centers for Disease Control and Prevention while pursuing her masters, and worked in a prostate cancer laboratory and was a nursing assistant at the University of the Wisconsin Hospital during her undergraduate education
  • Master’s degree in public health with an emphasis in health policy and management, Emory University in Atlanta, Georgia; B.S. degree with an emphasis in biochemistry and communication arts, University of Wisconsin-Madison
Daniel Hettich

Daniel Hettich

King & Spalding LLP

Daniel J. Hettich

  • Senior associate in King & Spalding LLP’s Healthcare Practice Group in Washington, D.C. and a member of the King & Spalding LLP’s Healthcare Reform Task Force
  • Advises health care providers on a full range of legal issues surrounding Medicare reimbursement, including DSH, bad debt, and IME/GME issues, and advocates on their behalf before various administrative and judicial bodies
  • Has spoken at multiple national conferences on Medicare’s value-based purchasing (VBP) program including at national conferences for AHLA and the ABA
  • Published multiple articles on the same topic for the Aspen publication Dennis Barry’s Reimbursement Advisor
  • Co-chair for the American Health Lawyers Association’s (AHLA) Health Reform Education Task Force and a member of the Health Law Sections of the American Bar Association (ABA) and the District of Columbia Bar
  • J.D. degree and M.A. degree in philosophy and bioethics, Georgetown University
  • Can be contacted at 202-626-9128 or [email protected]
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Product ID: 387206
Published 2011
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