Value-Based Payment Virtual Learning Collaborative
- This event has passed.
Value-Based Payment Virtual Learning Collaborative
September 21, 2023 @ 9:00 am - 3:00 pm
The previously recorded webinar and associated materials are available in the resource library.
Transitioning to payment models that support value-based care means doing business differently. Many District healthcare providers are requesting assistance preparing for and implementing this important change.
Join us for a virtual learning collaborative focused on legal agreements, contracting, and financial topics, including revenue cycle management and assessing risk. Presenters will share scenarios, assessments, and tools to advance capacity and understanding.
- Intended audience: CEOs, COOs, CFOs, clinical directors, billing, coding and reimbursement staff.
- Offering CMEs and CEs for participating providers.
Two tracks will be offered with one track focused on finance and the other track focused on legal/contracting topics.
- Legal Track Session 1
- Legal Track Session 2
- Financial Track Session 1
- Financial Track Session 2
- Financial Track Session 3
The session materials and recordings will be posted on the Medicaid Business Transformation page the day after the event.
Legal Track – 2 Sessions
Forming Community Partnerships to Participate in VBP Arrangements (Part 1) – 9 am to 11 am
Description: This two-hour session will describe various legal considerations associated with developing collaborations between providers for value-based arrangements and offer a planning framework for implementing successful partnerships between providers. Specifically, this session will identify the key terms to include in preliminary agreements, such as a Non-Disclosure Agreement (“NDA”) and a non-binding Memorandum of Agreement (MOA), as well as the definitive agreements and choice of legal structures under the laws of the District of Columbia for implementing the partnership.
Learning Objectives
- Identify steps to forming a community partnership
- Understand key considerations for contractual arrangements
- Describe appropriate legal relationships for community partnerships
Speakers
- Adam Falcone, JD, MPH – Partner, Feldesman Tucker Leifer Fidell LLP
- Leah Montgomery, JD – Senior Consultant, HMA
- Michele Melden, JD – Principal, HMA
Forming Community Partnerships to Participate in VBP Arrangements (Part 2) – 1 pm to 3 pm
Description: This two-hour session will apply the legal concepts and planning framework from Part 1 to a hypothetical collaboration between a community-based behavioral health clinic and community health center in the District of Columbia. The session will develop specific terms and legal structure related to the partnership as well as evaluate strengths and weaknesses, potential risks and benefits, and application of the collaboration to a VBP arrangement with a Medicaid managed care organization. This session will utilize interactive techniques to promote input and dialogue for trainees.
Learning Objectives
- Apply legal concepts and planning framework to a hypothetical collaboration
- Analyze potential risks and benefits to community partners
- Assess application to VBP arrangements with Medicaid MCOs
Speakers
- Adam Falcone, JD, MPH – Partner, Feldesman Tucker Leifer Fidell LLP
- Leah Montgomery, JD – Senior Consultant, HMA
- Michele Melden, JD – Principal, HMA
Finance Track – 3 Sessions
Evaluating Payment Models and Financial Modeling – 9 am to 10:30 am
Description: This ninety-minute session will provide a base understanding of the Healthcare Payment Learning and Action Network’s (HCP LAN – a CMS workgroup) alternative payment model framework for categorizing value-based arrangements. The session will provide examples of arrangements for the various LAN categories, as well as help attendees understand the basic structure of arrangements across LAN categories. Additionally, the session will aid attendees in learning the various considerations at play when planning or negotiating a value-based arrangement within the various LAN categories. Finally, this session will walk attendees through interactive scenarios for approaching the financial modeling of different types of arrangements.
Learning Objectives
- Describe the LAN category framework and the kind of arrangements that fall into each of the categories
- Discuss the considerations for each of the types of arrangements when planning internally or negotiating with payers
- Explain how to approach financial modeling of different types of arrangements and the potential data sources that could be used in modeling
Speakers
- Hunter Schouweiler, MS-HSM – Senior Consultant, Wakely
- Brad Heywood, ASA, MAAA – Consulting Actuary, Wakely
Revenue Cycle Operational Excellence: A Foundation for Value-Based Payments – 9 am to 10:30 am
Description: Provides a high-level overview of optimizing revenue cycles within healthcare organizations transitioning to value-based payment models. Participants will explore key financial performance indicators and operational best practices and discuss how they are linked with value-based care principles. Equips participants with the knowledge and tool kit to drive operational excellence in an increasingly value-focused healthcare environment.
- Key Performance Indicators that impact VBP reimbursement
- Important Aspects of Data Integrity and Reporting
- IT & Staffing Resource Management
Learning Objectives
- Discuss the impact of Operational Excellence in Revenue Cycle Management and Technology Infrastructure
- Demonstrate how to align your Payment Model with Quality Metrics
Speakers
Clinical Documentation and CDPS+Rx Coding Guidelines for Value-Based Payment Optimization – 1 pm to 3 pm
Description: This course is designed to equip healthcare professionals with the knowledge and skills necessary to ensure accurate clinical documentation and coding practices that align with value-based payment models. Participants will gain a comprehensive understanding of how proper documentation and coding contribute to optimizing reimbursement and enhancing patient care within a value-based healthcare system.
Learning Objectives
- Describe the importance of Accurate Clinical Documentation and its link to Coding
- Discuss coding for Value-Based Metrics
- Explain auditing and Compliance Monitoring
Speakers
- Debbi Witham, JD, MSW – Principal, HMA
- Rachel Johnson-Yates – Senior Consultant, HMA
- Todd Husty, D.O., FACEP – President and Majority Owner, MARSI
Course Completion & CE Requirements:
Health Management Associates, #1780, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Health Management Associates maintains responsibility for this course. ACE provider approval period: 09/22/2021 – 09/22/2025. Social workers completing this course receive 4.0 continuing education credits.
To earn CE credit, social workers must log in at the scheduled time, attend the entire course, and complete an online course evaluation. To verify your attendance, please be sure to log in from an individual account and link your participant ID to your audio.
CME Credits:
The AAFP has reviewed Value-Based Payment Virtual Learning Collaborative and deemed it acceptable for up to 4.00 Live AAFP Elective credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Certificates of completion will be emailed within 10-12 business days of course completion.
System Requirements:
- Operating Systems: Windows XP or higher, MacOS 9 or higher, Android 4.0 or higher
- Internet Browser: Internet Explorer 9.0 or higher, Google Chrome, Firefox 10.0 or higher
- Broadband Internet connection: Cable, high-speed DSL & any other medium that is internet accessible