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SUMMARY:Value-Based Payment Virtual Learning Collaborative
DESCRIPTION:View Resource \n The previously recorded webinar and associated materials are available in the resource library. \nTransitioning 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. \nJoin 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. \n\nIntended audience: CEOs\, COOs\, CFOs\, clinical directors\, billing\, coding and reimbursement staff.\nOffering CMEs and CEs for participating providers.\n\nTwo tracks will be offered with one track focused on finance and the other track focused on legal/contracting topics. \n\nLegal Track Session 1\nLegal Track Session 2\nFinancial Track Session 1\nFinancial Track Session 2\nFinancial Track Session 3\n\nThe session materials and recordings will be posted on the Medicaid Business Transformation page the day after the event. \nLegal Track – 2 Sessions\nForming Community Partnerships to Participate in VBP Arrangements (Part 1) – 9 am to 11 am\nDescription: 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. \nLearning Objectives \n\nIdentify steps to forming a community partnership\nUnderstand key considerations for contractual arrangements\nDescribe appropriate legal relationships for community partnerships\n\nSpeakers \n\nAdam Falcone\, JD\, MPH – Partner\, Feldesman Tucker Leifer Fidell LLP\nLeah Montgomery\, JD – Senior Consultant\, HMA\nMichele Melden\, JD – Principal\, HMA\n\n\n\nForming Community Partnerships to Participate in VBP Arrangements (Part 2) – 1 pm to 3 pm\nDescription: 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. \nLearning Objectives \n\nApply legal concepts and planning framework to a hypothetical collaboration\nAnalyze potential risks and benefits to community partners\nAssess application to VBP arrangements with Medicaid MCOs\n\nSpeakers \n\nAdam Falcone\, JD\, MPH – Partner\, Feldesman Tucker Leifer Fidell LLP\nLeah Montgomery\, JD – Senior Consultant\, HMA\nMichele Melden\, JD – Principal\, HMA\n\n\n\nFinance Track – 3 Sessions\nEvaluating Payment Models and Financial Modeling – 9 am to 10:30 am\nDescription: 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. \nLearning Objectives \n\nDescribe the LAN category framework and the kind of arrangements that fall into each of the categories\nDiscuss the considerations for each of the types of arrangements when planning internally or negotiating with payers\nExplain how to approach financial modeling of different types of arrangements and the potential data sources that could be used in modeling\n\nSpeakers \n\nHunter Schouweiler\, MS-HSM – Senior Consultant\, Wakely\nBrad Heywood\, ASA\, MAAA – Consulting Actuary\, Wakely\n\n\nRevenue Cycle Operational Excellence: A Foundation for Value-Based Payments – 9 am to 10:30 am\nDescription: 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. \n\nKey Performance Indicators that impact VBP reimbursement\nImportant Aspects of Data Integrity and Reporting\nIT & Staffing Resource Management\n\nLearning Objectives \n\nDiscuss the impact of Operational Excellence in Revenue Cycle Management and Technology Infrastructure\nDemonstrate how to align your Payment Model with Quality Metrics\n\nSpeakers \n\nLuwanna LaPole\, MBA\, MPH\nBriana Jacob\, MBA\nTodd Husty\, DO\n\n\nClinical Documentation and CDPS+Rx Coding Guidelines for Value-Based Payment Optimization – 1 pm to 3 pm\nDescription: 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. \nLearning Objectives \n\nDescribe the importance of Accurate Clinical Documentation and its link to Coding\nDiscuss coding for Value-Based Metrics\nExplain auditing and Compliance Monitoring\n\nSpeakers \n\nDebbi Witham\, JD\, MSW – Principal\, HMA\nRachel Johnson-Yates – Senior Consultant\, HMA\nTodd Husty\, D.O.\, FACEP – President and Majority Owner\, MARSI\n\n\n\nCourse Completion & CE Requirements: \nHealth 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. \nTo 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. \nCME Credits:  \nThe 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. \nCertificates of completion will be emailed within 10-12 business days of course completion. \nSystem Requirements:  \n\nOperating Systems: Windows XP or higher\, MacOS 9 or higher\, Android 4.0 or higher\nInternet Browser: Internet Explorer 9.0 or higher\, Google Chrome\, Firefox 10.0 or higher\nBroadband Internet connection: Cable\, high-speed DSL & any other medium that is internet accessible\n\n 
URL:https://www.integratedcare.dc.gov/event/value-based-payment-virtual-learning-collaborative/
CATEGORIES:Business Transformation
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