Addressing Physician Compensation within Rural Healthcare
|
|
- Winifred Richards
- 5 years ago
- Views:
Transcription
1 Addressing Physician Compensation within Rural Healthcare
2 Speaker Panel Fatema Zanzi Jennifer Junis Karen Kole Kevin Marx Attorney Drinker Biddle & Reath LLP Chief Nursing Officer OSF Saint Luke Medical Center Manager Huron Consulting Group Chief Practice Officer Katherine Shaw Bethea Hospital
3 Agenda 1. Introductions 2. Physician Alignment Options 3. Legal Framework 4. Fair Market Value Considerations 5. Examples of Physician Compensation Models OSF Saint Luke Medical Center: Medical Directorship and Mid-Level recruitment Katherine Shaw Bethea Hospital: Physician Employment and Residency recruitment 3
4 Physician Alignment Options 4
5 Legal Framework The Rule Book Federal laws Stark Law Anti-Kickback Law IRS Tax Exemption State laws Illinois Medical Practice Act has a fee-splitting prohibition Illinois anti-kickback and self-referral prohibitions 5
6 Legal Framework: Common Themes Is the compensation consistent with the fair market value (FMV)? Value in arm s length transactions, consistent with the general market value: General market value: The compensation that would be included in a service agreement as the result of bona fide bargaining between well-informed parties to the agreement who are not otherwise in a position to generate business for the other party, at the time of the service agreement. Fair market price: Generally based on bona fide comparable services agreements, where the compensation has not taken into account the volume or value of anticipated or actual referrals. (42 C.F.R ) 6
7 Legal Framework: Common Themes (II) Is the arrangement commercially reasonable? Assessing commercial reasonableness is separate from the analysis of FMV: While FMV applies to the level of compensation for the physician s services, commercial reasonableness applies to broader business issues related to the arrangement. Commercial reasonableness is especially important in arrangements that include compensation for administrative and other non-clinical services. The services covered by the arrangement should be essential to the operation of the hospital/system and/or to addressing specific community needs Services provided are fully described. Hospital demonstrates sound business reason/need for the services. Physician must actually provide the services as evidenced by records/reviews. 7
8 Valuation Considerations Document and define the need Review various methods of compensation: Medical Directorships Co-Management Agreements On-Call Pay Base Salary Productivity-Based Quality Bonus Sign-on Bonus Relocation Bonus Performance Incentive Drive Time Loan Forgiveness Benefits Determine financial pro forma with new compensation arrangement Determining fair market value Reviewing multiple market surveys. Considering unique factors, including availability of such physician services in the rural market. 8
9 Risks to Watch Out For Guaranteed Compensation Long-term Contracts Stacking payments Not including all aspects of compensation in fair market value calculations No compensation cap Proposed compensation and purchase price Inconsistency 9
10 OSF Saint Luke Medical Center Critical Access Hospital with 25 licensed beds Not-for-profit and tax-exempt Has a Rural Health Clinic onsite Located in Kewanee, Illinois (Henry County) Serving Kewanee and surrounding towns and rural areas since 1919 Built replacement hospital that opened on May 31, 2008 Recently merged with OSF Healthcare System on April 1,
11 Medical Director Model Dyad structure with aligned goals Medical Director compensation based on goal achievement OSF Saint Luke Medical Center Emergency Department Case Study 11
12 12
13 30 - Overall, would you rate the quality of care provided as: 13
14 Advanced Practice Nurse Model Inability to recruit Primary Care Physicians Hospitalist Program started to allow outpatient practice in clinic Family Practice APNs as a foundation versus extension Rural Health Clinic Case Study Certified Diabetic Educator Behavior Health Certified Registered Dietician 14
15 Katherine Shaw Bethea Hospital Independent, Not-for-Profit Hospital Located in Dixon, IL 80 Licensed Beds $126M Net Revenue 65 Employed Physicians 15
16 Recruiting Journey Started in 1990 Established Center for Health Services Leveraged Geography for Scholarship Recipients Networked with Illinois RMED Dixon Rural Training Track Developed Niche for International Medical Graduates 16
17 Fair Day s Work for a Fair Day s Pay Employed Physicians are Salaried Work/Life Balance, Community Citizenship CPI and Occasional Adjustments All One Off Deals 17
18 Burning Platform Growing Number of PCP s Maturing Specialty Practices Varying Practice Styles Expected Cost Pressures Physician Engagement 18
19 Transition to Value Tiered Salary with Bonus Potential 10% Tied to Quality PCP s First, Then Specialists Larger Specialty Groups for Hospital-Based Services Expect Fall-Out 19
20 QUESTIONS? 20
21 Fatema Zanzi Drinker Biddle & Reath LLP 191 N. Wacker Dr., Ste Chicago, IL (312) Karen Kole Huron Consulting Group 550 W. Van Buren Street Chicago, Illinois (312) Jennifer Junis OSF Saint Luke Medical Center 1051 W. South St. P.O. Box 747 Kewanee, IL (309) Kevin Marx Katherine Shaw Bethea Hospital 403 E. 1st St. Dixon, IL (815)
Title: Retention Payments to Non-Employed Physicians
Effective Date: 10/04; Rev. 4/07, 7/08 POLICY: Except as provided in this policy, IHS and its affiliates may not give anything of value, directly or indirectly, to a non-employed physician, a member of
More informationPHYSICIAN COMPENSATION MODELS IN A CHANGING ENVIRONMENT
PHYSICIAN COMPENSATION MODELS IN A CHANGING ENVIRONMENT Ralph Llewellyn, CPA, CHFP Partner rllewellyn@eidebailly.com 701-239-8594 Michele Olivier, CPC, CPMA, Consultant molivier@eidebailly.com 303-586-8529
More informationPhysician Compensation in an Era of New Reimbursement Models
2014 IHA Annual Membership Meeting Physician Compensation in an Era of New Reimbursement Models Taryn E. Stone Ice Miller LLP (317) 236-5872 taryn.stone@ Agenda Background New Reimbursement Models Trends
More informationBEST PRACTICES FOR DETERMINING FAIR MARKET VALUE FOR ALLIED HEALTH PROFESSIONAL SERVICES
BEST PRACTICES FOR DETERMINING FAIR MARKET VALUE FOR ALLIED HEALTH PROFESSIONAL SERVICES Presented at CBI conference: FMV of HCP and Investigator Payments May 20, 2015 AGENDA Section I Overview of the
More informationNext Generation Physician Compensation Design in a Schizophrenic Payer Environment
Next Generation Physician Compensation Design in a Schizophrenic Payer Environment Presented to: 2015 Spring Managed Care Forum Friday, April 24, 2015 Today s agenda Setting the Stage Why are we Here?
More informationFebruary 9, 2012 Orlando, Florida
American Health Lawyers Association Physician and Physician Organizations Law Institute Regulatory & Payment Issues and the Patient Centered Medical Home February 9, 2012 Orlando, Florida John E. Wyand,
More informationProfessional Services Arrangements
Tuesday, May 13, 2014 10 11 a.m. Central time Professional Services Arrangements Randy Biernat, CPA, ABV Director BKD, LLP rbiernat@bkd.com To Receive CPE Credit Participate in entire webinar Answer polls
More informationPhysician Alignment Strategies and Options. June 1, 2011
Physician Alignment Strategies and Options June 1, 2011 1 Today s Discussion Review physician-hospital alignment objectives Understand the changing paradigm Evaluate alignment strategies for a new delivery
More informationCROSS-COMMUNITY SUMMIT SESSION 2 CONSIDERATIONS FOR HEALTH CENTERS AND HOSPITALS IN DEVELOPING SUCCESSFUL PARTNERSHIPS. Speakers:
SESSION 2 CONSIDERATIONS FOR HEALTH CENTERS AND HOSPITALS IN DEVELOPING SUCCESSFUL PARTNERSHIPS Speakers: Arthur Jones, M.D., Principal, has over 25 years of experience as a founding physician and CEO
More informationPHYSICIAN-HOSPITAL RECRUITING: OVERVIEW OF REGULATORY REQUIREMENTS. Charlene L. McGinty Marc D. Goldstone Hal McCard
PHYSICIAN-HOSPITAL RECRUITING: OVERVIEW OF REGULATORY REQUIREMENTS Charlene L. McGinty Marc D. Goldstone Hal McCard Physician recruitment activities have been the subject of intense scrutiny by federal
More informationOIG Risk Areas: Anti- Supplementation; Therapy Services, Physicial Self-Referral & Hospice
OIG Risk Areas: Anti- Supplementation; Therapy Services, Physicial Self-Referral & Hospice Presented by: Ken Burgess, Esq. Paul Pitts, Esq. Suzie Berregaard, Esq. Where We ve Been & Today s Topics Review
More informationPhysician Recruitment: Ensuring Stark Compliance Avoiding Fraud and Abuse Pitfalls In Crafting and Evaluating Recruitment Policies and Agreements
presents Physician Recruitment: Ensuring Stark Compliance Avoiding Fraud and Abuse Pitfalls In Crafting and Evaluating Recruitment Policies and Agreements A Live 90-Minute Teleconference/Webinar with Interactive
More informationTelehealth Legal and Compliance Issues. Nathaniel Lacktman, Anna Whites, Esq.
Telehealth Legal and Compliance Issues Nathaniel Lacktman, Esq. @Lacktman Anna Whites, Esq. Anna Whites Law Office Attorney Advertising Prior results do not guarantee a similar outcome Models used are
More informationThree C s of Change in the Value-Based Economy: Competency, Culture and Compensation. April 4, :45 5:00 pm
Three C s of Change in the Value-Based Economy: Competency, Culture and Compensation April 4, 2014 3:45 5:00 pm 1 Introduction Kevin McCune, MD Chief Medical Officer Advocate Medical Group Peg Stone Vice
More informationAligning Advanced Practice Clinicians with New Care Models
MGMA 2017 ANNUAL CONFERENCE OCT. 8-11 ANAHEIM, CA Aligning Advanced Practice Clinicians with New Care Models Trish Anen, RN, MBA, NEA-BC Debra Slater Principal, Sullivan, Cotter and Associates Principal,
More informationDelivering Quality with Distinction
Delivering Quality with Distinction 2012 Quality Excellence Achievement Awards Compendium Recognizing Illinois Hospitals and Health Systems Leading in Quality and Transformative Health Care OVERVIEW The
More informationUsing EHRs and Case Management to Improve Patient Care and Population Health
Using EHRs and Case Management to Improve Patient Care and Population Health Session #211, February 22, 2017 Thomas Schiller, MD and Jennifer Kuroda, SwedishAmerican Health System A Division of UW 1 Speaker
More informationHospital/Physician Affiliation Trends. December 6, 2011
Hospital/Physician Affiliation Trends December 6, 2011 Hospital Strategies in 2011 I. Introduction VMG Health ( VMG ) Jim Rolfe Biography Jen Johnson, CFA Biography II. Hospital Market III. Hospital Acquisitions
More informationThird Circuit Rules Outdated Agreements May Lead to Stark Law Violations
Health Law Client Alert February 20, 2009 Third Circuit Rules Outdated Agreements May Lead to Stark Law Violations A decision by the U.S. Circuit Court of Appeals for the Third Circuit finding that a longstanding
More informationPartnering with hospitals to create an accountable care organization Elias N. Matsakis, Esq.
Partnering with hospitals to create an accountable care organization Elias N. Matsakis, Esq. There are many opportunities for physicians and hospitals to affiliate and clinically integrate so as to enable
More informationAccountable Care Organizations: Process and Applications. Presentation to South Carolina Hospital Association CO CFO Forum.
Accountable Care Organizations: Lessons Learned from the ACO Process and Applications Presentation to South Carolina Hospital Association CO CFO Forum TheSea PinesResort Hilton Head, SC August 28, 2013
More informationQuestions and Answers on the CMS Comprehensive Care for Joint Replacement Model
Questions and Answers on the CMS Comprehensive Care for Joint Replacement Model MEGGAN BUSHEE, ESQ. 704.343.2360 mbushee@mcguirewoods.com 201 North Tryon Street, Suite 3000 Charlotte, North Carolina 28202-2146
More informationThe Health Care Compliance Association s 16th Annual Compliance Institute. April, 29 May 2, 2012
A Practical Approach to Conducting Stark Audits of Hospital-Physician Arrangements The Health Care Compliance Association s 16th Annual Compliance Institute April, 29 May 2, 2012 Gary W. Herschman, Esq.
More informationMedical Respite Funding and Return on Investment Panel Discussion
Medical Respite Funding and Return on Investment Panel Discussion Medical Respite Care: Positioning your Program for Success National Health Care for the Homeless Conference & Policy Symposium May 31,
More informationThe Society for Radiation Oncology Administrators 28 th Annual Meeting. Physician/Hospital Arrangements During a Period of Uncertain Healthcare Reform
The Society for Radiation Oncology Administrators 28 th Annual Meeting Physician/Hospital Arrangements During a Period of Uncertain Healthcare Reform Miami, Florida October 4, 2011 3025 Boardwalk Drive,
More informationRecent Developments in Stark and Anti-Kickback Statute Enforcement
Recent Developments in Stark and Anti-Kickback Statute Enforcement Health Care Compliance Association Regional Conference May 18, 2012 Robert Belfort Manatt, Phelps & Phillips, LLP Agenda Overview Lessons
More informationAligning Physician Groups to Maximize Managed Care Performance
Aligning Physician Groups to Maximize Managed Care Performance Presented to: 2016 Spring Managed Care Forum Friday, April 22, 2016 Introduction Today s speaker Page 1 Craig D. Pederson Principal Insight
More informationPhysician Compensation for Quality Within Groups: Complying with Stark and State of The Art. Traditional Physician Compensation Models
Physician Compensation for Quality Within Groups: Complying with Stark and State of The Art Alice G. Gosfield, Esq. Medicare and Medicaid Institute American Health Lawyers Association March 29, 2012 c.2012,
More informationACADEMIC GROUP PRACTICE AND THE LEADERSHIP OF APRN S
ACADEMIC GROUP PRACTICE AND THE LEADERSHIP OF APRN S Margaret Head, Chief Operating Officer/Chief Nursing Officer Susan Moseley Gent, Administrative Director Vanderbilt Medical Group March 10, 2012 With
More informationAccountable Care Organizations Under Medicare Shared Savings Program PROPOSED RULE
Accountable Care Organizations Under Medicare Shared Savings Program PROPOSED RULE The information in this document summarizes a proposed rule issued by the Centers for Medicare and Medicaid id Services.
More informationAccountable Care and Shared Savings Program Where Do Urologists Fit In?
5 th Annual AACU State Society Network Meeting September 22-23, 2012 Accountable Care and Shared Savings Program Michael R. Callahan Katten Muchin Rosenman LLP 525 West Monroe Street Chicago, Illinois
More informationDelivering Quality with Distinction
Delivering Quality with Distinction 2012 Quality Excellence Achievement Awards Compendium Recognizing Illinois Hospitals and Health Systems Leading in Quality and Transformative Health Care OVERVIEW The
More informationBeyond RVUs: Changing Your Primary Care Compensation Plan from Volume to Value
Beyond RVUs: Changing Your Primary Care Compensation Plan from Volume to Value Objectives Compare different primary care compensation models Identify keys to success and best methods for transitioning
More informationCultural Transformation and the Road to an ACO Lee Sacks, M.D. CEO Mark Shields, M.D., MBA Senior Medical Director
Cultural Transformation and the Road to an ACO Lee Sacks, M.D. CEO Mark Shields, M.D., MBA Senior Medical Director AMGA Pre-conference Workshop 1 April 14, 2011 Washington, D.C. Disclosure Nothing in Today
More informationExecutive Summary, November 2015
Medicare Physician Fee Schedule Final Rule for Calendar Year 2016 Makes Changes in Stark Law Regulatory Provisions and Contains Important Updates of Medicare Payment Policies Executive Summary, November
More informationComparison of the AdvaMed Code of Ethics and the Eucomed Code of Business Practice
Comparison of the AdvaMed Code of Ethics and the Eucomed Code of Business Practice Note: The Eucomed Code also contains Guidelines on Competition Law. These principles discuss trade association rules and
More informationDelivering Quality with Distinction
Delivering Quality with Distinction 2012 Quality Excellence Achievement Awards Compendium Recognizing Illinois Hospitals and Health Systems Leading in Quality and Transformative Health Care OVERVIEW The
More informationI. Disclosure Requirements for Financial Relationships Between Hospitals and Physicians
2400:1018 BNA s HEALTH LAW & BUSINESS SERIES provided certain additional elements (based largely on the physician recruitment exception) are satisfied. 133 10. Professional courtesy, 42 C.F.R. 411.357(s)
More informationMACRA, Implications for Physician Agreements
MACRA, Implications for Physician Agreements Mark C Herbers, Director, AlixPartners, LLP Chicago, IL The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) creates powerful incentives for all
More informationIL Talent Pipeline Management. Highlighted Grant Requirements 7/30/15 & 8/3/15
IL Talent Pipeline Management Highlighted Grant Requirements 7/30/15 & 8/3/15 State Budget Impact on Grants The DCEO Accounting Office has confirmed that grantees will be able to incur costs per the terms
More information23 rd Annual Health Sciences Tax Conference
23 rd Annual Health Sciences Tax Conference December 9, 2013 Disclaimer This content is for educational and discussion purposes only, and is not intended, and should not be relied upon, as accounting advice.
More information11/30/2012. Systems for Assuring Compliance with AKS and Stark
Systems for Assuring Compliance with AKS and Stark WHY? Condell Medical Center (IL), 2008 - $36 million Physician arrangements Leases of medical office space at rates below fair market value Improper loans
More informationTechnical Overview of HCIP/CCIP
Technical Overview of HCIP/CCIP Using Care Redesign to Align Provider Incentives Presentation to HFMA, Maryland Chapter HSCRC Care Redesign Summit August 18, 2017 Facilitators Nicole Stallings Vice President,
More informationGuidelines and Strategies for Navigating Stark s Physician Recruitment Exception
Guidelines and Strategies for Navigating Stark s Physician Recruitment Exception White Paper SANDRA CHAMPION, CMSR Vice President DANIEL KIEHL, J.D., LL.M. Associate Consultant November 2016 CONTACT For
More informationChallenges in Faculty Compensation
Challenges in Faculty Compensation José Biller, MD, FACP, FAAN, FANA, FAHA Professor and Chairman Department of Neurology Loyola University Chicago Stritch School of Medicine Michael Budzynski Executive
More informationStark Law Changes and Clarifications and Their Impact on Real Estate Lease Transactions
Stark Law Changes and Clarifications and Their Impact on Real Estate Lease Transactions Speakers Jeffrey A. Calk Partner Waller Lansden Dortch & Davis, LLP Amy J. McCullough Counsel Polsinelli PC Charles
More informationPhysician/Industry Contacts: Updated Focus on CME & Grassley Looks at Possible Research Conflicts
Physician/Industry Contacts: Updated Focus on CME & Grassley Looks at Possible Research Conflicts AdvaMed Webinar // October 28, 2008 R. Michael Scarano, Jr. Heidi A. Sorensen Judith A. Waltz 10/20/2008
More informationRetail Clinics in Healthcare: Overcoming Complex Legal Challenges
Presenting a live 90-minute webinar with interactive Q&A Retail Clinics in Healthcare: Overcoming Complex Legal Challenges Complying With Corporate Practice of Medicine, Licensure, and Scope of Practice
More informationAccountable Care Organizations: Organizational and Legal Structures; Governance
Accountable Care Organizations: Organizational and Legal Structures; Governance California Association of Physician Groups (CAPG) May 4, 2011 Palm Desert, CA Dennis S. Diaz, Esq. Davis Wright Tremaine
More informationAll ACO materials are available at What are my network and plan design options?
ACO Toolkit: A Roadmap for Employers What is an ACO? Is an ACO strategy right for my company? Which ACOs are ready? All ACO materials are available at www.businessgrouphealth.org What are my network and
More informationAHLA. David A. DeSimone Vice President and General Counsel AtlantiCare Egg Harbor Township, NJ
AHLA HH. Achieving Patient Centered Medical Home (PCMH) and Meaningful Use (MU) Status How to Transform the Physician Practice in Light of Health Reform David A. DeSimone Vice President and General Counsel
More informationACO REVIVAL. Medicare Shared Savings Program Final Regulation Overview. Blue & Co., LLC Healthcare Reform Symposium Thursday, November 3, 2011
ACO REVIVAL Medicare Shared Savings Program Final Regulation Overview Blue & Co., LLC Healthcare Reform Symposium Thursday, November 3, 2011 11/03/2011 1 Introductions John Redding, MD, MBA Manager Healthcare
More informationPYA COMPENSATION STUDY: SPOTLIGHT ON HOSPITALISTS
PYA COMPENSATION STUDY: SPOTLIGHT ON HOSPITALISTS Ensuring Quality Inpatient Care and Patient Satisfaction August 2017 INTRODUCTION With the Centers for Medicare & Medicaid Services (CMS) introduction
More informationCONDUCTING A COMPLIANCE REVIEW OF HOSPITAL- PHYSICIAN FINANCIAL ARRANGEMENTS
CONDUCTING A COMPLIANCE REVIEW OF HOSPITAL- PHYSICIAN FINANCIAL ARRANGEMENTS Dennis S. Diaz Partner Davis Wright Tremaine LLP Los Angeles, California A. CMS has the Authority to Require Hospitals to Provide
More informationPHYSICIAN ARRANGEMENT INTEGRITY: BALANCING PROCESS AND EXPENSE BECKER S 5 TH ANNUAL CEO + CFO ROUNDTABLE NOVEMBER 7-9, 2016
PHYSICIAN ARRANGEMENT INTEGRITY: BALANCING PROCESS AND EXPENSE 1 BECKER S 5 TH ANNUAL CEO + CFO ROUNDTABLE NOVEMBER 7-9, 2016 Jennifer Johnson,CFA Managing Director VMG Health Jen.johnson@vmghealth.com
More informationA Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation
A Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation Daniel J. Marino, President/CEO, Health Directions Asad Zaman, MD June 19, 2013 Session Objectives Establish
More informationHolly Jo Bohannan, Esq., Associate General Counsel - East Region, LifeCare Health Partners, Plano, Texas
Presenting a live 90-minute webinar with interactive Q&A Navigating Hospital in Hospital Leasing Arrangements: LTACH, Skilled Nursing, Rehab, Behavioral Health, and Hospice Ensuring Stark and Anti-Kickback
More informationPhysician Compensation for Quality Within Groups: Complying with Stark and The State of The Art. Alice G. Gosfield
Physician Compensation for Quality Within Groups: Complying with Stark and The State of The Art Alice G. Gosfield Alice G. Gosfield and Associates, PC 2309 Delancey Place Philadelphia PA 19103 (215) 735-2384
More informationOSF Healthcare System: Who We Are
Welcome to OSF OSF Healthcare System: Who We Are Mission In the spirit of Christ and the Example of Francis of Assisi, the Mission of OSF Healthcare is to serve persons with the greatest care and love
More information10/12/2017 COST REPORTING 201. October 18, Michael K. Westerfield, CPA, FHFMA Senior Manager
COST REPORTING 201 October 18, 2017 Michael K. Westerfield, CPA, FHFMA Senior Manager 1 AGENDA Cost Report 101 Review Wage Index Disproportionate Share S-10 Indirect Medical Education (IME) Graduate Medical
More informationFY2017 SNAP PROCESS AND TECHNOLOGY IMPROVEMENT GRANTS (PTIG)
FY2017 SNAP PROCESS AND TECHNOLOGY IMPROVEMENT GRANTS (PTIG) MAY 9, 2017, 3:00PM EST CALL-IN: 888.844.9904 ACCESS CODE: 5094077 THIS WEBINAR IS BEING RECORDED Presented by Christina Palazzolo, SNAP Program
More informationRossRichter.com, LLC
RossRichter.com, LLC 203-461-8043 Specialists in Orthopaedic Recruiting fredperlman@rossrichter.org PLEASE POST FOR PHYSICIAN ASSISTANT STUDENTS: RossRichter.com, LLC was started in 1989 by health care
More informationFOR REFERENCE ONLY. Document Change Record: COR NUMBER INITIATOR DESCRIPTION OF CHANGE DATE OF CHANGE REV #
Title: Relationships with Health Care Professionals Document Change Record: REV # DATE OF CHANGE COR NUMBER INITIATOR OF CHANGE DESCRIPTION OF CHANGE 0 9/18/09 16795 Cheryl Garvin Initial Release Quality
More informationSummary of UPMC Hamot Significant (Top 10) FY15 Goals
Summary of UPMC Hamot Significant (Top 10) FY15 s 1. Continue to achieve top quartile performance in patient safety and quality measures 2. Monitor volume and assess efficiency: inpatient beds, workforce,
More informationAt the same time, the CSU stated in its lottery report "Program Descriptions and Guidelines":
CALIFORNIA STATE UNIVERSITY, STANISLAUS 801 West Monte Vista Avenue Turlock, California 95382 Policy: Campus distribution of Lottery Funds Preamble Until 2000, the CSU distributed lottery funds to campuses
More informationElizabeth F. Cheney Foundation
Elizabeth F. Cheney Foundation Guidelines The Elizabeth F. Cheney Foundation is a private independent foundation. Its principal focus is to support the arts and cultural organizations. Organizations supported
More informationAgenda. What s changed (and why?) Changing expectations. The Vision a better approach
Agenda What s changed (and why?) Changing expectations The Vision a better approach Our Panel Mark Baker CEO, Hughston Clinic and Jack Hughston Memorial Hospital Michael Rose, M.D. Vice President Surgical
More informationREPORT OF THE BOARD OF TRUSTEES
REPORT OF THE BOARD OF TRUSTEES B of T Report 21-A-17 Subject: Presented by: Risk Adjustment Refinement in Accountable Care Organization (ACO) Settings and Medicare Shared Savings Programs (MSSP) Patrice
More informationACOs the Medicare Shared Savings Program And Other Healthcare Reform Payment Methods
A unique vision for an ever-changing healthcare environment ACOs the Medicare Shared Savings Program And Other Healthcare Reform Payment Methods Presented by Joe Laden, President, ORVA, LLC The Environment
More informationCommunities of Color Nonprofit Stabilization Fund Request for Applications Application deadline: October 5, 2018
Communities of Color Nonprofit Stabilization Fund Request for Applications Application deadline: October 5, 2018 BACKGROUND In 2014, the Hispanic Federation (HF), Coalition for Asian American Children
More informationPhysician Hospital Integration in the 21 st Century
Physician Hospital Integration in the 21 st Century Monday April 13, 2015 12:00PM 1:30 PM Central Standard Time Central Illinois Chapter of ACHE HELLO AND WELCOME!!! I M GREG AND I WILL BE YOUR GUIDE FOR
More informationCONDUCTING A COMPLIANCE REVIEW OF HOSPITALPHYSICIAN FINANCIAL ARRANGEMENTS
CONDUCTING A COMPLIANCE REVIEW OF HOSPITALPHYSICIAN FINANCIAL ARRANGEMENTS Dennis S. Diaz, Esq. Shannon G. Dwyer, Esq. Partner Davis Wright Tremaine LLP Los Angeles, CA Sr. Vice President and General Counsel
More informationAHLA. A. All Together Now: Minimizing Antitrust Risk when Creating and Operating ACOs, PHOs, and Other Clinically Integrated Entities
AHLA A. All Together Now: Minimizing Antitrust Risk when Creating and Operating ACOs, PHOs, and Other Clinically Integrated Entities Alpa G. Davis Attorney Federal Trade Commission Washington, DC Ashley
More informationLessons Learned the Hard Way: Case Studies from Compliance Consulting, and Consulting Support in Civil & Criminal Legal Matters
Lessons Learned the Hard Way: Case Studies from Compliance Consulting, and Consulting Support in Civil & Criminal Legal Matters Jeffrey E. Sinaiko Senior Vice President April 25, 2004 1 Outline Who we
More informationALLIANCE HEALTHCARE SERVICES, INC. POLICY AND PROCEDURE MANUAL
ALLIANCE HEALTHCARE SERVICES, INC. POLICY AND PROCEDURE MANUAL POLICY CHARITABLE DONATIONS POLICY Effective December 31, 2013 To purpose of this policy is to articulate Alliance policy toward charitable
More informationUsing Data to Yield High Impact Business Intelligence Wednesday, July 25, 2012
Using Data to Yield High Impact Business Intelligence Wednesday, July 25, 2012 Brent J. Estes President and CEO, Rush Health About Rush Rush University Medical Center 673 Beds 36,000 admissions 391,700
More informationOIG Opines On Propriety Of ED On-Call Coverage Arrangements By Michael Paddock and Lauren Kim, Crowell & Moring LLP*
OIG Opines On Propriety Of ED On-Call Coverage Arrangements By Michael Paddock and Lauren Kim, Crowell & Moring LLP* Over the last several years, due in part to the growing financial burden on both physicians
More informationHospital On-Call Responsibilities: A Urology Group Practice Analysis
Hospital On-Call Responsibilities: A Urology Group Practice Analysis Case Study This case study manuscript is being submitted in partial fulfillment of the requirement for ACMPE Fellowship Hospital On-Call
More informationTelehealth Implementation Roadmap Exploring Critical Success Factors for Telehealth Implementation
Telehealth Implementation Roadmap Exploring Critical Success Factors for Telehealth Implementation Integrated Leadership Panel Members Nicole Quesada Director of Training and Outreach Kathy J. Chorba Executive
More informationFunding Options and What They Mean: From Angels to Venture UNIVERSITY STARTUP DEVELOPMENT WEBINAR SERIES
Funding Options and What They Mean: From Angels to Venture UNIVERSITY STARTUP DEVELOPMENT WEBINAR SERIES 1 SPEAKERS Glenn Vonk, PhD Director of Business Development and Alliances Former Director of Advanced
More informationWriting and Posting Opportunities for Successful Clinical Recruitment and Retention
Writing and Posting Opportunities for Successful Clinical Recruitment and Retention Introductions Matt Neuwirth Senior Vice President of Business Development Enterprise Medical Recruiting Survey Source:
More informationPHYSICIAN ALIGNMENT STRATEGIES BY GAIL HEAGEN AND IVAN WOOD. I. The Future. No discussion of physician alignment strategies would be complete
PHYSICIAN ALIGNMENT STRATEGIES BY GAIL HEAGEN AND IVAN WOOD I. The Future. No discussion of physician alignment strategies would be complete without a discussion of what people see as the future of health
More informationSelf-Referral, Markups, Fee Splitting, and Related Practices
Policy Statement Self-Referral, Markups, Fee Splitting, and Related Practices (Policy Number 04-03) Policy Statement ASCP strongly supports federal and state self-referral prohibitions, anti-markup requirements
More informationACQA THE FUTURE DEPENDS ON WHAT YOU DO TODAY
ACQA THE FUTURE DEPENDS ON WHAT YOU DO TODAY WHAT IS ACQA Accountable Care and Quality Agreement between St. Joseph s Health System and Excellus. Outcome: Increased quality Improve the health of patients
More informationPAYMENT AND REFERRAL RELATIONSHIPS IN HOME HEALTH: RECENT DEVELOPMENTS IN FLORIDA AND FEDERAL LAW. Craig H. Smith & Gabriel L.
HCCA 15 th Annual Compliance Institute-April 10-13, 2011 PAYMENT AND REFERRAL RELATIONSHIPS IN HOME HEALTH: RECENT DEVELOPMENTS IN FLORIDA AND FEDERAL LAW I. INTRODUCTION Craig H. Smith & Gabriel L. Imperato
More informationJ.P. MORGAN GLOBAL HIGH YIELD & LEVERAGED FINANCE CONFERENCE FEBRUARY 29, 2016
J.P. MORGAN GLOBAL HIGH YIELD & LEVERAGED FINANCE CONFERENCE FEBRUARY 29, 2016 Forward-Looking Statements This presentation may contain forward-looking statements based on current management expectations.
More informationPANELS AND PANEL EQUITY
PANELS AND PANEL EQUITY Our patients are very clear about what they want: the opportunity to choose a primary care provider access to that PCP when they choose a quality healthcare experience a good value
More informationNEXT GENERATION ACO PARTICIPATION WAIVER DISCLOSURES
NEXT GENERATION ACO PARTICIPATION WAIVER DISCLOSURES The Secretary of the U.S. Department of Health and Human Services has provided waivers of certain federal fraud and abuse laws that may otherwise limit
More information4/10/2013. Learning Objective. Quality-Based Payment Models
Creating Best in Class Perioperative Services under Accountable Care and Value- Based Purchasing Becker s Healthcare Jeffry Peters Learning Objective How ACA/VBP changes how we measure surgical services
More informationPhysician Compensation Directions and Health Reform. July 2017
Physician Compensation Directions and Health Reform July 2017 Speaker Introduction Wayne Hartley Vice President, AMGA Consulting Over 20 Years of Medical Group & Consulting Experience Allina Health, Minneapolis,
More informationNew York State s Ambitious DSRIP Program
New York State s Ambitious DSRIP Program A Case Study Speaker: Denise Soffel, Ph.D., Principal May 28, 2015 Information Services Webinar HealthManagement.com HealthManagement.com HealthManagement.com HealthManagement.com
More informationImproving Our ILLINOIS HOSPITALS AND HEALTH SYSTEMS. CoMMunities. 95.3b. state EcoNoMic impact 2018 B
ILLINOIS HOSPITALS AND HEALTH SYSTEMS Improving Our CoMMunities $ 95.3b state EcoNoMic impact 2018 B 466k total Jobs generated by illinois Hospitals +30% growth in illinois HealtHCare employment, 2000-2017
More informationSuccessful Physician-Hospital Integration A Case Study. Nick Fabrizio, PhD, FACMPE, FACHE Principal MGMA Health Care Consulting Group
Successful Physician-Hospital Integration A Case Study Nick Fabrizio, PhD, FACMPE, FACHE Principal MGMA Health Care Consulting Group February 7, 2013 Speaker bio Nick Fabrizio, PhD, FACMPE, FACHE is a
More informationMaking the Case for Change Without a Burning Platform
Making the Case for Change Without a Burning Platform Presented By: Rex P. Budde, CPA, MBA President and CEO Southern Illinois Healthcare, Carbondale, IL Region s second largest employer 3,700 total employees
More informationUsing Data for Proactive Patient Population Management
Using Data for Proactive Patient Population Management Kate Lichtenberg, DO, MPH, FAAFP October 16, 2013 Topics Review population based care Understand the use of registries Harnessing the power of EHRs
More information7/7/17. Value and Quality in Health Care. Kevin Shah, MD MBA. Overview of Quality. Define. Measure. Improve
Value and Quality in Health Care Kevin Shah, MD MBA 1 Overview of Quality Define Measure 2 1 Define Health care reform is transitioning financing from volume to value based reimbursement Today Fee for
More informationCommunity Needs Assessment Management Action Plan March, 2012 through June, 2015
Community Needs Assessment Management Action Plan March, through June, 2015 Strategic : Promote Hospital Services throughout Service Area and Attract Patients from Outside Carthage 1.0 DOCTOR AVAILABILITY
More informationUtilization of a Pay-for-Performance Program to Drive Quality and Reduce Cost
Utilization of a Pay-for-Performance Program to Drive Quality and Reduce Cost Thomas M. Deas, Jr., MD Vice President, Physician Development Theresa A. Bissonnette, MBA/HCM, CPHQ Director of Risk Adjustment
More informationSafety Net Capital Improvements Program
HOUSING TRUST SILICON VALLEY Safety Net Capital Improvements Program Program Guidelines Date Published 5/5/2016 This document provides general guidelines for the implementation of the Safety Net Capital
More informationSUCCESS STORY ENERGY TO CARE NORTHWEST HOSPITAL & MEDICAL CENTER
ENERGY TO CARE SUCCESS STORY NORTHWEST HOSPITAL & MEDICAL CENTER Savings in Seattle: ENERGY STAR Treasure Hunt Uncovers Savings at Northwest Hospital & Medical Center By Ed Avis ASHE.ORG ENERGYTOCARE.ORG
More information