Thursday, Feb. 23 – 1 to 2:15 p.m.
Risky Business: New Payment Models and MACRA
The drumbeat for value-based healthcare has been with us for decades and is growing considerably faster and louder. Early this year, the Centers for Medicare & Medicaid Services (CMS) announced its goal of moving at least 50 percent of its payments into value-based mechanisms by 2018 and, just two days later, a task force of influential providers and payers announced its goal of moving 75 percent of its business under value-based payment by 2020. The new CMS Medicare Access and CHIP Reauthorization Act (MACRA) reforms, which take effect Jan. 1, demonstrate that all providers, including physicians, have to shift from volume to value reimbursement.
Value-based contracting is compelling your organization to accept greater financial risk by agreeing to deliver defined services to a specified population at a predetermined price and quality level. You must develop a contracting and corresponding care delivery strategy that involves careful planning, skill development and a phased approach.
To assist with these transitions, the keynote session will explore:
- Factors to consider when evaluating value-based payment arrangements, including risks and rewards, contract terms and capabilities
- Your organization’s role in the emerging population health environment and whether it should be a full-continuum provider or part of a network of providers
- All forms of risk that should be considered in value-based contracting
- Ways to support your physician partners with MACRA, such as helping them understand the different government and private insurer models
Debra Ryan, vice president, Strategic and Financial Planning, Kaufman Hall, Chicago, specializes in assisting hospitals and health systems nationwide with the development and implementation of physician integration and other value-based initiatives. Prior to joining Kaufman Hall, she was the CEO at Chicago Health System, a wholly owned subsidiary of Vanguard Health System, where she implemented clinical integration and shared savings programs for its affiliated independent practice association physicians and facilities and administered insurer-offered risk programs to those networks of physicians.
Thursday, Feb. 23 – 2:45 to 3:45 p.m.
ACOs in Rural Areas: Finding Optimism amid New Realities
When leaders are evaluating what the hospital aspires to be, there are only a few levers to pull: build it, buy it or partner. In rural areas, the most viable option is partnering. Two Michigan accountable care organizations (ACOs) in the National Rural Accountable Care Consortium consist of more than 20 hospitals and five practice transformation networks. A panel of leaders from these ACOs will share how they are building a healthcare delivery strategy that not only meets the needs of their communities, but also helps people manage their health in the most affordable, appropriate way.
Panelists: Steve Barnett, president & CEO, McKenzie Health System, Sandusky; Kathleen Dunckel, MD, Alcona Health Center, Harrisville; Robert LaBarge, president & CEO, Sturgis Hospital; and Duke Anderson, president & CEO, Hillsdale Hospital.
Thursday, Feb. 23 – 3:45 to 4:45 p.m.
Give Everything You’ve Got Today
Retired head football coach Jerry Kill’s medical issues stopped him from being on the field, but it’s not stopping him from making a big difference in the world. For several years, Kill coached at various high schools and NCAA Division II schools, including a head coach position at Saginaw Valley State University. Kill was the head football coach at Northern Illinois University when the team played in the 2010 Mid-American Conference Championship game and was named head coach of the University of Minnesota Golden Gophers Dec. 7, 2010. During his tenure, Kill took the Gophers to heights not seen in years. In his last season as coach, Kill led Minnesota to a bowl game for the first time since 1962 and coached the Gophers to wins against Michigan and Iowa, which had previously not happened in the same season since 1967.
Coach Jerry Kill is intimately familiar with healthcare as a cancer survivor and epileptic. Kill was able to push through these hardships by adopting philosophies that apply to everyone: overcoming adversity, engaging in leadership and succeeding in business. Kill will share the important lessons learned in his 32 years of coaching and how these experiences have helped him tackle his health challenges head-on.
Friday, Feb. 24 –– 8:30 to 9:30 a.m.
Integrating Physical and Behavioral Health
Mental health disorders create a significant personal burden for affected individuals and their families, as well as a significant economic and social hardship for communities. Despite mounting evidence of substantial mental health problems, providers are not making measurable progress — which is not only contrary to our mission, but costly. A study by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration found that costs for treating patients with chronic medical and comorbid mental health/substance use disorder (MH/SUD) conditions can be twice as high as those who don’t have the conditions.
Very often, patients with MH/SUD are undiagnosed, resulting in “frequent flyer” behavior and readmissions. The establishment of evidence-based collaborative care models integrating physical and mental health would likely identify individuals with behavioral disorders who have been previously undiagnosed and allow them to get the holistic care they need. How can leaders think outside the box to integrate physical and mental health, effectively treating both? This session will outline two providers who are tackling this challenge by:
- Giving emergency department staff the tools and training to assess the severity of a possible mental health condition and take the next steps
- Identifying people to serve as the patient’s liaison between medicine and psychiatry
- Involving primary care providers to enhance access and allow patients to get treatment where they and/or their families live
- Establishing a multidisciplinary team that can deliver joint physical and mental assessments
- Creating a culture that offers peer support through sharing concerns and learning from each other
Each of this session’s presenters are leading efforts to increase mental health access and reduce cost through practical methods and partnerships. Terri LaCroix-Kelty, LMSW, is the director of behavioral health and Valerie Harpel, MS, APRM, BC, is manager of the Mental Health Unit at Munson Medical Center, Traverse City. Rodney Nelson is the chief executive officer at Mackinac Straits Health System, Inc., Saint Ignace. Ken Ratzlaff is president and CEO at Beacon Specialized Living Services, Saint Ignace.