February 26, 2018
Speakers: Ralph E. Lawson, FHFMA, CPA, Executive Vice President and Chief Financial Officer, Baptist Health South Florida, Inc.
Richard L. Clarke, DHA, FHFMA, Senior Fellow and Clinical Professor in the Department of Health Sector Management and Policy, School of Business Administration, University of Miami.
Speaker: Celeste Philip, MD, MPH, Surgeon General and Secretary, Florida Department of Health
Moderator: Scott Davis, Administrative Director of Reimbursement & Revenue Integrity, Memorial Healthcare System
Panelists: Jane Gray, Vice President, Revenue Cycle, Phoebe Putney Health System
Michele Tynes Napier, Chief Revenue Officer, Orlando Health
Woody Turner, AVP Patient Financial Services, Lexington Medical Center
Tara Richardson, Vice President, Patient Financial Services, Quorum Health
Speaker: Patrick Carroll, MD, Chief Medical Officer/Divisional Vice President, Walgreen’s Healthcare Clinics
Speaker: Ashley Merryman, Best-Selling Author & Social Commentator
Speaker: Hector Torres, Principal, ECG Management Consultants
Mark Peters, MD, Former CEO, now retired, East Jefferson General Hospital
Speaker: Daniel Collins, CPA, MSA, Director of Finance, Orlando Health Physician Group
Presentation will cover CMS’ quality payment program that was made effective January 1, 2017 via the Medicare Access and CHIP Reauthorization Act. Coverage of changes for the 2018 performance year will be shared and strategies that physician practices may use to gain a higher composite score versus competitors.
Moderator: Christopher Kenny, Partner, King & Spaulding
Panelists: Steve Harris, Vice President Payor & Government affairs, Tampa General Hospital
Lee Ann Burney, Director of Finance, Williamson Medical Center
Todd Cox, Director, HTC Advisory Services LLC
John P. Mendez, Corporate Director of Revenue Optimization, Orlando Health
This panel of hospital finance professionals will discuss emerging issues in healthcare reimbursement. As Medicare and commercial payors look to cut hospital payments, what can providers do to respond to these challenges? The panel will examine developments in Medicare bundled payments, the 340B Drug Pricing Program, Medicare uncompensated care payments, and other important issues.
Speaker: Richard F. Bajner, Jr., Managing Director, Strategic Solutions, Navigant Consulting, Inc.
Declining government reimbursement. An unpredictable state and federal regulatory environment. Shifting demographics and payer mix. Self-pay and collections challenges. Unstable and delayed Medicaid payments. In 2018 and beyond, hospitals and health systems are facing these and other risks that can each individually cause dramatic shifts in their revenue model. The forces affecting the healthcare industry across the country are compelling administrative and clinical leaders to make critical strategic, financial and operational decisions with respect to “how” and “where” patient care will be delivered in the future and how their organizations will achieve the margins required with a shifting (and often deteriorating) revenue mix. Such trends will increasingly require leaders to consider “how they will be paid” for patient care services by site of care and consider how they will maintain operating margins.
Over the last two to three years, Navigant has seen continued revenue degradation caused by multiple drivers and levers that hospitals/health systems are not prepared to deal with, and existing technology/tools that are inadequate or misaligned with actual market dynamics driving change and revenue decline. The uncertainty around these revenue drivers creates significant risks for provider organizations, but also unprecedented opportunity to redefine and shape operating, clinical care, and revenue models for the years to come.
Traditional hospital incremental change approaches will yield inadequate returns and only increase financial, operational and competitive risk. Transformative change must be highly-focused and sustained. A core objective for successful providers is to develop a Strategy Led Transformation plan which can successfully navigate towards the integrated clinical excellence operating/financial model of tomorrow.
Moderator: Eric Meinkow, Director, Healthcare Strategic Solutions Practice, Navigant
Panelists: Glen Dawes, Vice President of Finance, Memorial Hermann Health Plan
Joseph Felkner, Executive Vice President and the Chief Financial Officer, Health First
Speaker: Scott Ponaman, President, Ponaman Healthcare Consulting
Chris Durkin, Vice President and Controller, Baptist Health
Overview of the 340B Program and current political landscape
Speaker: David C. Hammer, MBA, MHS, Principal, Healthcare Performance Management Consultants LLC
Even in the post-reform era, when the effects of the Affordable Care Act have apparently constrained the ability of insurance companies to deny, reject or delay claims, unpaid or under-paid claims are a constant challenge for healthcare providers, and few providers of any kind are spared the problem. Denials represent not only uncollected revenue, but also hidden expenses that erode a provider’s bottom line – due to required rework. Consequently, the importance of measurable, predictable, and sustainable denials prevention and management systems has never been greater.
After this seminar, participants will be able to accomplish the following, across the four dimensions listed above: