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Non-Members - $99.00
Six years post-Affordable Care Act (ACA) we have a plethora of value-based payment programs entering mainstream healthcare economics. In April 2015, this transformation accelerated when Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA) establishing two data-driven payment tracks: alternative payment models (APMs) or the merit-based incentive payment system (MIPS). Commercial payers are deploying such payment reform programs, as well. Join Adele Allison and Rhonda Buckholtz as they explore payment transformation through the use of data. With the proper infrastructure and knowledge, payers, providers and their communities can create tremendous value and become strong contenders to succeed under emerging risk-based contracts. Learn the fundamentals of health IT associated with APM risk-bearing arrangements and MIPS. This session will provide insight into growing trends, opportunities and administrative challenges.
By the end of the presentation, attendees will be able to:
1. Identify the four categories of value-based reimbursement transforming post-acute clinician economics under MACRA legislative mandated changes.
2. Describe the role of effective data capture starting in 2017 to determine the value of services and healthcare reimbursement under population-based payment (PBP) models being applied in healthcare effective in 2019.
3. Articulate strategies in health IT adoption and use that aligns with MACRA essential documentation within the group practice and among organizational leaders including coding staff.
As the director of provider innovation strategies, Adele Allison monitors healthcare reform for DST System’s health solutions division, a leading provider of health IT solutions for payers, providers and pharmacies dedicated to improving the delivery and administration of healthcare in terms of clinical, financial and patient health outcomes.
Having served as the co-chair of the ONC Beacon-EHR Vendor Affinity Group and a current co-chair for HHS’ Workgroup for Electronic Data Interchange (WEDI) Payment Models Workgroup, Allison has over 25 years of healthcare experience and has been the guest speaker at dozens of national events, sharing her expertise on health IT, federal legislation/policymaking, healthcare reform and many other topics.
A published author, Allison is a member of the University of Alabama at Birmingham (UAB) advisory board on curriculum development and serves on UAB’s HITECH Committee for health IT curriculum development; and, is a member of the board of directors for Alabama HIMSS.
Rhonda Buckholtz, CPC, CPMA, CPC-I, CRC, CHPSE, CENTC, CGSC, COBGC, CPEDC, CRC
VP Strategic Development, ECL Group
Rhonda Buckholtz has more than 25 years of experience in healthcare, working in the management, reimbursement, billing, and coding sectors, in addition to being an instructor. She was responsible for all ICD-10 training and curriculum at AAPC. She has authored numerous articles for healthcare publications and has spoken at conferences. She is co-chair for the WEDI ICD-10 Implementation Workgroup, Advanced Payment Models Workgroup and has provided testimony ongoing for ICD-10 and standardization of data for NCVHS. Rhonda is on the board of ICD Monitor. She also sits on the Provider Outreach and Education committee for Novitas Solutions. Rhonda spends her time on strategic development for Eye Care Leaders by providing transformational services and revenue integrity for Ophthalmology practices.