HomeWebcastNavigating the CMS Quality Payment Program and Pathways to Success Sweeping MSSP Changes
Online CLE CMS Rule Compliance CLE

Navigating the CMS Quality Payment Program and Pathways to Success Sweeping MSSP Changes

Live Webcast Date: Thursday, March 28, 2019 at 3:00 pm - 4:30 pm (ET)
Health Care Health Law Live Webcast
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Add Reminder to My Calendar 03/28/2019 2:00 pm 03/28/2019 4:30 pm America/New_York The Knowledge Group Webinar: Navigating the CMS Quality Payment Program and Pathways to Success Sweeping MSSP Changes The event starts in an hour. If you have not registered, please go to the link below to sign up today. https://www.theknowledgegroup.org/checkout/?add-to-cart=105292\r\n In December 2018, the Centers for Medicare & Medicaid Services (CMS) released its final rule overhauling the Medicare Shared Savings Program (MSSP). With the aim to shift the health care system from fee-for-service to value-based care, the new CMS rule also addresses many of healthcare's cost, quality and population health challenges. Further changes were made on MSSP with the CMS’ publication of final rules for Medicare Physician Fee Schedule (MPFS) and Quality Payment Program (QPP). These include the revisions on quality measure set and the voluntary extension granted to certain Accountable Care Organizations (ACOs). \n \nWith the shifting MSSP landscape in the backdrop, an up-to-date and detail-oriented strategy is essential to ensure ACOs’ compliance with the regulations.  \n \nListen as a panel of distinguished professionals organized by The Knowledge Group provide the audience with the most important aspects of the recent changes and developments surrounding MSSP. Speakers, among other things, will present best compliance practices and practical tips to avoid potential risks and pitfalls in light of the recent updates. \n \nKey issues that will be covered in this course are: \n \n \n MSSP Program Changes \n MSSP and the new QPP Rule \n Managing Opportunities and Risk Issues \n Recent Compliance Trends, Developments and Updates \n Best Compliance Practices \n \n https://www.theknowledgegroup.org/webcasts/best-practices-for-cms-sweeping/

Online CLE CMS Rule Compliance

Join us for this Knowledge Group Online CLE CMS Rule Compliance Webinar. In December 2018, the Centers for Medicare & Medicaid Services (CMS) released its final rule overhauling the Medicare Shared Savings Program (MSSP). With the aim to shift the health care system from fee-for-service to value-based care, the new CMS rule also addresses many of healthcare's cost, quality and population health challenges. Further changes were made on MSSP with the CMS’ publication of final rules for Medicare Physician Fee Schedule (MPFS) and Quality Payment Program (QPP). These include the revisions on quality measure set and the voluntary extension granted to certain Accountable Care Organizations (ACOs).

With the shifting MSSP landscape in the backdrop, an up-to-date and detail-oriented strategy is essential to ensure ACOs’ compliance with the regulations. 

Listen as a panel of distinguished professionals organized by The Knowledge Group provide the audience with the most important aspects of the recent changes and developments surrounding MSSP. Speakers, among other things, will present best compliance practices and practical tips to avoid potential risks and pitfalls in light of the recent updates.

Key issues that will be covered in this course are:

  • MSSP Program Changes
  • MSSP and the new QPP Rule
  • Managing Opportunities and Risk Issues
  • Recent Compliance Trends, Developments and Updates
  • Best Compliance Practices

Who Should Attend

  • Healthcare Law Attorneys 
  • Healthcare Service Providers 
  • In-house Counsel
  • Medical Directors
  • Healthcare Executives
  • Healthcare Finance Executives

Faculty

Online CLE CMS Rule Compliance
John A. Anderson
Attorney
Giarmarco, Mullins & Horton, P.C.
Online CLE CMS Rule Compliance
Kristen McDermott Woodrum
Partner
Baker & Hostetler LLP

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Online CLE CMS Rule Compliance

John A. Anderson, Attorney
Giarmarco, Mullins & Horton, P.C.
  • Replacing current tracks in new program structure: Old Tracks (1, 1+, 2 & 3) versus New MSSP program structure: a) Basic Levels (A, B & E), and; b) Enhanced Track.
  • Transition to Risk: Quicker transition to risk; Less time in 1 sided (no risk) models.
  • Treatment/Determination of Shared Savings/Losses in new program structure.
  • New structure differentiation between “High Revenue” and “Low Revenue” ACO designations and the impact of such designations on particular ACOs.
  • Future Participation Timelines: a) Glossary of Terms relevant to new program structure; 
  • Participation Options for Low Revenue/High Revenue ACOs: a) determined by applicant type and experience with risk.
  • Changes in determination of minimum savings Rate/Minimum Loss Rate/Risk Adjustment.
  • Provisions for Repayment of Losses.
  • Changes in Beneficiary Assignment.
  • Expansion of Waivers and Beneficiary incentives.
  • Quality Measures.

Kristen McDermott Woodrum, Partner
Baker & Hostetler LLP
  • MACRA Recap.  Brief overview of the policy and economic considerations leading to MACRA. 
  • QPP Year 3 updates introduced by the Bipartisan Budget Act of 2018 and CY 2019 QPP Rulemaking.
  • Impact of MIPS changes on QPP strategy.
  • APM Scoring and Eligibility; Exploring the impact of the MSSP rulemaking on QPP participation.

Online CLE CMS Rule Compliance

Online CLE CMS Rule Compliance

John A. AndersonAttorneyGiarmarco, Mullins & Horton, P.C.

John Anderson is co-chair of the healthcare practice group at the law firm of Giarmarco, Mullins & Horton, P.C. in Troy, Michigan. He represents physicians, group practices, ancillary providers, Accountable Care Organizations, clinical labs and hospitals, among others. He regularly helps clients navigate regulatory issues and structure business arrangements in the constantly evolving healthcare environment. He’s the former Board Chair of Genesys Hospital in Grand Blanc, Michigan and he currently sits on the Board of Trustees for Ascension Health, Michigan where he also chairs the Quality & Safety Committee for that state-wide Board. John also sits on the Board of Directors of the Genesys Physician Hospital Organization, which operated one of the original Pioneer Accountable Care Organizations and which currently operates a Shared Savings Plan ACO.

Online CLE CMS Rule Compliance

Kristen McDermott WoodrumPartnerBaker & Hostetler LLP

Kristen McDermott Woodrum concentrates her practice in the area of healthcare law, including regulatory compliance and transactional matters. Well-versed in the nuances of healthcare law and emerging trends in the healthcare industry, Kristen anticipates potential issues and provides practical counsel while working with clients to structure complex transactions, including acquisitions, joint ventures and other strategic affiliations and contracting arrangements. Kristen also advises clients on day-to-day operational and compliance matters, including fraud and abuse laws, such as the federal Stark Law and Anti-Kickback Statute, and the HIPAA; Medicare/Medicaid billing and reimbursement, licensure and accreditation; third-party payor issues; and state fee-splitting, fraud and abuse; and corporate practice of medicine laws.

Online CLE CMS Rule Compliance

Course Level:
   Intermediate

Advance Preparation:
   Print and review course materials

Method Of Presentation:
   Live Webcast

Prerequisite:
   General knowledge of healthcare law

Course Code:
   147871

NY Category of CLE Credit:
   Areas of Professional Practice

Total Credits:
   1.5 CLE

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About the Knowledge Group

The Knowledge Group

The Knowledge Group has been a leading global provider of Continuing Education (CLE, CPE) for over 13 Years. We produce over 450 LIVE webcasts annually and have a catalog of over 4,000 on-demand courses.

About the Knowledge Group

The Knowledge Group

The Knowledge Group has been a leading global provider of Continuing Education (CLE, CPE) for over 13 Years. We produce over 450 LIVE webcasts annually and have a catalog of over 4,000 on-demand courses.

Giarmarco, Mullins & Horton, P.C. ranks as the 12th largest law firm in Michigan.  Founded over 39 years ago and located in Troy, Michigan, Giarmarco, Mullins & Horton, P.C. is a full service law firm with 70 attorneys.  Areas of practice include litigation, corporate law, health care law, business transactions, estate and trust planning, commercial litigation, governmental law, real estate, creditors’ rights, criminal law, employment and labor and workers’ compensation.  GMH has been recognized as a Top Tier Law Firm in the United States by U.S. News and World Report.  Additional recognitions include Crain’s Detroit Business Cool Place to Work and Detroit Free Press Top Workplaces 2012, 2013, 2014 and 2015. 

Website: http://www.gmhlaw.com/

BakerHostetler, one of the nation’s largest law firms, represents clients around the globe. With offices coast to coast, our more than 940 lawyers litigate cases and resolve disputes that potentially threaten clients’ competitiveness, navigate the laws and regulations that shape the global economy, and help clients develop and close deals that fuel their strategic growth. We have five core practice groups: Litigation, Business, Employment, Intellectual Property, and Tax. Within these groups are several large specialty practices, including antitrust, bankruptcy, healthcare, energy, middle market mergers and acquisitions, complex commercial litigation, data privacy and security, patent prosecution and international tax. Our attorneys have broad knowledge and experience in many industries, including energy, media, manufacturing, healthcare, financial services and insurance, consumer products, and hospitality. We distinguish ourselves through our commitment to the highest standard of client care. By emphasizing an approach to service delivery as exacting as our legal work, we are determined to surpass our clients’ expectations.

Website: http://www.bakerlaw.com/

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