Navigating the CMS Quality Payment Program and Pathways to Success Sweeping MSSP Changes
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
Kristen McDermott Woodrum
- Overlap between Pathways and QPP
John A. Anderson
- Pathways Final Rule
Kristen McDermott Woodrum
- Quality Payment Program
Kristen McDermott Woodrum and John A. Anderson
Who Should Attend:
- Healthcare Law Attorneys
- Healthcare Service Providers
- In-house Counsel
- Medical Directors
- Healthcare Executives
- Healthcare Finance Executives
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 Ascension-Genesys Hospital in Grand Blanc, Michigan and a former member of the Board of Trustees for Ascension Health, Michigan where he also chaired 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. John has been recognized for excellence in healthcare law by DBusiness Magazine, Best Lawyers in America, Leading Lawyers and Super Lawyers.
John Anderson is co-chair of the healthcare practice group at the law firm of Giarmarco, Mullins & Horton, P.C. in …
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.
Kristen McDermott Woodrum concentrates her practice in the area of healthcare law, including regulatory compliance and transactional matters. Well-versed in …
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Method Of Presentation:
General knowledge of healthcare law
NY Category of CLE Credit:
Areas of Professional Practice
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About Giarmarco, Mullins & Horton, P.C.
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.
About Baker & Hostetler LLP
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.