Significant Changes to CMS’ Medicare Shared Savings Program: Addressing Healthcare Providers’ Concerns
In an effort to encourage further cooperation and participation among healthcare providers, the Centers for Medicare & Medicaid Services (CMS) has recently issued a final rule modifying the Medicare Shared Savings Program (MSSP) regulations. Under the Final Rule, the CMS has refined the MSSP benchmarking methodology and provided additional options for Accountable Care Organizations to enter performance-based risk arrangements.
In addition, the Rule also sets important requirements for reopening determinations of ACO shared savings and shared losses. As CMS continues to make significant changes in the MSSP regulations, it is crucial for healthcare providers to keep themselves abreast of the latest MSSP issues and developments to avoid potential regulatory pitfalls.
In this LIVE Webcast, a panel of distinguished professionals and thought leaders organized by The Knowledge Group will provide the audience with an in-depth discussion of the Significant Changes to CMS’ Medicare Shared Savings Program. They will also help them understand the critical elements of the final rule and its potential implications on Accountable Care Organizations. Speakers will also offer best practices in developing and implementing effective risk mitigation strategies while ensuring compliance with applicable laws.
Some of the major topics that will be covered in this course are:
- Medicare Shared Savings Program (MSSP) – An Overview
- Accountable Care Organizations
- Final MSSP Rule: Key Provisions
- Quality Payment Programs
- Operational Effectiveness
- Systemic Inefficiencies
- Practical Suggestions
John Anderson, Attorney
Giarmarco, Mullins & Horton, P.C.
- Analysis of the new Accountable Care Organization models
- Medicare ACO Track 1+
- Next Generation ACO Model
- New Benchmarking Methodology
- Final MSSP Rule (June 2016)
- Use of regional factors
- Transition to performance-based risk
- How the new ACO models intersect with Quality Payment Programs
- Merit-based Incentive Payment System (MIPS)
- Advanced Alternative Payment Models (APMs)
Larry Burnett RN, MS, Principal, Advisory
James M. Case, Director
- Review of operational effectiveness
- Inefficiencies of the system
- Streamlining care through hospitals
- Leveraging monetary resources of programs
Who Should Attend:
- Healthcare Law Attorneys
- Healthcare Organizations (Financial Reporting & Accounting)
- Healthcare Service Providers
- Hospital Executives (Finance, CFOs, General Counsel and Related)
- Medical Directors
- 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 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.
John Anderson is co-chair of the healthcare practice group at the law firm of Giarmarco, Mullins & Horton, P.C. in …
Larry is a Partner with KPMG’s Healthcare Solutions practice with over thirty years of healthcare industry experience. Larry is a member of our Healthcare Transformation Leadership team and works with clients to improve clinical operational effectiveness, particularly in the areas of provider quality and margin optimization. Larry has a BS in Nursing from Grand Canyon University and a MS in Nursing from Arizona State University.
Larry is a Partner with KPMG’s Healthcare Solutions practice with over thirty years of healthcare industry experience. Larry is a …
James is a Director in KPMG’s Healthcare Solutions practice. He has over 10 years of experience in leading health systems and hospitals through payment model changes. Those experiences include creating a solution to use total cost of care analytics to help hospitals and health systems implement large scale, transformational operational improvement initiatives as a means to engage with consumers in a whole new way. This solution uses a data-driven approach to assist with organizations to redefine strategies and operation in terms of operational excellence at a transactional level, understand how technology can enable performance excellence outside of the four walls of the hospital, and also understand the lifetime value of a patient’s relationship with the organization. James has a BA from University Maryland, Baltimore County and an Masters of Health Sciences from The Johns Hopkins Bloomberg School of Public Health.
James is a Director in KPMG’s Healthcare Solutions practice. He has over 10 years of experience in leading health systems …
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Method of Presentation:
Experience in health law
NASBA Field of Study:
Specialized Knowledge - Technical
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 KPMG LLP
KPMG LLP is a leader in convergence, helping organizations across the healthcare and life science ecosystem work together in new ways to transform and innovate the business of healthcare. KPMG’s Healthcare and Life Sciences practice, with more than 2,800 partners and professionals supported by a global network in 152 countries, offers a market-leading portfolio of tools and services focused on helping our clients comply with regulatory change; improve outcomes through data analytics; adapt to the consumerism of healthcare; transition to value-based outcomes; and optimize investments in clinical technologies to guide them on the path to convergence. For more information, please go to https://home.kpmg.com/us/en/home/industries/healthcare.html