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2018 Peace, Love and Reimbursement
August 8, 2018 at 8:00 am - August 9, 2018 at 5:00 pm EDT
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Just over fifty years ago, two generational movements forever changed the national discourse surrounding economic and social issues in America: Medicare / Medicaid and the 1967 “Summer of Love.”
The Summer of Love left an indelible imprint on mainstream society. Society invariably adapts to evolving social norms, but the Federal Government and state Medicaid agencies face financial burdens that can no longer be shifted to future generations. These economic realities are transforming the healthcare continuum – the longstanding fee-for service “establishment” has been usurped by a value-based “counter-culture.”
The healthcare revolution is accelerating, with skilled nursing among the sectors most impacted. “Conformity” was antithetical to the “Beat Generation,” but payers and health systems will no longer accept the inefficiency and cost variability that defined post-acute care for a generation.
There is little time to “chill out” – Medicare payment reform, managed care and alternative payment models are upon us. Providers must be prepared to “groove” with the vicissitudes of ever-changing government regulation & reimbursement, or risk suffering a “bad trip.”
Program Overview
This two-day seminar will address the diverse challenges facing SNF owners and operators. Participants will learn how to accurately assess new markets and receive practical strategies to lead skilled nursing into a new era of enlightenment.
Presenters
- Marc Zimmet, President & CEO, ZHSG
- Sheryl Rosenfield, Partner, Director of Clinical Operations, ZHSG
- Michael Sciacca, Partner, Chief Operating Officer, ZHSG
- Vincent Fedele, Partner, Director of Analytics, ZHSG
- Gerry Adest, SNF Transaction Advisor
- Sal Ferragine, Regional VP/Complex Population Mgmt, OptumHealth
- Dana Strauss, Care Coordinator & Navigator, Valley Health Systems
- Scott Rifkin, CEO, Real Time Medical Systems
- Steven Littlehale, EVP & Chief Clinical Officer, PointRight Inc.
Seminar Agenda
Day 1
- 8:00am – 9:00am — Registration (Continental Bkfst provided)
- 9:00am – 10:30am — SNF Market Trends
Logic dictates that skilled nursing facilities are uniquely positioned to benefit from the “Silver Tsunami” of aging Baby Boomers. While this demographic should ultimately drive a rebound in demand for SNF services, the entire healthcare continuum is in the midst of a fundamental regulatory and market restructuring that is changing how (and where) seniors receive care. This session will explore the industry trends, opportunities and risks that define our new position in the evolving healthcare ecosystem. - 10:45am – 12:15pm — Medicare Part A Payment Reform
Last May, CMS announced its intention to replace the decades old Medicare Part A RUG model with a new “Resident Classification System.” Based on stakeholder feedback, RCS was refined – we now expect implementation of the “Patient-Driven Payment Model” next October. PDPM promises increased complexity and reimbursement-sensitivity driven by diagnosis, condition, ancillary utliization and length of stay, irrespective of the amount of therapy delivered. Presenters will review strategies for success under PDPM, and how this initiative reconciles with the long-discussed “Unified” post-acute payment system. - 12:15pm – 1:15pm — LUNCH
- 1:15pm – 2:45pm — Value-Based Reporting and the Reimbursement “Groove”
Whoa, this is heavy. PAMA, QRP, IMPACT, VBP, PBJ, 5-Star and MDS changes create a kaleidoscope of challenges clouding our collective aura. Clinical reporting was historically the domain of the nursing team. However, the line is now blurred between quality and reimbursement; operators and financial managers must fully understand these measures and monitor the associated link between clinical reporting and payment. This program will provide insight into how evolving federal mandates will impact the SNF revenue cycle, as presenters introduce the new management imperative: a “Clinical Quality Dashboard” that is unambiguously adorned with dollar signs. - 3:00pm – 4:30pm — The Financial Realities of Population Health Management
Population Health Management (“PHM”) is the new “collective mantra” of healthcare policy makers. The market has responded with a myriad of innovative “treat-in-place” solutions for SNFs. Given the high costs associated with care management technology and professional services, providers must expect a reasonable “return on investment” before committing their limited financial and human capital. This dynamic panel will review the array of new products and services promising to improve clinical outcomes, and discuss the associated “cost/benefit” analysis required before joining a new PHM cult.
4:30pm – Wine & Cheese with Exhibitors
Day 2
- 8:00am – 9:00am — Registration (Continental Bkfst provided)
- 9:00am – 10:30am — Requirements of Participation and Compliance Concerns
“The Man” is trying to keep our industry down with a never-ending stream of regulatory burdens. But don’t “tune out” or the facility assessment and Quality Assurance & Performance Improvement plans will have you “tripping.” This session will highlight upcoming Phase III requirements and distill the policies, procedures and internal controls needed to avoid survey deficiencies. Presenters will also review recent third-party audit activity so your team stays “hip” to the latest regulatory compliance “bummers.” - 10:45am – 12:15pm — The Investor’s Guide to New SNF Markets
Regulatory and market reforms have driven SNF transaction volume to record levels. As competition mounts for healthcare assets, investors and operators are increasingly seeking opportunities in unfamiliar locales. Such reach poses unique valuation and management challenges to potential buyers, as practice and performance differ significantly across regions. This session will highlight key metrics to consider when entering new markets. Attendees will learn to forecast the impact of reimbursement trends, demographics, hospital discharge patterns, Alternative Payment Model disruption, labor pool, market saturation and other subtle variables to identify opportunities undiscernible to their competitors. - 12:15pm – 1:15pm — LUNCH
- 1:15am – 2:45 — New Generation Analytics
The science of data analytics has finally gained traction in post-acute care. Unfortunately, current “solutions” generate questionable insight due to their reliance on outdated assessments, subjective case-mix adjustment and limited public claims data. This session will explain how to extract actionable intelligence from facility-specific UB-04 Medicare claims. Attendees will learn to develop an accretive database designed to compile comparative and predictive analytics, including highly variable SNF-specific ancillary expenses, for effective marketing and case management. - 3:00pm – 4:30pm — PDPM: Early Strategies for Success
The good news for SNF providers is we have more than a year to prepare for the Patient-Driven Payment Model – our challenge is effectuating the “cultural shift” PDPM demands. This session will review PDPM imperatives and detail strategies for developing a manageable transition plan. Topics include: Re-engineering the SNF therapy department, MDS-capture compliance, mastering Section GG, managing Interim-Payment Assessments and
understanding “Composite-Costing” calculations.
Schedule is Subject to Change
This program will be submitted for 12 CE clock hours to the NCE Review Service of NAB Examiners.
Zimmet Healthcare is a NJ Board of Accountancy CPE Sponsor. CPA Registrants should contact their governing agency to determine if these courses will qualify towards their CPE requirements.
Special Notes
Zimmet Healthcare will not be providing seminar books. The program will be available on our APP for viewing/printing approximately one week in advance of the conference.
Borgata Hotel: 866-692-6742 Please make your sleeping room reservations directly with The Borgata. Until July 16, 2018, a LIMITED BLOCK of rooms on a first-come basis have been reserved under the Group Code GBZHS18, and may sell out prior to the cut-off date.
Registration Fee*
$795 per attendee for SNF/provider representatives
$995 per attendee for industry suppliers/vendors
2-DAY PROGRAM
* Registration fee includes continental breakfast and lunch both days,
but does not include hotel. Contact hotel directly. Cut-off for LIMITED
discounted room block is July 16, 2018. Room block is on a first-come
basis, and may sell out prior to cut-off date. GROUP CODE GBZHS18.
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Cancellation Policy
90% refund if cancelled > 7 days prior to program
25% refund if cancelled within 1 week of program