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Date/Time
Date(s) - Wednesday, April 13, 2016, 12:00 PM - 1:15 PM

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Learning Objectives

  • Learn how several home-based and primary care-based programs for the frail elderly have effectively implemented alternative payment approaches to help achieve the Triple Aim, and hear advice for ‘graduating’ to a higher-level alternative payment models (APMs)
  • Learn from three practicing geriatricians, with over 80 combined years of experience, about what you can do to be successful implementing APMs
  • Learn how one provider moves payments from the risk-adjusted global payments to individual physician practices, in a process that includes fee-for-service (FFS), quality metrics, participation level, and financial performance, and about its success in participating in risk or accountable environments
  • Discuss the challenges, value proposition, and lessons learned of data capture, analytics, and IT system support to ensure success with APMs within this changing environment

Agenda

  • Opening Remarks- Anne Gauthier, Thomas Buckingham
  • Panel: Home-Based and other Primary Care APMs for the Elderly
    • Eric De Jonge- MedStar Washington Hospital Center
    • Steven L. Phillips- Sanford Center for Aging, University of Nevada, Reno
    • Alan Lazaroff- Physician Health Partners & American Geriatrics Society
  • Facilitated Discussion- Anne Gauthier, Thomas Buckingham
  • Upcoming LAN Activities and Closing Comments- Thomas Buckingham

Summary

Listen as Thomas Buckingham, LAN Guiding Committee member and Executive Vice President of Strategy for Select Medical, hosts a LAN webinar to discuss and highlight APM strategies for geriatric care. During the webinar, prominent geriatricians share their experiences and discuss their “lessons learned from the field.” Dr. Eric De Jonge, Director of Geriatrics at MedStar Washington Hospital Center, discusses and shares lessons learned from his organization’s Independence at Home (IAH) Demonstration model and home-based primary care model (HBPC). Dr. Steven L. Phillips, CEO/President of Geriatric Specialty Care and Medical Director at the Sanford Center for Aging, University of Nevada, Reno, discusses his organization’s payment model and how the organization uses and fits into the APM framework. Lastly, Dr. Alan Lazaroff, Medical Director at Physician Health Partners and Board of Directors member of the American Geriatrics Society, discusses opportunities and challenges experienced by Physician Health Partners in its process of implementing APMs for their geriatric care services. The presenters address various questions and comments from the audience on topics such as billing and coding for chronic care management, risk adjustment payments and features of the IAH Demonstration model, and how the geriatric medical practice can succeed under APMs.

Slides

To achieve the goal of better care, smarter spending, and healthier people, the U.S. health care system must substantially reform its payment structure to incentivize quality, health outcomes, and value over volume. The Health Care Payment Learning and Action Network (LAN) was established as a collaborative network of public and private stakeholders, including health plans, providers, patients, employers, consumers, states, federal agencies, and other partners within the health care community.

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