Health Reform's Impact on Case Management

About the Webinar Program Objectives Webinar Will Answer These Questions Speakers Who Should Attend Purchase Options Continuing Education Questions

Attend from your desktop or conference room. Invite your whole team to attend at one low price.   Rates:  $329 per location, unlimited viewers per location (a special rate is also available for solo practitioners and the military). Please call 301-354-1769 for promo code for a price reduction if you qualify.  Each registration comes with access to the archived version of the program and the materials until December 31, 2012. Continuing Professional Education: This program is approved for 1.5 contact hour for, nurses, social workers, and certified case managers,

About the Webinar

With the Supreme Court’s landmark ruling in June, health reform is now the undisputed law of the land. That means that some of its key provisions are now unfolding and creating real impact on case management departments and within care coordination teams across an array of settings.

In 2012 alone, major provisions of the Affordable Care Act focus on hospital readmissions, accountable care, value-based purchasing and health disparities. In 2013, provisions are targeting administrative processes among insurers; payment reform for post-acute services; and the expansion of preventive services in Medicaid, among others.

Here’s a closer look at key provisions in 2012 and beyond.

Readmissions: Reduced Medicare Payments

Reduces Medicare payments that would otherwise be made to hospitals to account for excess (preventable) hospital readmissions. Implementation: October 1, 2012. On August 18, 2011, CMS issued a final rule outlining the Hospital Readmissions Reduction Program, which, under the Affordable Care Act, "payments to those hospitals under section 1886(d) of the Act will be reduced to account for certain excess readmissions." The final rule includes "i) Those aspects of the Hospital Readmissions Reduction Program that relate to the conditions and readmissions to which the Hospital Readmissions Reduction Program will apply for the first program year beginning October 1, 2012; (ii) the readmission measures and related methodology used for those measures, as well as the calculation of the readmission rates; and (iii) public reporting of the readmission data."

Value-Based Purchasing

Establishes a hospital value-based purchasing program in Medicare to pay hospitals based on performance on quality measures and requires plans to be developed to implement value-based purchasing programs for skilled nursing facilities, home health agencies, and ambulatory surgical centers. Implementation: October 1, 2012. Implementation update: On January 13, 2011, the Centers for Medicare and Medicaid Services issued a proposed rule that would implement a value-based purchasing program for hospitals in Medicare. On May 6, 2011, CMS published a final rule on the value-based purchasing program.

Bundled Payments

Creates new demonstration projects in Medicaid for up to eight states to pay bundled payments for episodes of care that include hospitalizations and to allow pediatric medical providers organized as accountable care organizations to share in cost-savings. Implementation: January 1, 2012 through December 31, 2016

Fraud and Abuse

Establishes procedures for screening, oversight, and reporting for providers and suppliers that participate in Medicare, Medicaid, and CHIP; requires additional entities to register under Medicare. Implementation: January 1, 2012. Implementation update: On February 2, 2011, the Centers for Medicare and Medicaid Services issued a final rule implementing fraud and abuse prevention initiatives in Medicare, Medicaid, and CHIP. On March 23, 2011, CMS published a notice regarding the fee that new providers and providers updating their information would have to pay in order to fund fraud screening efforts.

Program Objectives

• Identify the aspects of health reform that are currently and will continue to impact the practice areas of case management and care coordination.
• Discuss quality-based care interventions that case management departments are working to address as the provisions of health reform continue to expand.
• Learn about best practices in organizational workflow and process improvement as a way to succeed in the new era of health reform.

Our Webinar Will Answer These Questions

• What impact will health reform have on case management departments and care coordination professionals?
• What are the top provisions impacting case management departments?
• How can providers prepare for the coming wave of reform-based implementations?
• What will the Medicare readmissions policy mean to hospitals?
• How does value-based purchasing affect case managers and care coordinators?
• When do these acute-based provisions come into effect?
• How can payers prepare for insurance reforms?
• What do case managers need to know about medical loss ratio?
• What impact do fraud and abuse provisions have on healthcare professionals?
• How can case managers take advantage of expanded preventive services for patients?
• What does payment reform mean for post-acute providers?

Faculty

Cora Butler, JD, RN, CHC, is the director of business development and contracts administration for Primaris, the Quality Improvement Organization in Missouri, where she has provided executive leadership in the development, execution, and management of new business lines for a healthcare consulting firm focused on the use of data and analytics to improve the quality and cost effectiveness of medical care.

Teresa M. Treiger, RN-BC, MA, CHCQM-CM, CCM, CCP, the founder and owner of Ascent Care Management, has over 30 years of experience in the healthcare industry. Following years of bedside nursing, Teri worked in settings across the health care continuum and is now focused on program design, case management integration, process improvement, and professional education. Teri has published numerous articles on case management and is an accomplished international speaker. Presently, Teri devotes her time to professional education and public speaking as well as advising organizations in the development and quality improvement of integrated care coordination, transition of care, and case management programs, and the promotion of professional case management practice principles and processes.

Marcia Colone, Ph.D., is the System Director, Care Coordination, at UCLA Health System in Los Angeles, Calif., which is comprised of two hospitals. Previously she was director of Case Management, Clinical Documentation Program and the External Transfer Program at Northwestern Memorial Hospital in Chicago, Ill., from 1992 to 2008.   She received her Ph.D. in Social Welfare Administration from the University of Chicago in 1989 and two master’s degrees in Special Education (1976) and Social Work (1982). Dr. Colone is a nationally recognized leader and frequent speaker in the field of contemporary care coordination practice, emerging models of health care delivery models, leadership development, personal empowerment, and change management. She is a published author of several book chapters and articles and frequently presents these topics and others throughout the country.

Moderator:  Anne Llewellyn RN-BC, MS, BHSA, CCM, CRRN  Editor in Chief, Case Management Products  Dorland Health, a division of Access Intelligence

Who Should Attend

Purchase Options

• $329 per location, unlimited viewing per location (a special rate is available for solo practitioners and the military. Please call 301-354-1769 for promo code for a price reduction if you qualify.
• Live Webinar Registration – $329 (per-site fee)
• Webinar Recording on CD-ROM – $329
• Live Webinar and CD-ROM – $389

Continuing Professional Education

Nurses: This program is approved for 1.5 contact hours for nurses by Commonwealth Educational Seminars (CES). As an approved provider by the California Board of Registered Nursing (Provider Number CEP 15567), CES Programs are accepted by every State Board of Nursing with the exception of Delaware.

Certified Case Managers: This program is approved for 1.5 contact hours for case managers through the Commission for Case Manager Certification.

Social Workers: This program is approved for 1.5 CE hours for Social Workers. Commonwealth Educational Seminars (CES) is approved as a provider for Social Work Continuing Education (ACE Provider #1117) by the Association of Social Work Boards (ASWB, 400 South Ridge Parkway, Ste B, Culpepper, VA 22701) www.aswb.org. ASWB Approval Period: 10/6/09-10/5/12.

Questions?

For questions regarding the Webinar or to register by phone, contact Hope Kabik at 301-354-1769.

For content questions regarding this Webinar, contact Anne Llewellyn at 954-254-2950 or email allewellyn@dorlandhealth.com.

*Dorland Health does not offer any refunds for the webinar.  All sales are final.

For technical support questions, you can contact the Webex technical support line at 1.866.229.3239.
 

How Does the Webinar Work?

The live audio is delivered to your location over the telephone or your computer speakers. The Power-Point presentations are presented over the Internet and are available to print out before the program. This is like a talk-radio program with visuals on the Web. You and your team will be able to have a live Q&A with all the speakers.

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