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Follow on Google News | Christopher Wilson, Senior Manager, Pershing Yoakley & Associates, P.C. to Speak at KC’s EventBy: The Knowledge Group, LLC For further details, please visit: http://theknowledgegroup.org/ About Christopher Wilson Chris Wilson, JD, MPH, works with healthcare organizations to address strategic issues in an evolving market. He uses his unique combination of consulting and legal experience to design and implement clinical integration initiatives, public policy projects, mergers and acquisitions, and governance strategies. Chris also provides advisory services in the area of healthcare information technology and best practices in the delivery and measurement of evidence-based care for providers. About Pershing Yoakley & Associates, P.C. As a professional corporation with 30 principals, PYA’s team of resources is more than 175 strong and continually growing. PYA’s people have backgrounds and degrees in nursing, healthcare administration, public health, medicine, economics, finance, management, accounting, tax, and law. Several have extensive prior experience with other healthcare-related organizations, and have specialized training in clinical medicine, clinical coding, and regulatory matters. Because of PYA’s focus on client service and the highly motivating environment in which it operates, PYA has been very successful in recruiting dedicated and experienced people from national consulting firms and healthcare organizations. Leveraging the diverse experience and expertise of its people allows PYA to gain a unique perspective on the industry and marketplace. PYA calls it “Vision Beyond the Numbers®.” It uses this perspective to develop tools and methodologies that help its clients identify opportunities and creative solutions where other consultants have only found problems. Event Synopsis: A bundled payment is a single re-imbursement to a healthcare provider for all clinical services related to a single instance of medical care and away from fees-for-service. Bundling of payments to healthcare providers will be used more frequently to reduce the cost of healthcare in the United States. Theoretically, bundled payment schemes will improve the quality of care, reduce un-necessary care, and reduce variation in cost among payers. However, research results are varied. Pilot projects such as Prometheus have been slow to develop because of the difficulty of agreeing upon which services can be bundled. Provisions for bundled payments are included in both the Patient Protection and Affordable Care Act (PPACA) and the Affordable Health Care for America Act (AHCAA). The PPACA bill established a national Medicare program in 2013. The AHCAA bill requires reform of Medicare payments for post-acute services, including the bundled payments. Healthcare legal counsel face a number of legal and regulatory issues in structuring bundled and gain-sharing payment systems. The legal challenges arise from insurance, state laws, provider relationships, and fair market value dis-agreements. In the past, these arrangements were found potentially to violate the Anti-Kickback statute and Civil Monetary Penalties Act. Our panel of skilled practitioners will review bundled payment schemes and discuss the advantages and disadvantages of the schemes. The panel will discuss operational and regulatory concerns for healthcare providers, critical provision documentation, the effects of healthcare reform and other recent legislative, regulatory, and enforcement activities. Also addressed is gain-sharing. Key Topics include: Public and Private Bundled Payment Initiatives & Gain-sharing Arrangements Bundled Payments Programs and Current CMS initiatives Implementation and Operational Challenges Accountable Care Organizations (ACOs) and Bundled Payments Medicare Bundled Payments for Care Improvement (BPCI) Initiative Bundled Payment Transparency and Risk Arrangements Bundled Payment Documentation, Data Analysis, & Reporting Legal and Regulatory Compliance Issues About The Knowledge Group, LLC/The Knowledge Congress Live Webcast Series The Knowledge Congress was established with the mission to produce unbiased, objective, and educational live webinars that examine industry trends and regulatory changes from a variety of different perspectives. The goal is to deliver a unique multilevel analysis of an important issue affecting business in a highly focused format. To contact or register to an event, please visit: http://theknowledgegroup.org/ End
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