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Follow on Google News | Jessica Walradt, M.S., Senior Payment Reform Specialist, AAMC to to Speak at KC’s EventBy: The Knowledge Group, LLC For further details, please visit: http://theknowledgegroup.org/ About Jessica Walradt, M.S. Jessica serves as the AAMC’s Alternative Payment team’s policy content lead. In this role, she supports academic medical centers’ involvement in the Bundled Payments for Care Improvement initiative using data and policy analyses to explain financial trends and provide strategic advice regarding episode selection and risk mitigation. Jessica also utilizes the lessons from this work to inform AAMC’s advocacy efforts. Prior to this, Jessica spent two years as a Health Policy Analyst helping providers to navigate federal ACA regulations and complex Medicare payment policy issues. She also completed graduate internships with the White House Office of Management and Budget’s Health Division and Partners HealthCare’s Finance Department. Jessica holds an M.S. in Health Policy and Management from the Harvard School of Public Health and a B.A. in Political Science from the University of Richmond. 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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