Paying Health Care Providers for Quality and Value: Key Trends and Stark Law Considerations

Why Should You Attend:

It’s clear that health care reform and new payment trends are leading payors, hospitals, health systems and medical groups to consider new compensation models to enhance their capabilities in providing value-based care, cost management and improve quality and efficiency.

During this webinar, Mr. Wolfe will provide a straight-forward, practical explanation of developing concepts, including the quality and value metrics into new federal health care programs and commercial payment systems, new delivery models, what providers can be doing to develop a value-based strategy, and the application of the Stark Law and other fraud and abuse laws to new models aimed at population health, quality of care and cost control.

Mastering these concepts will be a must for health care executives looking to position their organizations for success in this new value-based world.

Areas Covered in the Webinar:

• Provide a general overview of new quality and value-based payment trends.
• Discuss CMS’s new Quality Payment Program, its pathways and potential options for clinicians as they navigate the program during the 2017 transition year and beyond.
• Discuss potential strategies for incentivizing physicians in connection with the rollout of the new value-based programs.
• Discuss the application of the existing regulatory framework (e.g, AKS, Stark, CMP, beneficiary inducement, etc. ) to new models aimed at incentivizing population health, quality of care and cost control

Who Will Benefit:

• In-House Counsel
• Health Care Compliance Officers
• Health Care Human Resources
• Health Care CFOs
• Health Care executives

Joseph Wolfe
Health Care Attorney, Hall Render Killian Heath & Lyman, P.C

Joseph Wolfe is an attorney with Hall Render, the largest health care focused law firm in the country. Mr. Wolfe provides advice and counsel to some of the largest health systems, hospitals and medical groups on a variety of health care issues. He regularly counsels clients on a national basis regarding compliance-focused physician compensation and alignment strategies.

Mr. Wolfe is a frequent speaker on issues related to the physician self-referral statute (Stark Law), hospital-physician transactions, physician compensation and health care fair market value issues. Before attending law school at the University of Wisconsin, he served as a combat engineer in the United States Army.

Topic Background:

Medicare, Medicaid and private payors are looking to accelerate the transition from volume to value and population health through targeted incentives. Going forward, health care leaders need to develop a value-based strategy so they can position their organizations for financial success in the new value-based world.

A refined and comprehensive value-based strategy can advance important goals for a health care organization, among them: (1) enhancement of quality of care and improvement of patient outcomes; (2) promotion of safe medical practices; (3) sharing of best clinical practices; (4) increased efficiencies in care delivery; (5) facilitation of appropriate utilization of services; and (6) alignment of financial incentives.

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