Education event

Hospital Finance & Reimbursement Seminar
Hospital Fee, California Health Benefit Exchange, modeling for volume to value-based reimbursement

June 20, Glendale
June 21, Irvine

Overview

A major goal of health care reform is on the horizon. On January 1, 2014, millions of Californians will have access to health care coverage. Some hospitals have already developed strategies to meet increased demand for care, while others are in the wait-and-see mode.

Key components of reform focus on coverage for the uninsured, improving care through coordination of services, and payment systems that shift from volume to value-based reimbursement. This year’s program delves into these topics and more:

  • Hospital Fee — where it stands now and what the future may hold
  • Preparing for the California Health Benefit Exchange contracting strategies
  • Modeling the transition from volume to value-based reimbursement
  • Care coordination for dual eligibles and changes to hospital utilization
  • California’s fiscal crisis and consequences for patients and hospitals
  • Impact of Medi-Cal changes related to managed care, LIHPs and SPDs

Make plans now to attend and learn about the changes to come in delivery and payment of care, and what this means for hospital finances.

 
Program co-sponsored by: 

Healthcare Financial Management Association Southern California Chapter

Program approved by:

Healthcare Financial Management Association Northern California Chapter
Association of California Nurse Leaders
Hospital Council of Northern and Central California
Hospital Association of Southern California
Hosptial Association of San Diego and Imperial Counties
United Hospital Association

Agenda

8:00 – 9:00 a.m. Registration/Check-in

9:00 a.m. – Noon

Medi-Cal Update

  • California budget update — state of the state
  • Hospital Fee update — status of approval and implementation, 30-month program
  • Medi-Cal managed care expansion, coverage changes — LIHPs, SPDs
  • Progress update on new DRG system

Care Coordination of Dual-Eligibles

  • Counties identified for demonstration projects
  • How projects may vary, county-to-county
  • Financial and service concerns for patients and providers

Medicare Update

  • SSI ratio — changes in Medicare DSH payments
  • Rural floor settlement — what it means to California hospitals
  • Inpatient Prospective Payment System rule update
  • Demonstration project updates — pioneer ACOs, bundling

Noon – 1:00 p.m. Hosted Luncheon

1:00 – 4:00 p.m.

 California Health Benefit Exchange 

  • Anticipated Supreme Court decision — what will California do?
  • Exchange details — coverage levels, cost sharing
  • What the exchange means for hospitals, anticipated structure
  • Contracting strategies with qualified health plans
  • 2014 is tomorrow — open enrollment, policy development

A Look at Integrity Programs 

  • Recovery audit contractor updates
  • New federal timelines to identify, return overpayments
  • State follows federal lead — non-payment for PPCs

Modeling the Impact of Reform and Value-Based Care and Payment

  • Moving forward — evaluating new competencies and resources
  • Financial modeling techniques to concurrently manage old and new models
  • Assessing the benefits of entering a risk contract
  • During the transition — estimating the effects of key financial drivers

Faculty

Lloyd A. Bookman is a founding partner in the Los Angeles law office of Hooper, Lundy & Bookman, PC (HLB). He has specialized in Medicare and Medicaid reimbursement and compliance since 1979. Mr. Bookman also represents health care providers in fraud and abuse matters involving false claims and anti-kickback issues, in self-referral matters — serving as counsel in civil and administrative litigation and investigations — and as special counsel in criminal matters.

Jordan B. Keville is a partner in HLB’s Los Angeles office, where he focuses his practice on reimbursement and regulatory issues for health care providers. Mr. Keville has been actively involved in several large-scale litigation matters related to Medicare and Medicaid reimbursement policies.

Paul A. Deeringer is an attorney at HLB’s San Francisco office, and emphasizes health care-related regulatory and business issues in his practice. Mr. Deeringer advises clients on numerous regulatory issues, including federal health care reform, fraud and abuse, health information privacy and security, and Medi-Cal reimbursement.   

Dan Majka is a senior vice president in Kaufman Hall’s Los Angeles office. Mr. Majka consults on a national basis for clients including regional health care systems, academic medical centers, and community hospitals. His areas of expertise include the preparation of integrated strategic and financial plans, development of capital allocation processes, financial advisory services for bond issues, and merger and acquisition-related analyses. Mr. Majka is a frequent speaker for the health care industry, including the Healthcare Financial Management Association (HFMA) and the American College of Healthcare Executives (ACHE). 

Jody Hill-Mischel is a managing director of Kaufman Hall and is based in the Los Angeles office. A veteran in health care capital and financial advisory services, her expertise includes debt-related financing, strategic financial and capital planning, capital allocation, and merger, acquisition, joint venture, and divestiture engagements. Ms. Hill-Mischel’s clients include health care systems, academic medical centers, community medical centers, and physician groups. She is an author and regular speaker on health care finance and joint venture topics. 

Ellen Riley is a senior vice president of Kaufman Hall, working from the firm’s Los Angeles office since 1988. Her areas of expertise include financial and capital planning to develop financial solutions in the evolving era of health care reform, development and implementation of capital allocation processes, and financial advisory services in support of debt transactions and business valuations. Ms. Riley has worked with a wide range of health care organizations and is a regular speaker for the Healthcare Financial Management Association (HFMA) and other health care-related organizations.

Anne McLeod is CHA’s senior vice president for health policy and serves as a health care reform resource for member hospitals. Using her knowledge of both federal and state health care reform legislation and regulations, Ms. McLeod coordinates CHA’s efforts on the development, communication, and implementation of CHA’s strategic plan for health care reform. She also provides leadership for the design, development and implementation of the hospital fee programs.  

Sites

June 20, 2012
Hilton Los Angeles North/Glendale

100 West Glenoaks Boulevard
Glendale, CA 91202
(818) 956-5466

June 21, 2012
Hilton Irvine/Orange County Airport

18800 MacArthur Boulevard
Irvine, CA 92612
(949) 833-9999

Tuition/CEs

Members $325
Nonmembers $525

Tuition includes CEs, lunch and course materials.
HFMA chapter members may register at the CHA member rate. (See overview for list)

Continuing Education

Full attendance at the educational session is a prerequisite for receiving professional continuing education. Attendees must sign in at the seminar and, when required, include state bar or professional license number. CE certificates will be e-mailed.

Compliance — Compliance Certification Board (CCB) has approved
this program for 6.6 Compliance Certification Board (CCB) Continuing Education Units in one or more of the following areas: Application of Management Practices for the Compliance Professional; Application of Personal and Business Ethics in Compliance; Written Compliance Policies and Procedures; Designation of Compliance Officers and Committees; Compliance Training and Education; Communication and Reporting Mechanisms in Compliance; Enforcement of Compliance Standards and Discipline; Auditing and Monitoring for Compliance; Response to Compliance Violations and Corrective Actions; and HIPAA Privacy Implementation.

Health Care Executives — CHA is authorized to award 5.5 hours of pre-approved ACHE Qualified Education credit (non-ACHE) for this program toward the advancement, or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification.

Legal — CHA is a State Bar of California approved MCLE provider. This activity has been approved for 5.5 hours of MCLE credit.

Commands