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CPC+ Implications, Strategies and Stakeholder Issues: The Public-Private Advanced Primary Care Medical Home Model  
 
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Overview
CPC+ is a CMS five-year initiative starting in January 2017 to create a national advanced primary care medical home model that aims to strengthen primary care through a regionally-based multi-payer payment reform and care delivery transformation. CPC+ will be implemented in up to 20 regions and can accommodate up to 5,000 practices, which would encompass more than 20,000 doctors and clinicians and the 25 million people they serve. The multi-payer approach involves Medicare partnering with commercial and state health insurance plans to support primary care practices in delivering advanced primary care.

This special 30+ minute session provides an overview of CPC+ program details and examines the new model's implications, strategies and issues for stakeholders, including the need for near term planning between payors and provider systems and the potential for the program to influence, or be influenced by, the structures of private payor medical home arrangements.

Please join us Wednesday, May 11th, 2016 at 2 PM Eastern as Epstein Becker Green's Mark Lutes and Joe Lynch and EBG Advisors' Bob Atlas address these issues in the HealthcareWebSummit event: CPC+ Implications, Strategies and Stakeholder Issues: The Public-Private Advanced Primary Care Medical Home Model
 
Learning Objectives

After attending this webinar, attendees will be able to:

  1. Understand the major provisions and logistics involved with the new CPC+ model
  2. Explore the implications of the CPC+ model for stakeholders including primary care practices, provider networks, hospital systems, health plans, CMS, and states
  3.  Ascertain how private health plan medical home arrangements will be influenced by, or influence, the CPC+ model
  4. Evaluate how the CPC+ model may impact state and local pcmh initiatives
  5. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group.
Who Should Attend

Interested attendees would include:

  • C-Suite Executives
  • Healthcare Innovation, Transformation and Reform Executives
  • Healthcare Payment Transformation Executives
  • Legal, Regulatory and Policy Executives and Staff
  • Medical Home Administrators and Staff
  • Provider Relations and Contracting Executives and Staff
  • Provider Network Operations Executives and Staff
  • Finance Executives and Staff
  • Managed Care Executives and Staff
  • Planning and Strategic Executives and Staff
  • Business Intelligence Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Health Plans
  • Patient Centered Medical Homes
  • Medical Groups
  • Hospitals and Health Systems
  • Accountable Care Organizations
  • Provider Networks
  • Other Healthcare Providers
  • Employers
  • Government
  • Pharmaceutical Organizations
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Organizations
Registration
CPC+ Implications, Strategies and Stakeholder Issues: The Public-Private Advanced Primary Care Medical Home Model
 
  Individual Registration Fee: $95. Post-event materials, with video syncing slides and recorded audio, plus presentation pdf file: $45 for attendees; $160 for non-attendees after the event. Register online or download the event brochure. Attendees will also receive a complimentary three month subscription to Medical Home News.
 
 
 
Register Now   Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!
 
 
Faculty
 
Mark E. Lutes

Mark E. Lutes
Chair, Board of Directors; Member of the Firm
Epstein Becker Green

  Mark E. Lutes is a Member of the Firm in the Health Care and Life Sciences practice of Epstein Becker Green and the Chair of the firm's Board of Directors. Based in Washington, DC, he has practiced with the firm for nearly three decades. Prior to that, he was a legislative adviser to the Federal Trade Commission. He also offers strategic counsel in health policy and on reimbursement strategy through the firm's affiliates EBG Advisors, Inc., and National Health Advisors, LLC.

Mr. Lutes is a leader in the firm's representation of private equity and financial services firms with health care companies in their portfolios. He routinely deploys multidisciplinary teams of attorneys, reimbursement specialists, engineers, and scientists to assess the reimbursement, FDA and other domestic and international regulatory approvals, fraud and abuse compliance, CMS and legislative landscapes and other issues impacting proposed client investments in health care companies. Mr. Lutes combines experience with the corporate aspects of transactions with his deep experience in health care compliance issues to provide clients with practical advice in the negotiation of warranty and indemnification issues and in assessing risk factors in health and life science deals. He has advised on the largest transactions in the health care market including services, pharmaceutical and device companies.

Mr. Lutes is also an experienced antitrust counselor to health care companies contemplating mergers or acquisitions and has facilitated the antitrust clearance of numerous significant hospital mergers. He has managed the defense of high profile healthcare antitrust actions by the FTC.

Mr. Lutes has a deep understanding of managed care markets and regulation. He is consulted by a variety of providers and payors in structuring innovative payment arrangements. Additionally, he counsels on hospital and physician ventures and compliance issues and in the area of information privacy and security. Mr. Lutes has developed privacy and security audit tools which support client compliance needs.

He has been selected for inclusion in Washington, DC Super Lawyers (2007 to 2010, 2013, 2014) and honored by Nightingales as a leading health care antitrust lawyer. He is ranked among the "Leaders in Their Field" by Chambers USA (2010 to 2014).

Mr. Lutes is active in his parish and serves as Chair of the Advisory Board of the Spanish Catholic Center, a social and health services nonprofit. He also serves on the President's Council of Catholic Charities, Archdiocese of Washington, DC, which honored him with The Caritas Award, its highest recognition of volunteers. Mr. Lutes also has over a decade of service in leadership in the Boy Scouts of America organization.

 
Joseph E. Lynch

Joseph E. Lynch
Member of the Firm
Epstein Becker Green

 

Joseph (“Joe”) E. Lynch is a Member of the Firm in the Health Care and Life Sciences practice, in the Washington, DC, office of Epstein Becker Green. His clients include health care systems, clinical integration entities, academic medical centers, hospitals, physician practices, ambulatory surgery centers, provider networks, and other health care providers. Mr. Lynch has nearly 30 years of experience in structuring, negotiating, and implementing a wide range of clinical and administrative transactions and in counseling clients on transactional, regulatory, and compliance matters. He has been recognized by Chambers USA: America’s Leading Business Lawyers as one of the nation’s leading business lawyers in health care law and by Nightingale Healthcare News as one of the top 10 outstanding physician practice lawyers in the country.

Mr. Lynch’s experience includes: Conceptualizing, forming, and implementing hospital-physician integration organizations, strategies, and transactions, and developing, negotiating, and establishing clinical and administrative services joint ventures and contractual arrangements involving health care providers; Representing health care entities in acquisitions, consolidations, and divestitures; operational issues; and strategic planning; Advising health care providers regarding compliance with federal and state anti-kickback and referral prohibition laws and regulations, conducting compliance audits, and developing compliance plans; Representing health care clients on government investigations and self-disclosures concerning the federal Stark Law and Anti-Kickback Statute; Negotiating information system agreements and electronic health record agreements for health care systems, clinical integration entities, academic medical centers, hospitals, physician practices, ambulatory surgery centers, health information exchanges, health information networks, and other health care providers.

Mr. Lynch previously served as a Law Clerk for the Honorable James H. Michael, Jr., of the U.S. District Court for the Western District of Virginia. He received his J.D. from the
University of Virginia, and his B.A. from Cornell University.


 
Bob Atlas

Robert F. Atlas
President and Strategic Advisor
EBG Advisors

 

Bob Atlas is President of EBG Advisors, a health care consultancy affiliated with the law firm of Epstein Becker Green.

Mr. Atlas has nearly four decades of experience as an advisor to senior leaders and governing authorities in the health care industry and the public sector. He consults on strategy, policy analysis, program development, and performance improvement for health care providers, payers, policymakers, product makers, investors, and other stakeholders. He is well regarded for his expertise in managed care and accountable care, health services management, health care finance, and the public insurance programs, Medicaid and Medicare.

Of late, Mr. Atlas has been engaged in governmental health financing innovations. He led a team implementing national health insurance in a Caribbean island nation and is currently engaged with two states’ Medicaid agencies designing coordinated care solutions that feature patient-centered medical homes spanning primary care through long-term services and supports. He is also working with providers, health plans and life sciences companies on deploying value-driven care concepts in sustainable programs.

In the years before joining EBG Advisors, Mr. Atlas was principal executive of three nationally prominent health care consulting firms. Previously, after earning an M.B.A. in Health Administration and Finance from The University of Chicago Booth School of Business, he served as a commissioned officer in the U.S. Public Health Service. He worked in Medicare’s quality-of-care office and in the agency responsible for promoting the growth of health maintenance organizations.

 
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