SNF Performance for Medicare Populations: Measuring and Benchmarking SNF Performance Metrics for ACOs and MA Plans

      
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SNF Performance for Medicare Populations: Measuring and Benchmarking SNF Performance Metrics for ACOs and MA Plans 
 
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Overview
With expenditures for skilled nursing facility (SNF) services over $40 billion for the Medicare population, SNF services are a significant area of focus for Medicare accountable care organizations (ACOs), Medicare Advantage health plans, and participants in other Medicare programs, such as bundled payments. These organizations strive to provide more cost-efficient healthcare, and reducing admissions to SNFs and managing costs during SNF stays are both important ways to control and reduce spending for SNF services.

In focusing on the latter, plans, ACOs, and health systems have sought to understand how they should measure the performance of SNFs, how to appropriately benchmark performance, and how much opportunity they have to reduce spending for SNF services by steering patients to more cost-efficient SNFs. In this webinar, a framework and metrics for measuring SNF performance is discussed, followed by an exploration of SNF performance levels across the United States in order to provide a quantitative assessment of the opportunity to reduce spending for SNF services through steerage of patients to more cost-efficient SNFs.

This examination of SNFs involves evaluation of utilization and expenditure metrics including: Average length of stay;
Inpatient transfer rate; Inpatient readmission rate; Average emergency department (ED) visits per 100 days;
Average paid per day; Average paid per discharge; and Average paid per discharge, including inpatient transfer costs.

Please join us Tuesday, March 14th, 2017 at 1 PM Eastern as Milliman's Jill Herbold and Anders Larson discuss their research and insights on SNF performance metrics in the HealthcareWebSummit event: SNF Performance for Medicare Populations: Measuring and Benchmarking SNF Performance Metrics for ACOs and MA Plans.
Learning Objectives

After attending this webinar, attendees will be able to:

  1. Evaluate SNFs on seven utilization and expenditure metrics.
  2. Review how SNFs are reimbursed under Medicare.
  3. Understand how to incorporate the Resource Utilization Group (RUG) score into performance measurement and benchmarking.
  4. Consider national average benchmarks for SNF performance metrics.
  5. Ascertain how SNF utilization metrics vary by state.
  6. Explore the relationships between various SNF performance metrics.
  7. Examine how the differences in performance among SNFs presents an opportunity for cost savings.
  8. 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
  • Medical Directors
  • Medicare Advantage Executives and Staff
  • Accountable Care Executives and Staff
  • Value Based Care Executives and Staff
  • Analytics Executives
  • Care Management Executives and Staff
  • Provider Network Operations Executives and Staff
  • Actuarial 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:

  • Medicare Advantage Organizations
  • Accountable Care Organizations
  • Hospitals and Health Systems
  • Provider Networks
  • Skilled Nursing Facilities
  • Care Management Organizations
  • Government
  • Pharmaceutical Organizations
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Organizations
Registration
SNF Performance for Medicare Populations: Measuring and Benchmarking SNF Performance Metrics for ACOs and MA Plans
 
  Individual Registration Fee: $195. Post-event materials, with video syncing slides and recorded audio, plus presentation pdf file: $45 for attendees; $240 for non-attendees after the event. Register online or download the event brochure.
 
 
 
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Faculty
 
Jill Herbold

Jill S. Herbold,
FSA, MAAA

Principal and Consulting Actuary
Milliman, Inc.

  Jill is a principal and consulting actuary with the Indianapolis office of Milliman. She joined the firm in 2009. Jill has developed an expertise in the analysis of the financial risks associated with the financing and delivery of healthcare services. She routinely works with self-funded groups, insurance companies, managed care organizations, and provider organizations.

Her projects have included: incurred claim reserve estimates; annual reserve opinions; self-funded financial projections; benefit plan design; retiree medical evaluations; provider payment benchmarking; provider contract evaluations; large group pricing and rate filings; small group ACA pricing and rate filings; individual marketplace ACA pricing and rate filings; and financial forecasting.

In the last few years, Jill has been involved with a variety of opportunities supporting provider payment reform and alternative payment models, including: shared savings agreement design and financial evaluation; patient-centered medical home programs; health care cost savings opportunities assessments; patient attribution; population health management; patient-level actionable information; physician capacity; and physician, hospital, skilled nursing facility, and home health provider performance evaluation.

Prior to joining Milliman, Jill worked with CIGNA for 16 years. She is a Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries. She is a graduate from the University of Illinois, Urbana-Champaign.
 

 
Anders Larson

Anders Larson,
FSA, MAAA
Actuary
Milliman, Inc.

 

Anders Larson is an actuary with the Indianapolis office of Milliman. Since joining the firm in 2010, Anders has worked with clients on a variety of healthcare topics, including financial projections for health and welfare funds and actuarial support for health plans. During the past several years, a key area of focus has been assisting provider organizations in ACO and gain share arrangements, including the Pioneer ACO program and Medicare Shared Savings Program. Anders has led the analytics for several projects using large industry and census data sources, including the Medicare 100% and 5% statistical analytical files, American Community Survey, Current Population Survey and Truven Marketscan. Anders is a Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries. He graduated from Wake Forest University.
 

 
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