MACRA Positioning for Plans and Providers - Key Considerations for Providers and Health Plans

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MACRA Positioning for Plans and Providers - Key Considerations for Providers and Health Plans 
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The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) represents a tectonic shift in how providers are reimbursed for the services they provide to Medicare fee-for-service (FFS) beneficiaries. MACRA will have a major impact on the way most providers will be reimbursed for the care provided under Medicare Part B. MACRA permanently repeals the Sustainable Growth Rate (SGR). Under MACRA, Part B reimbursement will be adjusted. An eligible clinician will see his or her Medicare reimbursement adjusted under one of the three following options: Merit-based Incentive Payment System (MIPS); Partial qualifying participant; or Qualifying Participant. While on the surface this may seem like it has little to do with health plans in the commercial, Medicare Advantage, or Medicaid space, in reality MACRA has broad and wide-ranging implications for other payers. Furthermore, with MACRA implementation starting on January 1, 2017, payers need to understand how this soon-to-be implemented law will impact the market, and providers need to understand how this soon-to-be implemented law will impact their reimbursement.

In this presentation, the speaker will explore the dynamics of how MACRA will impact all parts of the healthcare market while explaining the key concepts surrounding how MACRA will impact provider reimbursement. Additionally, the speaker will explore specific strategies for how both providers, health systems, and health plans can leverage MACRA to its fullest effect to further organizational goals and reimbursement.

Please join us Thursday September 8th, 2016 at 1 PM Eastern as Milliman's Colleen Norris tackles these topics and more in the HealthcareWebSummit event: MACRA Positioning for Plans and Providers - Key Considerations for Providers and Health Plans.
Learning Objectives

After attending this webinar, attendees will be able to:

  1. Explore what opportunities MACRA might provide for a health plan
  2. Share in what challenges are associated with MACRA for health plans
  3. Understand how MACRA affects provider reimbursement
  4. Consider if a provider should try to become a Qualified Provider
  5. Ascertain why QP is so desirable, yet so challenging to achieve
  6. Discern how the MIPS adjustment works
  7. Examine how a provider can improve their chances of receiving a positive MIPS adjustment
  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
  • Healthcare Innovation, Transformation and Reform Executives
  • Healthcare Payment Transformation Executives
  • Legal, Regulatory and Policy Executives and Staff
  • Provider Performance Analytics Executives
  • 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
  • Hospitals and Health Systems
  • Medical Groups
  • Accountable Care Organizations
  • Provider Networks
  • Other Healthcare Providers
  • Government
  • Pharmaceutical Organizations
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Organizations
MACRA Positioning for Plans and Providers - Key Considerations for Providers and Health 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.
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!
Colleen Norris

Colleen Norris,
Consulting Actuary

  Colleen is a consulting actuary with the Denver office of Milliman. She joined the firm in 2008. Since joining Milliman, Colleen has been involved in a variety of projects involving commercial products. Her recent work has focused on assisting healthcare market participants who are taking on risk for the first time in the era of healthcare reform. She has been actively involved in assisting several healthcare CO-OPs with their applications for funding and start-up operations.

Recent projects have involved pricing and reserving of health insurance projects, benefit design and premium development, redesigning rate review processes, and studying the impact of essential health benefits.

Colleen is an Associate in the Society of Actuaries and a Member in the American Academy of Actuaries. She received her BS (summa cum laude) in Physics from Creighton University, and a MS in Physics, at the University of California, San Diego (UCSD).
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