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Reducing Readmissions: Collateral Effects 
 
Overview
The Medicare program later this year will financially penalize hospitals whose patients are readmitted within 30 days of their discharge. This profound change to a payment system that has remained virtually intact for nearly half a century will force hospitals to profoundly rethink how they treat their patients both while in their care and after they are discharged.

The readmission penalty affects other providers as well. Physicians – hospitalists in particular – will be forced to rethink the way they treat or refer their patients, particularly those in the limbo of observation care. And patients themselves will often have to pay more out of pocket as a result. This could not only dramatically change the doctor-patient relationship in the hospital setting, but also could impact the bottom line of hospitals in terms of charity and uncompensated care.

Analytics and post-discharge technology are being increasingly utilized as tools in readmissions management that can be explored as tools in conjunction with case management to address the readmissions dilemma.

Join Maria Lopes, M.D., the chief medical officer of AMC Health and former CMO of Group Health Horizon Blue Cross Blue Shield of New Jersey, and Daniel C. Cusator, M.D., vice president of The Camden Group, to discuss the upcoming change in the finance of hospital readmissions, and how the effects will ripple far and wide.
Learning Objectives
Participants will be able to:
  1. Have a clearer grasp of the new rules regarding readmissions payments
  2. Understand the financial nuances and impacts of observation
  3. Have a clearer understanding of how observation care payment guidelines will financially hospitalist physicians, other members of the medical staff and patients
  4. Understand how observation care can impose limitations on future treatment options
  5. Consider how analytics and technology can be applied to readmissions management, including a case study involving interactive voice response and other post-hospital discharge telemonitoring solutions introduced as an adjunct to existing case management to reduce readmissions
Who Should Attend
Interested attendees would include:
  • C-Suite Executives
  • Finance Executives and Staff
  • Legal, Regulatory and Compliance Executives and Staff
  • Business Development Executives and Staff
  • Managed Care Hospital Executives and Staff
  • Marketing and Business Intelligence Executives and Staff
  • Public Relations and Communications Executives and Staff
  • Members of affiliated hospital philanthropies
  • Patient and Consumer Advocate Executive and Staff
  • Members of the Healthcare and Local Media
  • Other Interested Parties

Attendees would represent organizations including:

  • Hospitals and Health Systems
  • Medical Groups
  • Health Plans
  • Patient and Consumer Advocacy Groups
  • Government Agencies
  • Consulting Firms
  • Media
  • Other Interested Parties
 
Registration
Reducing Readmissions: Collateral Effects 
 
  Individual Registration Fee: $195. Audio Conference CD-ROM: $40 for attendees; $285 for non-attendees after the event.
 
 
 
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
 
Daniel C. Cusator, M.D.
Daniel C. Cusator, M.D.,
Vice President
The Camden Group

  Daniel C. Cusator is a vice president with The Camden Group and focuses on clinical integration, accountable care organizations, physician-hospital alignment strategies, physician leadership development, healthcare strategy, and care delivery system redesign.

Prior to joining The Camden Group, Dr. Cusator served as chief medical officer overseeing clinical integration for Providence Health & Services’ Southern California division. He was responsible for physician alignment and clinical integration across the California region. This included providing clinical leadership for the regional medical practice foundation and the implementation of the alignment model for independent physicians of Providence’s five hospitals in California.

Prior to joining Providence, Dr. Cusator served as chief medical officer for Greater Newport Physicians (“GNP”), an independent practice association with 140 primary care physicians and over 300 specialists. He also managed the 400-physician network within GNP and helped to ensure coordination and collaboration of the primary and specialty care physicians.

Prior to joining GNP, Dr. Cusator was Vice President, Medical Director of St. Joseph Hospital Affiliated Physicians. He began his clinical practice as an internist with Bristol Park Medical Group, where he held multiple positions within the group setting, eventually becoming their full time medical director in 1996. He holds a medical degree from the UCLA School of Medicine.
 


Maria Lopes, MD
Maria Lopes, M.D.,
Chief Medical Officer,
AMC Health
 
Maria Lopes, M.D., is the chief medical officer of AMC Health, a firm with offices in San Diego and New York City that uses data analytics to reduce hospital readmissions. She was formerly CMO of Group Health, Inc. and chief medical director of Horizon Blue Cross Blue Shield of New Jersey.

Dr. Lopes has overseen the medical and pharmacy utilization and decision-making as a voting member of AMC's P&T and technology assessment Committees. Dr. Lopes has been an obstetrician and gynecologist in clinical practice for over six years.

She received her medical degree from the University of Connecticut, and has an master's degree in administrative medicine from the University of Wisconsin and a bachelor's degree from Wesleyan University.




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