Risk is an inevitable part of the work we do, particularly within the context of health care. At the AICPA’s Health Care Industry Conference, we’ll show you how to evaluate old habits on mitigating risk – and reframe risk to your advantage.
Come to Las Vegas for a forum where experts and practitioners convene to share knowledge and insight on guiding industry-specific financial decisions. The conference’s in-depth coverage combined with panel discussions, Q&As and networking will help you lead your clients and organization confidently through key challenges and opportunities ahead.
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The session will provide an overview of psychiatry and substance abuse services.
1. Recognize supply, demand, legislative and reimbursement trends.
2. Identify key stakeholders, partnership opportunities and imperatives.
3. Recognize indicators of operational excellence.
Physician transactions require a deliberate and definitive process and approach to managing and maneuvering through the healthcare industry’s complex clinical, operational, financial and legal/regulatory environment. Thus, this deep dive presentation will outline and present a health system’s executive insider perspective toward effectively managing through the environment by delineating the key drivers and rationale on physician affiliation and transactional options, effective and essential steps toward effective due diligence of physician transactions, and the key and essential roles of internal and external executives, financial, valuation and legal team members, and advisors toward getting it right.
• To present the key driving factors behind why physician-health system alignment is crucial to any health system’s service delivery and operational performance now and in the future;
• To identify and outline the clinical, operational, financial/valuation, regulatory/legal due diligence steps and requirements to properly evaluate each type of physician transaction and option;
• Use of an “integrated project management and decision-matrix approach” toward managing physician transactions and options; and,
• Delineation of the roles and responsibilities of the essential due diligence team of health system executives and project sponsors and the essential use and utility of financial, valuation, legal/regulatory and other technical advisors and consultants toward getting it right.
Health care providers are faced with many challenges and key decisions. This facilitated panel discussion, including CFOs from various health care providers, will share insights on the key issues facing their organizations. A Q&A period will allow participants to share best practices and insights on key issues. Attendees will: Gain insight into actual strategies that successful CFOs have used to navigate the waters of functioning in an integrated health care system and health care reform and have an opportunity to pose specific questions to successful CFOs regarding any issues or concerns that the attendee may have encountered.Speaker(s):
Healthcare organizations are universally experiencing increased operating expenses and, at the same time, static or even reduced payments. With declining margins, healthcare executives are looking how their organizations can increase revenue and reduce operating costs. A common strategy has simply been to increase the size of an organization thereby gaining economies of scale and effectively reducing unit costs while increasing negotiating clout to improve payment levels. This strategy has led to a wave of mergers and acquisitions among health systems, hospitals, and physician practices.
Faced with the prospect of being acquired by a health system, physician practice leaders need to evaluate the advantages as well as the disadvantages for remaining independent. This session will examine how a physician practice can retain its autonomy and resist the lure of being part of a larger healthcare system.
1. Describe economic advantages enjoyed by larger healthcare organizations and the potential diseconomies of scale that occur when organizations grow too large, too quickly.
2. Describe how an independent physician practice can obtain a market advantage while other healthcare entities consolidate operations
3. Describe how an independent practice can access the capital it needs to grow operations and exploit niche markets
The culture of healthcare is changing - impacting the patients, the providers, the payers and the nation's approach to healthcare delivery. Learn how the dynamic environment of mergers along with employer/payer/provider's new relationships are causing almost daily disruption in the status quo.
1) Attendees will learn how disruption is impacting every area of traditional healthcare.
2) Attendees will be able to engage in the different areas of impact - patients, providers, payers and the nation.
This course is designed to inform session participants about the new leasing standard. Participants will walk away with a better understanding of ASC842's impact to the healthcare industry, an expectation of what a successful implementation looks like and insight into what the leasing process will look like tomorrow.
1. Obtain an understanding of the new leasing standard and applicable nuances for the healthcare industry.
2. Establish and expectation of what is needed for a successful implementation.
3. Obtain an understanding of current lease processes and the changes needed in the future state.
Blockchain is a popular buzzword in the technology world today. In this session, Mark Burnette will explain what blockchain really is, why it is relevant, and provide some insights on how blockchain technology is being used in the healthcare industry today, as well as some potential uses for the future.
1. Understand how blockchain technology works - Articulate the benefits of blockchain technology.
2. Identify ways that blockchain technology could be used within the healthcare industry.
The health care industry is highly regulated by a variety of criminal and civil fraud and abuse laws. An effective program to ensure compliance with those laws is essential to health care providers. This session will include a discussion of current compliance “hot topics” of particular significance to providers and their advisors. The session will include the following:
• A discussion of the 60-day Medicare and Medicaid overpayment statute and CMS's corresponding 60-day rule
• An update on major court decisions interpreting the federal False Claims Act
• How enhanced data analytics and the Yates memo have changed the way in which corporate and individual violators of the fraud and abuse laws are identified, investigated, and held accountable
• The potential payment decreases associated with the CMS Evaluation and Management (E/M) proposed rules for collapsing office visits on the day of a procedure and revised documentation and coding for E/M services
• Appeals of Medicare and Medicaid contractor audits and overpayment determinations
1. Gain a better understanding of the scope of the 60-day overpayment provisions and the information that may trigger a duty to investigate potential overpayments.
2. Develop an awareness of major court decisions impacting compliance with federal laws, including the False Claims Act.
3. Understand that the government also may seek to hold individuals accountable for regulatory violations.
4. Gain an understanding of the new approach to payments for E/M services and its impact.
5. Learn strategies for responding to and appealing audits and Medicare/Medicaid overpayment determinations.
Historically, joint venture transactions were driven by commercial reimbursement, management expertise, cost efficiencies, and access to capital. While these drivers are still prevalent today new motivators continue to emerge including changing reimbursement models, access to network and infrastructure, and payor pressures to put patients in the lowest cost setting. The post-acute segment is in a strong position to benefit from these transaction drivers and health systems have participated in a flurry of joint ventures with specialty management companies. This presentation will explore the market and business rational of joint ventures along with an in-depth view of a health systems recent experience.
1. The audience will gain an understanding of current market overview and dynamics driving post-acute joint ventures
2. Understand the benefits and risks when entering a joint venture
3. Discuss operational and structural considerations when forming a joint venture
4. Participate in a case study of CHRISTUS’ recent joint venture with LHC Group including a review of preliminary indicators of success
Without interoperability, providers wouldn’t get quick access to patients’ health data or may not have the most current information to make informed care decisions. We, as an industry, must work together and continue driving interoperability innovation and progress, whether it’s through APIs, national networks or more defined standards to provide the best patient care possible. In this presentation, experts from Cerner will share insight on how the government and the industry are moving interoperability forward in health care.
1. The audience will leave with an understanding of the regulatory background and landscape of interoperability in health care up to the current day.
2. The audience will have an understanding of where the health care industry is going and what the government's involvement will likely be.