Health Care Industry Conference 2019

This includes sessions from the conference: Health Care Industry Conference 2019

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Welcome Remarks | Policy Update

Identification: HEA1901

This update session will provide an economic trajectory of Healthcare costs.

Learning Objectives:

1. Discuss the forward trajectory of U.S. healthcare costs on families and the affordability of health care.
   
2. Understand the forward trajectory of Federal healthcare spending on U.S. budget deficits.

• Britt Tabor, CPA, FACHE, EVP & CFO/Treasurer, Erlanger Health System
• John Bardis, CEO, JB Health Solutions

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The Disruptors: How Amazon, Apple, CVS & Other Tech Companies Will Change Health Care

Identification: HEA1902

Amazon, Google and now CVS have ridden the wave of businesses leveraging their existing frameworks into health care as it turns to data and digital health. Amazon will use Prime and Whole Foods to enter into the pharmacy business, and a potential partnership with Cerner will reportedly utilize Amazon's analytics and perhaps an Amazon EHR. Google has been pushing relentlessly into health care with initiatives in health, wellness and life sciences and even has a whole division devoted to expanding the human lifespan. With the Aetna acquisition, CVS can combine a physical footprint with a payment model and pharmaceutical innovation. This session will examine the plans these three giants have for our health care delivery system.

Learning Objectives:

1. Illustrate the disruptive impact Google is having in healthcare research, CVS will have in pharmacy and health insurance, and Amazon will have in pharmacy and medical supplies, and perhaps health clinics.
   
2. Show how all 3 companies plan to impact Electronic Healthcare Records.
   
3. Promote an understanding of a timeline of these events, and the probable outcomes.

• Ron Galloway, President, 818 Research LLC

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Business Combinations and Goodwill: A Primer and Update

Identification: HEA1903

Business combinations in the health care space continue to have high annual volumes, but how do these impact the balance sheet post-transaction. The session will discuss details regarding ASC 805, Business Combinations, as well as post-transaction goodwill related issues.

Learning Objectives:

1. Discuss background information on ASC 805 and ASC 350.
   
2. Provide attendees instructive insight on the application of accounting for business combinations.

• Jimmy Peterson, Principal | Advisory Services - Healthcare, Deloitte
• Dan Platten, CPA, Director, Duff & Phelps

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Using Telemedicine to Reduce Disparities, Humanize Healthcare and Drive ROI

Identification: HEA1905

This session will explore some of the ways that telemedicine is being deployed right now in the U.S., and the measurable outcomes and ROI that hospitals are seeing. We will discuss how technology can be implemented, utilized, and customized to reduce health system costs and aide in care delivery. But beyond that, we will discuss some of the intangibles of the patient experience and how optimal use of virtual solutions can be a powerful means to humanize healthcare.

Participants in this session will gain insights in these areas:

• How telehealth systems can help improve efficiency, increase access and enhance satisfaction.
  
• The importance of training and culture change to create a successful telemedicine program.
  
• What kind of outcomes are U.S. health systems already achieving by deploying telehealth.
  
• How to ensure a focus on the human element (the patient!) when delivering telehealth.

• James Edwards, CEO, Cloudbreak Health

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Navigating Physician Acquisitions - Private Equity & Health System Buyers

Identification: HEA1908

Acquisitions of physician practices by private equity and health systems have been increasing and changing the market landscape for providers. This session will provide an overview of the physician transaction market and include discussions around relevant transactional differences between a health system and private equity buyer, including those related to physician compensation and incentive strategies.

Learning Objectives:

1. Compare/contrast private equity vs. health system approaches for acquisitions.
   
2. Discuss key assumptions influencing acquisition price including physician compensation structures and rates.

• Matt Fegan, ASA , Sr. Manager - Valuation, Plante & Moran, PLLC
• Colin McDermott, CFA, CPA /ABV, Managing Director, VMG Health
• Matthew J. Wescott, ASA, Partner, Plante Moran

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Revenue Cycle: Strategic Planning & Reimbursement - Robotics, Cognitive Automation and Artificial Intelligence

Identification: HEA1907

In this session, we will discuss the applicability of these state of the art technologies broadly to provider Finance and specifically to Revenue Cycle.

Learning Objectives:

1. Learn how to determine when and how to select automation technologies.
   
2. Understand the complexity and time requirements to deploy automation and AI projects.
   
3. Discuss project and bottom line economics achieved with the use of these new technologies.

• Surya Ravulaparthy, Senior Manager, Deloitte Consulting
• Benjamin Snow, Senior Manager, Deloitte Consulting

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The Evolution of Value Based Care - Are You Ready?

Identification: HEA1906

This session will describe the current state of value-based care and identify opportunities for providers to increase their readiness for VBC arrangements. The session will also offer ways to maximize upside risk returns for those already participating in such arrangements and identify potential new revenue streams through these arrangements. Multiple case studies will be offered to enhance the audience’s understanding of the current trends, what is working and what is not working. Mr. Gregory will facilitate an interactive discussion throughout the presentation in the form of informal survey questions designed to engage the audience.

Learning Objectives:

• To better understand practical ways to enable effective risk contracting within your organization, including risk-readiness guidelines.
• To enhance your understanding of ways to optimize payer relations and generate new revenue streams in the process.

• David Gregory, Principal, Baker Tilly Virchow Krause, LLP

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Payer Challenges Causing Revenue Cycle Disruptions

Identification: HEA1909

Revenue Cycle Disruption is becoming the 'norm' in healthcare. Payers have always had the power of cash/money, but with prior authorization, changes In contracting and ongoing revisions to directing of patients plus new players in the field of care delivery has mixed up the payer/provider relationship more than ever. Learn action oriented ideas as we attack this ongoing disruption.

Learning Objectives:

1. Attendees will learn 'hot off the press' payer changes that will dramatically impact daily operational flow with hospitals and providers.
   
2. Attendees will take away 'train the trainer' concepts for rapid implementation.

• Day L. Egusquiza, President, AR Systems,Inc

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YellowBook & Uniform Guidance Update

Identification: HEA1910

In this session, we will discuss some of the trends in Uniform Guidance as well as significant changes occurring in Uniform Guidance audits as a result of the release of the 2019 Compliance Supplement. Further, the 2018 revision of Government Auditing Standards (the Yellow Book), the first revision since 2011, will be discussed.

Learning Objectives:

1. Understand trends in Uniform Guidance and changes in the 2019 Compliance Supplement.
   
2. Understand the updates coming out in the 2018 revision of the Yellow Book.

• Filip Nowak, CPA, Director, PricewaterhouseCoopers LLP

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Chair Announcements | Revenue Recognition Implementation - Bumps and Pitfalls

Identification: HEA1911

During this session, presenters will take a look at recent hot topics related to revenue recognition. In addition, hear how Trinity Health, one of the largest Catholic health care systems in the U.S., tackled adoption of the new standards and wrote an accounting policy to address the new standards. We will discuss the impact this had on their financial statements as well as lessons learned from implementation.

Learning Objectives:

1. Learn about considerations for accounting for risk contracts and provider taxes.
2. Overview of other implications arising from implementation.
3. Learn how Trinity tackled applying the new standards to $18 billion of revenue.
4. Go over their application of the portfolio approach.
5. Discuss overview of documentation included in their accounting policy.
6. Understand how the standards appear in Trinity Health's FY2019 audited financial statements.
7. Review lessons learned from their implementation of the standards.

• Britt Tabor, CPA, FACHE, EVP & CFO/Treasurer, Erlanger Health System
• Kimberly McCarthy, CPA, VP, Financial Reporting & System Controller, Trinity Health
• Jay D. Adkisson, CPA, Partner, RSM US LLP