REVIEW OF ACCELERATOR TOOLS AND RESOURCES · Accelerator Class 2018-9 Webinar March 8, 2019. Link...
Transcript of REVIEW OF ACCELERATOR TOOLS AND RESOURCES · Accelerator Class 2018-9 Webinar March 8, 2019. Link...
REVIEW OF ACCELERATOR
TOOLS AND RESOURCES
Allison Silvers, MBA
Vice President, Payment & Policy
Center to Advance Palliative Care
Accelerator Class 2018-9 Webinar
March 8, 2019
Link to Webinar Recording
Webinar Recording: How to Use
Accelerator Tools
Click on the link above to access the
recording of the webinar for these slides.
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Accelerator Action Items
1. Answer Poll Question in Webinar: Please identify a
specific topic or challenge as you seek out financial
partners that you would like addressed during the program
check-in session (on 3/22). Responses will be collated and
shared with the facilitator to inform the session.
2. Complete this survey (progress report) by March 13th
– Deadline extended from 3/7 to 3/13
– Expected completion time: 3 minutes
3. Register for the Accelerator-exclusive Program Check-in
on March 22nd
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Thank you to those who have completed these action items!
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26 tools
and
resources
for organi-
zations in
the 2018
CAPC
Payment
Accelerator
class
Organization of resources
➔Program Adaption: Tools to help you “play
with” staffing and patient visit changes
➔Business Partnerships: Tools for showing
your value, making your pitch, and building
partnerships
➔Financing: Tools to help understand how
payment works and how to develop a price
➔Target Measures: Suggest quality measures
for pitches and contracts; cost benchmarks
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Organization of resources (cont’d)
➔Managing Populations: Tools to find
appropriate patients and risk-stratify them,
using both data and clinical relationships
➔Contracting and Legal: Tools for your lawyers
to use! Plus guidance on regulatory/licensure
issues and on hiring lawyers and actuaries
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A CLOSER LOOK AT A FEW . . .
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➔ Suggestions on what to present when you meet with a
potential financial partner
➔ Prompts the basics:
– What is palliative care, and what are its benefits
– Existing slides of published literature
– Patient story
– Introduction of organization, and of program
➔ Prompts articulation of your program’s unique
advantages
– What data to gather
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➔ Who pays you now? Who refers to you now?
➔ How do you compare to competitors and potential
competitors?
➔ What local organizations are “hurting” now
– Hospitals with Medicare re-admission penalties (look
through
www.medicare.gov/hospitalcompare/readmission-
reduction-program.html)
– Hospitals with fewer than 3 Stars (look through
www.medicare.gov/hospitalcompare/search.html)
➔ Who’s pursuing value in your area?9
CMMI: Where Innovation is
Happening
➔https://innovation.cms.gov
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➔ Understanding how your
program design impacts
your costs
➔ Modifying your program
design and determining
the impact on costs
➔ Turning costs into prices
for negotiation
➔ Yes, this tool is complicated
➔ Yes, it has spreadsheets
➔ Resources to help:
– Instruction Guide
– Example Workbook
– Webinar Recording of
“Deep Dive into
Understanding Costs”
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➔Document that lays out “who does what” in
a pilot partnership
– Can be the only document for a long-term
relationship as well
➔Prompts for each section
➔Gives your lawyer a starting point
– Don’t try this at home!
➔Raises the cautions of potential
compliance issues
– Delivering home-based care
– Anti-Kick-Back Statute
– Stark Law
➔Gives your lawyer a starting point
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➔Enrolling patients without relying solely on
referrals!
– How to find appropriate patients
– How to introduce your services to patients and
families
– How to coordinate and build relationships with treating
clinicians
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➔Advice on:
– Choosing a video platform
– Preparing patients for video visits (sample
scripts)
– Do’s and Don’t’s
– Billing considerations
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➔Emerging model of small monthly payment
for home-based care – how to make it work?
➔Existing ratios for MDs, NPs, RNs, SW, and
others
➔Considerations for developing a cost-
conscious staffing model
➔ We work with a very
high-cost population and
we can’t make them low-
cost
➔ These benchmarks show
how high a total cost of
care really is for seriously
ill patients
➔ This data is not easy to
get!
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Payment Primer
and Glossary
➔Starts with the basics of how payment for
health care works in the US
– How health plans work
– What incentives are at play
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But wait, there’s more . . .
• First Program Check-in on March 22nd (in 2 weeks)
• Learn from your peers and discuss what is working, what is/has been challenging, how colleagues have overcome similar challenges
• Stay connected, leave with new ideas
Program Check-in (Quarterly Convening)
• Managing Populations on May 21st
• How to use data to find the right patients, successfully bring them on program, and work with treating providers by developing clinician relationships
Accelerator-Exclusive Webinar
• Introductory email will be sent no later than March 12th
• Stay up to date! Reminders for upcoming Accelerator-exclusive events
• Opportunity for peer support and discussion
Accelerator listserv
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CAPC MEMBERS: Don’t forget to take
advantage of membership offerings and
benefits as well! (Webinars, VOH, Toolkits)
Accessing the Accelerator Tools
➔ DropBox and BaseCamp
– Email [email protected] to have your email
address added to the Dropbox folder and Basecamp
site
– This enables access to any new materials and updates
➔ Email ZipFile (last resort)
– Email Seema and request file
– Caveats:
• No access to any new materials or updates
• Large file may not make it past your organization’s firewall
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Questions?
Please type your question into the questions pane
on your WebEx control panel.