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. 2
Accelerator Action Items Answer Poll Question in Webinar : Please identify a 1. 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. Complete this survey (progress report) by March 13 th 2. – Deadline extended from 3/7 to 3/13 – Expected completion time: 3 minutes Register for the Accelerator-exclusive Program Check-in 3. on March 22 nd Thank k you to those e who have e comple leted ted these e action tion items ms! 3
26 tools and resources for organi- zations in the 2018 CAPC Payment Accelerator class 4
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 5
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 6
A CLOSER LOOK AT A FEW . . . 7
➔ 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 8
➔ 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 10
➔ Understanding how your ➔ Yes, this tool is complicated program design impacts ➔ Yes, it has spreadsheets your costs ➔ Resources to help: ➔ Modifying your program – Instruction Guide – Example Workbook design and determining – Webinar Recording of the impact on costs “Deep Dive into ➔ Turning costs into prices Understanding Costs” for negotiation 11
➔ 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! 12
➔ Raises the cautions of potential compliance issues – Delivering home-based care – Anti-Kick-Back Statute – Stark Law ➔ Gives your lawyer a starting point 13
➔ 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 14
➔ Advice on: – Choosing a video platform – Preparing patients for video visits (sample scripts) – Do’s and Don’t’s – Billing considerations 15
➔ 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 16
➔ 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! 17
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 18
But wait, there’s more . . . Program Check-in (Quarterly Convening) • First Program Check-in on March 22 nd (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 Accelerator-Exclusive Webinar • Managing Populations on May 21 st • How to use data to find the right patients, successfully bring them on program, and work with treating providers by developing clinician relationships Accelerator listserv • Introductory email will be sent no later than March 12 th • Stay up to date! Reminders for upcoming Accelerator-exclusive events • Opportunity for peer support and discussion CAPC MEMBERS: Don’t forget to take advantage of membership offerings and 19 benefits as well! (Webinars, VOH, Toolkits)
Accessing the Accelerator Tools ➔ DropBox and BaseCamp – Email Seema.Setia@mssm.edu 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 20
Questions? Please type your question into the questions pane on your WebEx control panel.
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