Value-Based Purchasing Forum

Medicaid Disproportionate Share Hospital (DSH)

January 2019

A Conversation: State Approaches to Successfully Manage VPB and Achieve Improved Outcomes

Sept. 30th - Oct. 1st
Slider

Purpose 

Join us as we facilitate a conversation for state Medicaid professionals on value-based purchasing arrangements. This is a great opportunity for you to get together with your peers and learn from each other what has worked, what hasn’t worked, and what your next steps might be for your state’s VBP program. This educational event is free of change and is restricted to government employees only.

In addition to informative sessions and experienced speakers and moderators, this private event also includes an evening networking reception on site. You will have many opportunities to share experiences and learn from other governmental agencies to include comparing your approaches to VBP, discussing tools that have been successful, and benefiting from lessons learned by others.

Learning Objectives

  • Gain an understanding of value-based purchasing, including the rationale and key concepts.
  • Identify programmatic approaches to calculate and report on quality performance measures and analyze data to improve outcomes.
  • Discuss specific resources such as: Nursing Home Compare, Hospital Compare, National Quality Forum, etc.
  • Consider requisite infrastructure demands necessary for VBP: cultural, operational, and relationship development.
  • Share state and federal perspectives on best practices and future trends related to VBP.
  • Examine how quality components can be funded and incorporated into nursing home, hospital, and physician payment methodologies, as well as managed care organization (MCO) arrangements. 

Agenda

The VBP Forum is an opportunity for states to receive up-to-date information on implementation, management, and outcomes of value-based purchasing arrangements. Please click below for further details.

Monday, September 30: Noon - 5:15 p.m.

12:00 – 12:30 p.m. Opening and Welcome

Kris Knerr, CPA, CGFM, Member – Myers and Stauffer

Jerry Dubberly, MBA, PharmD, Principal – Myers and Stauffer

.

12:30 – 1:30 p.m. Federal Update

CMS Invited to Present
Kris Knerr, CPA, CGFM, Member – Myers and Stauffer

  • Identify Medicaid and Medicare quality programs (MIPS).
  • Share and discuss Trump-Azar administration goals, including potential alignment of LTSS single site payments.
    .
    .

1:30 – 2:30 p.m. Quality Measures as Established by the National Quality Forum

Sepheen C. Byron, MHS, Assistant Vice President, Performance Measurement – NCQA
Jennifer Lenz, MPH, Assistant Vice President, Quality Solutions Group – NCQA
Catherine Snider, Senior Manager – Myers and Stauffer

  • History of measures – how we got to where we are.
  • Discussion of federal meaningful measures, program measure selection, and alignment.
  • Review Health Care Payment Learning and Action Network (HCP-LAN) Framework.
    .
    ..

2:30 – 2:45 p.m. Break

.

2:45 – 4:00 p.m. Quality Measures in LTSS Environment

Dan Brendel, Senior Manager – Myers and Stauffer
Bobby Courtney, MPH, JD, Senior Manager – Myers and Stauffer

  • Pros/cons of Five Star data.
  • Quality measure data and quality measure reports in nursing facilities and home and community-based services.
  • Discussion of provider staff turnover and the impact on quality.
    .
    ..

4:00 – 5:15 p.m. Data Exchange and Analytics – Trends and How Data is Being Used to Demonstrate Quality

Kelly Gonzalez, MS, PMP, CUA, Director of Health IT Solutions – Myers and Stauffer

  • Building From Where We Are: Building from a quality strategy.
  • Foundation for VBP: Data that advances delivery system goals.
  • Data Analytics and Usage: review specific examples regarding promotion and use cases for quality and VBP.
    .
    ..

5:30 – 7:00 p.m. Evening Networking Reception
.
.

Tuesday, October 1st: 8:00 a.m. - 1:00 p.m.

7:00 – 8:00 a.m. Breakfast

.

8:00 – 8:15 a.m. Opening and Day 1 Re-cap

Kris Knerr, CPA, CGFM, Member – Myers and Stauffer
Jerry Dubberly, MBA, PharmD, Principal – Myers and Stauffer
.

.

8:15 – 9:30 a.m. Multi-Payer Alignment – State Panel

Jerry Dubberly, MBA, PharmD, Principal – Myers and Stauffer
Robin Lunge, JD, MHCDS, Member – Vermont’s Green Mountain Care Board

  • Leveraging Medicare, commercial, public employee benefits and Medicaid to move along VBP continuum.
  • Examples of initiatives with multi-payer alignment.
  • How to keep stakeholders engaged in all phases.
    .
    ..

9:30 – 11:00 a.m. State Trends and Innovation – State Panel

Jason Sanchez, Deputy Director for Finance and Administration – New Mexico Medical Assistance Division
Kelley Capuchino, Senior Policy Analyst – New Hampshire Division of Behavioral Health
Sandra Greyerbiehl, Quality Payment Specialist – Michigan Department of Health and Human Services
Catherine Sreckovich, Director – Myers and Stauffer

  • Introduction of diverse VBP and alternative payment model approaches being utilized to address innovative delivery system goals that require improvement by managed care organizations and/or other health system providers.
  • Discuss which approaches yield high performance results and why.
  • Share what policy planning and vision setting occurred to launch the VBP program.
  • Share what state oversight and operational processes are in place to enable policy and program decision-making and provide evidence of improved outcomes.
    .
    ..

11:00 – Noon VBP/P4P Trends in Managed Care for LTSS – State Panel

Alexandria Childers-Scott, Long-term Care Policy Analyst – Idaho Department of Health and Welfare
Dave Halferty
, MBA, Senior Manager – Myers and Stauffer

  • Nursing facility rate setting in MCO environment.
  • Quality component as part of reimbursement.
  • Funding of quality component.
    .
    ..

Noon – 1:00 p.m. Lunch with Conference Summary and State Discussions

.

Speaker Information