Value-Based Purchasing Forum

Medicaid Disproportionate Share Hospital (DSH)

January 2019

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

Sept. 30th - Oct. 1st
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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 charge 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

  • Explain the rationale and key concepts of value-based purchasing.
  • 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.
  • Recognize 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

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12:30 – 1:30 p.m. Federal Update

Richard Wild, MD, JD, MBA, Chief Medical Officer – Atlanta Regional Office Centers for Medicare & Medicaid Services
Kris Knerr, CPA, CGFM, Member – Myers and Stauffer

Federal Update on quality programs across provider types to include:

  • Identify Medicaid and Medicare quality programs.
  • Share and discuss Trump-Azar administration goals on APMS, performance measurement and quality improvement.
  • Address CMS goals and methods for provider reporting burden reduction.
  • Discuss Lessons Learned from the Medicare experience.
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1:30 – 2:45 p.m. Quality Measures

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.
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2:45 – 3:00 p.m. Break

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3:00 – 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.
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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
Hannah Lawrence, MPH, Senior Health IT Analyst – Myers and Stauffer
Sandeep Kapoor, Chief Executive Officer – HealthTech Solutions
Ashish Virmani, Senior Consultant – HealthTech Solutions

  • Building from where you are.
  • 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.
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5:30 – 7:00 p.m. Evening Networking Reception
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Tuesday, October 1st: 8:00 a.m. - 1:15 p.m.

7:00 – 8:00 a.m. Breakfast

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

Kris Knerr, CPA, CGFM, Member – Myers and Stauffer
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8:15 – 9:30 a.m. Multi-Payer Alignment – State Panel

Venesa Day, MPA, Senior Manager – Myers and Stauffer
Robin Lunge, JD, MHCDS, Member – Vermont’s Green Mountain Care Board
J.D. Fischer, Value-based Purchasing Manager – Washington Health Care Authority
Chris Peterson, Principal Deputy Director – Maryland Health Services Cost Review Commission
Stacey Lytle, Technical Director Medicare-Medicaid Coordination Office – Centers for Medicare and Medicaid Services

  • 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. .
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9:30 – 9:45 a.m. Break
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9:45 – 11:15 a.m. State Trends and Innovation – State Panel

Jason Sanchez, Deputy Director for Finance and Administration – New Mexico Medical Assistance Division
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.
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11:15 – 12:15 VBP/P4P Trends in Managed Care for LTSS – State Panel

Alexandria Childers-Scott, Long-term Care Policy Analyst – Idaho Department of Health and Welfare
Melissa Warfield, MHCL, Director of Fiscal and Program Evaluation – Kansas Department for Aging and Disability Services
Dave Halferty
, MBA, Senior Manager – Myers and Stauffer
Patti Killingsworth, Chief of Long Term Services and Supports –Tennessee Division of TennCare

  • Nursing facility rate setting in MCO environment.
  • Quality component as part of reimbursement.
  • Funding of quality component.
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12:15 – 1:15 p.m. Lunch 

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

  • Conference Summary and PDPM Discussion 

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Speaker Information

Hotel

Conveniently located just one mile from Hartsfield-Jackson Atlanta International Airport, the Westin Atlanta Airport Hotel offers an engaging experience that is easily accessible from Interstates 85, 75, and 285.

To keep you on track for a productive stay, they offer 24-hour complimentary airport shuttle service and 24-hour room service for late-arriving guests. September 9th is the cutoff date for the group discount rate of $129. So book your room today!

Food and Entertainment

Atlanta is known throughout the country for its southern cuisine, hospitality, and fun attractions. Check out these highly recommended restaurants and entertainment options while you’re in town.

Need help justifying your attendance at the forum? We’ve provided a simple request letter to help. Simply copy and paste the text into a Word document or email, add the appropriate names, and it is ready to submit. See you at the forum!