Effective Strategies for Thriving in a Rural Health Care Market

Erin Shvetzoff Hennessey

November 30, 2017, 12:00 pm – 1:00 pm CT

Rural skilled nursing facilities (SNF) face challenges that are unique or exacerbated by their size and location. These include census, labor, and expense management. This webinar will focus on specific solutions for rural SNFs, including new strategies that innovative providers are implementing to address these challenges. This webinar will also assist rural SNFs with value-proposition development, value-based purchasing involvement, and guidance on developing formal partnership with other community care providers.


Advance Care Planning: Opportunities, Benefits, and Barriers

Beth Carlson & Shawna Ramey

August 24, 2017, 12:00 pm – 12:30 pm CT

Having the right conversations at the right time doesn’t happen by accident. Advance care planning (ACP) can provide a roadmap to assure that patients’ wants and preferences regarding goals of care are honored. The documentation of these conversations becomes the roadmap for when, where, and how care is delivered.

Introducing the topic and providing the right information at the right time is not always easy. Through healthcare reform and value-based payments, CMS not only recognizes the importance of these conversations, it is included as a patients’ right in the revised Skilled Nursing Facility regulations and a distinct billable service.

Medicare began paying for Advance Care Planning (ACP) provided by physicians and nurse practitioners in 2016. The code remains underutilized by providers. As a provider or biller, do you have questions about the requirements of advance care planning (ACP) reimbursement? As a SNF, are you unsure how you can support your medical providers and patients in facilitating these important conversations?

Whether a community provider or member of a SNF clinical team, we are all looking for resources and insight to support our patients through meaningful end-of-life discussions.

Join us for a 30 minute webinar looking at:
• Expectations of patients, families, and payers
• Considerations for meaningful patient/family end-of-life discussions
• Required components and specifics of ACP billing and reimbursement

Payment Reform Marches On: The Latest on Episode Payment and PPS Refinement

Brian Ellsworth & Beth Carlson

June 2017

Recent moves by the federal government indicate that it is all systems go with respect to payment reform, including additional rounds of mandatory and voluntary bundling, as well as a proposal for wholesale change to Medicare payment for SNFs. These changes have major implications for health systems and post-acute providers and, despite some predictions to the contrary, are not going away.

In this webinar, you will hear about: why mandatory hip fracture bundling will change the orthopedic market for post-acute care, how the opportunity to directly take risk under the next round of voluntary bundling is a key to successful value-based transformation, and learn about the implications of Medicare’s plans for changing SNF payment.

Chronic Care Management – Making It Work in Your Practice

Shawna Ramey & Beth Carlson

May 2017

Building chronic care management into your practice can be a bit daunting, but with the right tools in place it is well worth your time and effort from both patient care and financial aspects. Join Health Dimensions Group for a 30 minute webinar to gain tips on the how’s and why’s of making chronic care management work within your practice.

What 2017 Holds for Medicare Value-Based Transformation: Finalization of the Advancing Care Coordination Rule and Much More

Beth Carlson & Brian Ellsworth

January 2017

Join Health Dimensions Group as we take a look at what 2017 holds for Medicare value-based transformation. You will gain an increased understanding of the ongoing imperatives of value-based transformation in the new political landscape. Given the short time frames to implement the new mandatory payment models, as well as the continued evidence of value-based transformation in many markets, it is not too soon to prepare.

Using Market and Financial Analytics to Understand the True Growth and Performance Potential of Your PACE Program

Colin Higgins, Lori Aronson, & Josh McGilliard

October 2016

This webinar will explore how the Kissito PACE program in Roanoke, Virginia, after 2 ½ years of operation, utilized a demand and financial analysis to create a monthly score card for enrollment and utilization goals, and ultimately improved their bottom line.

Navigating Minnesota's New Medicaid Payment System

Darrin Hull and Stephanie Cyrus

September 2016

This webinar will provide an overview of the new Medicaid payment system in Minnesota and offer strategies for maximizing reimbursement. In this webinar you will learn about the changes in the Minnesota Medicaid payment system and the impact on your community, how costs are grouped into the various rate components, and what to expect from the Minnesota Department of Human Services audit. We will also discuss common cost report mistakes and an update on property rates.

Palliative Care at the Intersection of Value-Based Payment

Brent Feorene and Beth Carlson

September 2016

Palliative care is not a newly introduced approach to care. However, the march toward value-based payment has significantly increased interest in this patient-centered model of care. A proven model, patients receiving palliative care experience improvements in symptom management with significant reductions in anxiety, depression, fatigue, loss of appetite and pain, as well as decreases in mortality and avoidable hospitalizations. This enhanced patient experience increases quality of life for both the patient and their family/caregivers – all while reducing costs.

Medicare Expands Mandatory Episode Payment Models and Bundling

Brian Ellsworth and Beth Carlson

August 2016

Medicare continued its drive towards value-based transformation with its July 25th announcement of new mandatory “Episode Payment Models” for heart attacks and bypass surgery, expansion of the Comprehensive Joint Replacement (CJR) model to include episodic payment for hip and femur fractures, as well as an additional round of voluntary bundling. Hear from Health Dimensions Group experts about the timeline and scope of these important new initiatives, what they mean for providers and how to take advantage of the opportunities presented by this rapidly changing payment environment.

Cost of Infections in Skilled Nursing

Erin Shvetzoff Hennessey

June 2016

The cost of infections in post-acute and long-term care have long gone uncalculated and new research from Health Dimensions Group on behalf of Kimberly-Clark shows that the impact is substantial–financially, clinically and operationally.

Care Transformation: Beyond Payment Model Redesign

Beth Carlson

May 2016

New payment models drive care redesign but patient-centeredness drives care transformation. Providers must look to person-centered models to transform the patient experience through integrating interventions that cut across encounters, settings, and time. Person-centered care must adapt to the person’s changing needs and resources, supporting people through wellness, acute, chronic, and end of life transitions.

Preferred SNF Networks: A Key to Flourishing in a Value-Driven Market

Brent Feorene, Beth Carlson, Lori Aronson, & Ryan Raisig, VCU Health

April 2016

The Affordable Care Act has created a shifting landscape toward value-based care with new penalties, mandates, and incentives such as readmission and Medicare spend per beneficiary penalties, bundling programs, as well as ACO and Medicare Advantage growth. Success in this value-based environment requires managing patients across the entire care continuum, prompting hospitals to work more closely with post-acute providers. An important tactic for responding to these changes is the establishment of narrow networks of post-acute partners to encourage improvements in quality of care, patient transitions, and highly efficient services. Preferred Skilled Nursing Facility Network partnerships are key to successfully navigating today’s transition and flourishing in the future for both acute and post-acute providers.

Optimizing Your Operational and Financial Performance

Darrin Hull, Rhonda DeMeno

March 2016

The increased focus on improvement in the quality and delivery of health care, balanced with the goal of reduction in health care spending, requires providers—now more than ever—to develop and execute operational strategies that result in the optimization of operational and financial performance.

Post-Acute and Complex Care Services: The Keys to Flourishing in a Value-Driven Market

Brent T. Feorene, Kyle Allen, Riverside Health System, Robert Schreiber, Hebrew Senior Life Department of Medicine, Rosemary Laird, Adventist Health

March 2016

Health systems today operate in a transitional health care environment characterized by often conflicting payment methods, incentives and expectations. While markets move at varying speed, it is undeniable the impact of challenging aging demographics and an underlying direction toward value-based and at-risk payment arrangements. Key to successfully navigating today’s transition and flourishing in the future: market-responsive, robust post-acute and chronic care services. No longer sufficient to address quality and cost in the acute setting, robust, post-acute & complex care services are de riguer to ensure a health system offers true population health and deliver exceptional quality at a competitive cost profile – the definition of true value.

Latest Trends in Medicare's Bundling Initiatives

Brian Ellsworth, Beth Carlson

January 2016

On April 1st, 67 markets across the country will enter in to the new mandatory joint replacement model, as well as the Bundled Payments for Care Improvement (BPCI) program. The early returns on bundling indicate that rapid shifts in care delivery are going on in many markets, especially when combined with the maturing of accountable care and other value-based payment activity. Bundling is an important window into value-based transformation.

PACE: A Fresh Look at a History of Success

Brent T. Feorene, Colin Higgins, Beth Carlson, Lori Aronson

September 2015

The Program of All-inclusive Care for the Elderly (PACE) is widely viewed as the “best in breed” program for complete population health management of a target patient segment. For many sponsoring organizations, PACE is a key part of their overall population health strategy, allowing them to serve the unique needs of this population. In addition, PACE has become a learning laboratory to identify which aspects of PACE might be of use with other populations. This is very important as sponsoring organizations are increasingly accountable for the outcomes and cost-profile of diverse population segments.

Positioning for a Future Defined by Value: Strategic Options for Home Health Agencies

Brent T. Feorene, Sharon Harder, C3 Advisors

September 2015

Few industries are experiencing as seismic shifts in their landscape as home health care. Healthcare reform, new regulatory demands and the race toward value-based care have created extraordinary competitive pressures. These have expressed themselves in downward revenue pressure, heightened expenses and referral uncertainty driven by preferred network development.

The IMPACT Act: What Does it Mean for You?

Brent T. Feorene, Kelsey P. Mellard, paccr

May 2015

Few industries are experiencing as seismic shifts in their landscape as home health care. Healthcare reform, new regulatory demands and the race toward value-based care have created extraordinary competitive pressures. These have expressed themselves in downward revenue pressure, heightened expenses and referral uncertainty driven by preferred network development.

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