Webinars

Upcoming

PDPM: Maximizing Impact and Managing Risks

This five-part webinar series will focus on the new Patient-Driven Payment Model (PDPM) that takes effect Oct. 1, 2019. The new model will fundamentally change the way skilled nursing facility providers get reimbursed for services. The course will deliver a primer on the basics of PDPM, and also provide a thorough assessment of the key operational decisions and components that will define present risk, and ultimate success.

February 13, 2019, 12:00 – 1:00 PM CST
Presented by: Brian Ellsworth, MA, VP, Public Policy & Payment Transformation, and Darrin Hull, EVP, Consulting

This engaging and insightful executive-level complimentary webinar will explore the strategic and operational implications of PDPM to be implemented in third quarter 2019. We will discuss the latest opportunities in value-based transformation as a result of policy changes in Medicare’s Accountable Care Organization (ACO) and bundled payments models (BPCI Advanced) as together, these policy changes have the potential to transform the Medicare landscape in many markets, in some cases very rapidly. In this one-hour, complimentary webinar, you will hear the latest on:

  • What executives should consider as they are preparing for the implementation of PDPM, from both a strategic and operational perspective
  • The implications for health systems and post-acute care of Medicare’s recent finalization of the “Pathways for Success” overhaul of Medicare’s ACO program and critical decisions that bundlers must make in first quarter 2019
  • The importance of post-acute care in creating value within these payment reforms and what steps can be taken to lead to more integrated care.

Who Should Attend

Post-acute care executives, nursing home administrators, acute care leaders, finance managers, ACO executives, and bundling program managers.

CEUs

This program has been approved for Continuing Education for 1.25 total participant hours from NAB/NCERS. Call Health Dimensions Group at 763.537.5700 for further information.

March 13, 2019, 12:00 – 1:00 PM CST
Presented by: Diana Johnson, RN, BSN, Clinical Reimbursement Consultant

This must-attend webinar session will review and recommend successful PDPM implementation strategies based upon an array of patient characteristics, clinical conditions, newly designed direct care components, and payment systems, including:

  • Therapies – Physical therapy, occupational therapy, and speech language pathology depending on primary reason for skilled nursing facility (SNF) care.
  • Nursing – Clinical information from SNF stay, functional status, extensive services, presence of depression, and restorative nursing services provided.
  • Non-Therapy Ancillaries (NTAs) – Comorbidities present and extensive services used.

During this one-hour webinar, you will learn how PDPM changes will impact your care community. To provide you with timely insights, our team will:

  • Compare and contrast the four components of PDPM to the current RUG-IV Medicare payment system.
  • Explore how the interdisciplinary team (IDT) roles and responsibilities will change under PDPM.
  • Discuss how to conduct an effective PDPM utilization review meeting.
  • Use a user-friendly form (provided) to show how to optimize payments under the new payment system.

Who Should Attend

Post-acute care executives, nursing home administrators, nursing leadership, MDS coordinators, admission directors, and rehabilitation directors.

CEUs

This program will be submitted for Continuing Education hours from NAB/NCERS. Call Health Dimensions Group at 763.537.5700 for further information.

March 27, 2019, 12:00 – 1:00 PM CST
Presented by: Michelle Kastenholz, OTR, Director, Reimbursement Consulting

This webinar in our therapy-focused PDPM series will educate and empower senior leaders as they prepare for the changes and actions necessary for success in partnering with external therapy providers under PDPM. Don’t wait until it’s too late to make the required contractual changes for your organization.

In this session, we’ll discuss contract terms, timing, structural considerations, expectations for other therapist responsibilities at the care community, value-based incentive possibilities, and other mission-critical topics. By attending, you will learn critical aspects of PDPM and will be empowered to:

  • Contrast and compare the pros and cons of different therapy department organizational structures to determine the viability of making a change from the current structure.
  • Identify risk areas in current contract language.
  • Explore options and methods for key discussions with therapy partners.
  • List critical steps for developing a successful plan to optimize both payment and care delivery within the new payment reform framework.

Who Should Attend

Post-acute care executives, nursing home administrators, contract managers, and purchasing directors.

CEUs

This program will be submitted for Continuing Education hours from NAB/NCERS. Call Health Dimensions Group at 763.537.5700 for further information.

April 10, 2019, 12:00 – 1:00 PM CST
Presented by: Darrin Hull, EVP, Consulting, and Katherine Davis, MS, CCM, CDMS, RCP, CRC

With the transition to PDPM, SNFs will soon learn that survival under the new payment system will require retooling their clinical services in response to the de-emphasis on therapy to drive revenue. Providers will need to rapidly assess their place in the market and enhance communication with acute care referral sources to identify clinically complex patient types that hospitals are struggling to place for post-acute care. Building clinical programming to meet the needs of these patients will likely be a windfall for those providers prepared to capitalize on this opportunity.

In this session, you will gain valuable insights and resources in order to:

  • Identify pain points that referring acute care hospitals wish to address and overcome.
  • Explore options to build new clinical programs that position skilled nursing providers for market share gain.
  • Develop a structured communication platform with referring acute care hospitals that showcases providers’ success with patient outcomes.
  • Define opportunities to expand referral sources and service lines.

Who Should Attend

Post-acute care executives, nursing home administrators, finance directors, and directors of nursing.

CEUs

This program will be submitted for Continuing Education hours from NAB/NCERS. Call Health Dimensions Group at 763.537.5700 for further information.

April 24, 2019, 12:00 – 1:00 PM CST
Presented by: Michael Riley, RN, AANAC, MDS Nurse Consultant, and Diana Johnson, RN, BSN, Clinical Reimbursement Consultant

Are you ready for the exciting, fast-paced (and at times confusing) world of MDS and ICD-10 as it relates to PDPM? This session will be critical to your care community’s financial success with the transformation of the Medicare payment model on October 1, 2019. Join us as we explore Section GG functional abilities coding and accuracy, ICD-10 coding specifics and potential for concerns, and five-day coding requirements.

During our session, you will learn critical aspects of PDPM billing and will receive essential tools as our team will:

  • Describe the importance of accurate coding of the five-day assessment for establishing payment.
  • Explore the change in Section GG coding to nursing as the key driver with therapy input.
  • Identify ICD-10 coding process and clinical mapping tool/crosswalk for PDPM.
  • Recommend how to develop a method for identifying the primary diagnosis code along with order of secondary codes to ensure accuracy of billing.

Who Should Attend

MDS coordinators, coding and billing specialists, finance directors, and therapy managers.

CEUs

This program will be submitted for Continuing Education hours from NAB/NCERS. Call Health Dimensions Group at 763.537.5700 for further information.

Recordings

Craig Abbott, Brian Ellsworth, Cindy Olson

December 2018

As operators and consultants in post-acute, long-term care, and senior living, Health Dimensions Group (HDG) is familiar with the challenges and opportunities facing health care organizations in the coming year.

HDG has identified the top trends in 2019 that will continue to radically shape aging services including:

  • Medicare fee-for-service payment reform
  • Value-based payment
  • Occupancy and census challenges
  • Ongoing workforce challenges
  • Implementing safeguards for troubled assets
  • Complex continuum and network development
  • Growth of managed care models
  • Improved psycho-social management
  • Post-acute and senior care asset re-purposing
  • Rural health innovation
  • Aggressive revenue cycle management

Amber Rogotzke

November 2018

By 2020 the shortage of health care workers will include over 1.2 million vacancies, 33% of our nurses will retire, and 1 out of 2 employees will be millennials. Over the next 30 years, the need for senior care workers will increase by 48%.

We all know the headaches that turnover brings – time and energy spent enlisting search firms, reviewing resumes, interviewing candidates, on-boarding new hires. Besides the headaches, the process of replacing lost talent comes with a significant price tag. Turnover occupies everything we do and touch from the quality of care to the financials. Organizations focused on building strong and capable leaders at all levels will have the most impact on turnover. 

Brian Ellsworth, Darrin Hull, Kathy Karr, and Shawn Scott (Medline)

August 2018

CMS finalized the Patient-Driven Payment Model (PDPM) for Medicare payment to skilled nursing facilities to be effective October 1, 2019. PDPM will replace RUGs and will drive changes in markets and operational practices for providers and vendors. In this complimentary webinar, you will hear about:

• Basics of the finalized payment model
• What changed between the proposal and the final rule
• Key comments made by stakeholders and CMS’ response to them
• Strategic and operational imperatives moving forward 

Brian Ellsworth and Darrin Hull

June 2018

On April 27, 2018, the Centers for Medicare and Medicaid Services (CMS) announced a revised proposal to replace the Resource Utilization Groups (RUGs) payment system with a new model for Medicare Part A payment for Skilled Nursing Facility (SNF) care, to be effective October 1, 2019. The new system is conceptually similar to last year’s proposal, but CMS has made some refinements and decided to give it a new name: Patient-Driven Payment Model (PDPM).

This new payment model will create significant new opportunities and challenges for SNF providers, including: the opportunity to treat more medically complex patients, increased emphasis on accurate coding, as well as imperatives to carefully manage lengths of stay and evaluate provision of therapy. In some markets and for many providers, the changes will be significant and require an assessment of facility operating systems and culture. Understanding the new system will be critical to future success.

Join Health Dimensions Group on June 13, 2018, for an informative webinar, “Decoding PDPM and Navigating the Medicare Payment Transition.” During this one-hour discussion, HDG thought leaders will review the latest changes in the Medicare payment methodology, provide attendees with critical information about how the changes will affect their revenue streams, and serve up strategy recommendations on how to retool SNF operations to gain market share and optimize reimbursement post-implementation. 

Brian Ellsworth

May 2018

As part of Medicare’s aggressive timeline on Bundled Payments for Care Improvement (BPCI) Advanced, hospitals and physician group practices that applied for this program in March now have just a few short months in which to make important decisions about whether to move forward in taking risk and, if so, with whom to partner. The stakes are high as bundlers are locked into those decisions for a minimum of 15 months. BPCI Advanced has several features that place a premium on effective management of risk over a full 90-day episode of care. Medicare is scheduled to release detailed claims data to bundlers in early May, leaving a short window to analyze the data and make final programmatic decisions.

If your organization applied for BPCI Advanced, or you receive referrals from one that did, you should attend this timely webinar. You will hear about the latest program details and learn about how to create sustainable, high performance scenarios through win-win risk-sharing arrangements based on sound data analytics and program expertise.

Brian Ellsworth, Vice President for Public Policy and Payment Transformation, will be the presenter. He leads our value-based payment practice and has served as an advisor to over 100 episode initiating providers under Medicare’s bundling program.

Erin Shvetzoff Hennessey, Cindy Olson, Colin Higgins

February 2018

As operators and consultants in post-acute, long-term care, and senior living, Health Dimensions Group (HDG) is familiar with the challenges and opportunities facing health care organizations in the coming year.

HDG identified the top nine trends that will continue to radically transform senior care in 2018, which was published in Becker’s Hospital Review. We will review each of these trends in greater detail in a two-part webinar series.

Join us for part two on February 1, when we will hear from Erin Shvetzoff Hennessey, Craig Abbott, Cindy Olson, and Colin Higgins on the changes in senior housing including:

  • demand
  • partnerships
  • medical complexity

Erin Shvetzoff Hennessey, Darrin Hull, Brian Ellsworth

January 2018

As operators and consultants in post-acute, long-term care, and senior living, Health Dimensions Group (HDG) is familiar with the challenges and opportunities facing health care organizations in the coming year.

HDG identified the top nine trends that will continue to radically transform senior care in 2018, which was published in Becker’s Hospital Review. We will review each of these trends in greater detail in a two-part webinar series.

Join us for part one on January 24, during which we will hear from Erin Shvetzoff Hennessey, Darrin Hull, and Brian Ellsworth on the financial and operational trends impacting senior living including:

  • ownership
  • regulatory environment
  • labor shortages
  • value-based payment

Brian Ellsworth

January 2018

After a long wait, CMS announced the next round of voluntary bundling to be called Bundled Payments for Care Improvement (BPCI) Advanced on January 8, 2018. The Request for Applications (RFA) is due March 12, 2018, and applicants should be prepared to go live by October 1, 2018. This abbreviated schedule means that providers considering this voluntary option have to begin preparations immediately. In this half-hour webinar, we will briefly outline the contours of this new program, explain how providers can participate and what strategic decisions need to be made now.

Erin Shvetzoff Hennessey

November 2017

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.

Beth Carlson & Shawna Ramey

August 2017

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

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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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