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Virginia Rural Health Summit  Washington Update Spring, 2011 Wintergreen, Virginia
Bill Finerfrock Senior Vice President Health Policy  Capitol Associates 202-544-1880 [email_address]
 
Budget Impasse – Business as Usual?
 
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Budget/Appropriations ,[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Who is the Rural Safety Net?
 
 
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[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Collaboration with FQHCs ,[object Object],[object Object],[object Object],[object Object]
RHC Technical Assistance Call ,[object Object],[object Object],[object Object]
[object Object]
Medicare Payment Changes ,[object Object],[object Object]
Medicare Payment Changes ,[object Object]
Medicaid Expansion ,[object Object],[object Object],[object Object]
Questions for Consideration ,[object Object],[object Object],[object Object],[object Object]
Healthcare Reform – Timeline The Challenge of Change
Provisions already implemented Provide dependent coverage for adult children up to age 26 for all individual and group policies.  This provision takes effect on September 23 rd  . However, companies do not have to make this available until the scheduled renewal of the company’s policy.
[object Object],Provisions already implemented Small Employer Tax Credit
Small Employer Tax Credit ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Provisions already implemented
IRS Information Available ,[object Object]
Pre-Existing Condition Insurance Program (PCIP) ,[object Object],[object Object],[object Object]
https:// www.pcip.gov/StatePlans.html ,[object Object]
ACO and Workforce
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What impact will workforce policy have if the payer does not recognize the provider? ,[object Object],[object Object],[object Object]
HCR and Rural Workforce? ,[object Object],[object Object]
The Politics  and Legality of Healthcare Reform
New Deliver Models Shared Savings?
Accountable Care Organizations (ACOs) ,[object Object],[object Object]
Accountable Care Organizations
ACOs, Quality and Cost ,[object Object]
Quality and Cost and ACOs ,[object Object],[object Object]
So what Comes First? ,[object Object]
According to CMS – Cost Savings! ,[object Object],[object Object]
How Will ACOs affect RHCs and other safety net providers? Rural Health Clinics, FQHCs and CAHs can be part of an ACO.  Rural Health Clinics, FQHCs and CAHs that are part of an ACO can continue to receive cost-based reimbursement from Medicare. However, How patients will be “assigned” or “attributed” to an ACO could affect RHC and FQHC participation.
ACOs and Rural ,[object Object]
ACOs and Rural ,[object Object],[object Object]
ACOs and Rural ,[object Object]
Are ACOs the same as Value-Based Purchasing or Bundled Payments? ,[object Object]
Bundled Payments ,[object Object],[object Object]
Bundled Payments ,[object Object]
What is Value Based Purchasing? ,[object Object]
What is Value Based Purchasing (VBP) ,[object Object],[object Object]
Value-Based Purchasing and the PQRI/S initiative ,[object Object],[object Object],[object Object],[object Object]
Providers who fall into Quartile 1 would receive a reduced Payment.  Providers who fall into Quartile 2 and 3 would receive “regular” payment.  Providers who fall into Quartile 4 would receive a “bonus”
Is the Data Being collected under PQRI/S reflective of the physician specialty being analyzed? ,[object Object],[object Object]
 
Legal Challenges ,[object Object]
Legal Challenges to ACA ,[object Object],[object Object],[object Object]
Repeal, Replace? ,[object Object],[object Object]
 
Other Issues
3% Withholding and Physicians ,[object Object],[object Object],[object Object]
EHR Incentive Payments ,[object Object],[object Object]
Medicaid EHR Incentive Payments
Medicaid EHR Incentive Payments ,[object Object],[object Object]
Rural Health Clinic and FQHC  EHR Incentive Payments ,[object Object],[object Object]
Who is a “Needy Individual” ,[object Object],[object Object],[object Object],[object Object]
What is PA led? ,[object Object],[object Object],[object Object],[object Object]
Medicaid EHR Incentive Payments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medicare ,[object Object],[object Object],[object Object]
Medicare EHR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
Double dipping? ,[object Object]
New Medicare Enrollment Fee ,[object Object],[object Object]
5010 Standards
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object]
[object Object]
[object Object]
Negotiated Rulemaking Committee ,[object Object],[object Object],[object Object],[object Object]
Negotiated Rulemaking Committee Update ,[object Object],[object Object],[object Object],[object Object]
[object Object]
Linking Quality and Payment in RHCs ,[object Object],[object Object]
RHC Technical Assistance ,[object Object],[object Object]
To view transcripts or download audio recordings of previous calls ,[object Object]
[object Object],[object Object]
Be on the look out ,[object Object]
Bill Finerfrock Senior Vice President Health Policy  Capitol Associates 202-544-1880 [email_address]

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Washington Update

  • 1. Virginia Rural Health Summit Washington Update Spring, 2011 Wintergreen, Virginia
  • 2. Bill Finerfrock Senior Vice President Health Policy Capitol Associates 202-544-1880 [email_address]
  • 3.  
  • 4. Budget Impasse – Business as Usual?
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  • 11. Who is the Rural Safety Net?
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  • 24. Healthcare Reform – Timeline The Challenge of Change
  • 25. Provisions already implemented Provide dependent coverage for adult children up to age 26 for all individual and group policies. This provision takes effect on September 23 rd . However, companies do not have to make this available until the scheduled renewal of the company’s policy.
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  • 36. The Politics and Legality of Healthcare Reform
  • 37. New Deliver Models Shared Savings?
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  • 44. How Will ACOs affect RHCs and other safety net providers? Rural Health Clinics, FQHCs and CAHs can be part of an ACO. Rural Health Clinics, FQHCs and CAHs that are part of an ACO can continue to receive cost-based reimbursement from Medicare. However, How patients will be “assigned” or “attributed” to an ACO could affect RHC and FQHC participation.
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  • 54. Providers who fall into Quartile 1 would receive a reduced Payment. Providers who fall into Quartile 2 and 3 would receive “regular” payment. Providers who fall into Quartile 4 would receive a “bonus”
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  • 91. Bill Finerfrock Senior Vice President Health Policy Capitol Associates 202-544-1880 [email_address]