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Medicare Reimbursement: 
Details and Insight Into CMS’ Hospital Value-Based Purchasing Program and the Coming New Plan Changes for FY2009

90-Minute Audio Conference on CD-ROM

	Presenters
	Thomas Valuck, MD, MHSA, JD Medical Officer and Senior Advisor CMS Click Here for Biography
	Blair G. Childs Senior Vice President of Public Affairs Premier Inc. Click Here for Biography
	Beth Feldpush, MPH Senior Associate Director, Policy American Hospital Association (AHA) Click Here for Biography

CD-ROM: $247 Includes conference on CD-ROM and all materials.

How The Conference Works “Attend this program right in your office and enjoy significant savings—no travel time, hassle or hotel expenses. It’s so convenient!  Gather in a conference room and use a speakerphone. The conference lasts 90 minutes. No special equipment is needed. All you need is a computer with speakers!

Value-based purchasing (VBP), which links payment to performance, is a key policy mechanism that the Centers for Medicare and Medicaid Services (CMS) is proposing to transform Medicare from a passive payer of claims to an active purchaser of care.  VBP includes the principles of pay-for-performance, gainsharing, and other quality measures.   

Through a number of public reporting programs, demonstration projects, pilot programs, and voluntary efforts, CMS has already launched VBP initiatives in hospitals. Building on the foundation of Reporting Hospital Quality Data for Annual Payment Update (RHQDAPU), CMS recommends replacing the current quality reporting program with a new program in FY2009 that would include both public reporting and financial incentives for better performance as tools to drive improvements in clinical quality, patient-centeredness, and efficiency.   

A portion of hospital payment will be contingent on actual performance on specified measures, rather than simply on a hospital’s reporting data for these measures.

How will past CMS initiatives influence the final hospital VBP FY2009 program?   And is Medicare P4P here to stay?

Join Healthcare Reimbursement Monitor to hear the overview of Medicare Hospital VBP program plans for FY2009.  And hear the results to date for the Premier Hospital Quality Incentive Demonstration Project (HQID), the first national project of its kind that is impacting future CMS plans.  

Agenda

• Overview of the CMS’s recent Hospital VBP Plan Report to Congress 
• Insight from Premier’s Hospital Quality Incentive Demonstration (HQID) pay-for- performance project with CMS
• Details on the potential “Performance Assessment Model” that incorporates measures from different quality “domains” to calculate a hospital’s “Total Performance Score”
• Translating of the VBP Total Performance Score into an incentive payment
• The potential for a phased approach to transitioning from RHQDAPU to VBP
• Redesigned data submission and validation infrastructure to support the VBP Program requirements.
• How the Hospital Compare website will be enhanced to support expanded public reporting of performance results.
• Details on the CMS the hospital-acquired conditions payment provision
• Implications of findings for healthcare consumers and the nation's healthcare system
• Reaction from the American Hospital Association on recommended changes in FY2009

Health plans, hospitals, PHOs, associations, consultants, with titles like:

CEOs, COOs, executive director, administrator,  medical directors, employer health plan decision makers, network development and provider services directors, strategic planners, utilization management, healthcare management, TPAs, network managers, physician practice management company executives, medical management directors,  analysts, consultant, account services and administration executives and ancillary products managers.

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