WI HFMA 2019 Spring Conference & Annual Meeting
Handouts:
May 15-17, 2019
Red Lion Hotel Paper Valley (formerly the Radisson Paper Valley)
333 West College Ave, Appleton, WI
Red Lion Hotel Paper Valley (formerly the Radisson Paper Valley)
333 West College Ave, Appleton, WI
Join us on Wednesday May 15th for the Spring Golf Outing - Reid Golf Course
Tee Times between 10:00 - 11:00am
18 hole, 4 person Scramble event
and/or
Wednesday Evening at Fox Cities Stadium for baseball and picnic and watch the Wisconsin Timber Rattlers, the minor league Class A affiliate of the Milwaukee Brewers
Game Time 6:35pm
Picnic at the Picnic Pavillion 7:00 - 8:30pm
Conference Agenda:
Thursday, Mary 16th Opening Key Note:
The Distruptors: How Amazon, Apple, CVS & Other Tech Companies Will Change Healthcare with Ron Galloway, Executive Speakers Bureau
Healthcare is going through a massive disruptive phase right now, with most of the changes being brought about by 1) new technologies and 2) new entrants, competitive and non-competitive, into space. In this session, Ron Galloway will illustrate for trustees the scope of these changes, and the impacts and unintended consequences that may occur. He will show how all these companies plan to impact hospitals and healthcare - Amazon, Google, CVS and Walmart, and now Apple have ridden the wave of businesses leveraging their existing frameworks into healthcare. He will also delve into the disruptive impact technology is having on hospitals, particularly the shift from hospitals as healthcare delivery systems to hospitals as data institutions.
Thursday Breakouts:
Breakout Session 101
“Surprise Medical Bills and the Potential Impact of Legislative Proposals”, Christopher Garmon, Assistant Professor of Health Administration, Henry W. Bloch School of Management – University of Missouri Kansas City
A surprise medical bill is a bill from an out-of-network provider that was not expected by the patient or that came from an out-of-network provider not chosen by the patient. Recently, there have been numerous federal and state legislative proposals to protect patients from surprise medical bills and regulate out-of-network health insurance reimbursements to providers. These proposals, if implemented, could significantly impact health care provider markets and prices. In this presentation, I will describe the scope of the surprise medical bill problem in the United States, the legislative proposals to fix the problem, and their potential impact.
Breakout Session 102
"The Future of Accountable Care” Mary Kay Sassetti, Regional Vice President, Caravan Health
This presentation will review the transformation of current payment structures with a focus on the Caravan Health Collaborative ACO model. Focus will be to learn how hospitals and physicians can align together in Medicare ACOs to thrive under payment reform. By forming into collaborative ACOs with more than 100k lives, hospitals can successfully take downside risk, beat statistical variance in savings, and achieve the highest quality in patient care.
Breakout Session 201
“Natural Language Processing Solutions, Trends, and Potential Impact ” Tim Minnich, Solution Executive, Optum
Gain an understanding of what Natural Language Processing (NLP) is and how it is used in Revenue Cycle and HIM solutions today including Computer Assisted Coding, Clinical Documentation Improvement, and more. Understand the scope of NLP in healthcare, and discuss what future of NLP may look like and what solutions can be expected. Learn why some NLP solutions succeed and others have failed in the market. Understand the critical success factors to properly evaluate NLP solutions.
Breakout Session 202
“Navigating the Intersection of Strategic, Financial and Legal Considerations in Health Care Collaborations and Joint Ventures” Jeffrey Mark, Shareholder Attorney – von Briesen & Roper, S.C. and Adam Smith, Executive Director, Decision Support & Financial Planning, Froedtert Health, Inc.
Health systems, providers and business partners are increasingly looking to collaborations and joint ventures to drive new revenue streams, access new capabilities, and enhance market position. This session will explore the convergence of the latest strategic, financial and legal trends in health care collaborations and joint ventures. The presentation will offer insights into emerging joint venture models, collaborative governance structures, and aligned financial incentives designed to enhance financial and strategic success. This presentation will also provide pragmatic solutions for the most challenging business and legal aspects of joint ventures including how to identify strategic partners, developing exit strategies, positioning the partnership for growth and addressing market protection and expansion.
Breakout Session 301
“Are You Getting This? - Communicating to Be Understood” Lauren Schieffer, Certified Speaking Professional
The greatest hindrance to growth in any organization or in any individual career is poor communication—both up and down the ladder. Keeping staff motivated and achieving at full potential requires keeping effective and respectful lines of communication open at all times. This engaging, entertaining presentation details the most important avenues to sustaining staff peak performance and gaining customer loyalty in the 21st Century.
Breakout Session 302
“Fastballs, Curveballs and Spitballs: Yesterday’s Home Runs Don’t Win Today’s Games” Joe Watt, Partner, Kevin Morey, Partner, Eric Lopata, Director and Greg Sullivan, Senior Manager - BKD
Similar to a 95 MPH fastball, the healthcare landscape has rapidly changed with recent merger and acquisition activity. We will provide an overview of this current environment and the ever-changing landscape due to consolidation within the industry. Recent tax reform has been like a curveball on a 0-2 count for some organizations. Learn about recent guidance issued and key considerations under tax reform to improve your organization’s chances of knocking tax reform out of the park. Some would say that throwing spit balls gives a hitter a disadvantage against a pitcher. Don’t put your organization at a disadvantage as new accounting standards become effective. The standard setting bodies have recently issued several accounting standards that will impact healthcare organizations greatly. We will provide a brief overview of these new standards and some best practices from across the industry.
General Session (The popular H2O Talks)
“Point of Service Collections: Using Words that Work” Sherry Evenson, System Director of Financial Clearance – Aspirus, Inc
Learn how using a Words that Work strategy helps staff with how to effectively guide patients through financial discussions and increase point of service collections.
“Incoming Workqueue Management for Referrals” Jacqueline Nowak White, System Director of Scheduling and Authorizations – Aspirus, Inc.
In this session we will Identify the continuous process improvement tools used to identify opportunities in the Authorizations department and learn how Aspirus transitioned referrals to be scheduled away from Authorizations in order to improve the patient experience.
“Automating Financial Assistance Determinations” Cheryl Miller, Director of Financial Clearance - Aurora Health Care
Charity Care application determinations took too long, paper application process was a mess, we knew we needed to find a better solution quickly…Patient Protection and Affordable Care Act provided the wind in Aurora’s sails to reengineer processes. We will explore strategies to streamline Financial Assistance determinations, identify approaches to leverage technology to automate the process and gain an understanding of one organization’s success in using technology
Thursday Closing Key Note:
“Generations at Work” Lauren Schieffer – Certified Speaking Professional
Learn what shapes and drives each of the four generations now in the workplace and how each brings its own strengths and challenges. Leave with the tools to better communicate with and motivate each generation.
Thursday Evening:
Cocktail Reception, Dinner & Program including Installation of Directors and Officers, followed by President's Reception
Friday, May 17th Brunch & Learn:
“Universal Health Care is Coming – Analyzing the Recent Trend of Universal Health Care Proposals”, Douglas Turek, Sr. VP of Regulatory and Governmental Affairs - MedData
This presentation is intended to provide a review of the current trend of universal health care initiatives at both the state and local levels. These initiatives include both multi-payer and single payer models, with a wide variance in reimbursement models for healthcare providers. In the end, this presentation should provide an overview of the types of universal health care initiatives, an understanding of the payer models being proposed, an understanding of the reimbursement models being proposed and an
understanding of the financial challenges to the implementation of universal health care.
Closing Session:
“How Healthcare Providers Can Win in the New Age of Pricing Transparency” Michael Lohrer, VP Revenue Strategy, and Greg Kay, Senior VP Revenue Strategy - PMMC Preferred Medical Marketing
In an effort to increase pricing access to patients, drive competition, and lower costs, CMS required all hospitals to publish their standard Chargemaster on January 1. What will be the impact of this on healthcare providers and patients in 2019 – and beyond?
Thursday, Mary 16th Opening Key Note:
The Distruptors: How Amazon, Apple, CVS & Other Tech Companies Will Change Healthcare with Ron Galloway, Executive Speakers Bureau
Healthcare is going through a massive disruptive phase right now, with most of the changes being brought about by 1) new technologies and 2) new entrants, competitive and non-competitive, into space. In this session, Ron Galloway will illustrate for trustees the scope of these changes, and the impacts and unintended consequences that may occur. He will show how all these companies plan to impact hospitals and healthcare - Amazon, Google, CVS and Walmart, and now Apple have ridden the wave of businesses leveraging their existing frameworks into healthcare. He will also delve into the disruptive impact technology is having on hospitals, particularly the shift from hospitals as healthcare delivery systems to hospitals as data institutions.
Thursday Breakouts:
Breakout Session 101
“Surprise Medical Bills and the Potential Impact of Legislative Proposals”, Christopher Garmon, Assistant Professor of Health Administration, Henry W. Bloch School of Management – University of Missouri Kansas City
A surprise medical bill is a bill from an out-of-network provider that was not expected by the patient or that came from an out-of-network provider not chosen by the patient. Recently, there have been numerous federal and state legislative proposals to protect patients from surprise medical bills and regulate out-of-network health insurance reimbursements to providers. These proposals, if implemented, could significantly impact health care provider markets and prices. In this presentation, I will describe the scope of the surprise medical bill problem in the United States, the legislative proposals to fix the problem, and their potential impact.
Breakout Session 102
"The Future of Accountable Care” Mary Kay Sassetti, Regional Vice President, Caravan Health
This presentation will review the transformation of current payment structures with a focus on the Caravan Health Collaborative ACO model. Focus will be to learn how hospitals and physicians can align together in Medicare ACOs to thrive under payment reform. By forming into collaborative ACOs with more than 100k lives, hospitals can successfully take downside risk, beat statistical variance in savings, and achieve the highest quality in patient care.
Breakout Session 201
“Natural Language Processing Solutions, Trends, and Potential Impact ” Tim Minnich, Solution Executive, Optum
Gain an understanding of what Natural Language Processing (NLP) is and how it is used in Revenue Cycle and HIM solutions today including Computer Assisted Coding, Clinical Documentation Improvement, and more. Understand the scope of NLP in healthcare, and discuss what future of NLP may look like and what solutions can be expected. Learn why some NLP solutions succeed and others have failed in the market. Understand the critical success factors to properly evaluate NLP solutions.
Breakout Session 202
“Navigating the Intersection of Strategic, Financial and Legal Considerations in Health Care Collaborations and Joint Ventures” Jeffrey Mark, Shareholder Attorney – von Briesen & Roper, S.C. and Adam Smith, Executive Director, Decision Support & Financial Planning, Froedtert Health, Inc.
Health systems, providers and business partners are increasingly looking to collaborations and joint ventures to drive new revenue streams, access new capabilities, and enhance market position. This session will explore the convergence of the latest strategic, financial and legal trends in health care collaborations and joint ventures. The presentation will offer insights into emerging joint venture models, collaborative governance structures, and aligned financial incentives designed to enhance financial and strategic success. This presentation will also provide pragmatic solutions for the most challenging business and legal aspects of joint ventures including how to identify strategic partners, developing exit strategies, positioning the partnership for growth and addressing market protection and expansion.
Breakout Session 301
“Are You Getting This? - Communicating to Be Understood” Lauren Schieffer, Certified Speaking Professional
The greatest hindrance to growth in any organization or in any individual career is poor communication—both up and down the ladder. Keeping staff motivated and achieving at full potential requires keeping effective and respectful lines of communication open at all times. This engaging, entertaining presentation details the most important avenues to sustaining staff peak performance and gaining customer loyalty in the 21st Century.
Breakout Session 302
“Fastballs, Curveballs and Spitballs: Yesterday’s Home Runs Don’t Win Today’s Games” Joe Watt, Partner, Kevin Morey, Partner, Eric Lopata, Director and Greg Sullivan, Senior Manager - BKD
Similar to a 95 MPH fastball, the healthcare landscape has rapidly changed with recent merger and acquisition activity. We will provide an overview of this current environment and the ever-changing landscape due to consolidation within the industry. Recent tax reform has been like a curveball on a 0-2 count for some organizations. Learn about recent guidance issued and key considerations under tax reform to improve your organization’s chances of knocking tax reform out of the park. Some would say that throwing spit balls gives a hitter a disadvantage against a pitcher. Don’t put your organization at a disadvantage as new accounting standards become effective. The standard setting bodies have recently issued several accounting standards that will impact healthcare organizations greatly. We will provide a brief overview of these new standards and some best practices from across the industry.
General Session (The popular H2O Talks)
“Point of Service Collections: Using Words that Work” Sherry Evenson, System Director of Financial Clearance – Aspirus, Inc
Learn how using a Words that Work strategy helps staff with how to effectively guide patients through financial discussions and increase point of service collections.
“Incoming Workqueue Management for Referrals” Jacqueline Nowak White, System Director of Scheduling and Authorizations – Aspirus, Inc.
In this session we will Identify the continuous process improvement tools used to identify opportunities in the Authorizations department and learn how Aspirus transitioned referrals to be scheduled away from Authorizations in order to improve the patient experience.
“Automating Financial Assistance Determinations” Cheryl Miller, Director of Financial Clearance - Aurora Health Care
Charity Care application determinations took too long, paper application process was a mess, we knew we needed to find a better solution quickly…Patient Protection and Affordable Care Act provided the wind in Aurora’s sails to reengineer processes. We will explore strategies to streamline Financial Assistance determinations, identify approaches to leverage technology to automate the process and gain an understanding of one organization’s success in using technology
Thursday Closing Key Note:
“Generations at Work” Lauren Schieffer – Certified Speaking Professional
Learn what shapes and drives each of the four generations now in the workplace and how each brings its own strengths and challenges. Leave with the tools to better communicate with and motivate each generation.
Thursday Evening:
Cocktail Reception, Dinner & Program including Installation of Directors and Officers, followed by President's Reception
Friday, May 17th Brunch & Learn:
“Universal Health Care is Coming – Analyzing the Recent Trend of Universal Health Care Proposals”, Douglas Turek, Sr. VP of Regulatory and Governmental Affairs - MedData
This presentation is intended to provide a review of the current trend of universal health care initiatives at both the state and local levels. These initiatives include both multi-payer and single payer models, with a wide variance in reimbursement models for healthcare providers. In the end, this presentation should provide an overview of the types of universal health care initiatives, an understanding of the payer models being proposed, an understanding of the reimbursement models being proposed and an
understanding of the financial challenges to the implementation of universal health care.
Closing Session:
“How Healthcare Providers Can Win in the New Age of Pricing Transparency” Michael Lohrer, VP Revenue Strategy, and Greg Kay, Senior VP Revenue Strategy - PMMC Preferred Medical Marketing
In an effort to increase pricing access to patients, drive competition, and lower costs, CMS required all hospitals to publish their standard Chargemaster on January 1. What will be the impact of this on healthcare providers and patients in 2019 – and beyond?