Emergency Medicine Payment Reform Summit

Action Plans for Federal and State Regulations

Presented by the Florida College of Emergency Physicians and

Florida Emergency Medicine Foundation

February 9-10, 2017Orlando, FL

Emergency Medicine Payment Reform Summit Strategic Platforms for State and Federal RegulationsPresented by the Florida College of Emergency Physicians and

Florida Emergency Medicine Foundation

February 9-10, 2017Emergency Medicine Learning and Resource Center (EMLRC)

3717 South Conway Road Orlando, FL 32812

Day 1: 8:00am – 4:00pmDay 2: 8:00am – 5:00pm

Registration fee: $325 *Limited space available.*

OVERVIEWThis two-day conference will bring together Emergency Medicine leaders from across the U.S. who are preparing to address the new world of healthcare delivery and payment reform. This summit will focus on future practice model innovation to address new payment risk models, government regulations, coordination of patient care, outcomes, quality measures, cost control and related issues. It will allow for interaction among attendees to create and amplify solutions to payment reform and to share learned knowledge externally within the Emergency Medicine community.

TARGET AUDIENCEState and national EM leadership including: • EM group business leaders, • Practice management companies,• Revenue cycle management companies,• ED Medical Directors, • EMS leaders,• Academic institution leaders, • Hospital executives, and• Nursing leadership.• All with an interest in becoming change agents and entrepreneurial implementers.

OBJECTIVES• Illustrate the financial ramifications of governmental revenue reform, political and regulatory issues, clinical

practice innovations, data collection and government reporting, and demand for changes in care delivery models in emergency medicine.

• Describe and differentiate imminent changes in reimbursement and healthcare practice models driven by o Federal law and regulations focused on decreasing costs of care, o Competing agendas among payers (employers, CMS and commercial carriers), hospital systems, physicians, other providers, and consumers/patients

• Define HHS/CMS reimbursement laws and regulations. • Review innovative coordinated care practice models addressing quality measures, cost saving solutions and

related opportunities.

ACCREDITATION STATEMENTSACCME This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Emergency Medicine Learning and Resource Center and the Florida College of Emergency Physicians. The Emergency Medicine Learning and Resource Center is accredited by the ACCME to provide continuing medical education for physicians.

AMAEmergency Medicine Learning and Resource Center designates this live activity for a maximum of 14.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

EM Payment Reform Summit AgendaDay 1: February, 9, 2017 - “Imminent Changes in Emergency Medicine Reimbursement: Strategies to Succeed under Value Based Care” 8:00 - 8:15 a.m. Welcome & Conference Overview FCEP President Jay Falk, MD, FACEP, MCCM & FCEP Past-President & FEMF Board Member Cliff Findeiss, MD

8:15 - 9:00 a.m. Affordable Care Act Regulations to Decrease Costs of Care: Payment Reform Mandates and Reporting Requirements: MACRA, MIPS, VBS, PQRS, QRUR Speaker: Emily Graham, HART Health Strategies, Inc.

9:05 - 9:55 a.m. Win-Win Strategies: Hospital Collaboration to Coordinate Care, Risk-taking Models: APMs including Case Rates, Episodes of Care, Population Management and ACOs Speaker: Jeniffer Wiler, MD, MBA, FACEP; Exec. Vice Chair, Associate Professor, Dept of EM, University of Colorado School of Medicine

10:00 - 10:15 a.m. BREAK

10:15 - 11:00 a.m. Panel Discussion with Q & A Moderator: Ashley Booth-Norse, MD, FACEP, ACEP Federal Government Affairs Chair, FCEP Past-President Panelists: Emily Graham; Jennifer Wiler, MD, MBA, FACEP; and Ed Gaines, JD

11:05 - 11:45 a.m. The Out of Network Battle, Balanced Billing, Medicaid Expansion and Payment Ramifications Speaker: Ed Gaines, JD, Zotec Partners

11:50 - 12:30 p.m. EM Group Challenges and Strategies: Solutions to Out-Perform under ACA Regulations, while reducing acute care costs Speaker: Anthony Cirillo, MD, FACEP, Director of Health Policy & Legislative Advocacy, U.S. Acute Care Solutions

12:30 - 1:30 p.m. Lunch and Attendee Q&A General Discussion Moderator: Jordan Celeste, MD, FCEP Board Member Panel Members: Anthony Cirillo, MD, FACEP; Ed Gaines, JD; Jeffrey Bettinger, MD of Bettinger, Stimler & Associates; and Gordon Wheeler, ACEP, Associate Executive Director, Public Affairs ACEP

1:35 - 2:20 p.m. Coordination and Collaboration with EM Physicians and Payers to Decrease Costs while Increasing Quality of Outcomes for Patients. Framework for creating the ultimate team in hospital with all care providers. Speaker: Kim Streit, FACHE, MBA, MHS, Vice President/Healthcare Research and Information, Florida Hospital Association

2:25 - 3:10 p.m. ED Management: Global cost saving solutions, managing admission and readmission transitions to admitting physicians, boarding, discharges, and coordination of follow-up care Speaker: Michael J. Zappa, MD, FACEP, Associate Chief Medical Officer, Acute Care Services, Cape Fear Valley Health, NC

3:15 - 4:00 p.m. Panel Discussion: Moderator: FCEP Secretary-Treasurer Kristin McCabe-Kline, MD, FACEP Panelists: Kim Streit, FACHE, MBA, MHS; Mike Zappa, MD, FACEP; and Rebecca Parker, MD, FACEP

EM Payment Reform Summit AgendaDay 2: February 10, 2017 - “Imminent Changes in Emergency Medicine Reimbursement: Strategies to Succeed under Value Based Care”

8:00 - 8:15 a.m. Breakfast and Welcome/Program Overview Speaker: FEMF President Michael Lozano, MD, FACEP

8:15 - 9:10 a.m. ACEP Action Plan: EM’s conundrum…balancing our objectives: protecting standards of care while protecting physician compensation; making our value based case” Speaker: Rebecca Parker, MD, President, ACEP

9:15 - 10:00 a.m. Big Data: CEDR, Analytical Tools, Federal Regulatory Reporting, EMRs and data connectivity, Quality Measures, MIMS, and APMs Speaker: Steve Epstein, MD, FACEP, MPP, Assistant Professor, Dept of EM, Harvard Medical School/ Attending Physician, Dept of EM, Beth Israel Deaconess Medical Center 10:00 - 10:15 a.m. BREAK

10:15 - 10.55 a.m. End of Life Palliative Care and Hospice Speaker: Eric Shaban, MD, Regional Medical Director, Vitas; Joseph Priestas, National Director of Accountable Care and Payment Reform, Vitas

11:00 - 11:50 a.m. The Future of Academic Emergency Medicine: Issues and Solutions Speaker: David Seaberg, MD, FACEP, Professor and Chairman, Department of Emergency Medicine, University of Tennessee College of Medicine, ACEP Past-President

12:00 - 1:00 p.m. Lunch and Panel Discussion Moderator: Vidor Friedman, M.D., FACEP Panel Members: Rebecca Parker, MD, FACEP; David Seaberg, MD, FACEP; Steve Epstein, M.D., FACEP; Eric Shaban, MD; and Joseph Priestas

1:05 - 1:45 p.m. EMS Innovation: Community Paramedicine, Outreach Coordination of Care Speaker: Chief Thomas DiBernardo, Sunrise Fire Rescue

1:45 - 2:30 p.m. Non-Hospital Alternative Emergency, Urgent and Primary Care Models

2:30 - 2:45 p.m. BREAK

2:45 - 3:25 p.m. Innovative Technology to Enhance Care Coordination: Telemedicine and Remote Health Monitoring” Speaker: Bobby Park, MD, FACEP, Co-Founder and Director of RelyMD, Raleigh, NC, Wake Medical 3:30 - 4:15 p.m. Panel Discussion Moderator: Steve Kailes, MD, FACEP, FCEP Past-President Panel Members: Bobby Park, MD, FACEP and Chief Thomas DiBernardo

4:15 p.m. Adjourn

HOTEL INFORMATIONThere is a limited hotel block available for at the Hampton Inn & Suites Orlando Gateway/Orlando Airport Thursday, February 9, 2016 for a king-sized room at a rate of $169/per night.

Location: 5460 Gateway Village Circle, Orlando, FL 32812Hotel contact number: 407-857-2830Reservation deadline: January 26, 2017

Check back on the EMLRC page for a reservation link to book a room. Please email Marylin Hernandez at mhernandez@emlrc.org if you have any questions regarding hotel reservations.