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A Great Disturbance in the Force: Changes to the Provider-Based Rule Shift the Balance of Power
- Medicare Reimbursement
- Provider-Based Rule
- Mergers & Acquisitions
Overview of the webinar
Last fall, the Centers for Medicare and Medicaid Services (CMS) finalized updates to the reimbursement rules for outpatient services that are intended to eliminate financial incentives based solely on the location where certain services are provided. The new regulations implement the site-neutral payment provisions of the Bipartisan Budget Act of 2015 (BBA) – specifically, the statute’s mandate to eliminate incentives for hospitals to purchase physician practices and convert them to off-campus outpatient provider-based departments (OPDs). On average, these changes represent about a 50% reduction in reimbursement for services delivered in off-campus OPDs. Using real world scenarios, Ms. Jacobs will examine the potential impact of the new rules on clinical network development, strategic planning and hospital operations.
Who should attend?
- Hospital Executives, particularly CEOs, COOs, CFOs and CCOs
- Compliance Professionals
- Physicians
- Physician Practice Managers
- In-House Counsel
- Outside Counsel
Why should you attend?
Healthcare is a fast-paced industry that is constantly evolving. While this creates a wonderful environment for clinical advancement, it also makes it extremely hard for organizations to stay on top of regulatory compliance. The government is constantly looking for new ways to reduce costs, and in recent years has used the power of its very big purse to push the industry toward greater cost-effectiveness and efficiency. Last fall, the Centers for Medicare and Medicaid Services (CMS) finalized updates to the reimbursement rules for outpatient services that are intended to eliminate financial incentives based solely on the location where certain services are provided, and instead ensure parity in payments for similar services performed in similar locations. Participate in this webinar to learn about the latest changes to the provider-based rule and how those changes will alter the way outpatient services are delivered to patients.
Faculty - Ms.Clevonne M. Jacobs
Clevonne (Vonne) M. Jacobs, Esq. currently, serves as Associate University Counsel for Duke University and Duke University Health System. She provides advice and counsel to one of the world’s preeminent health systems on a broad range of regulatory, operational and transactional matters. An engaging and entertaining presenter, and nationally recognized as an expert in her field, she is a frequent speaker on issues related to regulatory compliance (e.g., the Stark Law, the Federal Anti-Kickback Statute, HIPAA, etc.), hospital-physician transactions, physician compensation, and corporate governance issues. Her sessions give participants practical approaches to managing complex issues in the fast-paced healthcare industry.