Balancing the transition from volume to value-based care
Venue: Morton’s Steakhouse
Managing the transition from volume-based to value-based care is a risky endeavor that is putting the performance of both hospital clinicians and business leaders to the test. Today’s revenue forecast calls for a combination of both reimbursement models, with some revenue coming through fee-for-service arrangements, but with quality-based-based payment driving returns. This poses an enormous challenge for healthcare leaders who must walk this financial tightrope, both balancing payment transition and managing toward population health where treatment outcomes are applied globally.
6:00 – 6:30 pm – Welcome Reception & Cocktails
6:30 – 6:40 pm – Introduction from Master of Ceremonies
6:40 – 7:00 pm – Guest Speaker
7:00 – 9:00 pm – Three-course dinner complemented with table discussion points
9:00 – 9:30 pm – Wrap up & closing remarks from Nuance
- What is your organization’s greatest opportunity to improve financial performance through the transition from Fee-for-Service to Value Based Purchasing?
- What is your organization’s greatest barrier to improving financial performance in the transition from Fee-for-Service to Value Based Purchasing?
- What represents your organization’s greatest risk to optimal financial performance under the Hospital Value-Based Purchasing Program and other outcomes-based reimbursement models?
Tony F. Oliva, DO, MMM, FACPE
Vice President and CMO at Nuance’sJ.A. Thomas & Associates (JATA), Dr. Oliva draws on over 15 years of CMO experience. Previously serving as CMO for Borgess Health, he continues as a Physician Executive consultant. Dr. Oliva is board certified in Family Medicine and is a Fellow of the American College of Physician Executives. He continues to practice clinically as faculty for a Family Medicine Residency Program. As CMO he personally has been involved with the implementation and expansion of clinical documentation programs since 2004.
Mel Tully, MSN, CCDS, CDIP
As Senior VP of Clinical Services and Education at Nuance’s J.A. Thomas & Associates (JATA), Mel has been instrumental in leading healthcare clients in the development of clinical documentation improvement (CDI) programs, particularly customized profile analysis and clinical documentation education focused on continuous quality improvement. Mel has over 25 years of experience in multiple healthcare arenas as a provider, clinical manager in a large academic facility, and as an expert in clinical documentation improvement.
For more than two decades, Nuance’s J.A Thomas and Associates (JATA) has provided clients with a fully managed, end-to-end clinical documentation improvement (CDI) program that touches all critical aspects of an institution’s clinical documentation process. The firm’s Compliant Documentation Management Program® (CDMP®) and Advanced Practice CDI™ approach have produced Case Mix Index improvement of 4-8%, on average, reimbursement appropriate to level of care provided to patients, and physician engagement and buy-in, all with comprehensive program maintenance, structured compliance support and an infrastructure to sustain positive results.
Today’s world of healthcare and payment reform, ACOs and RAC audits requires hospitals to adopt innovative technology solutions and services that empower them to be competitive, stay ahead, and proactively address change. Nuance Clintegrity CDI solutions powered by JATA methodologies streamline clinical documentation efforts and deliver richer, more actionable data. Ultimately, this enables hospitals to better support clinicians, enhance patient care and ensure more appropriate reimbursement and quality outcomes reporting for their healthcare system.