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Big Changes for 2020: CMS’ Blockbuster Announcements

  • September 10, 2019
  • 2:00 PM – 3:00 PM ET
  • Online
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In a string of recent announcements, the Centers for Medicare and Medicaid Services (CMS) revealed its plans to reform policies regulating healthcare delivery and payment structures, specifically within the home health industry. These new rule changes seek to drive care to the home in order to improve cost and outcomes for challenging populations.

During this free webinar, a panel of industry experts will discuss the impact of these dramatic regulatory changes on health insurance plans and how they can take advantage of these new changes as opportunities. Panelists will expand upon this further, examining how health plans can leverage home care to improve outcomes and satisfaction, while also reducing costs. The topics being covered as part of this webinar include best practices around delivery of care in the home and how to address the new policies related to benefit offerings for 2021 Medicare Advantage bids.

Best practices to leverage care at home will address:

  1. Trump administration’s executive orders and encouraging in-home dialysis treatments instead of outpatient centers
  2. The impact that CMS regulatory changes will have on payors’ overall business and how to take advantage of these changes as opportunities
  3. The permanent home infusion therapy benefit to be implemented in 2021, as required by the 21st Century Cures Act
  4. Coverage being offered for a wider array of supplemental benefits
  5. 2021 testing of hospice carve-in for Medicare Advantage plans, using value-based insurance design models (VBIDs)
  6. The expansion of telehealth services for practitioners in accountable care organizations (ACOs) with performance-based risk arrangements
  7. New CPT codes for reimbursement of remote patient monitoring

 


Speakers 


Dr. Michael Cantor
Chief Medical Officer
CareCentrix

Dr. Cantor is a geriatrician and attorney with extensive experience in designing and implementing population health and quality improvement programs for health plans and healthcare providers. He trained in internal medicine at Beth Israel Hospital in Boston, and did his geriatrics fellowship at Harvard Medical School. His degrees in law and medicine are from the University of Illinois.

Prior to CareCentrix, he served as CMO for the New England Quality Care Alliance (NEQCA), the 1,800-physician network for Tufts Medical Center in Boston, where he managed network-wide population health and quality improvement programs. He also served as founding Medical Director for the NEQCA Medicare Shared Savings Accountable Care Organization (ACO), and was the first CMO for Minuteman Health, a CO-OP insurance plan, where he developed and implemented medical management programs.


Bruce D. Greenstein
Executive Vice President, Chief Strategy and Innovation Officer
LHC Group

Bruce has spent the last 25 years in healthcare, split between the public sector and private sectors. Today he runs strategy and innovation at one of the nation’s largest post-acute care companies. In 2018 he was the CTO at the U.S. Department of Health & Human Services. In state government, Bruce was the Health Secretary for Bobby Jindal in Louisiana, and before that he was running Microsoft’s worldwide health and human services business division. Previous to Microsoft, Bruce was at CMS overseeing Medicaid Managed Care and Waivers & Demonstrations. Bruce has also spent time in venture capital and private equity, is on the board of a publicly traded health care company, a board advisor to a Silicon Valley health care transparency company and an advisor to the health informatics program at George Washington University and the University of Louisiana.