(Tuesday) 12:00 pm - 1:00 pm
Course: 1704W | CPE: 1.0 | Level: Basic | Prerequisites: None
Are your physicians engaged? Are physician incentives aligned with organizational goals? Join us for a complimentary webinar discussing strategies for increasing physician engagement and improving performance.
• Discuss strategies for engaging physicians to manage value-based reimbursement risks and improve performance
• Recognize options to improve physician engagement through compensation plan design and update existing models as an immediate pathway for computer plan models with a quality component
• Explain how to update a compensation plan’s quality component through a process that balances physician needs with pending reimbursement protocols, such as the Medicare Access and CHIP Reauthorization Act (MACRA)
• Describe how using formal processes and vetted data can build trust around a process for routinely updating the quality component of compensation to keep up with changes to payor reimbursement patterns
Target Audience: CEOs, CFOs, CMOs, physicians, attorneys, physician practice leadership, finance directors, quality directors and reimbursement directors
David W. Stein, MD, FACS
Dr. Stein has been a practicing Otolaryngologist for 28 years and has held multiple leadership positions across the spectrum of health care. He has been the president of his 14 physician independent medical group, president of the county medical society and board member, chairman and interim CEO of a local non-for profit insurance company. He has been a certified health insurance executive by AHIP and is currently the chairman of the finance and contracting committee of a local clinically integrated network involved in gain sharing and at risk contracting.
Dr. Stein is the president of Strategic Medical Consultants, LLC and is working closely with the BKD Health Care team. His skill set lends itself to physician communication and team building to transition health systems to the new world of health care reform and compensation.
Dr. Stein received his B.A. form Wabash College and his M.D. from Indiana School of Medicine followed by his residency at The Ohio State University. He has practiced his entire career in Fort Wayne, Indiana.
Tammy R. Walsh, Director, BKD LLC
As a director in the BKD National Health Care Group, Tammy leads the BKD Physician Services Center of Excellence for the Dallas and Waco offices. She has been the director of accounting and physician compensation for Texas Health Physicians Group and the chief financial officer (CFO) for The Center for Cancer and Blood Disorders and JPS Physician Group, both in Fort Worth, Texas. Tammy also has provided CFO services in the managed care space at UnitedHealthcare and Cigna Healthcare with responsibilities for North Texas, Central Texas and Oklahoma markets. She has owned her own health care financial consulting services business, Paramount Healthcare Solutions, and has provided financial consulting for an international accounting firm.
Tammy is an adjunct professor at the University of North Texas Health Science Center in Fort Worth and serves on the board of directors of the Healthcare Financial Management Association Lone Star Chapter. She is a graduate of the University of Houston, Texas, with a B.S. degree in finance.
Register for this webinar using the link above. This webinar will be available on-demand for a period of 90 days.
After registering you will receive a confirmation email containing information about joining the Webinar.
HFMA Region 9
(Friday) 9:00 am - 6:00 pm CST
Seton Administration Offices Bldg
1345 Philomena Street, Austin, TX 78723
2017 Summer Institute please note - no refunds after August 23 7:30am – 8:30am Breakfast & Registration 8:30am – 9:00am [...]
please note – no refunds after August 23
Eric Weaver, President ACHE Chapter & David Korn, President HFMA Chapter
Larry Sobal, MBA MHA CMPE, Executive Vice President, Business Development, MedAxiom Ventures
Larry is an experienced senior health care executive with a diverse 35-year background in medical group leadership, hospital leadership, and insurance. He is an effective communicator with the ability to engage others to create a shared vision for change, and then translate that into strategy by analyzing critical business requirements, identifying deficiencies and potential opportunities, and developing actionable solutions.
Currently, Larry blogs weekly, presents at meetings, and publishes articles on behalf of MedAxiom. He is also a member of the Editorial Board for the Journal of Cardiology & Cardiovascular Therapy. Prior to joining MedAxiom, Larry was the CEO of the Appleton Heart Institute and CV Service Line and Value Stream Leader for ThedaCare. During this time, he was an active MedAxiom member and presented numerous times at MedAxiom meetings and other industry forums. In his lengthy career, Larry has developed many strategic and business plans, negotiated and implemented co-management agreements, PSAs and other alignment models, redesigned compensation plans to align with organizational strategy, led multiple independent practices through integration, developed medical group growth strategies, redesigned primary care models and designed multiple ambulatory facilities. Through this work he earned a reputation as a respected decision maker who delivers value and trust through strong relationships with colleagues, physicians, staff, and the community. His consulting expertise focuses on assisting private and employed physician practices and health systems with improving their Governance, Strategy, Operations and Transformational/Cultural change.
The cost of healthcare has been escalating over the past several years. Trying to contain and reduce this growth has become a major policy focus not only at the federal and state levels, but among employers and consumers too as they struggle to keep up with the ever increasing cost of health insurance. Regardless of federal health reform, rising healthcare costs is something that must be discussed and controlled for the vitality and sustainability of employers and nationwide economic growth and stability. The truth is that rising costs are placing an unsustainable strain on state and federal healthcare programs and individual and employer sponsored health plans. But where does all this cost come from? According to Centers for Medicare and Medicaid Services, hospital and physician services account for over 51% of the cost. So what are the drivers of cost in these areas? Some of the most significant drivers include: lack of coordination of services among health providers, resulting in inefficiencies and duplication; unnecessary medical treatment, clinical variation, and costly medical errors; and a sky rocketing population of people with one or more chronic diseases. What can be done to address these cost drivers? In 2007 the Institute for Healthcare Improvement (IHI) began the Triple Aim initiative, which seeks to accomplish three objectives: improve population health, improve patient experience, and reduce the cost of care. What we have learned is that any future efforts that fail to balance each of these three objectives will have little to no success at controlling those cost drivers or improving healthcare delivery. Addressing cost alone is not enough. Looking at quality in a vacuum is not effective.
Healthcare providers benefit from Michelle Apodaca’s unique blend of business and legal experience and her comprehensive understanding of healthcare legislative policy and regulation. Hospitals and health systems, and physician practices rely on Michelle’s insight into operational, business and related regulatory issues including alignment of incentives and business strategies in the post Affordable Care Act health care marketplace; assisting in the transition from fee for service to quality/value based payments; implementing and maintaining quality initiatives and developing and leading state legislative and regulatory policy agendas with the Texas Legislature, and state agencies. Prior to entering private practice, Michelle served the Texas Hospital Association members as the Vice President of Advocacy, Legal and Public Policy. Earlier in her career she served as In House Legal Counsel and Compliance Officer for a Texas health maintenance organization and as a legislative aide in both the Texas State Senate and the U.S. House of Representatives. The breadth and depth of her experience underscore Michelle’s zealous advocacy for clients who depend on her advice to plan proactively for the evolving healthcare landscape. Michelle is a frequent and respected speaker on the Texas Medicaid program and the impact of the Affordable Care Act on health care providers.
Panelist: Blake Allison, FACHE, Chief Operating Officer, Baylor Scott & White Quality Alliance
As COO for the BSWQA, Blake spearheads initiatives to support the implementation of the BSWQA mission and participates in strategic collaborations with the system, payers and employer groups. In addition, he oversees the growth and sustainment of the BSWQA provider network to ensure provider adequacy as well as ongoing provider engagement. Blake brings over a decade of experience to the BSWQA team. Blake approaches his role with both optimism and excitement, and believes healthcare is a great way to serve his fellow man and improve the lives touched by the system. In the transitioning state of the industry, Blake is able to draw upon these fundamentals, to identify opportunities to ensure better care through more collaborative models. His scope of experience spans multiple settings including government entities, large integrated delivery systems, ambulatory surgery centers and physician consulting. Blake earned his bachelor’s degree from Baylor University and his MS in Healthcare Administration from Trinity University. Blake holds the distinction of Board Certification in healthcare management through the American College of Healthcare Executives.
Panelist: Meghana Gadgil, MD, Academic Program Officer, Value Institute for Health and Care, The University of Texas at Austin Dell Medical School
Dr. Meghana Gadgil is a teaching faculty member in the Department of Internal Medicine at the Dell Medical School and joined the Value Institute for Health & Care in 2017. She also leads the campus-wide Model Healthy Campus Initiative, a unique human-centered design approach to identifying and crowdsourcing solutions to complex public health issues. Dr. Gadgil completed dual undergraduate degrees in Biochemistry and Conservation Resource Studies at UC Berkeley and attended medical school at the University at Buffalo School of Medicine. She went on to residency training at Stanford University Hospital, where she was a member of the inaugural Global Health Track. After residency, she earned her Master’s in Public Health at UC Berkeley with a concentration in Environmental Health Sciences.
Dr. Gadgil is the recipient of numerous awards and honors, including the Stanford Society of Physician Scholars, Kaiser Permanente Medical Student Scholarship, and the American Pediatric Society/ Society for Pediatric Research Fellowship, and has twice been awarded the Johnson & Johnson Global Health Scholarship. She is a member of the Gold Humanism Honor Society and a former Fulbright Research Fellow and has extensive international experience, including in Ecuador, India, Borneo, Uganda and Bangladesh. Her academic interests include global health, clinical medical education, implementation science, value-based care, and medical humanities. Dr. Gadgil is board certified in Internal Medicine by the American Board of Internal Medicine.
Panelist: Jaeson T. Fournier, DC MPH, Chief Executive Officer, CommUnityCare Health Centers
Dr. Fournier joined CommUnityCare Health Centers on June 5th, 2017. Prior to his tenure at CommUnityCare, Dr. Fournier served as CEO for West Side Community Health Services (WSCHS) in St. Paul, Minnesota, where he was responsible for the daily operations of WSCHS – Minnesota’s largest Federally Qualified Health Center (FQHC). WSCHS is a multi-site, multi-program FQHC organization that operates 17 health center locations. With more than 15 years of experience as an FQHC executive, Fournier understands the political landscape and advocacy needs of communities that are historically under-served. Dr. Fournier brings vast financial experience and interpretation of data for the improvement of service delivery, operation efficiency, and effectiveness. Dr. Fournier has also been involved in advocacy within and through the Primary Care Associations (PCA) of each state in which he has worked. While in Michigan, Fournier served as vice-chair and chair of the PCA Board of Directors. For the last five years, he has served as the Government Relations Committee chair for the Minnesota Association of Community Health Centers and, in conjunction with Association staff and colleagues, has helped established the state FQHC legislative priorities each year. Dr. Fournier holds a Bachelor of Science in Zoology/Biology from the University of Toronto in Ontario, Canada, as well as a Bachelor of Science in Human Biology from The National College of Chiropractic in Lombard, Illinois. He earned his Masters of Public Health from the University of Illinois at Chicago and completed his Doctor of Chiropractic with the National College of Chiropractic.
This session will provide updates on both organizations local and national focus. Chapter initiatives, changes, paths to personal and professional goal achievements will also be highlighted.
Eric Weaver, President ACHE Chapter
Eric Weaver is a healthcare executive with varied experience in several types of organizational settings. He has strong management qualifications in business/clinical operations, project management, finance, human resources, strategic planning and marketing, and in-formation systems. He is passionate about learning, leading organizations in a change-driven environment, safeguarding physician business interests, and leveraging health information technology to deliver patient-centered care.
Mr. Weaver holds a Bachelor’s Degree in Medical Technology, a Master’s Degree in Healthcare Administration, and a Graduate Certificate in Health Information Management – all from Texas State University. He is currently pursuing a Doctorate Degree in Healthcare Administration from the Medical University of South Carolina. He is committed to the healthcare management profession, having reached Fellow status with the American College of Medical Practice Executives and the American College of Healthcare Executives. Eric Weaver has lived in Austin, Texas for the last decade and currently manages several prominent cardiology medical practices in the area. He is also the owner of a consulting company that specializes in executive leadership of healthcare organizations.
Dave has over 30 years of experience in healthcare with the fiscal intermediary and consulting industries. With a focus on regulatory issues involving academic medical centers, community hospitals, healthcare systems, critical access hospitals, rural health clinics, home health organizations, long term care facilities and skilled nursing facilities. Dave has experience in all functions related to Medicare and Medicaid reimbursement and compliance. His experience includes consulting on cost reports, provider enrollment, Medicare audits/reviews, interim rate reviews and analysis, disproportionate share (DSH), Medicare bad debts, graduate medical education, organ transplant, end stage renal disease, cost report re-openings, Provider Reimbursement Review Board (PRRB) services and Electronic Health Records (EHR). He has also, provided assistance for Office of Inspector General (OIG) and Department of Justice (DOJ) audits, including assistance with corporate integrity agreements (CIAs). Dave is President of the Board for the South Texas Chapter of HFMA. He is a graduate of Texas State University, with a B.B.A. in accounting.
Geronimo Rodriguez, Chief Advocacy Officer, Seton Healthcare Family
Geronimo Rodriguez is the Chief Advocacy Officer for Seton Healthcare Family. Prior to his current role he served as the Vice President of Diversity and Community Outreach and Vice President for Advocacy and External Affairs for Seton Healthcare Family. He is focused on inclusion and workforce development strategies that institutionalize the change to reflect the diversity of the community we serve and create a culturally competent organization. He is interested in workforce development, diversity and inclusion best practices and evidence based research. Geronimo earned his bachelor’s degree from St. Edwards University and his J.D. from The University of Texas at Austin School of Law.
John is a results-oriented healthcare professional who brings over 30 years of experience in clinical orthopedics, health insurance, and hospital systems to create strategic and tactical solutions for hospital systems.
He works with his clients to develop strategies that increase their revenues by leading operational and financial engagements to achieve their systems goals with solutions based on their unique markets and dynamics.
Prior to consulting, Mr. Montaine served as a senior hospital executive for two multi-facility integrated Texas hospital systems, and he served in senior executive roles developing and running national and regional health plans in Texas and Florida.
Mr. Montaine has been a member of HFMA since 1999 where he achieved the nation’s highest score on HFMA’s certification exam for Managed Care in 2008. He started with the Gulf Coast chapter where he was as an officer, Board member, and committee chair, before moving to the South TX chapter in 2003 where he was the South Texas Chapter President for 2009-10. He has been awarded the Follmer Bronze, Reeves Silver, and Muncie Gold merit awards and was awarded the Medal of Honor by the South Texas Chapter in 2011. He continues to serve the South Texas Chapter on the Texas statewide committee and on the Region 9 planning committee.
In addition to his Fellow status in HFMA, Mr. Montaine holds a certification in Risk Management from the American Academy of Health Law and has been a Diplomat of the American Board of Quality Assurance and Utilization Review Physicians since 1996. He serves on the BOD of the San Antonio Rugby Football Club where he enjoys playing Rugby as time permits, and scuba diving with his wife of over 30 years. They have 3 adult children.
Amanda Beita is the Senior Manager of Performance Improvement for the Central & West Texas Division of the Hospital Corporation of America (HCA). The HCA Central/West Texas Division is comprised of two hospitals in El Paso and seven facilities in Austin. She helps drive measurable changes within the surgical services space that ultimately have a long lasting positive impact on the organization. Amanda began her healthcare career in the revenue cycle arena and continues to advise on these items in her current role.
Amanda believes her work supports a larger mission within her organization. She focuses on ensuring she is addressing elements that lend to delivering the highest quality of care and superior patient experience. Among various accomplishments and recognitions throughout her career, she recently was awarded with the 2016 HCA Innovators Award within the Service Excellence category at the division level. She is a Fellow in the American College of Healthcare Executives. Amanda holds a Master’s degree in Healthcare Administration from Texas State University-San Marcos.
With nearly 20 years of experience in various areas of revenue cycle, Claudia Falcon currently serves as the Controller for Uvalde Memorial Hospital. Mrs. Falcon graduated from Our Lady of the Lake University in San Antonio with a Masters in Business Administration and attained the HFMA Revenue Cycle Representative certification in 2016. Her hands-on experience ranges from Medicaid collections and ambulatory payment classification coordination, and utilization review, to admissions and patient financial services director. Mrs. Falcon serves as a board member for the HFMA South Texas Chapter. Outside of the hospital Mrs. Falcon is a member Sacred Heart Catholic Church and an active member of the Catholic Women’s Club in Uvalde.
Chris Joiner, Principal, Accordias Healthcare LLC
Chris Joiner is a Healthcare Finance professional with over 30 years in the revenue cycle arena. Chris is an innovative healthcare leader, driven to improve the healthcare process. Focused on results driven outcomes, experienced in revenue cycle, financial operations and management, information technology, as well as strategic planning, project management and tactical implementations. Chris has exhibited a history of creating successful business strategies, recruitment and development of powerful leadership teams, enhancing revenue streams, and reducing operating costs, while improving both internal and external customer service levels, as well as consistently improving service levels while achieving growth in client base, market share and profit. He enjoys coordinating efforts between diverse groups, and serving as a catalyst for positive change. Chris is focused on reaching challenging goals through collaborative interactions and open dialogue. Chris has held leadership roles at Seton Hospital, Children’s Medical Center of Dallas, Cerner, Perot Systems, Dell, and Optum 360. Chris is currently principal of his companies Accordias and Black Pearl Executives.
Sam Boleman has been providing RCM outsourcing services to healthcare providers for 30 years. He brings a passionate innovative approach to assisting healthcare providers adopt a new methodology for managing the revenue cycle, designed specifically to thrive in the new performance based reimbursement model. Prior to joining AMCOL, Sam has delivered industry leading strategic BPO solution services at Medaphis Services Corporation, NCO and Nationwide Recovery Systems. He has provided award winning sales leadership in corporate growth initiatives, new client development and strategic network affiliations.
HFMA South Texas & ACHE