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Business/Practice Management
CME Online
The newest CME presentations
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Those nearing expiration are nearer the bottom of the page.
| Business/Practice Management | Preventive Health & Lifestyle Medicine | Chronic Illness |
| Behavioral Health | Oncology | Genomics, Biotech & Emerging Medical Technologies |
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Bending the Cost
Curve, Raising the Bar:
The New Provider Realities The passage of the Patient Protection and Affordable Health Care Act has heightened interest in innovative, clinically integrated provider models capable of demonstrating improved outcomes, efficiencies and quality of care. One of the most important distinctions between the provider initiatives nearly a decade ago and those that are expected in the next few years is the focus, by providers, on maximizing reimbursement through quality improvement versus assuming the “insurance risk” that generates the fiscal reward to HMOs and health insurers. In the past, the primary financial driver was the ability of the providers to take direct possession of the “premium dollar” and then control its distribution among providers rendering care. However, these models were generally void of any meaningful quality improvement or clinical integration incentives or requirements. In effect, the clinical integration was only the means to the end (collectively bargaining and market leverage), and not the end itself (improved care, better outcomes, “bending the cost curve”). In this context, the session will address the lessons learned from first generation integrated delivery models and discuss the newer health innovation zones, medical homes, accountable care organizations and other provider integration models designed to promote efficiency, outcomes and quality improvement. The focus of the session will be on differentiating these newer models from earlier models and analyzing the implications for intra- and inter-provider relations. Provider relationships will include an analysis of the effects of Stark, Fraud and Abuse, tax-exemption and CMP laws on evolving integration model including a discussion of how existing guidance on gain sharing and pay-for-performance may have application to these emerging models. CME Valid to June 1, 2012
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Minimally Invasive Procedures:What’s the Value for Health Plans? For many, surgery can be invasive, time consuming, and require a long recovery. Minimally invasive procedures have the ability to improve patient recovery and reduce overall costs. This session will provide you with methods on how to implement a minimally invasive procedure benefit program within to your organization. CME Valid to March 15, 2012 |