CANCELED: Quality, Value and Payment for Health Care Providers

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Start Time:12:00 AM
End Time:12:00 AM
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Provided by MHA Health Institute
Health Institute

Date & Time

Thursday, Aug. 10, 2017   
10 - 11:30 a.m.

Register on or before Friday, Aug. 4, to ensure delivery of instructional materials.

MHA members — $225
Nonmembers — $275

The webinar registration fee is for one phone line connection. Additional phone line connections each will be charged a registration fee. Multiple participants on the same connection is encouraged. Get more value by inviting colleagues to join you!

This webinar is being offered at a reduced registration fee to MHA-member hospitals because of a contribution from MHA Management Services Corporation.


hospital management, medical staff organization staff, clinical department managers, utilization review and case management staff, clinical staff, nursing staff, physicians, non-physician practitioners, physician practice managers, clinic administrators, financial analysts, revenue cycle specialists, chargemaster coordinators, provider-based clinic staff, compliance staff

The following program content was provided by the speaker.


This webinar will address the many efforts that the Medicare program is undertaking and/or is in the process of developing. The latest major efforts involve mandates from the Medicare Access & Children’s Health Insurance Program Reauthorization Act relative to the discontinuation of the sustainable growth rate through implementation of programs such as the merit-based incentive payment system. Some of the initiatives from Medicare involve cost savings through efficiency improvement, while others involve effectiveness improvement through better care.


  • discuss the fundamental challenge between reducing payment and improving quality of health care
  • review the various Medicare payment systems from a quality and value perspective
  • review twin goals of efficiency (reduced costs) and effectiveness (increase quality)
  • discuss the main initiatives from Medicare concerning quality, value and associated payment impacts for all types of health care providers
  • review the current Medicare quality programs for hospitals
  • analyze the proposals from Medicare concerning the implementation of the MACRA-mandated MIPs
  • review current Medicare quality and value purchasing for other health care providers, such as home health agencies, skilled nursing facilities and durable medical equipment centers
  • examine the future of quality and value-based initiatives from Medicare and the anticipated impacts from such initiatives
  • discuss special approaches being taken by the Medicare program at both an organizational and service level


  • Overview of Quality and Value Initiatives from Medicare
    • quality reporting
    • value-based purchasing
    • payment adjustments for quality
    • patient to physician relationship
    • congressional actions
  • Review Medicare Payment Systems
    • fee schedules
    • prospective payment systems
    • hybrid payment systems
    • cost-based payment systems
  • Hospital Quality Programs
    • inpatient quality reporting
    • outpatient quality reporting
    • value-based purchasing
    • hospital-acquired condition reduction program
    • readmission reduction program
    • electronic health record
  • Physician Quality and Value Programs
    • sustainable growth rate
    • current initiatives
      • PQRS – physician quality reporting system
      • value-based payment modifier
      • EHR initiative
      • physician feedback system
      • value-based payment modifier
    • MIPs
    • alternative payment models
  • Other Health Care Providers
    • value-based purchasing for HHAs
    • value-based purchasing for SNFs
    • quality reporting for long-term care hospitals
    • DME initiatives
    • other healthcare providers
  • Trends and the Future
    • budget neutral implementation
    • costs for reporting and maintaining reimbursement
    • incentives versus penalties
  • Sources for Further Information

  • Faculty

    Duane C. Abbey
    Abbey & Abbey Consultants, Inc.
    Ames, Iowa

    Duane Abbey is a management consultant and president of Abbey & Abbey Consultants, Inc., based in Ames, Iowa. For more than 20 years, Abbey & Abbey Consultants, Inc., has provided health care consulting services to hospitals, hospital systems, physicians, medical clinics and integrated delivery systems. In addition to consulting, Abbey has been an invited presenter for hospital associations, medical societies and other groups. He also has published articles and books on health care topics. Abbey earned his graduate degrees from the University of Notre Dame, in South Bend, Indiana, and Iowa State University, in Ames.