HCM Marketplace

AUDIOCONFERENCE ON TAPE OR CD

Sponsored by Patient Access Resource Center

presented on December 6, 2006

Prepare now for the significant changes the new DRG reconfiguration will present.

The plans have been drafted, and starting in 2007 you’ll start seeing the impact of the CMS DRG payment system revisions. The system is getting a facelift and that means you need to prepare for a significant adjustment. In most instances, the move to the consolidated severity adjusted-DRGs means:

• you'll be under mounting market forces to review, revise and rebuild your service line structure and strategy to account for the dramatic changes in reimbursement
• a thorough process redesign for the patient access and billing departments
• you should revisit the strategic implications and issues related to transparent pricing

Get a competitive advantage and appropriate reimbursement for your services

You’re under increasing market pressure to become more transparent in your pricing structure and quality of information, which only furthers the need to revisit your service line structure to prepare for consumerism in an increasingly competitive market.

This audioconference will give you the tools and strategy you need to initiate this process and to increase your viability in your market. With our speaker’s expert advice, you’ll walk away from this program with:

• A sense of the strategic implications of DRG revisions on the billing office and on transparent pricing
• A compelling rationale for revisiting service line billing strategy and adjusting in advance (some lines, such as cardiovascular will be hurt; others, such as oncology, will be helped)
• Steps on how to conduct an in-depth review now and prepare for what will be significant to the hospital's operation
• Strategies to incorporate a structure of service line management with defined data parameters, specific performance metrics, and well-defined managerial accountability

TAKE A LOOK AT THE AGENDA

1. Brief overview: DRG reconfiguration
   1. What are the major changes and when should providers take notice?
   2. Now that CMS has scaled back on its original plan, what does this mean for providers in the short term?
2. Service line adjustment and restructuring: Why, when, and how?
   1. What services lines will be greatly impacted?
      1. Examples of interventional cardiology, orthopedics, surgical vs. medical cases, etc.
   2. In what areas will you need to compensate for the dramatic reimbursement shifts?
   3. Critical strategies to broaden and level the competitive playing field
3. A 3- to 5-year strategic and interventional plan
   1. Capital planning for down the road
   2. Suggestions for the necessary step of retooling your methodology
4. Cost analysis and portfolio measurement as a long-term strategic tool
   1. How to develop a good cost assessment system
   2. How to identify the threshold for capital investment and marketing allocation
   3. Broader implications to your bottom line
5. Bracing now for significant changes to your business operation
1. Steps you can take right now to become more agile and less affected by new DRGs, market change
2. Retail-driven strategies to your new approach
3. The role of pricing quality and transparency information and the culture of consumerism

A question and answer session follows the presentation.

LEARNING OBJECTIVES

At the end of this program, you will be able to:

1. Understand the impact of the recent DRG reconfigurations
2. Develop strategies to deal with expected and unexpected near and long-term service line effects
3. Develop and implement strategies to roll with the current and expected changes to reimbursement
4. Understand how to tackle both the DRG reconfiguration and healthcare transparency while staying one step ahead of the competition

MEET THE SPEAKERS

Preston Gee is a senior managing director of Phase 2 Consulting in Salt Lake City, UT. Mr. Gee has over 20 years experience in senior level planning and strategy positions in the health care industry. He has orchestrated strategy for organizations ranging from a leading for-profit health care system in Texas to a prominent not-for-profit hospital in the Northwest.

Marlowe J. Dazley, MBA/HSA, is the senior managing director of Phase 2 Consulting. He has worked in the health care industry since 1990 in various capacities including office of the U.S. Surgeon General, managed care operations, finance, administration, and consulting.

BONUS MATERIAL INCLUDED IN YOUR MATERIAL PACKET!

In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and tools, as well as the following:

1. Health Leaders article, “Paradigm Lost”
2. Charts to help restructure your service line in response to pricing transparency

These materials are provided with PDF links.

WHO SHOULD LISTEN?

PFS managers, managed care directors, CFOs, billing professionals, COOs, CEO, patient accounting, reimbursement, strategic planning, case management professionals, and practice administrators.

Purchase a tape or CD of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

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