John A. Anderson

John Anderson Speaks Today on MACRA/MIPS/ AND THE CMS Quality Payment Program

LIVE WEBINAR TODAY!

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Prime Accountable Care, LLC

Presents

MACRA/MIPS/ AND THE CMS Quality Payment Program:
Immediate and Long – Term Implications for Your Medical Practice

The First Webinar in a Series of Educational Forums Exclusive to Prime ACO Members

~ Presenter ~
HealthCare Attorney, John Anderson of Giarmarco, Mullins & Horton, P.C.

“Learn about the urgent need to take action before 12/31/2017 to avoid a 4% negative adjustment in your Medicare reimbursements.”

~ Who Should Attend ~
Physicians, Mid-Level Providers/Physician Extenders, Office Managers/Practice Administrators.

Who will also benefit from attending: Medical Assistants and billers.

WHEN: September 13, 2017, 7:00 pm to 8:00 pm

 

John Anderson to Speak on MACRA/MIPS/ AND THE CMS Quality Payment Program

Mark Your Calendars…

Prime Accountable Care, LLC

Presents

MACRA/MIPS/ AND THE CMS Quality Payment Program:
Immediate and Long – Term Implications for Your Medical Practice

The First Webinar in a Series of Educational Forums Exclusive to Prime ACO Members

~ Presenter ~
HealthCare Attorney, John Anderson of Giarmarco, Mullins & Horton, P.C.

“Learn about the urgent need to take action before 12/31/2017 to avoid a 4% negative adjustment in your Medicare reimbursements.”

~ Who Should Attend ~
Physicians, Mid-Level Providers/Physician Extenders, Office Managers/Practice Administrators.

Who will also benefit from attending: Medical Assistants and billers.

WHEN: September 13, 2017, 7:00 pm to 8:00 pm

RSVP: Click Here to RSVP for the Free Live Webinar

*An email invitation will follow with a link and instructions on how to join the webinar and call-in on the day of the webinar*

John Anderson Speaking in Live Webinar on Significant Changes to CMS’ Medicare Shared Savings Program: Addressing Healthcare Providers’ Concerns

Giarmarco, Mullins & Horton, P.C. is pleased to announce that John Anderson will be a speaker for the Live Webinar assembled by The Knowledge Group titled, Significant Changes to CMS’ Medicare Shared Savings Program: Addressing Healthcare Providers’ Concerns.

Wednesday, May 31, 2017 @ 12:00 pm – 1:30 pm (EST)

Key topics include:

  • Medicare Shared Savings Program (MSSP) – An Overview
  • Accountable Care Organizations
  • Final MSSP Rule: Key Provisions
  • Quality Payment Programs
  • Operational Effectiveness
  • Systemic Inefficiencies
  • Practical Suggestions

CLICK HERE TO REGISTER

John Anderson Speaking in Live Webinar Stark Law Regulations: Significance to Your Firm

Giarmarco, Mullins & Horton, P.C. is pleased to announce that John Anderson will be a speaker for the Live Webinar assembled by The Knowledge Group titled, CMS Final Rule Modifying the Stark Law Regulations: Significance to Your Firm Explored! The Centers for Medicare and Medicaid Services have recently published the final CY 2016 Physician Fee Schedule rule. This rule modifies the Physician Self-Referral Law (Stark Law), and sets in stone new exceptions for Recruitment of Non-Physician Practitioners (NNPs).

The webinar is a review of the Physician Self-Referral Law, significant modifications and new exceptions, key regulatory considerations and challenges. Mr. Anderson will be breaking the rule into easy to understand sections and discussing the legal risks and traps of the modification.

Participants that would benefit from the webinar include organizations, finance executives and service providers; as well as hospital executives, medical directors, health insurance companies and finance lawyers. To register for the Live Webinar and to receive more information, please visit: http://ow.ly/108xca.

John Anderson is co-chair of the healthcare practice group at the law firm of Giarmarco, Mullins & Horton, P.C. in Troy, Michigan. He represents physicians, group practices, ancillary providers, Accountable Care Organizations, clinical labs and hospitals, among others. He regularly helps clients navigate regulatory issues and structures business arrangements in the constantly evolving healthcare environment. He’s the former Board Chair of Genesys Hospital in Grand Blanc, Michigan and he currently sits on the Board of Trustees for Ascension Health, Michigan where he also chairs the Quality & Safety Committee for that state-wide Board. John also sits on the Board of Directors of the Genesys Physician Hospital Organization, which operated one of the original Pioneer Accountable Care Organizations and which currently operates a Shared Savings Plan ACO.

ACOS: Here To Stay Or Gone Tomorrow?

It’s an understatement to say that there is still much skepticism surrounding Accountable Care Organizations.  The ACO program was launched by the Centers for Medicare and Medicaid Services, (“CMS”) in January, 2012 when 32 “Pioneer” ACOs commenced operation.  In April of 2012, 27 new Medicare Shared Savings Program ACOs were announced, followed by 88 more ACOs in July, 2012 and finally 106 new ACOs were added in January of this year as the ACO program continued ramping up.  As a consequence, CMS estimates that more than 4 million Medicare beneficiaries nationwide currently have access to medical care through ACOs.  A recent Oliver Wyman press release states that ACOs now serve 14% of all Americans, with more than half of the U.S. population now living in localities served by ACOs.  The numbers are increasing rapidly and the program has been in operation for less than 18 months.  Commercial plans modeled after ACOs, such the Blue Cross Organized Systems of Care, will make these numbers even larger. “Get On Board Or Get Left Behind” is a theme repeatedly heard from health care consultants.

Yet, a February 18, 2013 Wall Street Journal Op-Ed piece trumpeted “The Coming Failure of Accountable Care,” and a recent survey of 1,200 physicians by Locum Tenans.com revealed that 40% of respondents said they would not be willing to participate in an accountable care arrangement.  The view of many health care providers regarding ACOs ranges from “wait and see” to deep skepticism.  Some believe that ACOs are simply the latest iteration of the 1990s HMO and are doomed to failure.  What is the correct view?  Is the ACO here to stay, or will it be gone tomorrow?

Abundant evidence supports the view that the ACO model will be with us into the foreseeable future.  Why?  You’ve heard it before, but it bears repeating: the current health care spend in the United States is not sustainable—it hovers at around 18% of GDP today and Kaiser Health News reports that it is projected to reach about 20% of GDP by 2021. Multiple trends are gaining momentum simultaneously to address this problem: the shift away from fee-for-service to fee-for- results; the rise and spread of population health management by which providers take responsibility for a “population” of patients and assume the risk for their care; the resulting need for consolidation and growth in market share as providers seek more “covered lives” to spread the risk; the drive toward greater clinical integration among providers as a means of developing and disseminating improvements in clinical pathways and evidence-based medicine to improve quality and reduce cost.  On the near horizon is Medicaid expansion and the Health Care Exchange in 2014.  The small private provider is particularly at risk in this “new world” of health care, but all providers must find a way to address these challenges.  There is strength in numbers and size and mission alignment, and the ACO model provides a vehicle to achieve those objectives.

Without question, some ACOs will fail.  For example, a tectonic shift in the culture of health care providers will be needed and it remains to be seen whether that shift can occur and, if so, whether it can occur fast enough to impact sufficiently the urgent problem of increasing costs.  But the ACO model is a means to that end.  However, it’s about much more than just shared savings.  It’s about reducing cost and improving quality and enhancing the patient experience.  The ACO shared savings are the incentive to help us reach those larger goals.

John A. Anderson is a member of the Business Practice Group of Giarmarco, Mullins & Horton, P.C., where he concentrates his practice in health care law and banking.  He is Vice Chairman of the Board of Trustees for Genesys Health System in Grand Blanc, Michigan, has also chaired the health system’s Quality & Safety Committee, and serves on the Board of the Genesys PHO.  For more information, you may contact him directly at (248) 457-7182 or janderson@gmhlaw.com.