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CANCELED: MACRA — How to Navigate the New Quality Payment Programs and Beyond

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Start Time:12:00 AM
End Time:12:00 AM
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Provided by MHA Center for Education

Date & Location

Wednesday, Sept. 28, 2016
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Holiday Inn Executive Center
2200 I-70 Drive S.W.
Columbia, MO


Register on or before Monday, Sept. 12.

MHA-member — $245
Nonmember — $345

Registration includes continental breakfast, lunch, refreshments and electronic access to program materials. This seminar is being offered at a reduced registration fee to MHA-member hospitals because of a contribution from MHA Management Services Corporation.

Hotel Reservation

Request the MHA Center for Education overnight room rate: $98.95 + tax
Hotel cut-off date: Sunday, Aug. 28


Hospital CEOs, CFOs, CIOs, CMOs, COOs and physicians


If you are a health care provider and you treat and bill Medicare patients, numerous changes have taken place, and continue to be proposed, that impact how you are paid. Understanding all of the current and new models can be very confusing, and not knowing the new rules could cost you. Join us to better understand the details of value-based purchasing, hospital-acquired conditions, the hospital readmission reduction program, comprehensive care for joint replacement, the Medicare Access and Children’s Health Insurance Program Reauthorization Act of 2015, alternative payment models and the merit-based incentive payment system. You also will learn how your organization can best prepare for changes, including how to develop strategic action plans to help your organization through a successful transition moving forward.


9 a.m. — Registration/Continental Breakfast

9:30 a.m. — Medicare Pay for Performance – How Are the Payment Adjustments Set?

Andrew Wheeler
Vice President of Federal Finance
Missouri Hospital Association
Jefferson City, Mo.

The Centers for Medicare & Medicaid Services has now released several mechanisms which tie quality to Medicare payments. This presentation will focus on how Medicare is incorporating process of care, quality of care, patient satisfaction and efficiency into payment adjustments, with emphasis on the measures CMS is deeming to be priority. Value-based purchasing, hospital-acquired conditions, the hospital readmission reduction program and involuntary bundled payment programs will be discussed in detail.

10:30 a.m. — Break

10:45 a.m. — Quality Payment Program

Patricia A. Meier, M.D.
Chief Medical Officer, CQISCO, Region VII
Centers for Medicare & Medicaid Services
Kansas City, Mo.

The QPP has been proposed to implement the new, bipartisan law changing how Medicare pays clinicians. This law is known as MACRA. Become familiar with the two pathways outlined in the QPP, the merit-based incentive system and the advanced alternative payment models. This comprehensive program is set to launch in 2017 so preparing now is critical.

Noon — Lunch (provided)

1 p.m. — Aligning Hospital and Other Community Provider Responses to Value-Based Purchasing Incentives

David Schulke
Health Quality Strategies, LLC
Annapolis, Md.

CMS is ahead of schedule in implementing performance-based provider and practitioner payments. Last year, Congress gave the agency a powerful new set of tools in the MACRA, likely to go into effect in the next year or two. The Affordable Care Act and MACRA built the architecture to reward and penalize providers and practitioners for quality and efficiency of performance. Very significant payment changes will hit physician practices hard if they do not actively begin preparing now. With thoughtful preparation and outreach, hospitals, physician practices and other providers can help others improve care and even prosper. This presentation will identify some examples of potential mutually-beneficial efforts that respond to Medicare’s performance demands. Focus will be placed on care transitions between various health care settings.

2:30 p.m. — Steps to Value-Based Reimbursement Success

Kathleen A. McCarry
Senior Health Care Consultant
Anders CPAs + Advisors
St. Louis

Like a storm on the horizon, MACRA is looming. With 2019 Medicare Part B reimbursement to be decided by clinicians’ 2017 performance in areas of quality, resource use, health information technology use, and clinical practice improvement, there are many decisions to be made and much work to get done in a very short time!

Originally forecasted to hit Jan. 1, 2017, the latest news indicates the MACRA implementation date may be delayed, and we won’t know exactly what shape it will take until November. Regardless, it is going to require dramatic changes to physician practices, yet a recent survey revealed that most affected clinicians are only vaguely familiar with it. Now is the time to prepare, and the successful organization will do it through education, communication and collaboration.

Attendees of this presentation will gain a thorough understanding of the current version of MACRA and its two payment models, and receive a takeaway action plan to help lead their organizations through a successful transition.

4 p.m. — Adjournment


Andrew Wheeler is Vice President of Federal Finance for the Missouri Hospital Association, specializing in federal advocacy, Medicare payment and regulatory compliance. He has more than 16 years of experience in the hospital setting, working in hospital operations, finance and strategic planning. Wheeler has provided briefings to the Missouri U.S. congressional delegation, served as a Governor appointee for a Missouri general assembly committee and provided testimony about proposed statutes. He holds a bachelor of science in public administration from Harding University and a master of business administration from Lindenwood University. He is a Fellow of the Healthcare Financial Management Association.

Patricia Meier, M.D., currently serves as Chief Medical Officer for the Centers for Medicare & Medicaid Services Region VII, which includes Iowa, Kansas, Missouri and Nebraska. In her current position, Meier brings her clinical experience to the regional CMS programs and divisions. She serves as the medical lead for quality improvement initiatives and a liaison with health care providers in her region. Meier is a board-certified physician in pathology, infectious diseases, and internal medicine. She graduated from the University of Kansas Medical School, after which she completed residencies in internal medicine and pathology with fellowships in infectious diseases and hospital epidemiology. In addition to her previous clinical practice, she has held medical director responsibilities in both hospital and outpatient laboratories. She holds a M.Sc. in Preventive Medicine and recently completed an executive MBA program.

Kathleen McCarry is Senior Health Care Consultant at Anders CPAs + Advisors, and concentrates her work in the areas of compliance, patient-centered care, process improvement, reporting, benchmarking and operations. Committed to helping clients navigate today’s health care landscape, she views current changes as an opportunity to guide clients to further implement patient-centric processes and effectively use technology to improve overall performance, as well as succeed under new value-based reimbursement models. McCarry has more than 20 years of experience as a health care professional — from home patient care coordination and customer service, to business development and management, to administration in hospitals, home health, ambulatory care and private business settings. She serves as VP-Advocacy for the Medical Group Managers Association of St. Louis, and she is an active member of the Missouri Healthcare Executives Group and the Healthcare Businesswomen’s Association St. Louis Chapter.

David Schulke is an independent consultant who has dedicated his entire career to improving health care quality and safety through community advocacy, reforming state and federal public policy, and supporting provider improvement. Schulke served six years as a Vice President at the Health Research and Educational Trust, an affiliate of the American Hospital Association. He led projects helping a wide variety of providers and practitioners to reduce costs and improve health care quality, safety and the patient experience of care. Most recently he led the Agency for Healthcare Research and Quality’s multistate “CANDOR” project to help hospitals adopt disclosure and resolution programs after unexpected patient harm events. Schulke previously led a 25-state project focusing on readmissions and improving the patient experience of care. He was a senior member of HRET’s successful 31-state Hospital Engagement Network’s initiative to reduce hospital readmissions through engagement of patients, families and community-based providers and practitioners.

Before his time at HRET, David served 11 years as Executive Vice President for the American Health Quality Association, the national association of Medicare Quality Improvement Organizations.

Continuing Education

Participants must attend the program in its entirety and complete an evaluation to receive continuing education credits.

All participants will receive a certificate of attendance for 5.25 clock hours.