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MARCH MADNESS:Surviving the Madness of

Declining Revenues

HFMA COLORADO CHAPTERREVENUE SUMMITMarch 20-21, 2017Children’s Hospital Colorado | Aurora, CO

MARCH MADNESS::Surviving the Madness of Declining RevenuesHFMA COLORADO CHAPTER | REVENUE SUMMIT 2017March 20-21, 2017 | Children’s Hospital Colorado | Aurora, CO

Program OverviewLearning Objectives:

Upon completion of the program, participants will be able to:

■ List legislative actions in 2016 and the agenda for 2017 related to healthcare and be able to educate/implement needed actions in organization.

■ Identify national value based reimbursement models through the perspective of CMS

■ Identify the driving factors behind hospital payment reform at Health First Colorado

■ Implement measures that the Colorado State Innovation Model is using to monitor progress among it’s practices

■ Review the MACRA program, including both the MIPS and APM tracks

■ List underlying causes of the American Paradox of Healthcare

■ Asses current health disparity data

■ Develop a list of critical revenue cycle optimization items for their organization

Program Level: Intermediate

Prerequisites: This program is appropriate for healthcare finance professionals with experience and knowledge comparable to CFO’s, Revenue Cycle Executives, Consultants, Controllers, Finance Executives, and other similar positions.

Advance Preparation: None

Delivery Method: Group Live Seminar

CPE Credit for Accountants/NASBA: Upon verification of participant attendance, this program will be eligible for up to 9.5 CPE credits in various fields of study. Credits may vary depending on individual state guidelines.

Registration: Please refer to detailed registration instructions included in this brochure.

Refunds and Cancellation: To receive a full refund, requests must be submitted in writing by March 1, 2017. No refunds will be granted after this date. For more information regarding refund, complaint, and/or program cancellation policies, please contact Jessica Griffith at [email protected].

HFMA Colorado Chapter is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE sponsors through its website: www.learningmarket.org.

colorado chapter


AgendaMonday, March 20, 2017

7:00 - 8:00 AM Registration and Breakfast with Exhibitors

8:00 - 8:15 AM Welcome and Introductory Remarks8:15 - 9:30 AM Healthcare Legislative Accomplishments 2016 and Plans for 2017: Affordable Care Act potential actions

and State responseSpeakers: Donna Lynne, DrPH, Lt. Governor and Chief Operating Officer, State of Colorado; Susan E. Birch, MBA, BSN, RN, Executive Director, Department of Health Care Policy and Financing, State of ColoradoProgram Overview: This session will review legislative accomplishments in the State of Colorado from 2016 and impact to providers. Address health-related Executive Branch agenda for 2017 and the State’s evaluation of impact of a potential ACA repeal and status of plans for a response.Upon completion of this session, participants will:

■ List legislative actions in 2016 and the agenda for 2017 related to healthcare and be able to educate / implement any needed actions in their organization.

■ Review the State’s position and planned response for a potential ACA repeal and replace

NASBA CPA CPE Credit: 1.5 Specialized Knowledge and Application9:30 - 10:00 Break with Exhibitors

10:00 AM - 12:00 PM Value-Based Reimbursement PanelSpeakers & Panelists: Dr. Mark Levine, Chief Medical Officer - Denver, Centers for Medicare and Medicaid Services; Aaron Van Artsen, MLRHR, CHC, Administrative Director, Compliance & Privacy Officer, Office of Value Based Performance, University of Colorado Medicine, Mark Carley, VP of Managed Care & Network Development, Centura Health; Dr. Simon Hambidge, Chief Ambulatory Officer, Denver Health. Moderator: Matt AntushProgram Overview: As value-based reimbursement models emerge across the country, the pace of change and rate of adoption has varied by market. We will explore the contrast in changes between national and local Colorado value based reimbursement models.Upon completion of this session, participants will:

■ Identify national value based reimbursement models through the perspective of CMS ■ Review experiences to-date from local Colorado providers with value based reimbursement models ■ Discuss emerging trends with value based reimbursement models in national and Colorado markets.

NASBA CPA CPE Credit: 2.0 Specialized Knowledge and Application

12:00 - 1:00 PM Lunch with Exhibitors

1:00 - 2:00 PM Health First Colorado Hospital Payment Reform: Challenges and OpportunitiesSpeaker: Kevin Martin, Fee for Service Rates Section Manager, Colorado Department of Health Care Policy and FinancingProgram Overview: Payment methodologies are rapidly evolving in many areas of the health care industry. In some cases, Health First Colorado will initiate a change and others it’s forced to adapt. Regardless of the impetus these payment reform projects present an opportunity to incorporate more appropriate information into the payment methodologies.

Upon completion of this session, participants will: ■ Identify the driving factors behind hospital payment reform at Health First Colorado ■ Review current options being considered for payment reform ■ Contribute information on factors that should be considered in these payment reform activities



2:00 - 3:00 PM Creating a Sustainable Integration Model with the Colorado State Innovation Model (SIM)Speaker: Barbara Martin, RN, MSN, ACNP-BC, MPH, SIM Director, Colorado State Innovation Model, Ellen Kaufmann, MA, PMP, Evaluation Specialist, Colorado State Innovation ModelProgram Overview: Get the inside scoop on how the Colorado State Innovation Model (SIM) initiative is collecting actionable information from 100 practice sites that started their transformation journeys in February 2016. The initiative is collecting practice-reported clinical data, cost and utilization claims data, and population health data that is being used to influence future cohorts (practice groupings) as well as set the stage for successful integration of behavioral health and primary care. SIM is a federal initiative funded by the Centers of Medicare and Medicaid Innovation (CMMI) to help states test alternative payment models and achieve the Triple Aim. Colorado is the only state to focus on the integration of behavioral health and primary care as its primary goal.Upon completion of this session, participants will:

■ Identify actionable data received by SIM practices ■ Implement measures that SIM is using to monitor progress among its practices. ■ Distinguish how SIM practices are using data to adjust processes and help them succeed with alternative payment models.

NASBA CPA CPE Credit: 1.0 Specialized Knowledge and Application3:00 - 3:30 PM Break with Exhibitors

3:30 - 4:30 PM Strategic Implications of MACRA Payment ReformSpeaker: Steve Smith, Managing Consultant, BKD, LLPProgram Overview: In this presentation attendees will be provided with an up-to-date overview of the MACRA program, including both the MIPS and APM tracks. Attendees will also receive strategic implications and recommended actions to succeed under the program.

Upon completion of this session, participants will: ■ Review the MACRA program, including both the MIPS and APM tracks ■ Engage physician and administrative leadership in the development of MACRA reporting guidelines ■ List short and long term objectives for success under the MACRA program


5:00 - 6:00 PM RECEPTION WITH EXHIBITORSChildren’s Hospital Colorado

Tuesday, March 21, 2017

8:00 - 8:30 AM Breakfast with Exhibitors

8:30 - 9:30 AM The Triple Aim: Is it Possible?Speaker: Dr. Bill Burman, Interim CEO, Denver HealthProgram Overview: The Triple Aim has been proposed as a goal for the U.S. Healthcare System: better health outcomes, improved patient satisfaction and lower costs. Reaching any of these goals would be impressive. Simultaneously moving toward all these may sound impossible. I will discuss ways that healthcare systems might be able to achieve the triple aim.Upon completion of this session, participants will:

■ Assess underlying causes of the American Paradox of healthcare. ■ Designate possible ways to cut costs while improving outcomes.



9:30 - 10:30 AM Health Equity in ColoradoSpeaker: Joe Sammen, MPH, Executive Director, Colorado Coalition for the Medically Underserved

Program Overview: This interactive session will explore the current state of health outcomes for vulnerable populations in Colorado and dive into the root causes behind persistent disparities.Upon completion of this session, participants will:

■ Assess current health disparity data ■ Explore root causes of disparities, including social determinants of health


10:30 - 11:00 AM Break with Exhibitors

11:00 AM - 12:00 PM Getting Epic Right: Creating a True Work DriverSpeaker: Erick McKesson, Director - Revenue Cycle & Tim Kinney, Managing Director, Navigant ConsultingProgram Overview: After an Epic implementation many organizations are left with reduced productivity, unclear ownership, inconsistent workflow, and lack of automation. When done well, you can create a meaningful work-driver that enhances productivity and drives revenue cycle metrics. This session will explore ways to move from foundation to a true productivity engine.

Upon completion of this session, participants will: ■ Develop a list of critical revenue cycle optimization items for their organization ■ Compare their Epic workflows to others to identify areas of opportunity ■ Define ways to improve productivity reporting and process automation.


Thank you for joining us!


Susan E. Birch, MBA, BSN, RN, Executive Director

As Executive Director, Sue Birch oversees the operations and strategic direction of the Department of Health Care Policy and Financing. The Department’s budget is more than $8 billion and is the single state agency administering Health First Colorado (Colorado’s Medicaid Program) and the

Child Health Plan Plus (CHP+) program. Birch was appointed the executive director of the Department by Governor Hickenlooper in January 2011. Birch directs the Department’s efforts to improve the health of Health First Colorado and CHP+ clients and increase access to care across the state while containing costs.

Under Birch’s leadership, the Department has successfully expanded coverage to more low income Coloradans while focusing on containing costs and improving service delivery. The uninsured rate decreased from 14.3% in 2013 to 6.7% in 2015 and the state saved approximately $285 million (gross savings) through the Health First Colorado Accountable Care Collaborative over the past four years. The Department has been awarded numerous grants and performance bonuses, including the highest bonus of any state in 2012 and 2013 in recognition for its innovation and modernization of eligibility and enrollment systems by the Centers for Medicare and Medicaid Services. Birch serves on the Connect for Health Colorado Board and has been integral in modernizing and integrating the state’s health information technology systems. Birch continues to promote person-centeredness and client engagement and led efforts to develop one of the nation’s first mobile applications for Health First Colorado members. Birch is leading the implementation of federal and state health care reform, while working with stakeholders to integrate care across the continuum and transform the Department’s health care delivery systems. The Department is driving clinical innovations across the state through collaborative projects and initiatives such as the Colorado Opportunity Project, the State Innovation Model (SIM) grant, and launching the Chronic Pain Disease Management Program which leverages telehealth to help connect primary care providers treat pain and reduce prescription painkiller abuse.

Director Birch has been honored at both the state and federal level for her commitment to improving Coloradan’s access to care. Most recently Birch received the 2014 Dr. Nathan Davis Awards for Outstanding Government Service in the category Outstanding Career Public Servant at the State or Local Level from the American Medical Association (AMA).

Director Birch has completed appointments to the National Advisory Committee on Rural Health and Human Services and served as the Bonfils-Stanton Foundation Livingston Fellow and the Robert Wood Johnson Executive Nurse Fellow.

Birch earned a nursing degree and a master’s degree in Business Administration, both from the University of Colorado.

Donna Lynne DrPH, Lieutenant Governor and Chief Operating Officer

Donna Lynne, DrPH, was sworn in as Colorado’s 49th Lieutenant Governor and Chief Operating Officer on May 12, 2016. She is widely respected as both a leader in the private sector and an expert in the health field.

Prior to assuming her roles in Colorado state government, Dr. Lynne served as the executive vice president of Kaiser Foundation Health Plan Inc. and Kaiser Foundation Hospitals, and as group president responsible for its Colorado, Pacific Northwest and Hawaii regions – overseeing an $8 billion budget, 1.4 million members and 16,000 employees.

From 1998 to April 2005, Dr. Lynne was the executive vice president and chief operating officer for Group Health Inc., a $2.5 billion managed care organization. In the mid-1990s, she was the executive director of the New York Business Group on Health.

Dr. Lynne also spent 20 years working in various positions in New York City government, including first deputy commissioner, Office of Labor Relations; director, Mayor’s Office of Operations; and senior vice president, New York City Health and Hospitals Corp.

In addition to her role as an International Executive Fellow with the International Federation of Health Plans, Dr. Lynne is the recipient of numerous honors and accolades, including the Denver Business Journal’s 2008 Outstanding Women in Business award; the 2009 Distinguished Coloradan Award from the University of Colorado Denver School of Pharmacy; the President’s Award from Women in Health Management; and the Health Care Leadership Award from the New York Business Group on Health.

She formerly served on the boards of the Denver Metro Chamber. Colorado Education Initiative, Colorado Mountain Club, Colorado Regional Health Information Organization, Denver Museum of Nature and Science, Denver Public Schools Foundation, Teach for America-Colorado, U.S. Bank Colorado Advisory Board, and is the former chair of the Denver Metro Chamber of Commerce.

Dr. Lynne was a co-chair for the Denver Education Compact Executive Advisory Board for Mayor Michael B. Hancock. In 2010, she was one of 16 statewide transition co-chairs and the Personnel and Administration Committee co-chair for Governor John Hickenlooper.

She holds a Bachelor of Arts (Economics and Political Science), a Masters of Public Administration, and Doctor of Public Health from Columbia University. She also holds the designation of Certified Employee Benefits Specialist from the International Foundation of Employee Benefit Plans/University of Pennsylvania Wharton School. In 2014, Dr. Lynne received an honorary doctorate of public service from the University of Denver. Since 2005, she has been an adjunct associate professor of Public Health at Columbia University.

Dr. Lynne resides in Denver and has three children and two step-children. She enjoys skiing, mountaineering, cycling and reading. She has climbed all 58 of Colorado’s Fourteeners.

About our Speakers


Value-Based Care PanelMark A. Levine, Centers for Medicare & Medicaid ServicesMark A. Levine, MD, FACP, is the Chief Medical Officer in the Denver office of the Centers for Medicare and Medicaid Services. A quality improvement coach for the agency, he is active in developing and maintaining agency initiatives in clinical quality, payment reform, value-based payment and delivery system innovation.

An alumnus of Rutgers College and Temple University School of Medicine, Dr. Levine completed residency training in Internal Medicine at the Hospital of the University of Pennsylvania and fellowship in Clinical Immunology at the University of Colorado.

Dr. Levine founded the Colorado Patient Safety Coalition. He serves as Clinical Professor at the University of Colorado School of Medicine and the Colorado School of Public Health, teaching in areas of clinical geriatrics, quality, health systems and ethics. Dr. Levine served for many years as a delegate to the American Medical Association and as member and past chair of its Council on Ethical and Judicial Affairs, steward of the AMA Code of Medical Ethics and is currently a faculty associate at the University of Colorado’s Center for Bioethics and Humanities.

Dr. Levine practiced general internal medicine in the Denver area for over 20 years in a variety of practice settings; solo, small group, large group and integrated group. He co-founded and developed a large physician group practice. He has broad experience in managed care with service as an IPA and HMO medical director. Through this varied, deep and practical knowledge and experience, he recognizes the many challenges and opportunities facing American health care in the evolution of safe, effective, timely, equitable, patient-centered and efficient medical care.

Aaron Van Artsen, MLRHR, CHC, Administrative Director | Compliance & Privacy Officer, Office of Value Based Performance | University of Colorado MedicineAaron Van Artsen is the Director of Value Based Performance for CU Medicine, the faculty practice plan representing the University of Colorado School of Medicine School of Medicine. In addition to his

operational Directorship, Mr. Van Artsen serves as UPI’s Organizational Compliance Officer and HIPAA Privacy Officer. Having attended Michigan State University, he holds a Master’s Degree in Labor Relations and Human Resources complimented by a BA in Communications and Certificate in Healthcare Compliance. Mr. Van Artsen offers a unique blend of experience, inclusive of talent acquisition, organizational development, regulatory compliance, and population health management.

Mark J. Carley, Vice-Presidnet of Managed Care and Risk Products | Centura HealthMark J. Carley is Vice-President of Managed Care and Risk Products at Centura Health, the largest health system in Colorado with 17 hospitals, 500+ employed physicians, 150+ ambulatory and ancillary locations

and over 4,000 aligned community physicians. In his role Mark is responsible for all managed care activities and strategies including the organization’s managed care revenue strategic plan, preparing for future payment models, implementing transparency initiatives, establishing partnership and ACO strategies with payers and employers, and assisting the organization in the management and performance of its clinically integrated provider network.

Simon Hambidge, MD, PhD, Chief Ambulatory Officer, Denver HealthSimon Hambidge, MD, PhD, is Chief Ambulatory Officer at Denver Health and the Chief Executive Officer of Denver Community Health Services (DCHS). A pediatrician by training, Dr. Hambidge was previously the Director of General Pediatrics for Community Health Services for 8 years. He is a Professor of Pediatrics at the University School of Medicine, and has practiced at Denver Health since 1997.As DCHS CEO, Dr. Hambidge oversees a network of 9 community health centers and 17 school based clinics, which provide health care to over 150,000 patients, approximately one-fourth of the population of Denver. Denver Health’s patients include over half of the Medicaid patients in the city.Dr. Hambidge still provides limited clinical care in the Webb Center for Primary Care’s Kids Care clinic. He has published numerous articles on topics such as vaccine safety and pediatric obesity.Dr. Hambidge serves on the Board of Directors of the Denver Health Medical Plan, the Colorado Community Health Network, the Community Health Association of Mountain and Plains States, and Reach Out and Read Colorado.

Health First Colorado Hospital Payment Reform: Challenges and OpportunitiesKevin Martin, Fee for Service Rates Section Manager, Colorado Department of Health Care Policy and FinancingKevin Martin has over 10 years of experience in the health care industry including 7 years with the Colorado Department of Health Care Policy & Financing. During his tenure he has been involved in many technical aspects of the industry; including system changes and implementations, financial modeling, analyzing clinical effectiveness, investigating cost structures, and reforming payment methodologies.

Creating a Sustainable Integration Model with the Colorado State Innovation Model (SIM)

Barbara Martin, RN, MSN, ACNP-BC, MPH, SIM Director, Colorado State Innovation ModelBarbara is a nurse practitioner with more than 15 years of clinical and leadership experience. She received her master’s degree in Public Health in 2013. Barbara has been engaged with SIM since 2013. She joined the SIM Office in 2015 as Director of the Transforming Clinical Practices initiative (TCPi) and was promoted to the position of SIM Director in October 2016.


Ellen Kaufmann, MA, PMP, Evaluation Specialist, Colorado State Innovation ModelEllen Kaufmann is the Evaluation Specialist for the Colorado Department of Health Care Policy and Financing and the Evaluation Program Manager for SIM. In this role, Ellen is creating a more comprehensive approach to evaluation of Department and cross-agency initiatives, including SIM and the Accountable Care Collaborative (ACC) program. Prior to joining the Department, Ellen worked at the Illinois Public Health Institute, implementing robust stakeholder engagement processes for state-level health transformation initiatives. She also led project management and communications for a national program to connect information systems and share data across sectors to improve community health. Ellen’s background is in community and economic development, with previous experience at an HIV program serving primarily Latinos in the Denver area, a water sanitation and hygiene project in a Nairobi slum, a microenterprise development non-profit, and Peace Corps service in Nicaragua. Ellen is well-versed in incorporating stakeholder perspectives into state health planning and implementation efforts and will ensure SIM’s progress toward all aspects of the Quadruple Aim is captured and communicated to stakeholders. Ellen received her MA in International and Intercultural Communications with a concentration in global health from the University of Denver and a BA in Business Administration from Truman State University.

Strategic Implications of MACRA Payment ReformSteve Smith, Managing Consultant, BKD, LLPSteve is a member of the Physician Services Center of Excellence and payment reform teams. He provides consulting services to provider groups and healthcare organizations related to payment reform initiatives, revenue cycle, process improvement, and compliance.

Steve has experience planning and completing consulting projects which utilize big data and historical performance to predict future outcomes, as well as identifying trends which may indicate areas of opportunity for process change and improved financial and clinical outcomes. He has provided detailed presentations on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), Comprehensive Care for Joint Replacement (CJR), Comprehensive Primary Care Plus (CPC+), and numerous other payment reform initiatives.

The Triple Aim: Is it Possible?Dr. Bill Burman, Interim CEO, Denver Health

Bill Burman is the current Interim CEO of Denver Heath. Previously, he served as Director of Denver Public Health, the arm of Denver Health that provides data on health in Denver, works in partnership to improve the health of the entire community, and helps prepare the community for health emergencies. Dr. Burman also chairs the Mile-High Health Alliance – a forum that brings together medical, behavioral, and social service providers in Denver to collaborate on common problems.

Health Equity in ColoradoJoe Sammen, MPH, Executive Director, Colorado Coalition for the Medically UnderservedAt his core, Joe believes the desire for good health is the closest thing our society has to a universal goal, making the promise of health equity an incredible call to action for people from all walks of life. As a leading expert on collaboration, health equity, and health care systems change, Joe advises and coaches state and

local leaders and works closely with communities around the state of Colorado providing technical assistance in facilitation, research, strategic visioning and networking.

Getting Epic Right: Creating a True Work DriverErick McKesson, Director - Revenue Cycle, Navigant ConsultingErick McKesson: Erick is a Director with Navigant. He has served as project lead for revenue cycle Epic implementations, CDM management, charge capture improvement, net revenue and process improvement, reporting enhancement, and organization re-design projects. Throughout his career, he has focused on operational engagement, process improvement, and technology enhancement as a means of streamlining hospital and medical group revenue cycle operations.

Tim Kinney, Managing Director, Navigant ConsultingTim Kinney: Tim is a Managing Director with Navigant. A founding partner of McKinnis Consulting Services, which was acquired by Navigant in 2016, Timothy is responsible for strategic direction of the practice, engagement leadership, and human capital management. Timothy has led numerous large scale revenue cycle and EHR engagements at academic medical centers, multi-facility health systems, and community hospitals.


RegistrationOnline (Preferred Method):

Register online by clicking on the icon or by typing the link below into your browser.

http://conta.cc/2j7CCln

You will have the option to pay by credit card or check.

If paying by check, mail the payment along with copy of online registration to:

HFMA ColoradoP.O. Box 5571Denver, CO 80217

By Mail:You may also register by completing the attached registration form and forward along with check payment, payable to HFMA Colorado Chapter, to the address below. Due to the possibility of this conference selling out, if you plan to register by mail please email a copy of your registration to [email protected] prior to mailing.

HFMA ColoradoPO BOX 5571Denver, CO 80217-5571

Please include registration form with payment.

Refunds and Cancellation:To receive a full refund, requests must be submitted in writing by March 1, 2017. No refunds will be granted after this date. For more information regarding refund, complaint, and/or program cancellation policies, please contact Jessica Griffith at [email protected] or 303-524-4523.

Hotel Information:A block of rooms has been reserved at the Springhill Suites by Marriott Denver at Anschutz Medical Campus. To make your reservations, call the hotel directly at 720-859-1100 and mention Colorado HFMA Compliance Conference to get the preferred room rate of $162.00 plus state and city sales tax. Hotel cut-off for preferred room rate is January 18, 2017.

Questions?

Contact Jessica Griffith at [email protected].

Badge and Mailing Info:

Attendee Name

Title

HFMA Member Y N Mbr #

Organization

Address

City, ST, Zip

Phone

E-mail

Special Dietary Needs:

Vegetarian Vegan Gluten Free

Attending Monday Night Reception

Yes No

Registration Fees:

Member $99.00

Non-Member $125.00Certified Member HFMA (CHFP or FHFMA) Discount 10% $89.10

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