the 2016 conference on health reform

The2016ConferenceonHealthReformFeaturing:ThelatestinlegalandfinancialdevelopmentsfromWashington,theelections,appeals,theIRS,WallStreet'sview,qualityinitiatives,possiblegamechangingnewtechnologies,implementationoftheACA,providerbasedissues,taxexemptdebt,bundledpaymentinitiatives,taxmatters,(investorownedandtaxexemptproviders)EHR,mergersandacquisitions,thewageindexandgeographicreclassification,Stark,MACRA,valuebasedpaymentsandfalseclaims.

Thursday,October27th–Friday,October28th,2016SanFranciscoMarriottUnionSquare480SutterStreet|SanFrancisco,CA94108

Sponsored by: Baker Healthcare Consulting, Inc. Hall Render Killian Heath & Lyman Hooper Lundy & Bookman, P.C.

INSIDE THIS BROCHURE YOU'LL FIND: § Synopsis§ RegistrationInformation§ Agenda§ SpeakerInformation

THE 2016 CONFERENCE ON HEALTH REFORM

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SCHEDULEWHERESanFranciscoMarriottUnionStation480SutterStreetSanFrancisco,CA94108THURSDAYOctober27,20169:00A.M.–5:30P.M.FOLLOWEDBYCocktailsandDinner(Attendeeandguest)6:30P.M.Cocktails7:30P.M.DinnerSam'sGrill&Seafood374BushStreetSanFrancisco,CA94104FRIDAYOctober28,20168:00A.M.–4:00P.M.

SYNOPSISoftheGroupLiveConferenceOur focus will be on the Constantly shifting legal and regulatorylandscapeandourpresentersarewell knownexperts from throughouttheU.S.Over3,000IPPShospitals,90%ofthetotal,haveeitherreceivedorare intheprocessofreceivingsettlementstotalingbillionsofdollarsasaresultofsettlementswithCMS,allofwhichbeganasappealstothePRRB.Additionally, we feature presentations on the Medicare final inpatientand proposed outpatient rules, improving quality, new organizationalarrangements,Starkenforcement,andtheWashingtonreport.Also,thelatestongeographicreclassificationandwageindexes,taxdevelopmentsfrom the IRS, tax exempt debt issues related to health reform, and aMedicare litigationupdate. Wewill explain the view fromWall Streetand possible new cost saving technologies, a presentation on CHSrulemakingbyaWashingtoninsider.ThesitefortheconferenceisthenewMarriottUnionSquare.TheUnionSquare area is a vibrant cosmopolitan center of upscale boutiques,departmentstores,restaurants,artgalleriesandtheaterswitheasyhopaboardaccesstocablecarstoNobHill,ChinaTown,Fisherman'sWharfandGhirardelliSquare.Our Thursday evening dinner will be at Sam's Grill and Seafood. Therestaurant is a favorite for locals and tourists for its service, freshseafoodandgreatsteaks.

WHOSHOULDATTEND?Hospital&SystemCEOsFinancial&OperationalExecutivesKeyFinancialPersonnelPracticing&In-houseAttorneysGovernmentRelationsExecutivesNoadvancematerialsorpreparationneeded


DETAILEDSYNOPSIS Takeawayswillincludeathoroughunderstandingofthechangesthatarerestructuringthehealthcaresystem,therelationshipbetweenphysiciansandhospitalsandtheactionsneededtoprotectfutureappealrightsofsignificancetohospitals.Attendeesareencouragedtoaskquestionsofthespeakersduringbreaks,lunchesandduringpresentations.Tobegin,JohnHellowwilldiscussthefinalMedicareInpatientProspectivePaymentSystem(IPPS)regulationsandtheProposedOutpatientRules.JoeKrauseandKatrinaPagoniswillpresentnewproviderbasedpaymentpolicies,whichCMShasbeentinkering.PaulSmithandJerimiUllomwillreviewtheuseoftaxexemptdebtasthehistoricalrulesregardingtaxexemptdebtareshiftingasaresultoftheACA.OurkeynotespeakerMr.MarkHarsteinwillgiveaninsider'sviewofCMSrulemaking.Afterspending26yearswithCMSmuchofitinpolicydevelopment.AfterThursdaylunch,BenDurieandJenniferSkeelswillupdateusaboutjointreplacementandcardiacpackaging,thebundlingofpaymentandtheimplications.CalvinChambersandCharlesOppenheimwillpresentthemajortaxissuesof2016andlookforwardastowhatelsetoexpect.ThenEmployeeHealthRecords(EHR)andthechangesin"meaningfuluse"MedicarepaymentincentiveswillbecoveredbyJeffShortandFeliciaSze.ThefinalThursdayafternoonsessionwillhaveouralwayspopularLitigationandAppealsupdateagainhandledbyDanMillerandRobertRoth.Thursdayevening,cocktailsanddinnerwillbeatoneofSanFrancisco'soutstandingseafoodandsteakrestaurantsSam'sGrillandSeafood.Friday,westartwithSteveSpiel'sWashingtonreportofthedevelopmentsinWashingtonincludingtheelections,potentialhealthlegislation,possiblelameducksessionandhealthlegislationintheremainingObamamonths.NextwegetWallStreet'sviewofthehealthcareindustryandhowtheACAisaffectingWallStreet'sviewoftheindustryandtheexcitingpossibleimpactsofnewtechnologiesontheprovisionandcostofcarebyJoeChiarelli.BillBerlinandNinaMarsdenwillnextreviewthenewperilsinmergersandacquisitionswheretheregulatoryframeworkischangingrapidly.Next,SteveHorner,givespracticaladviceonimprovingquality.SteveandHCAhavedoneanoutstandingjobofimprovingqualityovertheyearsandenhancingHCA'spositionbothinprestigeandinfinancialresultsofoperations.AfterFridaylunch,CharlesOppenheimandJoeWolfwillreviewtheStarkLawchanges,thecompliancetrendsandwhattoexpectinthenearterm.KellyCarrollandDelphineO'RourkewilldiscussMACRAandValueBasedPhysicianPayment,twoofthehottestissuesinhealthcare.TheFalseClaimsandQuiTamActionswillbereviewedbyRituCooperandPreciousGittens.ForthefinalpresentationDaleBakerandJoeKrausewilldiscussMedicareGeographicReclassificationandthewageindexthattogetherdeterminealmost70%oftotalMedicareinpatientpaymentand60%ofoutpatientpayment.

REGISTRATIONINFORMATIONFees&AccommodationsConferencefee:$875.00FeeisdueatthetimeofregistrationwhichincludesThursdaylunch,andrefreshmentsintheafternoonwithcocktailsanddinnerintheevening.Acontinentalbreakfast,refreshmentsandlunchwillbeprovidedonFriday.WehaveablockofroomsattheMarriottforregistrantsattherateof$269pernight.Therearealimitednumberofroomsavailableatthisrate,therefore,werecommendbookingyourroomearly.TherearealimitednumberofroomsatthediscountedrateifyouwouldliketostayFridayand/orSaturdaynight.Forreservationscall1-800-228-9290mentionyouarewithTheConferenceonHealthCareReformbySeptember30,2016.

CPE&CLECREDITTheconferenceincludes14hoursofCPEandiseligiblefor11.5hoursCLEcredit.

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AGENDAThursday,October27,20169:00-9:30AM................Registration9:30-10:30....................IPPSUpdate–JohnHellow10:30-11:15AM............Provider-Based/SiteNeutral–JoeKrause&KatrinaPagonis11:15-11:45AM............TaxExemptDebt–PaulSmith&JerimiUllom11:45-12:30PM Whatgoesonbehindthecurtain?Aninsider'sreporttoCMSrulemaking–

MarcHartstein12:30-1:30PM...............Lunch1:30-2:15PM.................JointReplacement&HeartIssues(BundlesofJoy)–BenDurie&JenniferSkeels2:15-3:00PM.................TaxMatters–CalvinChambers&CharlesOppenheim3:00-3:15PM.................Break3:15-4:30PM.................MeaningfulUse&EHR–JeffShort&FeliciaSze4:30-5:30PM.................Litigation&AppealsUpdate–DanMiller&RobertRothFriday,October28,20168:00-8:30AM...................ContinentalBreakfast&Registration8:30-9:30AM...................TheWashingtonReport&ElectionPreview–SteveSpeil9:30-10:15AM................NewTechnologies&WallStreet'sViewofHealthCareInvestments–JoeChiarelli10:15-10:30AM..............Break10:30-11:15AM..............NewPerilsinMergers&Acquisitions–BillBerlin&NinaMarsden11:15-12:00PM...............TheContinuedEvolutionofQualityReportingbyCMS–SteveHorner12:00-1:00PM.................Lunch1:00-1:45PM...................Compliance&Stark–CharlesOppenheim&JoeWolfe1:45-2:00PM...................Break2:00-2:45PM...................MACRA&ValueBasedPhysicians–KellyCarroll&DelphineO'Rourke2:45-3:30PM...................FalseClaims&QuiTamActions–RituCooper&PreciousM.Gittens3:30-4:00PM...................GeographicReclassificationandWageIndex–DaleBaker&JoeKrause

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SPEAKERS DaleE.Baker,President,BakerHealthcareConsulting,Inc.: Dale represents over 1,500 U.S. hospitals ongeographic reclassification, wage index and otherissues. Dale works closelywith hospital associationsandlawfirmsandisafederallobbyist.BillBerlin,Attorney,HallRender:Billconcentrateshispracticeoncounselinganddefendinghospitals,healthsystems,physiciansandotherhealthcareprovidersinfederal and state antitrust enforcement agencyinvestigations, aswell as litigation, involvingmergersand acquisitions, joint ventures and providernetworks, exclusionary conduct by dominant firmsand contracting provisions between hospitals,physicians and health plans. His litigation andgovernment investigations frequently involvemanaging difficult procedural issues, including large-scale electronic discovery. Bill also serves as amonitor,arbitratorandmediatorinantitrustdisputesbetween health care entities. Recently, Bill wasappointed Monitoring Trustee by the Department ofJusticeandapprovedbythecourttooverseeamulti-billiondollarmergerdivestiture.Kelly Carroll, Attorney, Hooper, Lundy & Bookman:Kelly's practice focuseson representing clients in thehealthcareandlifesciencesindustriesinawiderangeof regulatory, transactional and litigation matters,includingareassuchasreimbursement,HIPAA,healthinformation technology, regulatory compliance, andlong term care issues. In addition, sheadvises Stateson matters involving federal funding of state healthcare programs and disputes with the Centers forMedicare & Medicaid Services (CMS). Kelly recentlyadvised the legal task force of a state healthinformationexchangeongeneticsissues.Calvin Chambers, Attorney, Hall Render: Calvincounselsclientsintheareasoftaxandtaxexemption,businesstransactionsandservices,employeebenefits,and corporate counsel services at Hall Render. Heregularly advises health care providers on businessand transaction matters, including hospital/physicianjoint ventures, acquisition of medical practices,corporate governance and a variety of employeebenefitissues.

Joseph Chiarelli, Chief Executive Officer, Chiarelli &Company: Prior to becoming CEO of Charelli &Company, Joe held a variety of positions with J.P.Morgan Chase and Oppenheimer & Co., and hasearnedthedesignation"InstitutionalInvestorAllStar"forbothequityandhighyieldresearch. Joereceivedthe "Best on the Street" designation by the WallStreet Journal. Joe managed over $10 billion ininvestable fundsandhasservedasCFOoftwohighlyprofitablesubsidiariesofJ.P.MorganChase.RituKaurCooper,Attorney,HallRender:Herpracticeconsistsofrepresentinghealthcareproviderssuchashospitals and health systems in litigation, regulatoryand compliance matters with a particular focus onfraud and abuse and compliance as well as internaland government investigations. She also serves asGeneral Counsel for Capital Clinical IntegratedNetwork,acarecoordinationentityprovidingtheD.C.Medicaidpopulationwith care coordination services.Prior to joining Hall Render, Ritu representedhospitals, health systems and laboratories ingovernment investigations. She also providedregulatory and compliance advice to hospitals,laboratories and medical device companies withrespecttotheMedicarefraudandabuselaws.Ben Durie, Attorney, Hooper, Lundy & Bookman:Ben's practice includes healthcare-related businesstransactionsandgeneralcorporaterepresentationforhealthcare entities, including structuring contractsbetween hospitals and physicians, fraud and abusecompliance issues and the purchase and sale ofhealthcare facilities. Ben specializes in hospitalmergers and acquisitions and Stark relatedcompliance issues including self-disclosures forhospitals and hospital chains. He presents regularlyonfraudandabusematters,andhasrecentlyfocusedon assisting clients with the implementation ofMACRAanditsimpactonphysiciancompensation.PreciousGittens,Partner,Hooper,Lundy&Bookman:Precious is a former federal prosecutorwhodefendshealth careproviders inboth federalandstatewhitecollar criminal cases. She advises clients concerningfalse claims, anti-kickback and self-referral matters,self-disclosures to the OIG and development ofcompliance plans. Precious specializes in preparingcorporateprovidersforcriminalandcivilproceedingsandhassubstantial litigationexperienceinvolvingtheFalse Claims Act, health care fraud, contract andregulatorydisputesandbusinesstorts.

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Marc Hartstein, came to HPA with 26 years of CMSMedicare experience. His areas of focus have includedMedicare payments for inpatient hospital services,outpatient hospital services, physician services, Part Bdrugs,andclinicallaboratoryfeeservicesamongothers.Marc has been central to the development of suchissues as the Medicare Severity DRGs, the 2 midnightrule, off-campus hospital outpatient departmentpayments, and regulations to implement Medicare’snew clinical laboratory fee schedule. Marc has alsoworkedextensivelywiththelegislativebranch.John Hellow, Regulatory Department Chairperson,Hooper Lundy & Bookman: Since 1982, John hasrepresentedhospitalsinawidevarietyofMedicareandMedicaid payment disputes before federal and stateadministrative agencies and courts. He is leadregulatory payment counsel for some of the country’sleadinghospitalcompanies.Johnispaymentcounseltothe Federation of American Hospitals where he hasprimary responsibility for directing industry commentsonfederalprogrampayments.Steve Horner, MBA RN, Vice President, ClinicalAnalytics,ClinicalServicesGroup,HCA:StephenHornerisresponsibleforpublicreporting,payforperformancereporting, patient and physician engagement surveys,outcomesmeasurement,clinicalanalyticsandreportingfor HCA, Inc. Under his leadership HCA developed arisk-adjusted outcomes measurement and reportingapplication, the Comprehensive Health OutcomesInformation System (CHOIS) that has enabled HCA toreducecomplicationandmortalityratesatitshospitals.HealsoledthedevelopmentofHCA'sClinicalOutcomeMeasureEvaluationandTransmission(COMET)system.JoeKrause,Attorney,HallRender:Joepracticesintheareaofhealthcarelawwithafocusonbusinesstransactions,reimbursementmattersandtaxandtaxexemption.HeearnedbothhisundergraduatedegreeinaccountingandhisJ.D.fromtheUniversityofWisconsin.HeisalsoaC.P.A.andhasauthoredseveralarticles.

Nina Marsden, Attorney, Hooper, Lundy & Bookman:Nina has a broad range of experience assisting healthcare providers, including hospitals, pharmacies, andlaboratories,with licensure and certification, regulatorycompliance,operational issues, andownership changes.Additionally,sheisexperiencedindealingwithMedicarereimbursement issues and regularly assists clients inpreparing appeals to the Provider ReimbursementReview Board. Nina received her B.A. degree inCommunicationStudiesandaB.A.degreeinPsychology,magnacum laude, from theUniversityofCalifornia, LosAngeles in 2003. She received her J.D. from BostonUniversitySchoolofLawin2006.DanMiller, Attorney,Hall Render: Mr.Miller's practicefocuses in the areas of health law reimbursement,compliance and litigation issues, with a particularemphasis on Medicare & Medicaid reimbursementissues. A member of the Health Law and Litigationsections of the American Bar Association and the StateBarofWisconsin,Mr.MillerisamemberoftheAmericanHealth Lawyers Association and has been in privatepracticesince1985andhaspracticedbeforethePRRBonmanyoccasions.CharlesOppenheim,Partner,HooperLundy&Bookman:Charles was named outstanding California Health LawAttorney for 2013 (Chambers). He served as a guestlecturer at the UCLA School of Law and at the UCLASchool of Public Health, and lectures on Stark to AHLA,HFMA and HCCA. He has authored publications,including: 2008 American Health Lawyers AssociationMonographonStarkLaw,thefourtheditionofatreatisehefirstwrotein1998andisChairofthefirm'sACOTaskForce,andhasbeenelectedChairoftheCaliforniaStateBarAssociation'sHealthlawcommitteefor2013-14.Delphine O'Rourke, Attorney, Hall Render: DelphineservesasManagingPartnerof thePhiladelphiaofficeofHall Render. She concentrates her practice onrepresentingnationalhealthsystemsandadvisesclientsin the areas of strategy, general counsel services andgovernment relations & health policy. Additionally, sheregularly speaks to stakeholders on a variety of healthcare issues that affect hospitals and hospital systemsincluding fraud and abuse enforcement, health carereform and the role of generative boards of directors.Delphine previously practiced with the elite global lawfirmsofShearman&SterlingandLinklatersinNewYorkCity. She clerked for theUnited StatesDistrict Court fortheEasternDistrictofPennsylvania.


Katrina Pagonis, Attorney, Hooper Lundy & Bookman:Katrina advises providers on the Health InsuranceMarketplaces, health care reform, managed carecontracting, and fraud and abuse. Katrina is a formerAssist Professor of Law at HamlineUniversity School ofLaw and a Law Clerk on the United States Court ofAppealsfortheNinthCircuitandtheUSDistrictCourtforNevada.RobertL.Roth,Attorney,HooperLundy&Bookman:BobspentelevenyearsingovernmentwiththeHHSOfficeofGeneral Counsel and earlier in the StateofMaryland invariouscapacitiesandhasbeen inprivatepracticesince1993.HehasextensiveexperienceinMedicarepaymentlitigation including arguing a case before the SupremeCourt. InMarchof2014,BobwastheProgramChairforthe AHLA 2014 Institute on Medicare and MedicaidPaymentIssues.Jeff Short, Attorney, Hall Render: Jeff advises large andsmall companies on legal issues relating to computerhardware, computer software, technology, privacy,copyright,trademark,andtheInternet.Heconcentrateson informationtechnologyandprivacy issuesrelatingtohealthcareentities,includinghospitals,physiciangroupsandpharmaceuticalcompanies.Jeffhasmadenumerouspresentations relating to HIPAA and technologyprocurement in health care, including speaking at aNationalHIPAASummit.JenniferSkeels,Attorney,HallRender:Jennifer'spracticefocuses on advising hospitals on a broad range ofoperational issues, including physician contracting,clinical services and patient care issues, medical staffrelations, regulatory and compliancematters, corporatecounsel services and reimbursement. She worked as aregistered nurse in both Indiana and Illinois prior toattendinglawschool.PaulSmith,Attorney,HooperLundy&Bookman:Pauladvisesclientsinhealthcareandotherindustriesonhealthinformationprivacyandsecurity,corporateformationandgovernance,jointventures,financing,reimbursementandregulatorycompliance.Healsorepresentstechnologycompaniesintransactional,financingandlicensingmatters,anddataprivacyandsecurity.Paulservesasco-generalcounseltotheHospitalCouncilofNorthernandCentralCalifornia,aregionalassociationofhospitalsandadviseshealthcareprovidersonhealthinformationprivacyandsecuritycompliance,andincidentresponse.

StevenSpeil,ExecutiveVicePresident,HealthFinance&Policy,FederationofAmericanHospitals:Stevemanagesthe Federation's broad portfolio of payment policyissues. He serves as the association's chief liaisonwiththe CMS. Previously, Steve served as Associate VicePresident, for the Health Industry ManufacturersAssociation(nowAdvaMed).FeliciaSze,Attorney,Hooper,Lundy&Bookman:Feliciais a recognized expert in Medicaid and Medicarereimbursement matters, focusing on both themanagedcare and fee-for-service programs. She adviseshealthcare providers, including hospitals, clinics, post-acuteproviders,pharmacies,durablemedicalequipmentsuppliers,andothers,onawidearrayofcomplianceandreimbursement matters and in disputes with managedcare entities and government payors. She regularlyreviews, revises andnegotiatesmanaged care contractswithafocusonthoseusingalternativepaymentmodels.Jerimi Ullom, Attorney, Hall Render: Jerimi's serves asborrower's and bond counsel to the firm's health careandbusinessclientsandalsoroutinelyservesaslender'sand/or underwriter's counsel in a myriad of financingtransactions. His services include bond counsel,borrower's counsel, underwriter's counsel, issuer'scounsel, letter of credit bank counsel and lender'scounsel.Joe Wolfe, Attorney, Hall Render: Joe provides adviceand counsel to some of the nation's largest healthsystems,hospitalsandmedicalgroupsonabroadrangeof regulatory, operational and strategic matters. Heregularly counsels clients on a national basis regardingcompliance-focused physician compensation strategies.He is a frequent speaker on issues related to thephysician self-referral statute (Stark Law), hospital-physician transactions, physician compensationgovernance and health care valuation issues. Hecurrently serves as vice-chair of the Fair Market ValueAffinity Group of the American Health LawyersAssociation, the nation's largest organization dedicatedtolegalissuesinthehealthcareindustry.

The Conference on Health Reform

October 27th and 28th, 2016

Registration Form

Mail to: Baker Healthcare Consulting, Inc. or Fax form to: 317-631-0302 500 North Meridian Email form to: Suite 400 [email protected] Indianapolis, IN 46204 Name(s) _______________________________________________________________ Title __________________________________________________________________ Number Attending Cocktails and Dinner Thursday, October 27th ___________ Name of Hospital or Facility _____________________________________________ Address ________________________________________________________________________________________________

_________________________________________________________________________________________________ _________________________________________________________________________________________________ Telephone Number ___________________ Email Address _____________________ Please return this form with payment to us by September 30, 2016. Please call us at 317- 631-3613 with any questions you may have regarding Conference Registration. For information regarding refund, complaint and program cancellation policies, please contact our offices at 317-631-3613. Baker Healthcare Consulting, Inc. 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 addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN 37219-2417. Website: www.nasba.org

the 2016 conference on health reform

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