Bundled Payments: How Case Management Can Play a Strategic Role

Event Information
Product Format
Prerecorded Event
Toni G. Cesta, Ph.D., RN, FAAN
60 minutes
Product Description

How Can Your Case Management Department Prepare for Bundled Payments.

Since the implementation of the Balanced Budget Act, the government has been planning to share the burden of costs with healthcare providers. Sharing of costs has been demonstrated with value-based purchasing, which validated a transition to payment for value from payment for volume. With the cost sharing process transitioning to providers, hospitals are now assuming the responsibility for more than just the acute care episode.

If you want to determine where your hospital may be vulnerable in managing bundled payments, this informative session by expert speaker Toni Cesta is just for you. Register now tolearn more about case management applications and how you can best prepare for bundled payments. Towards the end of this event, you will be able to develop strategies for effective external and internal transitions on your own. The event will also discuss ways in which social workers and managers can leave a positive impact on hospital finances' bundled payment's effect.

Session Highlights

  • Understand how bundled payments actually work as they move from demonstration to reality
  • Review the financial risks your hospital may have as bundled payments ramp up
  • See where your hospital’s vulnerabilities may be in managing bundled payments
  • Discuss how case management must become a fully integrated, across the continuum model
  • Develop strategies for effective internal transitions.
  • Develop strategies for effective external transitions.
  • Identify outcome measures impacted by case managers in internal and external transitions.
  • How can your case management department prepare for bundled payments
  • Describe the ways in which case managers and socìal workers can have a positive impact on bundled payment’s effect on hospital finances

Session Snapshots

  • Overview and history of bundled payments
  • Shifting greater financial risk to providers
  • Direct implications on providers by value-based care systems
  • Purpose, impact and procedure for bundled payment initiative
  • Bundled Payments for Care Improvement Initiative (BPCI)
  • The Comprehensive Care for Joint Replacement Program (CCJR)
  • Mandatory Bundled payment elements
  • Total Joints (CCJR) - introduction, included and excluded services
  • 5 Star Skilled Nursing Facility rating system
  • Financial implications for hospitals in bundled payment initiatives
  • Quality metrics to be eligible for reconciliation payment
  • CMS Enforcement Musts & Patient Requirements
  • The Next Steps in Bundles – Quality, Waivers and others
  • The hospital’s plan to prepare for bundled payments
  • Case management - aspects of different roles and department
  • What’s being said about these new bundles?

Who should attend?

  • Director of Case Management
  • Director of Finance
  • Case Managers
  • Social Workers
  • Vice President of Case Management
  • Directors of Patient Centered Medical Homes
  • Home Care Directors and Managers
  • Home Care Case Managers
  • Community-Based Providers

Order Below or Call 1-844-384-4744 Today

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About Our Speaker

Toni G. Cesta - Healthcare Case Management Expert

Toni G. Cesta, Ph.D., RN, FAANis Partner and Health Care Consultant in Case Management Concepts, LLC, a consulting company which assists institutions in designing, implementing and evaluating acute care and community case management models, with an eye on structure, process and outcome measures for nurse case managers and social workers.
The author of nine books, and a frequently sought after speaker, lecturer and consultant, Dr. Cesta...   More Info
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