# Strategic Healthcare Partners > We Manage Managed Care ## Pages - [Service Layout Format](https://shpllc.com/service-layout-format/): Service Title Ask a compelling question about a problem this service sprovides for a client. Lorem ipsum dolor sit amet,... - [Medicaid Group Enrollment Guide](https://shpllc.com/medicaid-group-enrollment-guide/): Georgia Medicaid Group/Billing Enrollment Requirement Effective July 1, 2025, GA Medicaid introduced a new formal group/billing enrollment requirement for all... - [Payor Health Quiz](https://shpllc.com/payor-health-quiz/): Payor Account Health Quiz Knowledge gaps can be expensive. Review your revenue with our 5 minute quiz. - [Consultation Request](https://shpllc.com/consultation-request/): How can we help? - [Vital Conversations Season 4 Review](https://shpllc.com/season-4-review/): Beyond The Stethoscope: Vital Conversations with SHP Season 4 Review - [Thank You](https://shpllc.com/thank-you/): Thanks for contacting us! We will get in touch with you shortly. - [What Is Clinical Integration(CIN)?](https://shpllc.com/faqs/what-is-clinical-integration-cin/): What is Clinical Integration(CIN)? In 1996, the DOJ and the FTC defined CI as an active and ongoing program to... - [What Are Healthcare Performance Analytics?](https://shpllc.com/faqs/what-are-healthcare-performance-analytics/): Why are insightful analytics more critical now than ever? Understanding your data is essential to understanding how your facility is... - [FAQs](https://shpllc.com/faqs/): FAQs Why are insightful analytics more critical now than ever? What exactly is a Managed Care Contracting? What is an... - [What is an Independent Physician Association?](https://shpllc.com/faqs/what-is-an-independent-physician-association/): What is an Independent Physician Association? An Independent Physician Association or IPA represents a group of independent providers and medical... - [What Exactly is a Managed Care Contracting?](https://shpllc.com/faqs/what-exactly-is-a-managed-care-contracting/): Why is Managed Care Contracting most essential to your revenue stream? Contract language and reimbursement rates are the driving force... - [What is Provider Enrollment exactly?](https://shpllc.com/faqs/what-is-provider-enrollment-exactly/): What is Provider Enrollment exactly? Provider Enrollment is the process healthcare providers go through to “register” as an approved medical... - [Staff Lead Entry Form](https://shpllc.com/staff-lead-entry-form/): SHP Staff Lead Entry Form - [Provider Revalidation](https://shpllc.com/provider-revalidation/): Provider Revalidation - [404](https://shpllc.com/404-2/): Oops, that page was not found. Try again or use the search below. - [Non-Disclosure Agreement](https://shpllc.com/non-disclosure-agreement/): Non-Disclosure Agreement - [2023 MPFS Impact Analysis](https://shpllc.com/2023-mpfs-impact-analysis/): 2023 MPFS Impact Analysis - [Podcast Survey](https://shpllc.com/podcast-survey/): Podcast Survey - [Services](https://shpllc.com/services/): Our Services SHP has built an extensive team that can provide the strategic plan you need for the future. In... - [Podcast Archives](https://shpllc.com/podcasts/podcast-archive/): Beyond The Stethoscope Podcast Library Filter Podcasts by ACO | Advocacy | ASC | Clients | Clinical | Clinically Integrate... - [Podcasts](https://shpllc.com/podcasts/): Beyond The Stethoscope: Vital Conversations with SHP Take Our Season 2 Survey Let us know what you want to hear... - [Managed Care Contracting](https://shpllc.com/services/managed-care-contracting/): Managed Care Contracting Are you maximizing reimbursement? Contract language and reimbursement rates are the driving force behind a payer’s payment... - [Independent Physician Association](https://shpllc.com/services/independent-physician-association/): Independent Physician Association (IPA) Services SHP manages the full spectrum of IPA services. Independent Physician Association (IPAs) are dedicated to... - [Analytics](https://shpllc.com/services/performance-healthcare-analytics/): Analytics Lacking the tandem of actionable reporting with expert analysis? Not confident in the knowledge of your EMR system? Understanding... - [Clinically Integrated Networks](https://shpllc.com/services/clinically-integrated-network/): Clinically Integrated Networks Unsure how to effectively set up a Clinically Integrated Network so it brings value to your providers,... - [Provider Enrollment](https://shpllc.com/services/provider-enrollment-service/): Provider Enrollment Not enough time to efficiently enroll your next provider with your payers? Is the medical provider enrollment process... - [Accountable Care Organization](https://shpllc.com/services/aco-management/): Accountable Care Organization (ACO) Management and Consultation Do you lack value based efforts or are uncertain about participation in an... - [Rural Health Network Development](https://shpllc.com/services/rural-health-network-development/): Community Health Network Development Does your community lack a synchronous provider health network to meet patient and employer needs? A... - [Revenue Cycle Management](https://shpllc.com/services/revenue-cycle-management/): Revenue Cycle Support – Managed Care Uncertain if your charge structure, collection efforts, and revenue cycle team are optimally performing?... - [Contact & Locations](https://shpllc.com/contact/): Savannah Office PO Box 60969 Savannah, GA 31420 P: 912 691-5711 Fill out the form below for a rapid response.... - [About & Purpose](https://shpllc.com/about-shp/): The "support team" for your CFO and practice manager. Founded by Principals John Crew and Mike Scribner, SHP has offices... - [Staff](https://shpllc.com/about-shp/staff/): Our Staff We take pride in the diverse backgrounds and skill sets of our staff members and emphasizing a client-first... - [What To Expect](https://shpllc.com/about-shp/what-to-expect/): What to Expect How We View Our Clients The Client is just as important as anyone at Strategic Healthcare Partners.... - [Industry Resources](https://shpllc.com/managed-care-resources/): Industry Resources American Hospital Association The American Hospital Association (AHA) is the national organization that represents and serves all types... - [Webinar Archives](https://shpllc.com/managed-care-resources/webinars/webinar-archives/): Webinar Archives Filter Past Webinars by ACO | Advocacy | ASC | Clients | Clinical | Clinically Integrate Networks |... - [Webinars](https://shpllc.com/managed-care-resources/webinars/): Webinars SHP Webinars are topic-focused webinars designed to keep you abreast of all the latest changes and news happening Georgia... - [News](https://shpllc.com/managed-care-resources/news/) - [Home](https://shpllc.com/): The “support team” for your CEO, CFO and Practice Administrators. Uncertainty and lack of bandwidth to handle payer contracting and... - [Terms & Conditions](https://shpllc.com/terms-conditions/): Terms & Conditions These terms and conditions outline the rules and regulations for the use of ‘s Website. By accessing... - [Privacy Policy](https://shpllc.com/privacy-policy/): Welcome to our Privacy Policy Your privacy is critically important to us. It is ‘s policy to respect your privacy... ## News - [Forecasting Market Trends, Emerging Models & Revenue Streams](https://shpllc.com/forecasting-market-trends-emerging-models-revenue-streams/): At the Georgia ASC 2026 Winter Meeting held in February, Mike Scribner and Kelly Mooney of Strategic Healthcare Partners, LLC... - [Navigating Supply Chain Challenges: Tariffs, Best Practices, and Lessons for Healthcare Leaders](https://shpllc.com/navigating-supply-chain-challenges-tariffs-best-practices-and-lessons-for-healthcare-leaders/): The recent SHP webinar, led by Jason Crosby with contributions from Mike Scribner and Phil Church, tackled the pressing issue... - [Webinar Recap: Bridging the Gap – Wound Care Solutions for Rural Communities](https://shpllc.com/webinar-recap-bridging-the-gap-wound-care-solutions-for-rural-communities/): On June 18, 2025, Strategic Healthcare Partners (SHP) and Corstrata co-hosted an insightful webinar exploring a significant challenge rural healthcare... - [Season 5 Is Here: What We’ve Been Working On and What’s Coming Next](https://shpllc.com/season-5-is-here-what-weve-been-working-on-and-whats-coming-next/): We’re excited to finally share that Season 5 of the podcast is here. It’s been a while, and some of... - [QPP 2025 Updates & Information](https://shpllc.com/qpp-2025-updates-information/): QPP 2025 Updates If you haven’t noticed, CMS continues to refine the Quality Payment Program (QPP), with the ongoing goal... - [Key Revenue Cycle Metrics for Physician Practices](https://shpllc.com/key-revenue-cycle-metrics-for-physician-practices/): After some great feedback from a previous blog regarding Revenue Cycle Management, we thought best to follow up with some... - [CMS Medicare Payment Updates for 2025](https://shpllc.com/cms-medicare-payment-updates-for-2025/): In the past month, The Centers for Medicare & Medicaid Services (CMS) issued its final updates to Medicare payment policies... - [Key Healthcare Items of the 2025 Federal Budget](https://shpllc.com/key-healthcare-items-of-the-2025-federal-budget/): In the past week, the 2025 federal budget was passed in the House, and introduces a number of impactful changes... - [The ASC Managed Care Landscape](https://shpllc.com/the-asc-managed-care-landscape/): During the March 2025 Semi-Annual Conference for the GA Society of Ambulatory Surgery Centers, SHP presented attendees with an update... - [ABC’s of Managed Care Contracting](https://shpllc.com/abcs-of-managed-care-contracting/): In its most simple form, managed care contracting is a business agreement between insurance companies and other managed care organizations,... - [Do Your Financial Processes and Respective Toolbox Include Effective Analytics of Your Revenue Cycle?](https://shpllc.com/do-your-financial-processes-and-respective-toolbox-include-effective-analytics-of-your-revenue-cycle/): Revenue cycle analytics in a provider setting refers to the use of data-driven insights of the financial processes (Billing, Collections,... - [Why should you join an IPA?](https://shpllc.com/why-should-you-join-an-ipa/): First off, what is an IPA... ? An Independent Physician Association (IPA) is a legal entity that is a collection... - [A Summary of Best Practices for Provider Enrollment](https://shpllc.com/a-summary-of-best-practices-for-provider-enrollment/): Provider enrollment is what we often refer to as the offensive lineman of healthcare. No one knows or appreciates the... - [A “Quick Conversation” regarding healthcare marketing and AI.](https://shpllc.com/a-quick-conversation-regarding-healthcare-marketing-and-ai/): This week our Podcast launched season 4. 5 with a new series titled “Quick Conversations. ” And we started with... - [The Fall season is coming up, college football about to kickoff, which must mean Season 3 of the SHP podcast is near.](https://shpllc.com/the-fall-season-is-coming-up-college-football-about-to-kickoff-which-must-mean-season-3-of-the-shp-podcast-is-near/): Now that the summer has ended, we have regrouped and excited to launch Season 3 of Vital Conversations. We expect... - [GSASC/SCASCA Joint Semi-Annual Conference](https://shpllc.com/gsasc-scasca-joint-semi-annual-conference/): Once again, we are proud to be sponsors for the upcoming GSASC/SCASCA August Conference at the Hyatt Regency Savannah in... - [Listen Today! "What If Your Healthcare Employees Wore A Yellow Tux?"](https://shpllc.com/listen-today-what-if-your-healthcare-employees-wore-a-yellow-tux/): In our last episode part of this 4 episode series, as well as last for Season 2, Jason Crosby and... - [Listen Today! "The Triple Aim Meets the…Breakdancing First Base Coach"](https://shpllc.com/listen-today-the-triple-aim-meets-thebreakdancing-first-base-coach/): This Wednesday, Episode 3: “The Triple Aim Meets the... Breakdancing First Base Coach” In the 3rd part of a 4... - [Listen Today! "What If Your Healthcare Provider Went Bananas – With Patient Engagement?"](https://shpllc.com/listen-today-what-if-your-healthcare-provider-went-bananas-with-patient-engagement/): In today’s 2nd part of a 4 episode series, Jason Crosby and Aaron Higgins follow up last week’s episode with... - [Listen Today! " Cyber-security And Other Digital Marketing Threats. What Do They Have To Do With Your Organization And How Best To Prepare." #2](https://shpllc.com/new-podcast-04-12-cyber-security-and-other-digital-marketing-threats-what-do-they-have-to-do-with-your-organization-and-how-best-to-prepare-2/): As our reliance on technology in healthcare grows, so does the threat of cyber criminals. In this podcast Aaron &... - [Listen Today! "More And More News About AI, Join Aaron And Jason As They Discuss A Few Of The Latest Headlines On How It Impacts Healthcare."](https://shpllc.com/new-podcast-04-05-more-and-more-news-about-ai-join-aaron-and-jason-as-they-discuss-a-few-of-the-latest-headlines-on-how-it-impacts-healthcare-2/): AI continues to be a headliner and with Microsoft testing as part of their Nuance physician notation, collaboration with Syneos... - [Listen Today! "What Exactly Is Digital Marketing & Why Does Each Organization Need It?"](https://shpllc.com/new-podcast-03-29-what-exactly-is-digital-marketing-why-does-each-organization-need-it-2/): “What Exactly Is Digital Marketing & Why Does Each Organization Need It? ” Jeremy Miller, Boost by Design will break... - [Listen Today! Since Your March Madness Brackets Are Busted, Join Aaron And Jason As They Discuss A Few Of The Latest Headlines.](https://shpllc.com/since-your-march-madness-brackets-are-busted-join-aaron-and-jason-as-they-discuss-a-few-of-the-latest-headlines-2/): Listen Today! Best Buy and Atrium strike a partnership. How does that benefit each and the consumer? Medical debt details... - [Since Your March Madness Brackets Are Busted, Join Aaron And Jason As They Discuss A Few Of The Latest Headlines.](https://shpllc.com/since-your-march-madness-brackets-are-busted-join-aaron-and-jason-as-they-discuss-a-few-of-the-latest-headlines/): This Wednesday! Best Buy and Atrium strike a partnership. How does that benefit each and the consumer? Medical debt details... - [Listen Today! What Is The Goal-setting Methodology Objectives And Key Results (aka OKRs) And How Can You Use In Your Organization #2](https://shpllc.com/launching-03-15-what-is-the-goal-setting-methodology-objectives-and-key-results-aka-okrs-and-how-can-you-use-in-your-organization-2/): We are joined by Tyler Barnett and Matthew Nichols, PhD of University Hospitals out of Cleveland OH, where they discuss... - [Listen Today! Provider Enrollment Updates For 2023 And How To Best Prepare And Thrive In The Provider Setting](https://shpllc.com/provider-enrollment-updates-2023-2/): CMS began releasing updates late in 2022 with the provider enrollment process and related forms. Most provider types are impacted... - [Listen Today! Addressing the Rising Cost of Treating Type 2 Diabetes, Hypertension and other Metabolic Disorders in an Underserved Population #2](https://shpllc.com/launching-03-01-addressing-the-rising-cost-of-treating-type-2-diabetes-hypertension-and-other-metabolic-disorders-in-an-underserved-population-2/): During this episode, we interview Dr. Dean Rottinghaus, who has successfully launched and managed a hospital based Diabetes Management Clinic... - [Retailers and Other Headlines in the Industry Today](https://shpllc.com/retailer-and-other-headlines-in-the-industry-today/): Jason and Aaron wrap up this first week of season 2 regarding “Trends in VBC & Outpatient Care” with a... - [Part 2: Live Today! Value Based Care, Pricing Transparency, Managed Care Strategies](https://shpllc.com/part-2-live-today-value-based-care-pricing-transparency-managed-care-strategies/): We’re kicking this season off with a weeklong series of episodes entitled “Trends in VBC & Outpatient Care” on today’s... - [Live Today! Value Based Care Trends, Impact, and Strategies for Providers in the Primary Care Market. #2](https://shpllc.com/new-podcast-value-based-care-trends-impact-and-strategies-for-providers-in-the-primary-care-market-2/): SHP Principle’s Mike Scribner and John Crew, alongside VP of Managed Care Kelly Mooney, discuss the various value based care... - [New Podcast: Value Based Care Trends, Impact, and Strategies for Providers in the Primary Care Market.](https://shpllc.com/new-podcast-value-based-care-trends-impact-and-strategies-for-providers-in-the-primary-care-market/): SHP Principle’s Mike Scribner and John Crew, alongside VP of Managed Care Kelly Mooney, discuss the various value based care... - [Beyond The Stethoscope Season 2 Coming Soon!](https://shpllc.com/beyond-the-stethoscope-season-2-coming-soon/): We’rrrreee back... SHP’s podcast, Beyond the Stethoscope: Vital Conversations with SHP launches season 2 in mid-February. We are changing format... - [Merry Christmas](https://shpllc.com/merry-christmas/): May you have the gift of faith, the blessings of hope and the peace of His love this Christmas. Merry... - [Listen Today! "What is a Clinically Integrated Network (CIN)? And Why Should A Provider Consider Joining?" #2](https://shpllc.com/last-episode-of-season-1-12-17-what-is-a-clinically-integrated-network-cin-and-why-should-a-provider-consider-joining-2/): Listen Today! “What is a Clinically Integrated Network (CIN)? And why should a provider consider joining . ” Jason will... - [Listen Today! "What You Need to Know About the Billing & Coding Changes to All Lines of Services in the E&M Section for 2023"](https://shpllc.com/new-episode-12-14-major-billing-coding-changes-to-all-lines-of-services-in-the-em-section-for-2023-2/): The American Medical Association (AMA) has released the Current Procedural Terminology (CPT) code set for 2023, which contains 393 editorial... - [Episode 6 "Review of the QPP Final Rule For 2023" Is Live!](https://shpllc.com/episode-6-review-of-the-qpp-final-rule-for-2023-launches-12-07-2/): We’ll take this time for Aaron, Data Quality & Project Manager, Strategic Healthcare Partners, LLC to highlight some key points... - [Episode 6 "Review of the QPP Final Rule For 2023" Launches 12/07!](https://shpllc.com/episode-6-review-of-the-qpp-final-rule-for-2023-launches-12-07/): We’ll take this time for Aaron, Data Quality & Project Manager, Strategic Healthcare Partners, LLC to highlight some key points... - [World AIDS Day](https://shpllc.com/world-aids-day/): World AIDS Day takes place on December first each year. It’s an opportunity for people worldwide to unite in the... - [Live Today! "Applicable Leadership Tips and the Art of Feedback"](https://shpllc.com/new-podcast-announcement-applicable-leadership-tips-and-the-art-of-feedback-2/): Wednesday, 30th, 2022 With Kristin, CEO of Woodlocks & Associates, we dive into the realm of leadership. In particular with... - [Happy Thanksgiving](https://shpllc.com/happy-thanksgiving/): With gratitude this Thanksgiving, we offer our most sincere thanks to all of you. May this season be a beautiful... - [GERD Awareness Week](https://shpllc.com/gerd-awareness-week/): The 22nd Annual GERD Awareness Week is November 21-27, 2021. Gastroesophageal reflux disease, or GERD, is a very common disorder.... - [Pancreatic Cancer Awareness Month](https://shpllc.com/pancreatic-cancer-awareness-month/): November is a month of empowerment, education and inspiration for communities far and wide who have been touched by pancreatic... - [Live Today! "What Exactly Is a Direct Contracting Marketplace?"](https://shpllc.com/announcing-our-next-episode-what-exactly-is-a-direct-contracting-marketplace-2/): With bundling services an increasing option for providers and employers, both will be interested in how to enter such an... - [Reminder For Tomorrow's Webinar: 2023 QPP Final Rule Webinar](https://shpllc.com/webinar-2023-qpp-final-rule-webinar-2/): CMS released the Final Rule for Quality Payment Program for 2023 which will shape the way the whole mixed bag... - [Veteran's Day](https://shpllc.com/veterans-day/): Happy Veterans Day to our soldiers, both past and present. We owe you our thanks, but more than that, we... - [Announcing Our Next Episode: "What Exactly Is a Direct Contracting Marketplace?"](https://shpllc.com/announcing-our-next-episode-what-exactly-is-a-direct-contracting-marketplace/): With bundling services an increasing option for providers and employers, both will be interested in how to enter such an... - [It's Live! "Insight Into Wound and Ostomy Care, the Evolution Taking Place, and How Technology Such as Corstrata Is Playing a Role"](https://shpllc.com/next-podcast-episode-insight-into-wound-and-ostomy-care-the-evolution-taking-place-and-how-technology-such-as-corstrata-is-playing-a-role-2-2/): Listen today! “Insight Into Wound and Ostomy Care, the Evolution Taking Place, and How Technology Such as Corstrata Is Playing... - [National Epilepsy Awareness Month](https://shpllc.com/national-epilepsy-awareness-month/): November is National Epilepsy Awareness Month. Epilepsy is a chronic disorder, the hallmark of which is recurrent, unprovoked seizures. The... - [Webinar: 2023 QPP Final Rule Webinar](https://shpllc.com/webinar-2023-qpp-final-rule-webinar/): CMS released the Final Rule for Quality Payment Program for 2023 which will shape the way the whole mixed bag... - [Listen to Part 2 of "Value Based Care (VBC) Today and the Role of CMS, Providers, and Third-Party Vendors in Its Evolution"!](https://shpllc.com/listen-to-part-2-of-value-based-care-vbc-today-and-the-role-of-cms-providers-and-third-party-vendors-in-its-evolution/): Live today! Listen to Part 2 of “Value Based Care (VBC) Today and the Role of CMS, Providers, and Third-Party... - [American Diabetes Month](https://shpllc.com/american-diabetes-month/): November is American Diabetes Month. Diabetes is a chronic (long-lasting) health condition that affects how your body turns food into... - [Part 1 of Our Value Based Care (VBC) Podcast is Live!](https://shpllc.com/part-1-of-our-value-based-care-vbc-podcast-is-live/): Listen today to Part 1 of “Value Based Care (VBC) Today and the Role of CMS, Providers, and Third-Party Vendors... - [Sudden Infant Death Syndrome (SIDS) Awareness Month](https://shpllc.com/sudden-infant-death-syndrome-sids-awareness-month/): October is Sudden Infant Death Syndrome (SIDS) Awareness Month! This month and beyond, advocates and infant caregivers can join Safe... - [Spina Bifida Awareness Month](https://shpllc.com/spina-bifida-awareness-month/): October is Spina Bifida Awareness Month—a time to celebrate the hundreds of thousands of people living with Spina Bifida. Every... - ["Value Based Care (VBC) Today and the Role of CMS, Providers, and Third-Party Vendors in Its Evolution" Episode](https://shpllc.com/value-based-care-vbc-today-and-the-role-of-cms-providers-and-third-party-vendors-in-its-evolution-episode/): Part 1 of our next two-part episode podcast “Value Based Care (VBC) Today and the Role of CMS, Providers, and... - [Part 2 of "The Experience Economy" is live!](https://shpllc.com/part-2-of-the-experience-economy-is-live/): We wrap up the interview with Scott Regan, diving into how you and your organization can specifically create a memorable... - [Transcript for Beyond the Stethoscope Vital Conversations with SHP Episode 2 - The Experience Economy | With Scott Regan - Part 2](https://shpllc.com/transcript-episode-2/): Scott Regan So have to look at all of this from the eyes of the patient and we have to... - [Beyond the Stethoscope: Vital Conversationswith SHP - Fall Series Podcast Lineup](https://shpllc.com/beyond-the-stethoscope-vital-conversationswith-shp-fall-series-podcast-lineup/): Announcing the “Beyond the Stethoscope: Vital Conversationswith SHP” Fall Series podcast lineup! We’ll be sitting down with experts to discuss... - [Pregnancy and Infant Loss Awareness Month](https://shpllc.com/pregnancy-and-infant-loss-awareness-month/): Tens of thousands of families across the United States are devastated each year by the death of their baby. But... - [ADHD Awareness Month](https://shpllc.com/adhd-awareness-month/): October of is ADHD Awareness Month. Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder affecting both children and adults around the... - [Breast Cancer Awareness Month](https://shpllc.com/breast-cancer-awareness-month/): Did you know that 1 in 8 women will be diagnosed with breast cancer in her lifetime? While you can’t... - [National Cholesterol Education Month](https://shpllc.com/national-cholesterol-education-month/): According to the Centers for Disease Control and Prevention (CDC), heart disease is the number one leading cause of death... - [National Suicide Prevention Week](https://shpllc.com/national-suicide-prevention-week/): People have become increasingly comfortable talking about their mental health, particularly this past year. But the topic of suicide –... - [Labor Day](https://shpllc.com/labor-day/): Just like teams are so much more than the sum total of their component parts, this company is more than... - [National Grief Awareness Day](https://shpllc.com/national-grief-awareness-day/): This National Grief Awareness Day on August 30 is dedicated to raising awareness of the myriad ways in which individuals... - [National Immunization Awareness Month](https://shpllc.com/national-immunization-awareness-month/): National Immunization Awareness Month (NIAM) is an annual observance held in August to highlight the importance of vaccination for people... - [2023 QPP Proposed Rule Webinar](https://shpllc.com/2023-qpp-proposed-rule-webinar/): CMS released the Proposed Rule for Quality Payment Program for 2023 which will shape the way the whole mixed bag... - [Gastroparesis Awareness Month](https://shpllc.com/gastroparesis-awareness-month/): August is Gastroparesis Awareness Month. IFFGD works to focus attention on important health messages about gastroparesis diagnosis, treatment, and quality... - [World Breastfeeding Week](https://shpllc.com/world-breastfeeding-week/): World Breastfeeding Week (WBW) is a global campaign to raise awareness and galvanize action on themes related to breastfeeding. WBW... - [UV Safety Awareness Month](https://shpllc.com/uv-safety-awareness-month/): Summer has arrived and while the sun is shining bright it’s a golden time to highlight July as UV Safety... - [National Cleft & Craniofacial Awareness & Prevention Month](https://shpllc.com/national-cleft-craniofacial-awareness-prevention-month/): Cleft and craniofacial conditions affect thousands of infants, children, teens and adults in the United States each year. Some are... - [Fourth of July](https://shpllc.com/fourth-of-july/): Strategic Healthcare Partners wishes you a happy and safe Fourth of July! - [Alzheimer's & Brain Awareness Month](https://shpllc.com/alzheimers-brain-awareness-month-2/): Worldwide, 50 million people are living with Alzheimer’s and other dementias. Join the Alzheimer’s Association in going purple and raising... - [Medicaid Reprocurement Webinar](https://shpllc.com/medicaid-reprocurement-webinar/): Georgia’s Department of Community Health (DCH) is preparing to reprocure its Medicaid managed care contracts (currently held by Amerigroup, CareSource... - [National Scoliosis Awareness Month](https://shpllc.com/national-scoliosis-awareness-month/): National Scoliosis Awareness Month takes place yearly in June with the goal of highlighting the growing need for education, early... - [World Blood Donor Day](https://shpllc.com/world-blood-donor-day/): Every year countries around the world celebrate World Blood Donor Day (WBDD). The event serves to raise awareness of the... - [PTSD Awareness Month](https://shpllc.com/ptsd-awareness-month/): There are currently about 8 million people in the United States with PTSD. Even though PTSD treatments work, most people... - [Alzheimer's & Brain Awareness Month](https://shpllc.com/alzheimers-brain-awareness-month/): Worldwide, 50 million people are living with Alzheimer’s and other dementias. Join the Alzheimer’s Association in going purple and raising... - [Skin Cancer Awareness Month](https://shpllc.com/skin-cancer-awareness-month/): May is Skin Cancer Awareness Month. With over 5 million cases diagnosed in the United States each year, skin cancer... - [Mental Health Awareness Month](https://shpllc.com/mental-health-awareness-month/): Each year millions of Americans face the reality of living with a mental illness. During May, NAMI joins the national... - [National Nurses Week](https://shpllc.com/national-nurses-week/): National Nurses Week begins each year on May 6th and ends on May 12th, Florence Nightingale’s birthday. These permanent dates... - [National Infertility Awareness Week](https://shpllc.com/national-infertility-awareness-week/): National Infertility Awareness Week® (NIAW) begins April 18 – 24, 2021. Currently 7. 3 million Americans are facing infertility, no... - [National Prescription Drug Take Back Day](https://shpllc.com/national-prescription-drug-take-back-day/): The drug overdose epidemic in the United States is a clear and present public health, public safety, and national security... - [ASC 201: Value Based Care Strategy in the ASC Setting](https://shpllc.com/asc-201-value-based-care-strategy-in-the-asc-setting/): Register for the webinar today! Value-Based Care has finally come for the specialists... ... the first specialist based value models... - [National Donate Life Month](https://shpllc.com/national-donate-life-month/): National Donate Life Month (NDLM) was established by Donate Life America and its partnering organizations in 2003. Observed in April... - [World Autism Day](https://shpllc.com/world-autism-day/): This year marks the 15th annual World Autism Awareness Day, a United Nations-sanctioned World Autism Awareness Day on April 2.... - [ASC 101: Managed Care Strategy in the Age of the No Surprise Act Webinar](https://shpllc.com/asc-101-managed-care-strategy-in-the-age-of-the-no-surprise-act-webinar/): To many, managed care is managed care. But with the leverage and bottom-line impact of an ASC to a physician... - [World Tuberculosis Day](https://shpllc.com/world-tuberculosis-day/): According to the CDC, Each year, we recognize World TB Day on March 24. This annual event commemorates the date... - [World Down Syndrome Day](https://shpllc.com/world-down-syndrome-day/): World Down Syndrome Day (WDSD), 21 March, is a global awareness day which has been officially observed by the United... - [National Sleep Awareness Week](https://shpllc.com/national-sleep-awareness-week/): According to the National Sleep Awareness Foundation, launched in 1998, Sleep Awareness Week is NSF’s national public education campaign that... - [World Kidney Day](https://shpllc.com/world-kidney-day/): According to the World Kidney Day organization, Chronic kidney disease (CKD) is common and harmful: 1 out of 10 adult... - [National Nutrition Month](https://shpllc.com/national-nutrition-month/): “National Nutrition Week,” initiated in March 1973, was embraced by members of the American Dietetic Association (now the Academy of... - [National Colorectal Cancer Awareness Month](https://shpllc.com/national-colorectal-cancer-awareness-month/): According to the Colorectal Cancer Alliance, in February 2000, President Clinton officially dedicated March as National Colorectal Cancer Awareness Month.... - [Pre Session GA Legislative Affairs Forum](https://shpllc.com/pre-session-ga-legislative-affairs-forum-2/): On January 12, we collaborated with our partners @ Capitol Strategy Group for a GA Legislative Update. During this time,... - [National Heart Valve Disease Awareness Day](https://shpllc.com/national-heart-valve-disease-awareness-day/): The annual awareness day on February 22 aims to increase recognition of the specific risks and symptoms of heart valve... - [No Suprises Act with Michele Madison](https://shpllc.com/no-suprises-act-with-michele-madison/): It’s a surprise! On Dec 22nd, we collaborated with Michele Madison from Morris, Manning & Martin for our No Surprises... - [National Donor Day](https://shpllc.com/national-donor-day/): Per HRSA, National Donor Day focuses on five points of life: organs, tissues, marrow, platelets, and blood. Many health groups... - [ARP & HHS PRF Reporting Update Webinar](https://shpllc.com/arp-hhs-prf-reporting-update-webinar/): As follow up to recent updates and webinars, join us on February 17th as we discuss the latest on the... - [Planning for CMS' COVID 19 Vaccine Mandate](https://shpllc.com/planning-for-cms-covid-19-vaccine-mandate/): The CMS Vaccine Mandate for Medicare certified facilities is moving forward. Please join us to learn more about how this... - [HHS Releasing Another $2B in Phase 4 General Distribution Funding](https://shpllc.com/hhs-releasing-another-2b-in-phase-4-general-distribution-funding/): HHS has just issued the below press release indicating that they are releasing another $2B in Phase 4 General Distribution... - [Managed Care Outlook for the Primary Care Physician in Georgia Webinar](https://shpllc.com/value-based-contracting-outlook-for-the-ga-physician-webinar/): The GA healthcare payer landscape is changing rapidly. Within the next few years, we expect to see further growth in... ## Podcasts - [Your ASC Needs to Stop Flying Blind and Build a Smarter Reporting Cadence](https://shpllc.com/shp-podcast/your-asc-needs-to-stop-flying-blind-and-build-a-smarter-reporting-cadence/): What if your ASC could see problems weeks before they hit your bank account? We dig into a practical playbook... - [Webinar Recap “Supply Chain Best Practices and Potential Tariff Implications for Community Hospitals and Medical Practices.”](https://shpllc.com/shp-podcast/webinar-recap-supply-chain-best-practices-and-potential-tariff-implications-for-community-hospitals-and-medical-practices/): Join A&J as they recap the recent webinar regarding the provider supply chain and how community hospitals and medical practices... - [Virtual Wound Care: Rural Hospital Game-Changer](https://shpllc.com/shp-podcast/virtual-wound-care-rural-hospital-game-changer/): Specialized wound care has emerged as both a clinical necessity and financial opportunity for rural hospitals struggling with staffing shortages... - [Quick Conversation: Celebrating Holiday Traditions, Festive Memories, and Community Spirit](https://shpllc.com/shp-podcast/quick-conversation-celebrating-holiday-traditions-festive-memories-and-community-spirit/): Ever dressed up as Santa Claus and felt like a rockstar? Aaron shares his hilarious experience of riding on a... - [Quick Conversation: The Ripple Effects of AI on Healthcare Denial Management](https://shpllc.com/shp-podcast/quick-conversation-the-ripple-effects-of-ai-on-healthcare-denial-management/): What drives a person to commit an unimaginable act? With the shocking and tragic murder of UnitedHealthcare’s CEO dominating headlines,... - [Revisit: Keys to a Successful CIN | With Jason Crosby](https://shpllc.com/shp-podcast/revisit-keys-to-a-successful-cin-with-jason-crosby/): In this episode, Aaron sits down with our very own Jason Crosby to talk about CINs, how they work, how... - [Quick Conversation: Unlocking Digital Marketing Success: Control, Analytics, and Growth Strategies](https://shpllc.com/shp-podcast/quick-conversation-unlocking-digital-marketing-success-control-analytics-and-growth-strategies/): Unlock the secrets to mastering your digital marketing efforts with insights from Jeremy Miller, our trusted marketing expert from Boost... - [Quick Conversation: A Thankful Reflection and a Celebration of Our Journey Through 2024](https://shpllc.com/shp-podcast/quick-conversation-a-thankful-reflection-and-a-celebration-of-our-journey-through-2024/): Thanksgiving is a time for reflection and gratitude, and we’ve got plenty to be thankful for at Strategic Healthcare Partners... - [Quick Conversation: Deep Dive Into Navigating The 2025 CMS Quality Payment Program Final Rule](https://shpllc.com/shp-podcast/quick-conversation-deep-dive-into-navigating-the-2025-cms-quality-payment-program-final-rule/): Unlock the intricacies of the 2025 CMS final ruling on the Quality Payment Program with insights from Aaron Higgins of... - [Quick Conversation: Harnessing AI in Healthcare Marketing](https://shpllc.com/shp-podcast/quick-conversation-harnessing-ai-in-healthcare-marketing/): Join us for a compelling conversation with Jeremy Miller from Boost by Design, who lends his expertise on the evolving... - [And We're Back! And This Time We're Talking Less (Or Something)](https://shpllc.com/shp-podcast/and-were-back-and-this-time-were-talking-less-or-something/): After a long summer break and unexpected curveballs, we’re back with a special edition marking the transition into season 4.... - [Revisit: Value Based Care, Pricing Transparency, Managed Care Strategies, and Other Trends and Relevant Impact in the Ambulatory Surgery Center Market | With Mike Scribner & John Crew](https://shpllc.com/shp-podcast/value-based-care-pricing-transparency-managed-care-strategies-and-other-trends-and-relevant-impact-in-the-ambulatory-surgery-center-market-with-mike-scribner-john-crew-2/): On today’s episode you’ll hear our interview with Mike Scribner and John Crew. We covered a variety of topics, such... - [Revisit: Value Based Care Trends, Impact, and Strategies for Providers in the Primary Care Market | With Mike Scribner, John Crew & Kelly Mooney](https://shpllc.com/shp-podcast/value-based-care-trends-impact-and-strategies-for-providers-in-the-primary-care-market-with-mike-scribner-john-crew-kelly-mooney-2/): On today’s episode, join us as we dive into the world of Value Based trends in primary care markets with... - [Revisit: A Pharmacist Goes to Washington: Advancing Healthcare Policy with Congressman Carter](https://shpllc.com/shp-podcast/legislative-insight-from-us-congressman-earl-buddy-carter-of-georgia-2/): Step into the world of healthcare reform with the unique perspective of Congressman Earl “Buddy” Carter, a pharmacist serving in... - [Revisit: The CEO Chair: Practice Leadership Philosophy, Challenges and Market Insights.](https://shpllc.com/shp-podcast/revisit-the-ceo-chair-practice-leadership-philosophy-challenges-and-market-insights/): Unlock the strategies that are shaping the future of independent physician practices, with our esteemed guests, Sherry Roussarie and Kelly... - [Revisit: Part 2 With Tom Campanella – CON’s, VBC, Tort Reform, And Non-compete Agreements Just To Name A Few](https://shpllc.com/shp-podcast/part-2-with-tom-campanella-cons-vbc-tort-reform-and-non-compete-agreements-just-to-name-a-few-2/): Unlock the secrets behind the impact of Certificate of Need (CON) laws on healthcare providers, especially in rural areas, with... - [Revisit: Impact of Value Based Care Trends | With Sean Cavanaugh - Part 1](https://shpllc.com/shp-podcast/revisit-impact-of-value-based-care-trends-with-sean-cavanaugh-part-1/): In this episode, Aaron Higgins and Jason Crosby share articles about how our providers and children are burning out, and... - [Revisit: Keys to a Successful CIN With Our Own Jason Crosby](https://shpllc.com/shp-podcast/keys-to-a-successful-cin-2/): To respond to the challenges of health care reform, many health care providers are joining with others to form Clinically... - [Revisit: Provider Enrollment Updates for 2023 | Raquel Grizzard](https://shpllc.com/shp-podcast/revisit-provider-enrollment-updates-for-2023-raquel-grizzard/): With the recent CMS updates about provider enrollment, we felt that we needed to bring you some timely information about... - [Season 4 Recap & Off Season Requests](https://shpllc.com/shp-podcast/season-4-recap-off-season-requests/): Join us, as we reminisce on season 4’s highlights and look to season 5’s promising future in the Fall. From... - [Replay: Healthcare From The Mayor’s Seat – Industry Perspective From One Of The Nation’s Fastest Growing Towns](https://shpllc.com/shp-podcast/healthcare-from-the-mayors-seat-industry-perspective-from-one-of-the-nations-fastest-growing-towns-2/): This episode is unique in that we talk live and in person with the mayor of a suburban town that... - [Part 2 With Tom Campanella – CON’s, VBC, Tort Reform, And Non-compete Agreements Just To Name A Few](https://shpllc.com/shp-podcast/part-2-with-tom-campanella-cons-vbc-tort-reform-and-non-compete-agreements-just-to-name-a-few/): Join Aaron Higgins and Jason Crosby as they talk with Thomas Campanella as they pick up where they left off... - [Primary Care And Rural Healthcare Challenges](https://shpllc.com/shp-podcast/primary-care-and-rural-healthcare-challenges/): Join Aaron Higgins, Mike Scribner, and Jason Crosby as they talk with Thomas Campanella, JD and Healthcare Executive in Residence... - [Retailers Taking A Hit & HHS Takes Aim At Change Healthcare](https://shpllc.com/shp-podcast/retailers-taking-a-hit-hhs-takes-aim-at-change-healthcare/): Jason and Aaron talk recent headlines including how the retailers have had a rough last couple of months. They have... - [Employee Health Benefits – Trends, Challenges and Insights For Both The Employer & Consumer](https://shpllc.com/shp-podcast/employee-health-benefits-trends-challenges-and-insights-for-both-the-employer-consumer/): In this podcast episode, we dive into the multifaceted world of employee benefits, highlighting their significance in today’s workforce landscape.... - [Recent Headlines with A&J - AI Report, Uber Health, and Ransomware Attacks](https://shpllc.com/shp-podcast/recent-headlines-with-aj-ai-report-uber-health-and-ransomware-attacks/): Jason and Aaron talk recent headlines including how Ascension has handled their ransomware attack this past month. Their transparent and... - [CEO Book Review - Two Rivers: The Power of Collaboration and Other Leadership Lessons](https://shpllc.com/shp-podcast/ceo-book-review-two-rivers-the-power-of-collaboration-and-other-leadership-lessons/): In this episode, we continue our discussion with Shery Roussarie and Kelly Macken-Marble to discuss the book they co-authored in... - [Insights, Strategy, and Vision from the CEO Chair](https://shpllc.com/shp-podcast/insights-strategy-and-vision-from-the-ceo-chair/): In this episode, we sit down with Shery Roussarie and Kelly Macken-Marble in our first of two episodes. Both have... - [Headlines & Season Update with 2 SHP Guests](https://shpllc.com/shp-podcast/headlines-season-update-with-2-shp-guests/): Join Aaron and Jason with their usual shenanigans, but this time with 2 guests that also work at SHP –... - [Virtual SmartCare: How AI Can Assist With Staff Shortages And Improve Patient Care](https://shpllc.com/shp-podcast/virtual-smartcare-how-ai-can-assist-with-staff-shortages-and-improve-patient-care/): In this episode, we sit down with Dr. Dean Rottinghaus, serving as the Chief Clinical Officer for QurHealth and Infinity... - [Headlines & Season 4 Podcast Update with Aaron & Jason](https://shpllc.com/shp-podcast/headlines-season-4-podcast-update-with-aaron-jason/): We take a quick break after our first two episodes this season to do a recap of the interviews thus... - [Healthcare From The Mayor’s Seat – Industry Perspective From One Of The Nation’s Fastest Growing Towns](https://shpllc.com/shp-podcast/healthcare-from-the-mayors-seat-industry-perspective-from-one-of-the-nations-fastest-growing-towns/): This episode is unique in that we talk live and in person with the mayor of a suburban town that... - [Legislative Insight From US Congressman Earl “Buddy” Carter of Georgia](https://shpllc.com/shp-podcast/legislative-insight-from-us-congressman-earl-buddy-carter-of-georgia/): Another great episode with a someone that brings a very unique perspective, US Congressman Buddy Carter of Georgia’s first district.... - [Keys to a Successful CIN With Our Own Jason Crosby](https://shpllc.com/shp-podcast/keys-to-a-successful-cin/): To respond to the challenges of health care reform, many health care providers are joining with others to form Clinically... - [Replay: Goal Setting Methodology Objectives and Key Results (OKR’s)](https://shpllc.com/shp-podcast/replay-goal-setting-methodology-objectives-and-key-results-okrs/): We are joined by Tyler Barnett and Matthew Nichols, PhD of University Hospitals out of Cleveland OH, where they discuss... - [Replay: The Experience Economy | With Scott Regan - Part 1](https://shpllc.com/shp-podcast/the-experience-economy-with-scott-regan-part-1-2/): In this episode, Aaron Higgins & Jason Crosby discuss some recent headlines about some recent cyber attack class action lawsuits... - [Season 4 Trailer for Beyond The Stethoscope](https://shpllc.com/shp-podcast/season-4-trailer-for-beyond-the-stethoscope/): Join Aaron and Jason today as they highlight the upcoming season, interviews, schedule, and a very important question between cohosts.... - [Unwrapping Healthcare Disruption and Christmas Cheer](https://shpllc.com/shp-podcast/unwrapping-healthcare-disruption-and-christmas-cheer/): Prepare to voyage Beyond the Stethoscope with us, as we reminisce on season 3’s highlights and look to season 4’s... - [Unraveling the Intricacies of Health Insurance: Rising Costs, Mergers and Strategies: Part 2 of 2](https://shpllc.com/shp-podcast/unraveling-the-intricacies-of-health-insurance-rising-costs-mergers-and-strategies/): Get set to untangle the intricacies of health insurance with us and our esteemed guest, Matt Usher. We promise you... - [Demystifying Insurance Trends in Small Business: Confronting Healthcare Costs: Part 1 of 2](https://shpllc.com/shp-podcast/demystifying-insurance-trends-in-small-business-confronting-healthcare-costs/): Are you ready to unravel the labyrinth of insurance trends in the small business sector? We’ve got you covered! We... - [Review of the QPP Final Rule for 2024: Part 2](https://shpllc.com/shp-podcast/review-of-the-qpp-final-rule-for-2024-part-2/): A reminder to join Aaron and I for part 2 of our QPP discussion. Aaron will further discuss the MVP... - [Review of the QPP Final Rule for 2024: Part 1](https://shpllc.com/shp-podcast/review-of-the-qpp-final-rule-for-2024-part-1/): Are you ready to master the CMS Quality Payment Program changes for 2024? Buckle up as we, your co-hosts Jason... - [Confronting the Healthcare Crisis: Physician Burnout and Rise of Cyber Attacks](https://shpllc.com/shp-podcast/confronting-the-healthcare-crisis-physician-burnout-and-rise-of-cyber-attacks/): Ever wondered why so many physicians are leaving their profession? What if we told you that 63% of them are... - [Reflecting on a Year of Triumphs and Challenges: Gratitude & Anticipations](https://shpllc.com/shp-podcast/reflecting-on-a-year-of-triumphs-and-challenges-gratitude-anticipations/): Are you ready to take stock and contemplate gratitude? We’re doing exactly that in the latest episode of Beyond the... - [Mastering Private Practice in a Post-Pandemic World](https://shpllc.com/shp-podcast/mastering-private-practice-in-a-post-pandemic-world/): A reminder to join Aaron and Jason for part 2 of their interview with Craig Kilgore. They’ll continue their discussion... - [Challenges Of Today’s Independent Physician Practice And How To Remain… Independent](https://shpllc.com/shp-podcast/challenges-of-todays-independent-physician-practice-and-how-to-remain-independent/): Join us for our interview with Craig Kilgore, CEO of Coastal Vascular & Vein Center in Charleston, SC. Craig has... - [Unraveling HHS Information Crackdown and Reflecting on 988 Hotline's Impact](https://shpllc.com/shp-podcast/unraveling-hhs-information-crackdown-and-reflecting-on-988-hotlines-impact/): Curious about what the latest headlines in the health sector mean for you? Join us for a vital conversation with... - [The Challenges Facing Rural Hospitals and CEOs Today: Part 2](https://shpllc.com/shp-podcast/the-challenges-facing-rural-hospitals-and-ceos-today-part-2/): Join Mike Scribner and Jason Crosby for Part 2 of our interview with Damien Scott, CEO of Emanuel Medical Center... - [The Challenges Facing Rural Hospitals and CEOs Today: Part 1](https://shpllc.com/shp-podcast/the-challenges-facing-rural-hospitals-and-ceos-today-part-1/): In this two-part interview, Jason is joined by SHP Principal Mike Scribner as they interview Damien Scott, CEO of Emanuel... - [Navigating Post-COVID Healthcare: Burnout Prevention and Management](https://shpllc.com/shp-podcast/navigating-post-covid-healthcare-burnout-prevention-and-management/): The post-COVID healthcare landscape is riddled with burnout and heightened tensions. Are you equipped to navigate these challenges? Join us... - [Kicking off Season 3: News Headlines and a Look Ahead](https://shpllc.com/shp-podcast/kicking-off-season-3-news-headlines-and-a-look-ahead/): Are you ready to embark on a new journey with ‘Beyond the Stethoscope: Vital Conversations with SHP’? We’re kicking off... - [Revisit: Impact of Value Based Care Trends](https://shpllc.com/shp-podcast/revisit-impact-of-value-based-care-trends/): In this episode, Aaron Higgins and Jason Crosby share articles about how our providers and children are burning out, and... - [Revisit: Wound and Ostomy Care Gap](https://shpllc.com/shp-podcast/wound-and-ostomy-care-gap/): In this episode, Jason Crosby and Aaron Higgins provide a quick overview of the PFS Final Rule that released at... - [Revisit: Coding Changes for 2023](https://shpllc.com/shp-podcast/revisit-coding-changes-for-2023/): On today’s episode, Jason shares an article about how Mark Cuban is expanding his low-cost pharmacy project. And Aron shares... - [Revisit: Provider Enrollment Updates for 2023](https://shpllc.com/shp-podcast/revisit-provider-enrollment-updates-for-2023/): With the recent CMS updates about provider enrollment, we felt that we needed to bring you some timely information about... - [Season 3 Teaser Trailer Launches!](https://shpllc.com/shp-podcast/season-3-teaser-trailer-launches/): Welcome to the Season 3 Teaser Trailer for “Beyond the Stethoscope: Vital Conversations with SHP”! Hosts Aaron C. Higgins and... - [What if Your Healthcare Employees Wore a Yellow Tux?](https://shpllc.com/shp-podcast/what-if-your-healthcare-employees-wore-a-yellow-tux/): In our last episode part of this 4 episode series, as well as last for Season 2, Jason Crosby and... - [The Triple Aim Meets the…Breakdancing First Base Coach](https://shpllc.com/shp-podcast/the-triple-aim-meets-thebreakdancing-first-base-coach/): This Wednesday, Episode 3: “The Triple Aim Meets the... Breakdancing First Base Coach” In the 3rd part of a 4... - [What If Health Care Went BANANAS? (as in The Savannah Bananas)](https://shpllc.com/shp-podcast/what-if-health-care-went-bananas-as-in-the-savannah-bananas/): Most in our industry have heard of, or read the book, “What if Disney ran your hospital? ” In this... - [What If Your Healthcare Provider Went Bananas – With Patient Engagement?](https://shpllc.com/shp-podcast/what-if-your-healthcare-provider-went-bananas-with-patient-engagement/): In this episode, Jason and Aaron follow up last week with part 2 of our series, “What if your healthcare... - [Cyber-Security and Other Digital Marketing Threats | Matt Defore & Randal Humphries](https://shpllc.com/shp-podcast/cyber-security-and-other-digital-marketing-threats-matt-defore-randal-humphries/): As our reliance on technology in healthcare grows, so does the threat of cyber criminals. In this podcast Aaron &... - [The Future of Healthcare is AI and the Future is Here](https://shpllc.com/shp-podcast/the-future-of-healthcare-is-ai-and-the-future-is-here/): Aaron Higgins and Jason Crosby talk all about AI and how it is already starting to impact healthcare. We start... - [What is Digital Marketing? And How to Use it to Further Your Brand | Jeremy Miller](https://shpllc.com/shp-podcast/what-is-digital-marketing-and-how-to-use-it-to-further-your-brand-jeremy-miller/): In this episode, we explore the world beyond medicine and delve into an often overlooked aspect of the healthcare business.... - [Proposed Changes to Prior Authorizations, Best Buy's Expansion of At-Home Healthcare Service and Medical Debt](https://shpllc.com/shp-podcast/proposed-changes-to-prior-authorizations-best-buys-expansion-of-at-home-healthcare-service-and-medical-debt/): In today’s episode, Jason and Aaron dive deep into some of the most pressing and timely healthcare news headlines. Our... - [Goal-setting Methodology Objectives And Key Results (aka OKRs) | Tyler Barnett and Matthew Nichols, PhD](https://shpllc.com/shp-podcast/goal-setting-methodology-objectives-and-key-results-aka-okrs-tyler-barnett-and-matthew-nichols-phd/): In this episode, Jason & Aaron sat down with Tyler Barnett and Matthew Nichols, PhD, from University Hospitals in Cleveland,... - [Provider Enrollment Updates for 2023 | Raquel Grizzard](https://shpllc.com/shp-podcast/provider-enrollment-updates-for-2023-raquel-grizzard/): With the recent CMS updates about provider enrollment, we felt that we needed to bring you some timely information about... - [Diabetes Management | Dean Rottinghaus](https://shpllc.com/shp-podcast/diabetes-management-dean-rottinghaus/): During this episode, we interview Dr. Dean Rottinghaus, who has successfully launched and managed a hospital-based Diabetes Management Clinic for... - [Dropping Medical Debt, FTC Investigations, Mark Cuban's Drug Co, & ChatGPT in Healthcare](https://shpllc.com/shp-podcast/dropping-medical-debt-ftc-investigations-mark-cubans-drug-co-chatgpt-in-healthcare/): In today’s episode, our hosts Jason Crosby & Aaron Higgins go over our new format and then jump into four... - [Retailers and Other Headlines in the Industry Today](https://shpllc.com/shp-podcast/retailers-and-other-headlines-in-the-industry-today/): In today’s episode Jason Crosby and Aaron Higgins look into the future of retailers in the healthcare space. Throughout Season... - [Value Based Care, Pricing Transparency, Managed Care Strategies, and Other Trends and Relevant Impact in the Ambulatory Surgery Center Market | With Mike Scribner & John Crew](https://shpllc.com/shp-podcast/value-based-care-pricing-transparency-managed-care-strategies-and-other-trends-and-relevant-impact-in-the-ambulatory-surgery-center-market-with-mike-scribner-john-crew/): On today’s episode you’ll hear our interview with Mike Scribner and John Crew. We covered a variety of topics, such... - [Value Based Care Trends, Impact, and Strategies for Providers in the Primary Care Market | With Mike Scribner, John Crew & Kelly Mooney](https://shpllc.com/shp-podcast/value-based-care-trends-impact-and-strategies-for-providers-in-the-primary-care-market-with-mike-scribner-john-crew-kelly-mooney/): On today’s episode, join us as we dive into the world of Value Based trends in primary care markets with... - [Keys to a Successful CIN | With Jason Crosby](https://shpllc.com/shp-podcast/keys-to-a-successful-cin-with-jason-crosby/): In this episode, Jason shares with us the results of a study that shows PCPs may be unfairly punished with... - [Coding Changes for 2023 (Including E&M, New G-Codes, and Screening Reimbursements) | With Steve Adams](https://shpllc.com/shp-podcast/coding-changes-for-2023-including-em-new-g-codes-and-screening-reimbursements-with-steve-adams/): On today’s episode, Jason shares an article about how Mark Cuban is expanding his low-cost pharmacy project. And Aron shares... - [The Quality Payment Program 2023 & Beyond | With Aaron Higgins](https://shpllc.com/shp-podcast/the-quality-payment-program-2023-beyond-with-aaron-higgins/): In this episode, Jason shares with us a few of the “Top 10 Digital Health Stories of 2022” and Aaron... - [Applicable Leadership Tips & the Art of Feedback | With Kristin Woodlock](https://shpllc.com/shp-podcast/applicable-leadership-tips-the-art-of-feedback-with-kristin-woodlock/): In this episode, Jason shares a report that shows that hospital safety improved prior to the COVID-19 pandemic, but did... - [Direct Contracting Marketplace | With Troy Reichert](https://shpllc.com/shp-podcast/direct-contracting-marketplace-with-troy-reichert/): In this episode, Jason shares about a recent study showing that Telehealth is here to stay. And Aaron talks about... - [Wound & Ostomy Care Gaps | With Joe Ebberwein](https://shpllc.com/shp-podcast/wound-ostomy-care-gaps-with-joe-ebberwein/): In this episode, Jason Crosby and Aaron Higgins provide a quick overview of the PFS Final Rule that released at... - [Impact of Value Based Care Trends | With Sean Cavanaugh - Part 2](https://shpllc.com/shp-podcast/impact-of-value-based-care-trends-with-sean-cavanaugh-part-2/): In this episode, in the headlines, Jason Crosby and Aaron Higgins discuss the growing helium crisis for MRIs and how... - [Impact of Value Based Care Trends | With Sean Cavanaugh - Part 1](https://shpllc.com/shp-podcast/impact-of-value-based-care-trends-with-sean-cavanaugh-part-1/): In this episode, Aaron Higgins and Jason Crosby share articles about how our providers and children are burning out, and... - [The Experience Economy | With Scott Regan - Part 2](https://shpllc.com/shp-podcast/the-experience-economy-with-scott-regan-part-2/): In this episode, Aaron Higgins & Jason Crosby discuss how major retailers are entering into the healthcare space and are... - [The Experience Economy | With Scott Regan - Part 1](https://shpllc.com/shp-podcast/the-experience-economy-with-scott-regan-part-1/): In this debut episode, Aaron Higgins & Jason Crosby discuss some recent headlines about some recent cyber attack class action... ## Webinars - [Protecting Reimbursement Before It’s Lost](https://shpllc.com/shp-webinar/protecting-reimbursement-before-its-lost/): This webinar showcases how rural and Critical Access hospitals can strengthen financial sustainability by combining insurance discovery, presumptive charity/FAP classification,... - [Establishing a Managed Care Strategy](https://shpllc.com/shp-webinar/establishing-a-managed-care-strategy-3/): Tuesday, January 6, 2026 12:00PM – 1:00PM EST Presented By: Mike Scribner, Principal – Strategic Healthcare Partners, LLC Creating and... - [Decision Support Through Data Analytics For Your ASC](https://shpllc.com/shp-webinar/decision-support-through-data-analytics-for-your-asc/): This webinar reviews the GA ASC Semi-Annual Conference from August 2025, highlighting how data analytics can further an ASCs ability... - [Georgia Tort Reform Implementation & Impact Webinar](https://shpllc.com/shp-webinar/georgia-tort-reform-implementation-impact-webinar/): In August 2025, SHP hosted Attorney Michele Madison of Bradley Arant Boult and Cumming, who provided critical insights into Georgia’s... - [Decision Support Through Data Analytics](https://shpllc.com/shp-webinar/decision-support-through-data-analytics/): This presentation, conducted at the GA ASC Semi-Annual Conference in August 2025, highlighted how data analytics can further an ASCs... - [Supply Chain Best Practices and Potential Tariff Implications for Community Hospitals and Medical Practices](https://shpllc.com/shp-webinar/understanding-tariff-implications-for-community-hospitals-and-medical-practices/): Join our upcoming webinar on August 11th to explore how community hospitals and medical practices can proactively prepare for potential... - [Bridging the Gap: Wound Care Solutions for Rural Communities](https://shpllc.com/shp-webinar/bridging-the-gap-wound-care-solutions-for-rural-communities/): What you’ll walk away with: ● Understand the clinical and financial burden of unmanaged wound/ostomy care in rural hospitals ●... - [Managed Care Tactics & Strategy](https://shpllc.com/shp-webinar/managed-care-tactics-strategy/): We were honored to present to a group of ASC Orthopedic Executive associations in GA, SC, TN, AL, FL, MO,... - [Key Georgia Healthcare Market & Legislative Updates](https://shpllc.com/shp-webinar/key-georgia-healthcare-market-legislative-updates/): Join us for an exclusive webinar designed for primary care and specialty physicians, where we will provide critical insights into... - [Tracking Latest Medicaid Developments in Georgia for GACSB](https://shpllc.com/shp-webinar/tracking-latest-medicaid-developments-in-georgia-for-gacsb/): With so many changes occurring for Georgia’s Medicaid population, please join us for an update on Medicaid Unwinding, Medicaid Managed... - [Tracking Medicaid Developments in Georgia](https://shpllc.com/shp-webinar/tracking-medicaid-developments-in-georgia/): Join us for the recording of the insightful webinar on ‘Tracking Medicaid Developments in Georgia’ from Oct 24, 2023. We’ve... - [Establishing a Medicare Advantage Strategy](https://shpllc.com/shp-webinar/webinar-establishing-a-medicare-advantage-strategy/): Mike Scribner and Kelly Mooney recently presented to the Southeast Association of Orthopaedic Executives. They discussed market trends with Medicare... - [ 2023 QPP Final Rule Webinar](https://shpllc.com/shp-webinar/2023-qpp-final-rule-webinar/): CMS released the Final Rule for Quality Payment Program for 2023 which will shape the way the whole mixed bag... - [ 2023 QPP Proposed Rule Webinar](https://shpllc.com/shp-webinar/2023-qpp-proposed-rule-webinar/): CMS released the Proposed Rule for Quality Payment Program for 2023 which will shape the way the whole mixed bag... - [ Medicaid Reprocurement Webinar](https://shpllc.com/shp-webinar/medicaid-reprocurement-webinar/): Georgia’s Department of Community Health (DCH) is preparing to reprocure its Medicaid managed care contracts (currently held by Amerigroup, CareSource... - [ SHP Forum 2022 Legislative Session Wrap Up](https://shpllc.com/shp-webinar/shp-forum-2022-legislative-session-wrap-up/): Please join SHP’s Legislative Affairs Team for a recap of key legislation from the 2021 session and to understand what... - [ ASC 201: Value Based Care Strategy in the ASC Setting](https://shpllc.com/shp-webinar/asc-201-value-based-care-strategy-in-the-asc-setting/): Value-Based Care has finally come for the specialists... ... the first specialist based value models have arrived, primarily addressing bundled... - [ ASC 101: Managed Care Strategy in the Age of the No Surprise Act](https://shpllc.com/shp-webinar/asc-101-managed-care-strategy-in-the-age-of-the-no-surprise-act/): To many, managed care is managed care. But with the leverage and bottom-line impact of an ASC to a physician... - [ ARP & HHS PRF Reporting Update](https://shpllc.com/shp-webinar/arp-hhs-prf-reporting-update/): As follow up to recent updates and webinars, join us on February 17th as we discuss the latest on the... - [ Planning for CMS’ COVID 19 Vaccine Mandate](https://shpllc.com/shp-webinar/planning-for-cms-covid-19-vaccine-mandate/): The CMS Vaccine Mandate for Medicare certified facilities is moving forward. Please join us to learn more about how this... - [ PreSession GA Legislative Affairs Forum](https://shpllc.com/shp-webinar/presession-ga-legislative-affairs-forum/): Today marks the start of the second-half of the 2021-2022 GA Legislative Session. Register today to join SHP and our... - [ No Surprises Act Legislation with Michele Morris](https://shpllc.com/shp-webinar/no-surprises-act-legislation-with-michele-morris/): It’s a surprise! Join us for our No Surprises Act Webinar this Wednesday (12/22) at noon as Michele Madison from... - [ QPP Final Rule 2022](https://shpllc.com/shp-webinar/qpp-final-rule-2022/) - [ ARP Funding & HHS PRF Reporting Update](https://shpllc.com/shp-webinar/arp-funding-hhs-prf-reporting-update/) - [ HHS Provider Relief Fund Reporting Guide](https://shpllc.com/shp-webinar/hhs-provider-relief-fund-reporting-guide/) - [ 2022 QPP Proposed Rule SHP Webinar](https://shpllc.com/shp-webinar/2022-qpp-proposed-rule-shp-webinar/) - [ HHS PRF Reporting Portal Update](https://shpllc.com/shp-webinar/hhs-prf-reporting-portal-update/) - [ HHS Provider Relief Fund (PRF) Reporting Requirements Update](https://shpllc.com/shp-webinar/hhs-provider-relief-fund-prf-reporting-requirements-update/) - [ Georgia’s Surprise Billing Legislation](https://shpllc.com/shp-webinar/georgias-surprise-billing-legislation/) - [ Georgia Legislative Recap](https://shpllc.com/shp-webinar/georgia-legislative-recap/) - [ American Rescue Plan](https://shpllc.com/shp-webinar/american-rescue-plan/) - [ PRF Reporting, Appropriations Act, & Proposed Stimulus Package](https://shpllc.com/shp-webinar/prf-reporting-appropriations-act-proposed-stimulus-package/) - [ COVID HHS Reporting Round 2 Forum](https://shpllc.com/shp-webinar/covid-hhs-reporting-round-2-forum/) - [ QPP 2021 Final Rule](https://shpllc.com/shp-webinar/qpp-2021-final-rule/): Just under the wire! On Dec 1st, CMS just released the long-anticipated QPP 2021 Final Rule. This next Wednesday, Dec... - [ HHS Provider Relief Fund](https://shpllc.com/shp-webinar/hhs-provider-relief-fund/) - [ HHS Round 3](https://shpllc.com/shp-webinar/hhs-round-3/): The HHS Portal for Round 3 Relief Applications closes this Friday, November 6, 2020. Following the reminder sent yesterday, we... - [ PE Best Practices](https://shpllc.com/shp-webinar/pe-best-practices/) - [ COVID Latest & Greatest](https://shpllc.com/shp-webinar/covid-latest-greatest/) - [ Clover DTE Model](https://shpllc.com/shp-webinar/clover-dte-model/) - [ COVID19/ HHS Forum](https://shpllc.com/shp-webinar/covid19-hhs-forum/) - [ Hospital Transparency Pricing](https://shpllc.com/shp-webinar/hospital-transparency-pricing/) - [ GA Managed Care Update](https://shpllc.com/shp-webinar/ga-managed-care-update/) - [ DOI Update/BCBSGA](https://shpllc.com/shp-webinar/doi-update-bcbsga/) - [ QPP 2021 Proposed Rule](https://shpllc.com/shp-webinar/qpp-2021-proposed-rule/): Following what has become a late-summer tradition, the Centers for Medicare & Medicaid released the Proposed Rule for the 2021... - [ COVID19 Update & Q&A](https://shpllc.com/shp-webinar/covid19-update-qa/): As a reminder, we are holding our recap forum this coming Wed @ noon. Just us as we recap topics... - [ FFCRA COVID19 Updates](https://shpllc.com/shp-webinar/ffcra-covid19-updates/) - [ COVID19 Updates](https://shpllc.com/shp-webinar/covid19-updates-6/) - [ COVID19 Updates](https://shpllc.com/shp-webinar/covid19-updates-5/) - [ COVID19 Updates](https://shpllc.com/shp-webinar/covid19-updates-4/) - [ COVID19 Updates](https://shpllc.com/shp-webinar/covid19-updates-3/) - [ COVID19 Financial Relief  & Compliance](https://shpllc.com/shp-webinar/covid19-financial-relief-compliance-3/) - [ COVID19 Financial Relief  & Compliance](https://shpllc.com/shp-webinar/covid19-financial-relief-compliance-2/) - [ COVID19 Updates](https://shpllc.com/shp-webinar/covid19-updates-2/) - [ Hospital Forum](https://shpllc.com/shp-webinar/hospital-forum/) - [ COVID19 Updates](https://shpllc.com/shp-webinar/covid19-updates/) - [ Physician Forum](https://shpllc.com/shp-webinar/physician-forum/) - [ COVID19 Financial Relief  & Compliance](https://shpllc.com/shp-webinar/covid19-financial-relief-compliance/) - [ COVID19 Financial Calculator Workshop](https://shpllc.com/shp-webinar/covid19-financial-calculator-workshop/) - [ MIPS 2020 Final Rule Redux](https://shpllc.com/shp-webinar/mips-2020-final-rule-redux/) - [ MIPS 2020 Final Rule](https://shpllc.com/shp-webinar/mips-2020-final-rule/) - [ MIPS Game Plan](https://shpllc.com/shp-webinar/mips-game-plan/) - [ MIPS Promoting Interoperability](https://shpllc.com/shp-webinar/mips-promoting-interoperability/) - [ MIPS Improvement Activities & Cost Category](https://shpllc.com/shp-webinar/mips-improvement-activities-cost-category/) - [ MIPS Quality Category](https://shpllc.com/shp-webinar/mips-quality-category/) - [ MIPS Overview](https://shpllc.com/shp-webinar/mips-overview/) ## Team Members - [Briana Wilkerson](https://shpllc.com/team-member/briana-wilkerson/) - [Avni Patel](https://shpllc.com/team-member/avni-patel/) - [Carla Wilson](https://shpllc.com/team-member/carla-wilson/) - [Lindsey Clay](https://shpllc.com/team-member/lindsey-clay/) - [Kristen Grover](https://shpllc.com/team-member/kristen-groover/) - [Sherry Pollard](https://shpllc.com/team-member/sherry-pollard/) - [Lizabeth Luciano](https://shpllc.com/team-member/lizabeth-luciano/) - [Megan Distler](https://shpllc.com/team-member/megan-distler/) - [Ami Patel](https://shpllc.com/team-member/ami-patel/) - [Sabrina Thomas](https://shpllc.com/team-member/sabrina-thomas/) - [Adam McLoon](https://shpllc.com/team-member/adam-mcloon/) - [Kacie Fayer](https://shpllc.com/team-member/kacie-fayer/) - [Mike Scribner](https://shpllc.com/team-member/mike-scribner/) - [Jason Crosby](https://shpllc.com/team-member/jason-crosby/) - [Candi Gordy](https://shpllc.com/team-member/candi-gordy/) - [Erin Norris](https://shpllc.com/team-member/erin-norris/) - [Amy Geer](https://shpllc.com/team-member/amy-geer/) - [Tiffani Miller](https://shpllc.com/team-member/tiffani-miller/) - [Trina Shugart](https://shpllc.com/team-member/trina-shugart/) - [Marci Vickers](https://shpllc.com/team-member/marci-vickers/) - [Melissa Gibbs](https://shpllc.com/team-member/melissa-gibbs/) - [Lara Blauth](https://shpllc.com/team-member/lara-blauth/) - [Kelly Mooney](https://shpllc.com/team-member/kelly-mooney/) - [John Crew](https://shpllc.com/team-member/john-crew/) - [Stephanie Gibbs](https://shpllc.com/team-member/stephanie-gibbs/) - [Julia DiGiacomo](https://shpllc.com/team-member/julia-digiacomo/) - [Lorrie Ingram](https://shpllc.com/team-member/lorrie-ingram/) - [Raquel Grizzard](https://shpllc.com/team-member/raquel-grizzard/) - [Candace Groover](https://shpllc.com/team-member/candace-groover/) - [Lyly Trinh](https://shpllc.com/team-member/lyly-trinh/) - [Janey Marsan](https://shpllc.com/team-member/janey-marsan/) - [Betsy Perkins](https://shpllc.com/team-member/betsy-perkins/) - [Julia Arcularius](https://shpllc.com/team-member/julia-arcularius/) - [Aaron Henry](https://shpllc.com/team-member/aaron-henry/) - [Angela Sloggy](https://shpllc.com/team-member/angela-sloggy/) - [Kim Davis](https://shpllc.com/team-member/kim-davis/) - [Robyn Garrett](https://shpllc.com/team-member/robyn-garrett/) - [Renee Millians](https://shpllc.com/team-member/renee-millians/) # # Detailed Content ## Pages Service Title Ask a compelling question about a problem this service sprovides for a client. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Donec sagittis, sapien in molestie congue, libero ligula consectetur erat, et gravida ipsum neque eu nunc. Proin accumsan finibus fringilla. Nunc condimentum urna orci, eget sollicitudin ipsum tincidunt quis. Phasellus diam mauris, pharetra et tincidunt eget, dapibus nec elit. Donec arcu libero, porta et consequat nec, vestibulum eget purus. Cras leo elit, auctor non ex vitae, rutrum feugiat ligula. Nullam quis nibh sodales, egestas massa et, bibendum dui. Curabitur consequat eu justo vitae lobortis. Duis dapibus porta ligula eu fermentum. Mauris tempor euismod tellus eu dignissim. Proin consequat molestie est, quis aliquam sem euismod eget. Vestibulum pellentesque vulputate mauris ac dignissim. Dui ex tristique lacu Phasellus convallis, sapien in auctor maximus Phasellus convallis, sapien in auctor maximus Phasellus convallis, sapien in auctor maximus Phasellus convallis, sapien in auctor maximus SHP offers an array of managed care contracting services to meet your needs. Specifically including project-based work and ongoing contract support. Details about the processes we take are below. Think of us as your outsourced managed care contractor. Contract Review Data Analysis Obtain data downloads for the last 12 months of claims. Analyze paid claims data by payer in order to determine percentage of Medicare allowed or other applicable base line. Summarize the data and compare the results to market rates. Managed Care Processes Recommendations for contracting actions based upon data analysis, payer penetration and market knowledge. Request... Georgia Medicaid Group/Billing Enrollment Requirement Effective July 1, 2025, GA Medicaid introduced a new formal group/billing enrollment requirement for all billing providers to complete. This enrollment links rendering providers (individual NPIs) to a centralized billing group NPI. While this may sound like the structure of your current payee ID/account, please know that it is different; the current payee ID/account does not have an affiliated NPI associated with it. Failure to complete this process by the deadline, January 1, 2026, will result in claim denials. Client Overview What is Group/Billing Enrollment? Group/Billing Enrollment is a required process through the GAMMIS portal that establishes a billing entity (group NPI) and formally affiliates individual rendering providers to that group. Even if your group is already set up as a payee in the system, you must complete this new enrollment for claims to be accepted after January 1, 2026. Who Needs to Take Action? Any organization that submits Medicaid professional claims under a group or billing NPI must complete this new enrollment. This includes provider groups that currently receive payment under a payee ID but have not submitted a Group/Billing application through the new process. What Does the Application Involve? In GAMMIS, navigate to ‘Enrollment Wizard’ under the ‘Provider Enrollment’ section. Select ‘Group/Billing’ under the Enrollment Type. Provide group-level demographic and ownership information. Add rendering provider Medicaid IDs. If more than 30 providers need to be affiliated, you may opt to check the box to authorize automatic affiliations based on recent remittance data. Caution:... Payor Account Health Quiz Knowledge gaps can be expensive. Review your revenue with our 5 minute quiz. How can we help? Beyond The Stethoscope: Vital Conversations with SHP Season 4 Review Thanks for contacting us! We will get in touch with you shortly. What is Clinical Integration(CIN)? In 1996, the DOJ and the FTC defined CI as an active and ongoing program to evaluate and modify practice patterns by the CI network’s physician participants and create a high degree of interdependence and cooperation among the physicians to control costs and ensure quality. Generally, the FTC considers a program to be clinically integrated if it performs the following: Establishes tools to monitor and control use of healthcare services that are designed to reduce costs and ensure quality of care Selectively choose CI network physicians who are likely to further these efficiency objectives Utilizes investment of significant capital, both monetary and human, in the necessary infrastructure and capability to realize the claimed efficiencies. Typical CIN Formation Goals To provide a vehicle within the local market to diversify carrier market share via deployment of competitive products. To provide a platform for independent physicians to remain independent while collectively addressing changing market needs, move toward population health, and providing a larger footprint for attributed lives. To develop market tools to redirect appropriate care to participating providers to improve volumes while providing overall value to accessing payers. Top 10 Key Success Factors for a CIN The CIN must create a sufficient value proposition for regional health systems, hospitals, physicians, payers, the community, and employers. If clearly advantageous towards just one or two of these groups will be a turn off for potential members and partners. Need to develop partnerships outside of CIN entity – Primary care of particular... Why are insightful analytics more critical now than ever? Understanding your data is essential to understanding how your facility is performing from an operational, financial, and population health standpoint. In addition, as payment models move from fee-for-service to value based care, it’s critical to understand and control your outcomes. Fee-for-service set pricing for years, but value-based care makes analytics imperative. Payment models rewarding outcome-driven quality and cost control require data. How can SHP be of help? For most healthcare players, building internal analytics teams doesn’t happen overnight ... or ever. Shortages of talent, inadequate tools and lack of executive buy-in stall progress. Our team of analysts can help you turn data from your Electronic Medical Record (EMR) system and other channels into actionable insight. Once we determine where improvement opportunities lie, we can help you navigate how to implement changes that can lead to an improved patient experience and improved bottom line. In addition, we offer an enhanced analytics service called Performance Analytics. As a Performance Analytics client, you’ll receive access to our team of analysts that will run additional customized reports that help you dive deeper than what your current EMR system will allow in an efficient manner. . This data can help you easily spot operational, determine where issues lie, and have the information you need to quickly adapt to the ever changing healthcare reimbursement and legislative landscape. In particular, if you’re prepared for the transition to value based healthcare. A list of commonly requested reports are below... FAQs Why are insightful analytics more critical now than ever? What exactly is a Managed Care Contracting? What is an Independent Physician Association? What is Provider Enrollment exactly? What Is Clinical Integration(CIN)? What is an Independent Physician Association? An Independent Physician Association or IPA represents a group of independent providers and medical practices that collectively build relationships with insurance companies, share back-end resources, all while maintaining their independence in an increasingly consolidated healthcare system. IPA’s bring together small private practices and solo providers who otherwise wouldn’t have much of a voice for their communities. By joining an IPA, they can team up to command higher rates and fairer contracts. It’s about strength in numbers and leveling the playing field. Hundreds or even thousands of physicians across multiple specialties might form a regional IPA together. Who Joins an IPA and why? Most members of an IPA are independent primary care physicians, free standing facilities or specialists running small clinics. IPA members want to remain independent rather than align with a neighboring or larger health system. While members of an IPA are independent, they share some core goals like: Better oversight and management of their managed care needs Developing programs and tools to improve patient care coordination Adopting health IT systems for sharing medical records and data Promoting value-based care focused on health outcomes vs. volume of services The IPA structure allows input from all its member practices through an elected governing board and leadership. Another key benefit of joining an IPA is leveraging that membership to negotiate group deals for supplies, technology, and administrative services. For example, the IPA can get big discounts by purchasing: Electronic Medical Records systems for the whole network... Why is Managed Care Contracting most essential to your revenue stream? Contract language and reimbursement rates are the driving force behind a payer’s payment structure. Charge levels, charge capture, clinical coding, as well as billing, payment posting, and appeal processes affect overall reimbursement. Additionally, aging managed care contracts may lack mechanisms that allow for appropriate reimbursement for new services, new locations and chargemaster increases. What Do These Contracts Include? A lot of legal and financial mumbo jumbo! Some key points: Reimbursement rates - How much the insurance company will pay the provider for different services Billing procedures - Rules for how and when providers submit claims Utilization review - The insurance company can review which services and treatments are "medically necessary" Quality metrics - Providers may need to report performance data on care quality Referral processes - Rules for referring patients to specialists   You get the idea - insurance companies leverage these contracts to keep providers in check! Monitoring Contracts Once They're Signed Phew, they finally agreed on terms! But managed care doesn't stop there - insurers watch those contracts closely: Data reporting - Providers must share utilization data, quality metrics, member complaints, etc. This allows payers to monitor spending and care. Auditing - Insurers can do audits with little notice to ensure compliance and proper billing. No fudging the codes to get higher payments! Oversight committees - Doctors and insurers form committees to review utilization data and referrals. This helps coordinate care and catch any overuse. Changing Contracts... What is Provider Enrollment exactly? Provider Enrollment is the process healthcare providers go through to “register” as an approved medical service provider or entity with insurance companies. Doctors, nurses, hospitals, labs, and other medical facilities must complete enrollment paperwork before they can be included in a network. Enrolling to become an “in-network provider” allows medical practices to become accessible to a pool of insured patients. As a result, health plans only cover in-network providers at the best rates for its respective members, so doctors must enroll if they want the insured business and respective reimbursement. Why does this cumbersome and long process exist? In a nutshell, it is required due to complex and necessary regulations. Government rules require diligent vetting to combat fraud and abuse. While frustrating, such oversight provides a mechanism to filter out bad actors or non compliant providers. Plans must verify licenses, credentials, malpractice history, and more for every provider seeking to bill services. Insurers enforce such rigorous enrollment procedures to prevent headaches down the road, like: Paying claims for providers losing their license Provider investigations for inappropriate billing Member complaints about subpar providers Complying upfront minimizes issues before they start costing the plan big time. What documentation is part of the process? The paperwork headache includes: License and education verification Malpractice coverage review Practice information like specialties, office locations Agreeing to the health plan’s contract terms Providing tax identification records Plans redo verification regularly, requiring updates if information changes. Keeping current and complying with requests is... SHP Staff Lead Entry Form Provider Revalidation Oops, that page was not found. Try again or use the search below. Type something... Search Non-Disclosure Agreement 2023 MPFS Impact Analysis Podcast Survey Our Services SHP has built an extensive team that can provide the strategic plan you need for the future. In addition we have the answers to the daily questions you may have. Our desire is to also support you with the proper tools to help you protect your business. In brief, here are a few of the core services that SHP brings to your organization. Managed Care Contracting Review & Negotiations We begin with your current contracts and analyze your data. This is in order to develop a custom developed contracting strategy for your company. Learn More Independent Physician Association Services (IPA) IPAs function as an extension of each individual member’s office. To that end, SHP manages the provision of managed care contracting, practice enhancements and education for our IPA clients. SHP provides full management and oversight to Independent Physician Association (IPAs) clients of all types, including but not limited to: Statewide IPAs Regional IPAs City-Specific IPAs Single-Specialty IPAs Multi-Specialty Groups Learn More Accountable Care Organization (ACO) Management and Consultation SHP provides consultation and ongoing management for providers interested in forming ACO’s. Healthcare reform continues to unfold causing networks to transition away from traditional fee-for-service models. Consequently, SHP believes that providers have an opportunity to seamlessly transition revenue streams to align your organizational capabilities with the payment methodologies set forth from CMS & AHIP. Thus an ACO provides a template for providers to contract with governmental and commercial payers in an evolving reimbursement landscape. SHP recognizes strategic planning can be... Beyond The Stethoscope Podcast Library {! {wpv-view name='podcast-archive'}! } Beyond The Stethoscope: Vital Conversations with SHP {! {wpv-view name='podcast-archive' limit='-1'}! } You can also listen to Beyond the Stethoscope on: SpotifyAppleAmazonGoogle Sign up to receive new podcast notifications! Managed Care Contracting Are you maximizing reimbursement? Contract language and reimbursement rates are the driving force behind a payer’s payment structure. Charge levels, charge capture, clinical coding, as well as billing, payment posting, and appeal processes affect overall reimbursement. Additionally, aging managed care contracts may lack mechanisms that allow for appropriate reimbursement for new services, new locations and chargemaster increases. In the fast-paced world of healthcare management, maintaining relationships with payers and validating contracting performance can often take a back seat to day-to-day operations. Therefore, SHP strategically focuses our approach to managed care contracting. To understand how claims are being paid currently, under an MCO contract, an effective contracting process involves data analysis. Additionally, the administrative issues encountered with a payer, and evidence of Market rates available, you need a managed care contractor at your side. We will review the current contracts to ensure maximum reimbursement, effective contract language, and appropriate market price. SHP offers an array of managed care contracting services to meet your needs. Specifically including project-based work and ongoing contract support. Details about the processes we take are below. Think of us as your outsourced managed care contractor. Contract Review Prepare matrix of all existing agreements and reimbursement rates to determine average discounts given mco contract portfolio. SHP will review service lines in an attempt to include all components in the final agreement. We review claim dataset to identify top payers and the most impactful agreements. Review payer access to ensure discount given is commensurate with level... Independent Physician Association (IPA) Services SHP manages the full spectrum of IPA services. Independent Physician Association (IPAs) are dedicated to providing quality and value in health care. IPAs also serve as an extension of each individual member’s office. SHP manages the full spectrum of IPA services. These include managed care contracting, practice enhancements, and education for our members. We provide clients with an opportunity to maintain their independence. Therefore, this secures their current and future patients through an organization that is solely governed by physicians. SHP provides full management and oversight to clients of all types, including but not limited to: Statewide IPAs • Regional IPAs • City-Specific IPAs • Single-Specialty • Multi-Specialty Groups Managed Care Contracting In addition, our IPA management services SHP is able to leverage our managed care contracting expertise to negotiate contracts on behalf of the association. For instance, this includes: National, statewide and direct network contracts, including both commercial and governmental payers. Fee-for-service and incentive-based contracting. Managed Care Market Analysis for service areas. Contract Language Review. Delegated Credentialing. Practice Enhancements In addition, SHP can help grow the network of benefits offered to IPA members with the development and management of purchasing programs. Through our vast network of relationships, we are able to form programs which offer savings for members. Including but not limited to malpractice insurance and clinical supplies. Also included are office supplies and reference laboratory services. Education SHP believes that in today’s rapidly evolving healthcare market. Our provision of accurate and unbiased updates... Analytics Lacking the tandem of actionable reporting with expert analysis? Not confident in the knowledge of your EMR system? Understanding your data is essential to understanding how your facility is performing from an operational, financial, and population health standpoint. In addition, as payment models move from fee-for-service to value based care, it’s critical to understand and control your outcomes. Our team of analysts can help you turn data from your Electronic Medical Record (EMR) system and other channels into actionable insight. Once we determine where improvement opportunities lie, we can help you navigate how to implement changes that can lead to an improved patient experience and improved bottom line. In addition, we offer an enhanced analytics service called Performance Analytics. As a Performance Analytics client, you’ll receive access to our team of analysts that will run additional customized reports that help you dive deeper than what your current EMR system will allow in an efficient manner. This data can help you easily spot operational issues to determine where issues lie, and have the information you need to quickly adapt to the ever changing healthcare reimbursement and legislative landscape. In particular, if you’re prepared for the transition to value based healthcare. Once we determine where improvement opportunities lie, we can help you navigate how to implement changes that can lead to an improved patient experience and improved bottom line. A list of commonly requested reports are below and our team can work with you to customize a report that fits your... Clinically Integrated Networks Unsure how to effectively set up a Clinically Integrated Network so it brings value to your providers, while maintaining both legal and operational compliance? In 1996, the DOJ and the FTC defined Clinical Integration (CI) as an active and ongoing program to evaluate and modify practice patterns by the CI network’s physician participants. Consequently creating a high degree of interdependence and cooperation among the physicians to control costs and ensure quality. Generally, the FTC considers a program to be clinically integrated if it performs the following: Establish mechanisms to monitor and control utilization of healthcare services. As a result, they allow you to control costs and ensure quality of care. Selectively chooses CI network physicians who are likely to further these efficiency objectives. Utilizes investment of significant capital, both monetary and human, in the necessary infrastructure and capability to realize the claimed efficiencies. Whether you are hospital or physician led, SHP can assess your infrastructure and gaps to attain a legal advisory opinion towards developing and succeeding as a Clinically Integrated Network. Specifically including project-based work and ongoing contract support. Process details about CIN management principles and structure the we take are below. Key Success Factors for a CIN CIN must create a sufficient value proposition (i. e. , for regional health systems, hospitals, physicians, payers, the community, and employers). Need to develop partnerships outside of CIN entity – Primary care of particular importance. Technology: Maintain systems that can track and monitor clinical and claims data across... Provider Enrollment Not enough time to efficiently enroll your next provider with your payers? Is the medical provider enrollment process too cumbersome to keep aware of internally? An area of significant financial risk is that of Provider Enrollment with the Managed Care organizations. Therefore, SHP has automated the Provider Enrollment service by speeding up delivery with accurate, signature-ready documents. In other words, our established relationships with various payers gives us the inside edge to meet payer Provider Enrollment requirements quickly and correctly the first time. Additionally, we track the documents from submission through the approval process, communicating participation status regularly with our clients. We handle the initial enrollment for both physicians and mid-level providers, but we also provide ongoing enrollment maintenance, so you no longer have to worry about deadlines, requirements, or finding the right forms. A cradle to grave approach with provider credentialing services. Initial Provider Enrollment Clients who employ physicians, add new physician locations, or add new service lines may require payer notification or application. To that end, SHP will handle the following medical provider enrollment tasks:: Request and collect information from clients and its individual providers. Database file set up for providers in order to generate accurate, professional documents. Additionally, enroll provider according to the client’s established Managed Care Strategy. Application preparation and submission for each provider and each payer plan. Periodic tracking of application through the approval process. Meanwhile providing monthly enrollment status report to provider/client Establish CAQH, NPI’s, Georgia Uniform for Applications, and PECOS, as... Accountable Care Organization (ACO) Management and Consultation Do you lack value based efforts or are uncertain about participation in an ACO? SHP provides ACO consulting and ongoing ACO management oversight for providers interested in forming an Accountable Care Organization (ACO). As healthcare reform continues and networks begin to transition away from traditional fee-for-service models, SHP believes that providers must move from generating their revenue solely from patient care to a combination of patient care and shared savings. An ACO provides a template for providers to contract with governmental and commercial payers in a new model. We can provide the clarity needed for such a decision by way of financial feasibility analysis as well as assistance as to which ACO to join in this saturated market. Consultation Services In support of ACO development, SHP provides the following ACO consulting services: Feasibility Analysis: During our analysis, we evaluate the make-up of the group to determine if the group will be able to support ACO development. This includes things like adequate primary care representation among the providers to support the ACO beneficiaries. Market Selection: For Medicare ACOs we look to ensure that the market has enough traditional Medicare beneficiaries and that the baseline healthcare costs are high enough to demonstrate savings to governmental and commercial payers. Development Services Once it has been determined that an ACO is feasible, SHP works to develop ACO Quality Criteria. This includes: Promotion of evidence based medicine. Processes to promote patient engagement. Reporting on quality and cost measures.... Community Health Network Development Does your community lack a synchronous provider health network to meet patient and employer needs? A rural health network or community health network is a local, facility-based, preferred provider network that is used to provide a platform for direct-to-employer contracting and deployment of locally directed narrow networks with the various carriers. The Affordable Care Act makes self-funding an attractive option. Consequent explosion of carrier-developed narrow network plans, more health systems across the country are developing their own network options for both business development and ‘revenue stream protection’ purposes. Creating a strategy, infrastructure, and execution of a Community Health Network that best-suits your community is where we come in. SHP’s involvement in the development includes: Strategy development. Network infrastructure development. Network contracting. SHP brings the capabilities to administer the necessary infrastructure development and contracting efforts for a successful community network deployment. Specifically including project-based work and ongoing contract support. Details about the processes we take are below. Strategy Development Before moving forward with such a strategy, the operations and network management capabilities must be thoroughly assessed. Key questions to ask that SHP can assess as well as implement and manage: Is there a provider database in place to maintain required demographic information? Are proper credentialing policies and procedures in place? Are there sufficient reporting capabilities to supply monthly downloads to third-party administrators as required? Do claims resolution capabilities, skill sets, and process exist? Is there a help desk function for network member questions and issues? Network Infrastructure... Revenue Cycle Support – Managed Care Uncertain if your charge structure, collection efforts, and revenue cycle team are optimally performing? Take your revenue cycle management to a higher level with our Revenue Cycle Support (RCS) Consulting services. SHP can help your hospital or physician practice capture more accurate patient billing data. We will refine eligibility verification and enhance staff knowledge. We will create essential reporting necessary to measure your efforts. Our RCS consultants have significant experience across the spectrum of the revenue cycle process. Therefore they bring in-depth knowledge of compliance issues, information systems, and staffing assessments. Additionally, we can analyze your cash and receivables. To sum up, this will help you identify, prioritize and implement immediate solutions. We offer a complete operational assessment. In short, this includes charge master review, superbill review, POS collections training, and payer audits. Physician Financial Services Fee Schedule Analysis Collectability Analysis Payor Mix Trending Payor Scorecards Chargemaster Development Interim Practice Management Purchasing Program Policy & Procedure Development Develop Routine Reporting Package Operational Implementation Business Office Education Revenue Cycle Improvement Team Provider Enrollment Merger and Acquisition Support Develop Purchasing Programs Staffing Analysis Marketing Plan Employee Benefit Plans Special Projects Customized Reporting Cost Accounting Support ROI Analysis Ancillary Service Evaluation and Expansion Develop Growth Strategy Provider Retreat and Team Building Facilitation Strategy Development Participation Audit Managed Care Initiatives Contract Game Plan Referral Source Audit Silent PPO Access Analysis Merger and Acquisition Strategy Hospital Alignment Strategy Marketplace Analyses Monitor Healthcare Trends Business Operations Support Services Initial Operational... Savannah Office PO Box 60969 Savannah, GA 31420 P: 912 691-5711 Fill out the form below for a rapid response. If you’d like to speak to a representative directly, call our offices. "*" indicates required fields The "support team" for your CFO and practice manager. Founded by Principals John Crew and Mike Scribner, SHP has offices in Savannah and Atlanta. We take pride in the diverse backgrounds and skill sets of our employees and emphasizing a client-first mentality. Ensuring that we understand your needs fully, and collectively agreeing on the scope of services you desire is first and foremost. At the onset of our client relationships, we assign an internal client representative whose role is to ensure the client’s needs and expectations are met through frequent communication. As your business-partner, we offer a personal touch to act as an extension of our clients’ professional identity. Our Purpose To be a faithful steward of all that is entrusted to us and have a positive influence on all that come into contact with SHP. Our Culture Do nothing out of selfish ambition or vain conceit. Rather in humility value others above yourself, not looking to your own interest but each of you to the interest of others. -Philippians 2:3-8 Our Managed Care Consulting team currently serves: 30 Hospitals 600 Physicians 3 IPAs 26 Behavioral Health Centers SHP serves as an extension of your organization and tailors our services to your individual needs. For the wide range of consulting services we provide, flexible and individualized pricing structures are available to suit every client’s budgetary needs while holding all parties accountable. Strategic Healthcare Partners services include but are not limited to: IPA management Contract negotiation Accountable Care Organizations management and... Our Staff We take pride in the diverse backgrounds and skill sets of our staff members and emphasizing a client-first mentality. Our staff will ensure that we understand your needs fully, and collectively agreeing on the scope of services you desire is first and foremost. At the onset of our client relationships, we assign an internal client representative whose role is to ensure our client’s needs and expectations are met through frequently scheduled meetings. Navigate To: Principals | Contracting | IPA Services | Network Development | Client Representatives | Business Operations | Enrollment | Decision Support | Community Principals John Crew, Partner JCrew@shpllc. com Founder of SHP, John W. Crew is a graduate of Valdosta State University and has over 25 years of experience in healthcare. He is experienced in ACO formation and management, IPA/PHO formation and management, managed care, and development of ancillary revenue streams. Mike Scribner, Partner MScribner@shpllc. com Founder of SHP, Mike Scribner is a graduate of University of MS, holds a Masters in Accounting, and has 20 years of experience in healthcare. He’s experienced in hospital finance, managed care, business office operations, and strategic planning. Contracting {! {wpv-view name='contracting'}! } IPA Services {! {wpv-view name='ipa'}! } Network Development {! {wpv-view name='network'}! } Client Representatives {! {wpv-view name='client-reps'}! } Business Operations {! {wpv-view name='biz-ops'}! } Enrollment {! {wpv-view name='enrollment'}! } Decision Support {! {wpv-view name='decision-support'}! } Contact us to learn more and receive a quote. Contact Us What to Expect How We View Our Clients The Client is just as important as anyone at Strategic Healthcare Partners. No more, no less. We view all the same. Our Clients are not dependent of us; we are dependent on them. Clients are not an interruption of our work; they are the purpose of it. Clients do us a favor when they call; we are not doing them a favor by serving them or returning their calls. Clients are a part of our business, partners; not outsiders. Clients are not cold statistics; they are flesh-and-blood human beings with feelings and emotions like our own. Treat them as such. Clients are not people with whom to argue or match wits. Clients are people who bring us their needs; it is our job to address those needs. Clients are deserving of the most courteous and attentive treatment we can give them. Clients are the life blood of SHP and are worth my time and energy to serve well. How We Treat Our Clients With Respect – Do not think as though you know more than our clients. They are seeking our expertise for guidance, not to see who’s smarter. With Skill – To serve our clients needs better than anyone else can, with regards to quality, timeliness, and unprecedented insight into their needs. With proper submission to authority – That we understand that our first authority is to God and our second is to the wishes of our clients. With guidance as... Industry Resources American Hospital Association The American Hospital Association (AHA) is the national organization that represents and serves all types of hospitals, health care networks, and their patients and communities. Close to 5,000 hospitals, health care systems, networks, other providers of care and 37,000 individual members come together to form the AHA. American Medical News American Medical News is directed to physicians in private practice and physicians on hospital and managed care staffs, in military service and on medical faculties. Of a total print circulation of over 230,000, about 90% are physicians. These are primarily office-based doctors in five primary-care specialties. A large portion of the non-physician readers are medical students. Centers of Medicare and Medicaid Services Information, statistics, regulations, and policies pertaining to relevant beneficiaries and providers. CMMI The Center for Medicare and Medicaid Innovation is part of Medicare. Their goal is to test new payment and delivery models in accordance with the requirements of section 1115A of the Social Security Act. GAMMIS The Georgia Medicaid Management Information System is an online database administered by the Georgia Department of Community Health Georgia Department of Community Health The Georgia Department of Community Health (DCH) was created in 1999. It serves as the lead agency for health care planning and purchasing issues in Georgia. Georgia General Assembly Identification and information pertaining to GA State Senate and House of Representatives. Keep up with meeting notes, committees, and legislation that has been or currently being addressed by our elected officials. Also find relevant... Webinar Archives {! {wpv-view name='webinar-archives'}! } Sign up to receive new webinar notifications! Webinars SHP Webinars are topic-focused webinars designed to keep you abreast of all the latest changes and news happening Georgia healthcare, and beyond. {! {wpv-view name='webinars'}! } {! {wpv-view name='webinar-archives' limit='-1'}! } Sign up to receive new webinar notifications! The “support team” for your CEO, CFO and Practice Administrators. Uncertainty and lack of bandwidth to handle payer contracting and other dynamics? Let SHP fill that void. Free Consultation Founded in 2007 by Principals John Crew and Mike Scribner, Strategic Healthcare Partners (SHP) is a healthcare advisory services consulting firm, that acts as an extension of your organization’s executive and financial team. Our services include but are not limited to IPA and Clinically Integrated Networks (CIN) assessment/deployment/management, Provider Enrollment, Managed Care contract negotiation and strategic planning, financial analysis, and revenue cycle analytics. Our Services 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JTNDYSUyMGNsYXNzJTNEJTIyc2VydmljZS1saW5rJTIyJTIwaHJlZiUzRCUyMiUyRm1hbmFnZWQtY2FyZS1jb25zdWx0aW5nLXNlcnZpY2VzJTJGcGVyZm9ybWFuY2UtaGVhbHRoY2FyZS1hbmFseXRpY3MlMkYlMjIlM0UlM0NkaXYlMjBjbGFzcyUzRCUyMnNlcnZpY2UtYm94JTIyJTNFQW5hbHl0aWNzJTNDJTJGZGl2JTNFJTNDJTJGYSUzRQ==JTNDYSUyMGNsYXNzJTNEJTIyc2VydmljZS1saW5rJTIyJTIwaHJlZiUzRCUyMiUyRm1hbmFnZWQtY2FyZS1jb25zdWx0aW5nLXNlcnZpY2VzJTJGY2xpbmljYWxseS1pbnRlZ3JhdGVkLW5ldHdvcmslMkYlMjIlM0UlM0NkaXYlMjBjbGFzcyUzRCUyMnNlcnZpY2UtYm94JTIyJTNFQ2xpbmljYWxseSUyMEludGVncmF0ZWQlMjBOZXR3b3JrcyUzQyUyRmRpdiUzRSUzQyUyRmElM0U=JTNDYSUyMGNsYXNzJTNEJTIyc2VydmljZS1saW5rJTIyJTIwaHJlZiUzRCUyMiUyRm1hbmFnZWQtY2FyZS1jb25zdWx0aW5nLXNlcnZpY2VzJTJGcHJvdmlkZXItZW5yb2xsbWVudC1zZXJ2aWNlJTJGJTIyJTNFJTNDZGl2JTIwY2xhc3MlM0QlMjJzZXJ2aWNlLWJveCUyMiUzRVByb3ZpZGVyJTIwRW5yb2xsbWVudCUzQyUyRmRpdiUzRSUzQyUyRmElM0U=JTNDYSUyMGNsYXNzJTNEJTIyc2VydmljZS1saW5rJTIyJTIwaHJlZiUzRCUyMiUyRm1hbmFnZWQtY2FyZS1jb25zdWx0aW5nLXNlcnZpY2VzJTJGYWNvLW1hbmFnZW1lbnQlMkYlMjIlM0UlM0NkaXYlMjBjbGFzcyUzRCUyMnNlcnZpY2UtYm94JTIyJTNFQWNjb3VudGFibGUlMjBDYXJlJTIwT3JnYW5pemF0aW9uJTNDJTJGZGl2JTNFJTNDJTJGYSUzRQ==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 Our Managed Care Consulting team currently serves: 30+ Hospitals 1,500 Physicians 3 IPAs 3 CINs {! {wpv-view name='testimonials' limit='1'}! } Listen to Beyond the Stethoscope: Vital Conversations with SHP! Keep up with current health news, interesting interviews, and conversation about the topics that are shaping healthcare today. Listen Today Contact us to learn more and receive a quote. Contact Us Terms & Conditions These terms and conditions outline the rules and regulations for the use of Strategic Healthcare Partners's Website. By accessing this website we assume you accept these terms and conditions in full. Do not continue to use Strategic Healthcare Partners's website if you do not accept all of the terms and conditions stated on this page. The following terminology applies to these Terms and Conditions, Privacy Statement and Disclaimer Notice and any or all Agreements: "Client", "You" and "Your" refers to you, the person accessing this website and accepting the Company's terms and conditions. "The Company", "Ourselves", "We", "Our" and "Us", refers to our Company. "Party", "Parties", or "Us", refers to both the Client and ourselves, or either the Client or ourselves. 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From time to time, Strategic Healthcare Partners may release non-personally-identifying information in the aggregate, e. g. , by publishing a... ## News - Categories: ASC, Managed Care, Value Based Care At the Georgia ASC 2026 Winter Meeting held in February, Mike Scribner and Kelly Mooney of Strategic Healthcare Partners, LLC shared a market‑driven perspective on how ambulatory surgery centers can navigate today’s evolving managed care environment. The presentation examined payer and regulatory pressures, site‑of‑service migration, and the growing role of employer‑directed and bundled pricing strategies. Encompassed within real‑world experience, the presentation emphasized practical approaches for ASCs to strengthen their value proposition, regain leverage, and diversify revenue beyond traditional fee‑for‑service models. See the Powerpoint here. And, thank you to all the attendees and the GA ASC Association for another great opportunity. - Categories: Industry News, SHP News The recent SHP webinar, led by Jason Crosby with contributions from Mike Scribner and Phil Church, tackled the pressing issue of tariffs and their impact on healthcare supply chains. The discussion provided actionable insights for hospitals, physician practices, and supply chain leaders facing a rapidly evolving global trade environment. Here’s a comprehensive summary of the key themes, strategies, and lessons shared during the session. Why Tariffs Matter Now Tariffs are at their highest levels in years, affecting a wide range of products, including those labeled “Made in the USA” due to their reliance on imported raw materials. Phil emphasized that healthcare leaders must understand not just where their products are assembled, but also the origin of their components. This complexity means that even domestically branded items may be subject to cost increases, making vigilance essential for all provider settings. 1 Current Tariff Landscape and Its Implications The team highlighted fluctuating tariff rates, with China, Mexico, and Canada all seeing significant changes. For example, China’s rate was recently extended at 30%, and India’s increased to 50% due to geopolitical factors. These rates are fluid, and the impact on healthcare organizations depends on their specific product mix and sourcing strategies. Phil noted that while some vendors attempt to absorb costs, most increases will eventually be passed on to providers, especially as contracts expire or are renegotiated. 2 Contract Protection and Pricing Uncertainty A major theme was the importance of understanding contract terms. Many healthcare organizations rely on Group Purchasing Organizations (GPOs) for... - Categories: Clinically Integrated Networks, Industry News, Management, Rural Health On June 18, 2025, Strategic Healthcare Partners (SHP) and Corstrata co-hosted an insightful webinar exploring a significant challenge rural healthcare providers - wound and ostomy care. Titled “Bridging the Gap: Wound Care Solutions for Rural Communities,” the session brought together clinical, operational, and financial leaders to unpack the burden of unmanaged wound care—and how virtual models can close this gap efficiently and sustainably. The conversation didn’t end there. Following the webinar, SHP sat down with Joe Ebberwein, Co-Founder and CFO of Corstrata, for a deep-dive podcast interview. That episode will air next month as part of SHP’s ongoing series highlighting innovative, data-backed solutions for rural hospitals and clinics. Below is a full recap of the webinar content—and a preview of the insights you can expect from the upcoming podcast. The Rural Wound Care Crisis: What’s at Stake Wound and ostomy care is high-risk and resource-intensive—especially in rural areas lacking specialized personnel. The impact on hospitals is often hidden but significant: Up to 75% of wounds in rural hospitals are mismanaged Readmission rates for ostomy patients approach 38%, averaging $49,000 per readmit Mis-documentation leads to missed billing and compliance opportunities Pressure injury lawsuits can result in verdicts over $1 million As Joe Ebberwein said during our podcast: “This isn’t just a clinical issue—it’s a business risk, a compliance risk, and a reputational risk all rolled into one. ” The Problem with Traditional Wound Care Models Rural hospitals face unique constraints that make staffing wound care programs in-house nearly impossible: A typical... - Categories: Podcast Shownotes, SHP News We’re excited to finally share that Season 5 of the podcast is here. It’s been a while, and some of you may have been wondering what’s been going on behind the scenes. The short answer: we’ve been working. A lot. Over the past few months, we’ve taken time to rethink how we can make this podcast more useful, more timely, and more aligned with the kind of conversations we think matter in healthcare right now. In this post, we want to walk through some of the changes, give you a sense of what to expect this season, and share a few ways you can stay connected with us. Why the Delay? We’ll be honest—the break between seasons was longer than we planned. But it wasn’t downtime. We were putting together new content, testing different formats, hosting webinars, and having some great conversations with people we think you’ll want to hear from. We didn’t want to launch Season 5 until we had something that felt new, not just more of the same. We think the wait will be worth it. A New Focus: Webinars, Events, Headlines... . and mixed with some Podcast Integration One of the biggest changes this season is that we’re incorporating webinars into our podcast recordings. We’ve already hosted a few, and the response has been really positive. Moving forward, you’ll see: Webinar recaps in podcast episodes Guests from the webinars joining us on the show Access to recordings, slide decks, and partner contact info on our site... - Categories: MIPS/QPP QPP 2025 Updates If you haven’t noticed, CMS continues to refine the Quality Payment Program (QPP), with the ongoing goal to enhance quality, reduce costs, and reduce administrative barriers and burdens for clinicians. Providers should review these changes in detail and assess their impact on practice operations and reporting strategies. Most recently, CMS finalized several updates for the 2025 performance year, impacting providers participating in the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs). These changes, effective for the 2025 performance period and influencing the 2027 MIPS payment year, aim to refine quality reporting, cost measurement, and interoperability standards. Performance Threshold and Data Completeness Performance Threshold: The performance threshold remains at 75 points for the 2025 performance period. This benchmark determines whether clinicians receive positive, neutral, or negative payment adjustments in 2027. Data Completeness: The 75% data completeness requirement continues throughout the 2028 performance period. Providers must report at least 75% of eligible cases for each measure to ensure accurate performance assessment. MIPS Value Pathways (MVPs) New MVPs: Six new MVPs are introduced for 2025, focusing on specialties such as ophthalmology, dermatology, gastroenterology, pulmonology, urology, and surgical care. These pathways aim to streamline reporting by aligning measures with specific clinical areas. MVP Consolidation: Two neurology-focused MVPs have been merged into a single neurological MVP to reduce redundancy and simplify reporting. APP Plus Quality Measure Set Introduction of APP Plus: CMS has finalized the APP Plus quality measure set, an optional set for MIPS APM participants, except for Medicare... - Categories: Physician, Revenue Cycle Management After some great feedback from a previous blog regarding Revenue Cycle Management, we thought best to follow up with some general helpful KPI’s. You must keep in mind that an efficient RCM ensures that providers are reimbursed accurately and promptly for services rendered. Therefore, it’s vital to measure success and identify opportunities for improvement by tracking several key performance indicators (KPIs) throughout the revenue cycle. Below is an overview of the most important revenue cycle metrics that physician practices should implement as regularly observed data points. As you get more comfortable and familiar with your metrics and processes, use these as a springboard to more specific and customized KPI’s for your group. Days in Accounts Receivable (A/R) This metric measures the average number of days it takes to collect payment after a service has been rendered. Lower days in A/R suggest faster collections and efficient billing processes. Benchmark: Ideally, less than 40 days for most practices. Importance: High A/R days may indicate issues with claim denials, delays in claim submission, or ineffective patient collection efforts. A/R Aging by Payer and Age Category A/R aging reports categorize outstanding balances based on the length of time they have been unpaid (e. g. , 0–30, 31–60, 61–90, 91+ days). Key Focus: High percentages in the 90+ day category are a red flag. Why it Matters: Helps pinpoint specific payer delays or internal bottlenecks in claim processing. Net Collection Rate This measures how effectively a practice collects allowable reimbursement after contractual adjustments. Formula: Payments... - Categories: Medicaid, Medicare In the past month, The Centers for Medicare & Medicaid Services (CMS) issued its final updates to Medicare payment policies for 2025, which is anticipated to impact physicians, Medicare Advantage (MA) plans, Part D prescription drug coverage, and home health services. These changes aim to enhance payment accuracy, reduce out-of-pocket costs for beneficiaries, and support healthcare providers in delivering quality care. Physician Fee Schedule (PFS) Adjustments For CY 2025, CMS has set the Physician Fee Schedule conversion factor at $32. 35, a 2. 8% decrease from the 2024 rate of $33. 29. This reduction results from the expiration of a temporary 2. 9% payment increase in 2024 and a 0% statutory update for 2025, with a minor 0. 02% budget-neutrality adjustment CMS. The American Medical Association has expressed concerns that such cuts could hinder physicians' ability to invest in new equipment, retain staff, and accept new Medicare patients, especially in rural and underserved areas. Medicare Advantage and Part D Enhancements CMS projects a 3. 7% average increase in payments to Medicare Advantage plans for 2025, translating to over $16 billion in additional funding compared to 2024. This adjustment reflects updated fee-for-service data and continued implementation of an updated risk adjustment model. In a significant change for Medicare Part D, the Inflation Reduction Act introduces a $2,000 annual cap on out-of-pocket prescription drug costs starting this year. This cap aims to ease the financial burden on beneficiaries and eliminate the coverage gap known as the "donut hole". Telehealth Policy Extensions CMS... - Categories: Uncategorized In the past week, the 2025 federal budget was passed in the House, and introduces a number of impactful changes to healthcare funding and policy. Expected expenditures being what highlights the list. Such notable provisions include cuts to Medicaid, a reorganization of the Department of Health and Human Services (HHS), and modifications to Medicare and other public health initiatives. Here are some of the major healthcare-related provisions: Medicaid Cuts and Structural Changes Most noticeable of all items in the budget is approximately $880 billion in spending reductions over the next ten years, with most (estimated between $500 billion and $600 billion) targeted at healthcare programs such as Medicaid. Key proposed changes to Medicaid include: Per-Capita Funding Caps: Limiting federal contributions based on a fixed amount per enrollee. Work Requirements: Implementing mandatory employment or job-seeking activities for certain beneficiaries. Quarterly Eligibility Verifications: Increasing the frequency of eligibility checks to ensure continued qualification. These measures could lead to millions losing coverage and place additional strain on healthcare facilities, especially in states with high Medicaid enrollment. The budget proposes restricting the use of provider taxes (a mechanism states use to fund their share of Medicaid costs) to attain federal matching funds. This change could save the federal government over $600 billion over ten years but may significantly impact hospital finances, particularly those serving large Medicaid populations. Reorganization of the Department of Health and Human Services (HHS) In March 2025, a comprehensive reorganization of HHS was announced, aiming to streamline operations and reduce expenditures.... - Categories: ASC, Health Exchange, Managed Care, Medicare During the March 2025 Semi-Annual Conference for the GA Society of Ambulatory Surgery Centers, SHP presented attendees with an update of the managed care landscape in the state of GA, along with insight into the ASC market. We discussed the commercial market, health exchanges, Medicare Advantage, payer transparency, and strategic viewpoints for Administrators and their providers. We are thankful to the association (https://www. gsasc. org/) and their members for the opportunity, their time, and feedback. View the PowerPoint here. - Categories: Managed Care In its most simple form, managed care contracting is a business agreement between insurance companies and other managed care organizations, and healthcare providers where a few items are defined and agreed upon – 1) How providers will get paid for the services provided to their patients by those patients and by their insurance, 2) what services will be covered under insurance and 3) And requirements like prior authorization, referrals, etc. Some key parts of a managed care contract include: How much providers get paid for each service called a fee schedule Quality metrics and reporting requirements Claims processes Termination clauses For a provider, there are a few key elements to engrain into the process for a successful negotiation. Data is king. You must know your data, because the other party on the agreement (the insurance company) will know it as well. Analyzing cost, utilization, rates, etc. are a baseline must. Reviewing a solid 12 months of claims will provide a firm understanding of where you stand to market, payer performance, etc. Understand your market position and reputation. Along with having data to highlight recent performance of both parties, knowing your quality, satisfaction by patients, unique services, market share of the services you perform, etc. will further highlight the value you bring to the agreement. As you prepare for conversations and negotiations with payers, and after gathering information from the two items above, effectively detail a summary or grid of items you wish to accomplish, clarify, and firmly address. Review and... - Categories: Revenue Cycle Management Revenue cycle analytics in a provider setting refers to the use of data-driven insights of the financial processes (Billing, Collections, Registration, etc. ) for healthcare organizations. It involves tracking, analyzing, and improving various components of the revenue cycle, from patient registration to final payment collection. Revenue cycle analytics is vital in improving overall financial outcomes for any provider setting. By harnessing internal systems for furthering your data insights, organizations can reduce inefficiencies and maximize revenue generation while enhancing patient satisfaction streamlining operations. Key components of revenue cycle analytics include: Claims & Denial Management Billing & Payment Optimization Accounts Receivable (A/R) Management Patient Access & Front-End Processes Financial Compliance Charge Capture A few benefits of revenue cycle analytics would be: Increased revenue capture by identifying and fixing revenue leakage points. Improving efficiency through automation of manual processes. Better cash flow through optimizing collections and reducing A/R days. Enhanced patient experience via transparent billing and financial counseling. And as with any initiative, there are challenges in Implementing revenue cycle analytics as well, such as: Data fragmentation across multiple systems. Complexity of payer contracts and reimbursement models. Resistance to change among staff and stakeholders. The need for significant investment in analytics tools and staff training. Some key areas of focus and respective questions to ask would be: Fee Schedules - Is your rate offer competitive with others in the marketplace? Could you negotiate higher rates with compelling data analysis and provide the payer with a rational and data-driven counteroffer? Are you being paid... - Categories: Physician, Rural Health First off, what is an IPA... ? An Independent Physician Association (IPA) is a legal entity that is a collection or network of independent doctors who come together to contract with carriers or employers, exchange best practices to improve overall practice management, group purchasing organizations benefits, all while maintaining full autonomy. Now, what are some of the benefits or best practices involved in being an IPA member? First, there’s greater financial stability. By joining an IPA, providers can benefit from consistent and more predictable revenue streams through standard fee for service, shared risk arrangements, capitation models, as well as streamlined claims processing. Additionally, group purchasing power can reduce costs for medical supplies, technology, and administrative services. Access to Value-Based Care models with other entities of similar structure and service. Many IPAs participate in value-based care programs, such as Accountable Care Organizations (ACOs) or shared savings initiatives. These models reward physicians for quality outcomes rather than volume, leading to improved patient care and financial incentives. By doing so as part of an IPA, provider groups can leverage their peer relationships as well as administrative resources of the IPA administration, to further refine necessary obligations and expectations of such contracting models. In other words, education for success as part of our membership dues. Reduced administrative burden. In some instances, IPAs will provide centralized administrative support, including billing, coding, compliance, and credentialing. This allows physicians to focus on patient care rather than being bogged down by complex paperwork and regulatory requirements. Be careful... - Categories: Management, Medicaid, Medicare Provider enrollment is what we often refer to as the offensive lineman of healthcare. No one knows or appreciates the function until there’s an issue. And in this case, a revenue stream issue. Basically, PE is a critical revenue cycle process that must exist in most healthcare settings, that verifies a healthcare professional is authorized to deliver appropriate service. And as a result, receive reimbursement from carriers, including Medicare, and Medicaid. In a proactive manner, igniting an efficient process is essential for maintaining proper healthcare delivery and preventing the providing from any disruption in care. Below are some PE best practices that healthcare organizations can use to assess or implement to hopefully improve their respective process. Provide Enrollment Requirements First and foremost, you must understand the requirements for each payer. The first step in successful provider enrollment is understanding the specific requirements of each payer (e. g. , Medicare, Medicaid, private insurance). Each of which will have distinct documentation, deadlines, and qualifications that providers must meet before being approved. Administrators and enrollment specialists should stay up to date with any changes in enrollment guidelines, including credentialing, licensure, and insurance network requirements. Submitting accurate applications in a timely manner for each payer can significantly reduce the risk of missing out on payments for services provided. Technology and Automation Second, utilize technology and automation where able. Effective platforms can play a significant role in simplifying, streamlining, and accelerating the provider enrollment process. Many healthcare organizations now use automated systems to track and... - Categories: Marketing This week our Podcast launched season 4. 5 with a new series titled "Quick Conversations. ” And we started with a friend of ours, Jeremy Miller of Boost by Design. Jeremy has been our digital marketing partner for several years and is beyond awesome to work with. So, it was obvious to have him on for a few minutes to hopefully help our listeners as he has helped us. The topic included AI and some general guidance on its use in healthcare marketing. We have all seen article and posts about AI’s use and influence on the clinical and operational side, with a dash of Revenue Cycle influence, but can it be a save all efficient resource with online marketing? As Jeremy points out, just as with AI in clinical or data usage, a human still needs to be involved with the marketing aspect of your AI strategy. In other words, allow AI to be the ‘starter’ of your content, but do not simply hit Start and Submit buttons without your personal review and human touch. Just as with any human relationships, marketing with AI should always have that same important element. - Categories: SHP News Now that the summer has ended, we have regrouped and excited to launch Season 3 of Vital Conversations. We expect to launch in mid-October and are planning for a provider based interview schedule. So, be on the lookout for more details as we look to hear insight from leaders in the hospital and practice settings, physicians, and other SME’s. In the meantime, we’ll use September to visit our more popular episodes from the first two seasons. We hope you enjoy them, again, and we look forward to Season 3. - Categories: Industry News, SHP News Once again, we are proud to be sponsors for the upcoming GSASC/SCASCA August Conference at the Hyatt Regency Savannah in Savannah, GA. Last year we discussed ‘Managed Care Strategy in the Age of the No Surprises Act’ where we genuinely enjoyed the live interaction with regional ASC’s. We look forward to seeing you all again August 17-18th. Be sure to come say "Hi"! Keynote Speaker Dr. Christie McMullen is a best-selling author and 24-year educator turned entrepreneur who can help you make work fun! She has worked with thousands of adults in multiple industries at organizations like Aetna, ReMax, Solaris, and RISE to improve human interactions. With a masters and doctorate in Educational Leadership and two and a half decades of practical experience she is able to connect with CEOs, directors, educators, salespeople, and everyone in between. As a coach, networking specialist, and keynote speaker she can help any human overcome mediocrity to experience extraordinary interactions with others. She can help you AIM, Analyze your current interactions, Improve on those interactions, and Move towards extraordinary relationships. Download the schedule of events here. - Categories: Industry News In our last episode part of this 4 episode series, as well as last for Season 2, Jason Crosby and Aaron Higgins discuss the leadership style of the Yellow Tux himself, Jesse Cole, and how his passion and energy is share across Banana Land. In continuing of the series highlights, they recall case studies by their very first guest last season, Scott Regan, and how the leader can directly walk in the shoes of their patients. With the detailed insight into the game experience, further discussion on the culture comparisons highlight this last episode. So, put on your yellow tux, grab a Slippery Banana, and listen in as they wrap up the season with highlights of the differences in culture and opportunities in creating fans of the provider setting. - Categories: SHP News This Wednesday, Episode 3: "The Triple Aim Meets the... Breakdancing First Base Coach" In the 3rd part of a 4 episode series, Jason Crosby and Aaron Higgins peel back the magic a little bit more behind the Fans First culture of The Savannah Bananas and pick up where they left off with our culture comparisons. This week, they look more into the experience once you’ve entered the gates for the game and discuss how the team members serve as the charge behind the energy in the stadium. They then compare that to a lack of staff engagement in a practice setting that sets a tone for the overall patient experience during that first call to schedule their appointment. Listen in as they compare these interactions and value adds that highlight the differences in culture and opportunities in creating fans of the provider setting. https://shpllc. com/podcasts/ Beyond the Stethoscope: Vital Conversations with SHP can be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. - Categories: Industry News, SHP News In today’s 2nd part of a 4 episode series, Jason Crosby and Aaron Higgins follow up last week’s episode with a further dissection into the ‘magic’ that is the Fans First culture of the Savannah Bananas. Specifically, how the patient experience pillar of the Triple Aim framework compares to the fan experience of the Bananas. And thus, the patient experience and satisfaction of the experience. Aaron and Jason take a look at each step a fan takes from buying their ticket to the point of entering the gates and compares that to a patient calling to schedule an appointment to the point of waiting in the lobby. How can one learn from the other? Get your yellow tux and listen today. https://shpllc. com/podcasts/ Jason currently serves as the Vice President of Strategic Planning & Network Integration for Strategic Healthcare Partners (SHP) of Savannah, GA, with whom he has been employed for 13 years. With SHP, he oversees the Clinically Integrated Network activity, as well as the Business Development and Strategic Planning function. Prior to joining SHP, Jason served as Finance Director for Georgia Emergency Associates, Decision Support Manager at Memorial Health, and as a Finance Lead with Gulfstream Aerospace. Aaron Higgins has worked with SHP since 2019 as the Data Manager and all around Quality Payment Program expert. In 2021, his role expanded to include IT Strategy to help SHP navigate the changing IT landscape in a post-COVID workplace. Prior to working at SHP, Aaron worked in various private practices... - Categories: Industry News As our reliance on technology in healthcare grows, so does the threat of cyber criminals. In this podcast Aaron & Jason sit down with cyber-security experts from Seimitsu, a Savannah-based IT solutions company, Matt Defore & Randal Humphries. They discuss some of the biggest digital threats facing healthcare organizations today and what simple steps can be taken to solidify your company's defenses. Join us for this week's Beyond the Stethoscope: Vital Conversations with SHP as we dive into the world of cyber warfare. Randal Humphries is the Director of Operations at Seimitsu. Randal is a Savannah native and has worked in technology since 2002 and spent much of that time in and around healthcare. He has a broad experience including server and network administration, cybersecurity, and software development. Matt DeFore has held several roles since entering the technology field in 1999. He has extensive experience in healthcare and education IT. As Chief Technology Officer, Matt is responsible for designing and delivering many services including Seimitsu's fiber, voice, and cybersecurity offerings. Beyond the Stethoscope: Vital Conversations with SHP can be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. https://shpllc. com/podcasts/ - Categories: Industry News AI continues to be a headliner and with Microsoft testing as part of their Nuance physician notation, collaboration with Syneos Health, and surveys of use within Radiology, we’re starting to see some practical and operational use. Aaron and Jason talk through these recent headlines and what they could mean to every day healthcare. Beyond the Stethoscope: Vital Conversations with SHP can be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. https://shpllc. com/podcasts/ - Categories: Industry News, SHP News "What Exactly Is Digital Marketing & Why Does Each Organization Need It? " Jeremy Miller, Boost by Design will break down the technical jargon associated with digital marketing, along with the common problems clients have and helpful suggestions to approach an often underappreciated strategic tactic. About Jeremy: He currently serves as the Owner and Marketing Manager at Boost by Design located in Savannah, GA. With over a decade of experience Jeremy has worked with clients throughout the US and across all industries. His experience ranges from web development to all digital marketing channels. Jeremy is driven to help businesses create successful marketing strategies, grow their online presence, and increase sales. Originally from Chicago, Jeremy has called Savannah home for 9 years. He enjoys spending time with his wife in nature and wood working. Beyond the Stethoscope: Vital Conversations with SHP can be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. https://shpllc. com/podcasts/ - Categories: Industry News, SHP News Listen Today! Best Buy and Atrium strike a partnership. How does that benefit each and the consumer? Medical debt details in a recent survey shine a light on an ongoing national issue and shows folks are continuing to carry the most in the hospital setting. Prior authorization legislation, AI and ER visits, and pediatric mental health are among the other topics discussed in this week’s news segment episode. Beyond the Stethoscope: Vital Conversations with SHP can be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. https://shpllc. com/podcasts/ - Categories: Industry News, SHP News This Wednesday! Best Buy and Atrium strike a partnership. How does that benefit each and the consumer? Medical debt details in a recent survey shine a light on an ongoing national issue and shows folks are continuing to carry the most in the hospital setting. Prior authorization legislation, AI and ER visits, and pediatric mental health are among the other topics discussed in this week’s news segment episode. Beyond the Stethoscope: Vital Conversations with SHP can be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. https://shpllc. com/podcasts/ - Categories: SHP News We are joined by Tyler Barnett and Matthew Nichols, PhD of University Hospitals out of Cleveland OH, where they discuss the popular project and goal-setting framework known as OKRs, or Objectives and Key Results. As leaders within the Population Health and Analytics team at UH, and training in OKRs, they breakdown the OKR methodology, highlight specific examples of how UH has implemented it and ways that your organization can as well. About Tyler: Tyler Barnett, MHSA, currently serves as the Manager of the University Hospitals Population Health Data Science and Analytics team, which operationalizes applied data science, analysis, and data engineering to improve health outcomes and lower the total cost of care of nearly 600,000 members of the Accountable Care Organization. In addition to this role, Tyler serves as an OKR ambassador for the Office of Clinical Transformation, where he consults with clinical and operational leaders for the application of agile methodologies, including setting objectives and key results, for measurable continuous process improvement across the enterprise. As an IHI-certified Change Agent and Training in Healthcare Improvement Alumni, Tyler continuously challenges the status quo and applies change management techniques specifically within the context of engineering datasets to measurably improve health outcomes at scale. With a particular interest in human factor engineering and applied systems thinking, Tyler designs reporting tools and analytic workflows to intentionally spur interdisciplinary creativity across non-traditional collaborators centered on a commonly understood dataset. Previously, Tyler consulted healthcare executives preparing rural hospitals, independent providers, and clinically integrated networks for... - Categories: SHP News CMS began releasing updates late in 2022 with the provider enrollment process and related forms. Most provider types are impacted as are their respective Provider Enrollment Specialists. Changes include DMEPOS suppliers, CHOW filing, changes to the 8550 form, and new specialists are also added; among other items that are a must. Join SHP’s Raquel Grizzard who will share her insight and tricks of the trade for all things Provider Enrollment. About Raquel: Raquel Grizzard is the Enrollment Initiatives Manager for SHP, where she has worked with Enrollment and Credentialing services for the last 9 years. During this time, Raquel has led internal education and training initiatives, launched enrollment services, as well as work directly with clients, both provider and facilities, for enrollment needs. Beyond the Stethoscope: Vital Conversations with SHP can be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. https://shpllc. com/podcasts/ - Categories: SHP News During this episode, we interview Dr. Dean Rottinghaus, who has successfully launched and managed a hospital based Diabetes Management Clinic for Jenkins County Medical Center in Millen, GA. Dean has taken his previous 30 years of healthcare experience and desire for effective treatment options for those with chronic conditions, and found a cost effective way to help those in need of Diabetes management. He provides condition background, statistics, and treatment options we can all adhere to. Just us for an educational interview with Dean. About Dean: Dr. Dean Rottinghaus has over 30+ years working in the healthcare industry. Twenty-one of those years were devoted to his chiropractic practice and the other 9+ years included work in the lab space, hospital IT space and with multiple EMR systems. As a chiropractor, Dr. Rottinghaus owned and operated a large multi-disciplinary clinic that included pain management, acupuncture, massage therapy and chiropractic care in the greater Cincinnati area. In addition to his clinic, he served as a team physician for several local high schools and two universities, as well as, a staff physician at multiple hospitals. During his career in the medical field, Dr. Rottinghaus identified a need for improved documentation in the chiropractic, orthopedic and physical medicine outpatient setting. As a result, he designed, developed, and brought to market the first web-based EMR for small practice physicians. Dean led that separate company in an executive position for nearly 15 years. While treating patients throughout the years, Dr. Rottinghaus has developed a passion for... - Categories: SHP News Jason and Aaron wrap up this first week of season 2 regarding "Trends in VBC & Outpatient Care” with a dialogue news segment. In today’s they look into the future of retailers in the healthcare space. Throughout Season 1, we often discussed how retail giants like Amazon, Walmart, and even Best Buy have waded into the waters of healthcare delivery and they're promising disruption. But is it all that it is promised or cracked up to be? How will these retailers change healthcare delivery and more important will it improve the quality of care? Listen Today! https://shpllc. com/podcasts - Categories: SHP News We’re kicking this season off with a weeklong series of episodes entitled "Trends in VBC & Outpatient Care” on today’s episode you’ll hear our interview with Mike Scribner and John Crew. We covered a variety of topics, such the No Surprises Act and other regulatory and legislative trends, and the role of Medicare Advantage in Ambulatory Care. We also talked about the impact of traditional Medicare to independent ASC's and the managed care strategies independent ASC's can take and utilize in 2023. Listen Today! Principal and Co-Founder of SHP, John W. Crew is a graduate of Valdosta State University and has over 25 years of experience in healthcare. He is experienced in ACO formation and management, IPA/PHO formation and management, managed care, and development of ancillary revenue streams. John resides in Athens, GA (Home of the back to back college football national champions) with his beautiful wife Vickie. They have 2 sons that are now out conquering the world. You can reach him @ jcrew@shpllc. com or (912) 691-5711. Mike Scribner is the Principal of Strategic Healthcare Partners (SHP), based in Savannah, GA. He has an extensive background in managed care contracting, revenue cycle, CFO support, budget development, decision support, and growth strategy development. He holds a Master’s in Accounting from the University of Mississippi and is a member of HFMA and NAHU. Mike began his career at Ernst & Young in Memphis, Tennessee. He later served as the Director of Finance at LeBonheur Children’s Medical Center, then Director of... - Categories: SHP News SHP Principle’s Mike Scribner and John Crew, alongside VP of Managed Care Kelly Mooney, discuss the various value based care trends in the market today as they pertain to the Primary Care provider. We’ll also touch on the impact of these trends, the detailed nuances, and potential strategies around each for the PCP setting. Listen Today! Principal and Co-Founder of SHP, John W. Crew is a graduate of Valdosta State University and has over 25 years of experience in healthcare. He is experienced in ACO formation and management, IPA/PHO formation and management, managed care, and development of ancillary revenue streams. John resides in Athens, GA (Home of the back to back college football national champions) with his beautiful wife Vickie. They have 2 sons that are now out conquering the world. You can reach him @ jcrew@shpllc. com or (912) 691-5711. Mike Scribner is the Principal of Strategic Healthcare Partners (SHP), based in Savannah, GA. He has an extensive background in managed care contracting, revenue cycle, CFO support, budget development, decision support, and growth strategy development. He holds a Master’s in Accounting from the University of Mississippi and is a member of HFMA and NAHU. Mike began his career at Ernst & Young in Memphis, Tennessee. He later served as the Director of Finance at LeBonheur Children’s Medical Center, then Director of Managed Care for its parent organization, Methodist Health System. Mike moved to Savannah, Georgia in 1996 to become CFO for CareOne Home Health at Memorial Health University Medical... - Categories: SHP News SHP Principle’s Mike Scribner and John Crew, alongside VP of Managed Care Kelly Mooney, discuss the various value based care trends in the market today as they pertain to the Primary Care provider. We’ll also touch on the impact of these trends, the detailed nuances, and potential strategies around each for the PCP setting. Launching 02/13! ! Principal and Co-Founder of SHP, John W. Crew is a graduate of Valdosta State University and has over 25 years of experience in healthcare. He is experienced in ACO formation and management, IPA/PHO formation and management, managed care, and development of ancillary revenue streams. John resides in Athens, GA (Home of the back to back college football national champions) with his beautiful wife Vickie. They have 2 sons that are now out conquering the world. You can reach him @ jcrew@shpllc. com or (912) 691-5711. Mike Scribner is the Principal of Strategic Healthcare Partners (SHP), based in Savannah, GA. He has an extensive background in managed care contracting, revenue cycle, CFO support, budget development, decision support, and growth strategy development. He holds a Master’s in Accounting from the University of Mississippi and is a member of HFMA and NAHU. Mike began his career at Ernst & Young in Memphis, Tennessee. He later served as the Director of Finance at LeBonheur Children’s Medical Center, then Director of Managed Care for its parent organization, Methodist Health System. Mike moved to Savannah, Georgia in 1996 to become CFO for CareOne Home Health at Memorial Health University... - Categories: SHP News We’rrrreee back... SHP’s podcast, Beyond the Stethoscope: Vital Conversations with SHP launches season 2 in mid-February. We are changing format slightly with a weekly episode, alternating between guest interviews and news headlines with relative discussions between hosts Aaron Higgins and Jason Crosby. Topics will include Diabetes Management Clinic services, ASC trends, Primary Care trends, IT in the provider setting, Objectives and Key Results, and others. Join us as we get up and going in the coming weeks! Beyond the Stethoscope: Vital Conversations with SHP can be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. https://shpllc. com/podcasts/ - Categories: SHP News May you have the gift of faith, the blessings of hope and the peace of His love this Christmas. Merry Christmas from Strategic Healthcare Partners, - Categories: Clinically Integrated Networks, SHP News Listen Today! "What is a Clinically Integrated Network (CIN)? And why should a provider consider joining . " Jason will help clear up the vague three letter acronym, CIN. We’ll talk through what a Clinically Integrated Network is exactly, why you should look into joining one, and how they can fit into your provider strategy. Beyond the Stethoscope: Vital Conversations with SHP can be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. https://shpllc. com/podcasts/ - Categories: Industry News, SHP News The American Medical Association (AMA) has released the Current Procedural Terminology (CPT) code set for 2023, which contains 393 editorial updates including 225 new codes, 75 deletions, and 93 revisions. Steve Adams is well known on the speaking circuit and very engaging is reviewing such changes, how they reduce medical coding burden for evaluation and management (E/M) visits, and impact to your organization. Guest: Steve Adams, CPC, CEMC, CPMA, CRC, PCS, COC, FCS Steve Adams is a Certified Professional Coder for both office (CPC, PCS) and hospitals (CPC-H, FCS) with more than 20 years experience in military, multi-specialty, hospital, and the private sector practice of medicine. He has both training and knowledge as a technician, educator, lecturer, and medical group practice manager. His experience includes the evaluation of managed care agreements, fee schedule development, and the implementation of policies to optimize compliance and medical insurance reimbursement. Steve currently holds the position of Senior Management Consultant with InGauge Healthcare Solutions where he has been employed as a consultant for 20 years. Mr. Adams is also a licensed Certified Professional Coding instructor for the American Academy of Professional Coders (AAPC) and provides: Retainer consulting for more than 400 physicians nationwide, making up more than 20 specialties in North American, Bermuda and the Southern Caribbean; Facility based, rural health, and multi-specialty medical practice billing reviews and restructuring; The Professional Medical Coding Curriculum (PMCC) course for the AAPC. As a lecturer and educator, he conducts key note addresses and specialty specific presentations on Human... - Categories: SHP News We’ll take this time for Aaron, Data Quality & Project Manager, Strategic Healthcare Partners, LLC to highlight some key points and changes occurring with the QPP in the 2023 Performance Year. Aaron will also share his thoughts on what you need to focus on now to be best prepare and how to best manage throughout the year for maximum benefit. Beyond the Stethoscope: Vital Conversations with SHP can be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. https://shpllc. com/podcasts/ - Categories: SHP News We’ll take this time for Aaron, Data Quality & Project Manager, Strategic Healthcare Partners, LLC to highlight some key points and changes occurring with the QPP in the 2023 Performance Year. Aaron will also share his thoughts on what you need to focus on now to be best prepare and how to best manage throughout the year for maximum benefit. Beyond the Stethoscope: Vital Conversations with SHP can be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. https://shpllc. com/podcasts/ - Categories: Industry News World AIDS Day takes place on December first each year. It’s an opportunity for people worldwide to unite in the fight against HIV, to show support for people living with HIV, and to commemorate those who have died from an AIDS-related illness. Founded in 1988, World AIDS Day was the first ever global health day... http://www. worldaidsday. org/about/ - Categories: SHP News Wednesday, 30th, 2022 With Kristin, CEO of Woodlocks & Associates, we dive into the realm of leadership. In particular with regard to leading during a time of change and innovation. We further discuss the art of feedback and how best to manage such and develop as a core skill set within your organization. Guest: Kristin Woodlock RN, BSN, MPA, CDTLF & CEO of Woodlock and Associates Kristin Woodlock CEO of Woodlock & Associates, delivers results for government, healthcare payors, hospital systems, nonprofits, and community-based organizations across the country. Ms. Woodlock served simultaneously as the Executive Deputy and Action Commissioner of the New York State Office of Mental Health (OMH). In this role she led the largest public mental health system in the United States. After thirty years of government service, Ms. Woodlock became a Crisis CEO for FEGS Health and Human Services, one of the County's largest non-profits to enter Chapter 11 bankruptcy. Under her leadership, FEGS transitioned over 125,000 clients to other providers in six-months without a single untoward incident. As a subject-matter expert in behavioral health, she is a faculty member of major initiatives with the National Council for Behavioral Health and an Investigator on the Columbia University HEALing Communities Study funded by the National Institute of Drug Abuse. Ms. Woodlock is sought out by healthcare systems and providers for her unique ability to solve complex health and behavioral health issues. Of equal importance is her work with community-based organizations to end health disparities for people with disabilities... - Categories: SHP News With gratitude this Thanksgiving, we offer our most sincere thanks to all of you. May this season be a beautiful reminder of the wonderful blessings ahead. Happy Thanksgiving from Strategic Healthcare Partners. - Categories: Industry News The 22nd Annual GERD Awareness Week is November 21-27, 2021. Gastroesophageal reflux disease, or GERD, is a very common disorder. Each year around the week of Thanksgiving, IFFGD encourages people experiencing the symptoms, which may be GERD-related, to consult their physicians and to contact us to receive information and support regarding the condition... https://aboutgerd. org/living-with-gerd/gerd-awareness-week/ - Categories: Industry News November is a month of empowerment, education and inspiration for communities far and wide who have been touched by pancreatic cancer. Early detection helps save lives. Learn & share the facts, symptoms and risk factor of pancreatic, it can help with early detection, motivate healthy life choices and provide guidance on when to seek genetic counseling. Every day, more than 1,257 people worldwide will be diagnosed with pancreatic cancer, and while death rates are declining for many other cancers, death rates are increasing for pancreatic cancer. Visit https://pancreatic. org/november/ for more information. - Categories: SHP News With bundling services an increasing option for providers and employers, both will be interested in how to enter such an arrangement. Particularly with Direct to Employer (DTE) agreements increasing in popularity. We’ll also hear how a platform such as Coral can play a role as an online middle man to connect employers and providers with transparent pricing. Guest: Troy Reichert, Chief Revenue Officer, Coral Troy Reichert is the Chief Revenue Officer of Coral. In this role he oversees all business development strategies working with advisors, medical providers and industry leaders to expand the adoption and utilization of self-funded medical plans and direct provider relationships. He is an “evangelist” for free market healthcare, fair & transparent pricing and choice for employers, employees and individuals. His TPA established one of the most successful direct contract programs putting doctors He holds degrees from two of the nation’s most prestigious universities. His Bachelor of Arts degree was earned at Wheaton College in Chicago, followed by completion of the MBA program at Vanderbilt University’s Owen School of Management. Additionally, Troy was awarded an Honorary Doctorate from the Trinity Theological Seminary of South Florida. He is also a multiple year recipient of the GAMA Leadership Award. For more than 30 years, Troy has been an effective leader and public speaker. He has traveled around the country working with clients, developing creative solutions and talking to groups about change management. He is also a published author with his first book Benefits Re-Imagined published in 2019. Troy’s passion... - Categories: Industry News CMS released the Final Rule for Quality Payment Program for 2023 which will shape the way the whole mixed bag of acronyms (MIPS, APMs, & MVPs) work starting on Jan 1, 2023. Register for this webinar to learn about what CMS is considering changing and what the next evolution of MIPS is shaping up to look like. Register Today! - Categories: SHP News Happy Veterans Day to our soldiers, both past and present. We owe you our thanks, but more than that, we owe you our freedom. - Categories: SHP News With bundling services an increasing option for providers and employers, both will be interested in how to enter such an arrangement. Particularly with Direct to Employer (DTE) agreements increasing in popularity. We’ll also hear how a platform such as Coral can play a role as an online middle man to connect employers and providers with transparent pricing. Guest: Troy Reichert, Chief Revenue Officer, Coral Troy Reichert is the Chief Revenue Officer of Coral. In this role he oversees all business development strategies working with advisors, medical providers and industry leaders to expand the adoption and utilization of self-funded medical plans and direct provider relationships. He is an “evangelist” for free market healthcare, fair & transparent pricing and choice for employers, employees and individuals. His TPA established one of the most successful direct contract programs putting doctors He holds degrees from two of the nation’s most prestigious universities. His Bachelor of Arts degree was earned at Wheaton College in Chicago, followed by completion of the MBA program at Vanderbilt University’s Owen School of Management. Additionally, Troy was awarded an Honorary Doctorate from the Trinity Theological Seminary of South Florida. He is also a multiple year recipient of the GAMA Leadership Award. For more than 30 years, Troy has been an effective leader and public speaker. He has traveled around the country working with clients, developing creative solutions and talking to groups about change management. He is also a published author with his first book Benefits Re-Imagined published in 2019. Troy’s passion... - Categories: SHP News Listen today! "Insight Into Wound and Ostomy Care, the Evolution Taking Place, and How Technology Such as Corstrata Is Playing a Role" drops! If you do not have much knowledge on Wound and Ostomy care, that will certainly change after listening to Joe. We gain data oriented insight into this often neglected service of care, and discuss how virtual care and telehealth are viable solutions for any provider setting to utilize. From there, we hear more about how Corstrata is working on solving this care gap. Beyond the Stethoscope: Vital Conversations with SHP can be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. https://shpllc. com/podcasts/ - Categories: Industry News November is National Epilepsy Awareness Month. Epilepsy is a chronic disorder, the hallmark of which is recurrent, unprovoked seizures. The Epilepsy Foundation is working to End Epilsepy Together. Find out more at: https://www. epilepsy. com/make-difference/public-awareness/national-epilepsy-awareness-month - Categories: Industry News CMS released the Final Rule for Quality Payment Program for 2023 which will shape the way the whole mixed bag of acronyms (MIPS, APMs, & MVPs) work starting on Jan 1, 2023. Register for this webinar to learn about what CMS is considering changing and what the next evolution of MIPS is shaping up to look like. Register Today! - Categories: SHP News Live today! Listen to Part 2 of "Value Based Care (VBC) Today and the Role of CMS, Providers, and Third-Party Vendors in Its Evolution"! In part 2 with Sean Cavanaugh, CCO/CPO, Aledade, Inc. , we address Medicare Advantage activity in the marketplace, further deep dive into Value Based Care (VBC) evolution and programs, how venture capital firms are impacting the market, and ACO success factors; among many other hot topics. Very insightful conversation from someone that has directly set the tone. Podcast Library - Categories: Industry News November is American Diabetes Month. Diabetes is a chronic (long-lasting) health condition that affects how your body turns food into energy. Every year, The American Diabetes Association comes together to ring the alarm on the diabetes epidemic. For the millions of Americans who are at risk for it, it’s a time to get educated, find resources and make sure all those around us are aware of their risk, too. And for the millions of people living with diabetes, it’s a chance to tell their stories and awaken the world. Learn more at: https://www. diabetes. org/ - Categories: SHP News Listen today to Part 1 of "Value Based Care (VBC) Today and the Role of CMS, Providers, and Third-Party Vendors in Its Evolution"! With Sean’s background, we cover a lot in this first of two episodes. You’ll hear his viewpoint from both his CMS and Aledade, Inc. experiences related to today’s independent primary care physician, the impact of Value Based Care (VBC), and how Aledade practically support their practices for success in their ACO. Beyond the Stethoscope: Vital Conversations with SHP can be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. Podcast Library - Categories: Industry News October is Sudden Infant Death Syndrome (SIDS) Awareness Month! This month and beyond, advocates and infant caregivers can join Safe to Sleep® and its partners to encourage safe infant sleep and help raise awareness about SIDS. Although the rates of SIDS and other sleep-related infant deaths have decreased over the years, we still have work to do. To learn more about SIDS and how to increase awareness visit: https://safetosleep. nichd. nih. gov/resources/sids-awareness-toolkit - Categories: Industry News October is Spina Bifida Awareness Month—a time to celebrate the hundreds of thousands of people living with Spina Bifida. Every October, The Spina Bifida Association shares community stories that challenge us to raise more awareness and support for those living with Spina Bifida. Learn more at: https://www. spinabifidaassociation. org/ - Categories: SHP News Part 1 of our next two-part episode podcast "Value Based Care (VBC) Today and the Role of CMS, Providers, and Third-Party Vendors in Its Evolution" launches October 26th! We sit down with Sean Cavanaugh, CCO/CPO of Aledade, Inc. and previous Deputy Administrator & Director of the Center for Medicare @ CMS to discuss the impact of Value Based Care (VBC), Medicare Advantage, and ACO success factors. Beyond the Stethoscope: Vital Conversations with SHP can be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. Podcast Library - Categories: SHP News We wrap up the interview with Scott Regan, diving into how you and your organization can specifically create a memorable experience for your patients... and what not to do. Click here to listen! - Categories: Podcast Shownotes Scott Regan So have to look at all of this from the eyes of the patient and we have to look at it critically. That's the that's the first step, step back and look at the experience from the eyes of the patient. We know what that experience is. The doctors, the administrators, they know you know they know because you because you work with a lot of these folks and I'm and they probably gripe to you about some of these things and they gripe to me I work with a lot of physician practices and they're always asking how do how do we fix this. The check in process here our check in process is a mess. Well, it's actually easy to fix if you want to fix it. But fixing it requires the train people that do things differently, and that's where we all always fail. People like to go back to the way the things were because they're comfortable with it, and it's easy for them may not be good for the patient. Mike Scribner And I guess to cut that positive. It does feel like this is such an anomaly and that reordering my practice to be experienced based would be so unique that there's there would seem to be some branding benefit, some you know leveraging of the concept owned two growth if we can crack that nut. Scott Regan Well, you know, I would look at the concierge medicine model not as going... - Categories: Industry News, SHP News Announcing the "Beyond the Stethoscope: Vital Conversationswith SHP" Fall Series podcast lineup! We'll be sitting down with experts to discuss important and timely health industry related topics from the "Experience Economy" to Value Based Care to Clinically Integrated Network benefits. Make sure to subscribe on Apple Podcasts, Spotify, Amazon or wherever you listen to podcasts. 2022 Fall Series Lineup Episodes 1 & 2: The Experience Economy and How It Applies in Your Healthcare Setting with guest Scott Regan, Managing Partner, LeadWorks, LLC Episodes 3 & 4: Value Based Care (VBC) Today and the Role of CMS, Providers, and Third-Party Vendors in Its Evolution with guest Sean Cavanaugh, CCO & CPO, Aledade Episode 5: The Impact of Wound & Ostomy Care Today and Opportunistic Solutions with guest Joe Ebberwein, Co-Founder & CFO, Corstata, Inc Episode 6: The Importance of Feedback When Leading Innovation and Change with guest Kristen Woodlock, CEO, Woodlock & Associates Episode 7: What is Direct Contracting in the market and how best to manage as a provider with guest Troy Reichert, CRO, Coral Episode 8: What Is Digital Marketing and How to Use It to Further Your Brand with guest Jeremy Miller, Principal, Boost by Design Episode 9: What Is a Clinically Integrated Network (Cin) And Why Should a Provider Consider Joining with Jason Crosby, VP of Network Integration & Strategic Planning, SHP, LLC Episode 10: Key Highlights in the Qpp Rule for 2023 with Aaron Higgins, Data & Quality Project Manager, SHP, LLC Listen to our podcast... - Categories: Industry News Tens of thousands of families across the United States are devastated each year by the death of their baby. But the grief of these families and the value of their babies’ lives are very rarely acknowledged. In 1988, US President Ronald Reagan declared October as a month to recognize the unique grief of bereaved parents in an effort to demonstrate support to the many families who have suffered such a tragic loss. Promoting awareness of pregnancy and infant loss not only increases the likelihood that grieving families will receive understanding and support, but also results in improved education and prevention efforts which may ultimately reduce the incidence of these tragedies. https://pregnancyafterlosssupport. org/get-involved/pail-awareness-month-know-our-babies/ - Categories: Industry News October of is ADHD Awareness Month. Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder affecting both children and adults around the globe. To find out more about ADHD visit https://www. adhdawarenessmonth. org/ - Categories: Industry News Did you know that 1 in 8 women will be diagnosed with breast cancer in her lifetime? While you can’t usually prevent cancer, it is important to be proactive about your health. October is Breast Cancer Awareness Month and is a great reminder to get a yearly mammogram. Mammograms are the best way to find breast cancer early, when it is easier to treat and before it is big enough to feel or cause symptoms. To learn more, contact your doctor or visit: https://www. nationalbreastcancer. org/about-breast-cancer/ - Categories: Industry News According to the Centers for Disease Control and Prevention (CDC), heart disease is the number one leading cause of death in the U. S. More than one million Americans have a heart attack each year and about 500,000 die of heart disease. High blood cholesterol is one of the major risk factors for heart disease, causing heart attack and stroke. National Cholesterol Education Month seeks to inform the public about the dangers of high cholesterol and its connection with the leading cause of death around the globe, heart disease. High cholesterol is one of the most common and commonly misunderstood health risks in America. You can learn more at https://meridienresearch. net/september-national-cholesterol-education-month/ - Categories: Industry News People have become increasingly comfortable talking about their mental health, particularly this past year. But the topic of suicide – when it comes up – is still scary for many people to think about. It’s time to deepen the conversation. https://afsp. org/national-suicide-prevention-week - Categories: SHP News Just like teams are so much more than the sum total of their component parts, this company is more than the sum of its employees. We want to thank our employees for bringing that unidentifiable quality to our company that allows us to reach the highest heights by working together. We hope everyone has a great Labor Day! - Categories: Industry News This National Grief Awareness Day on August 30 is dedicated to raising awareness of the myriad ways in which individuals cope with loss. It offers resources to those going through personal losses and reminds us to support people we know who are grieving. National Grief Awareness Day, founded by Angie Cartwright in 2014, hopes to encourage open communication on loss and bereavement and better inform the public on the facts of grief. https://nationaltoday. com/national-grief-awareness-day/ - Categories: Industry News National Immunization Awareness Month (NIAM) is an annual observance held in August to highlight the importance of vaccination for people of all ages. The CDC has provided substantial information on vaccinations here: https://www. cdc. gov/vaccines/events/niam/index. html - Categories: Industry News, MIPS/QPP, SHP News CMS released the Proposed Rule for Quality Payment Program for 2023 which will shape the way the whole mixed bag of acronyms (MIPS, APMs, & MVPs) work starting on Jan 1, 2023. Register for this webinar to learn about what CMS is considering changing and what the next evolution of MIPS is shaping up to look like. Register today! - Categories: Industry News August is Gastroparesis Awareness Month. IFFGD works to focus attention on important health messages about gastroparesis diagnosis, treatment, and quality of life issues. The goals include improving understanding of gastroparesis to help patients and families manage the condition, and encouraging preventive strategies. To learn more visit: https://aboutgastroparesis. org/living-with-gastroparesis/gastroparesis-awareness-month/ - Categories: Industry News World Breastfeeding Week (WBW) is a global campaign to raise awareness and galvanize action on themes related to breastfeeding. WBW is celebrated every 1-7 August in commemoration of the 1990 Innocenti Declaration. WBW started in 1992, with annual themes including healthcare systems, women and work, the International Code of Marketing of Breastmilk Substitutes, community support, ecology, economy, science, education and human rights. Since 2016, WBW is aligned with the Sustainable Development Goals (SDGs). In 2018, a World Health Assembly resolution endorsed WBW as an important breastfeeding promotion strategy. https://waba. org. my/wbw/ - Categories: Industry News Summer has arrived and while the sun is shining bright it's a golden time to highlight July as UV Safety Awareness Month! We all love to take in those warm summer rays, but everyone must remember to protect their skin and eyes from the damaging effects of the sun. For these tips and more visit: https://www. va. gov/qualityofcare/education/uv_safety_awareness_month. asp - Categories: Industry News Cleft and craniofacial conditions affect thousands of infants, children, teens and adults in the United States each year. Some are born with congenital anomalies like cleft lip and palate, others with more complex, life-threatening craniofacial conditions. Some are burned; others are injured in accidents and animal attacks, or diagnosed with various oral/head/neck and skin diseases. To learn more about these conditions, including treatment options and support networks in your area, contact these participating NCCAPM organizations (http://www. nccapm. org/organizations. html) - Categories: SHP News Strategic Healthcare Partners wishes you a happy and safe Fourth of July! - Categories: Industry News Worldwide, 50 million people are living with Alzheimer's and other dementias. Join the Alzheimer's Association in going purple and raising awareness this June. The more people know about Alzheimer's, the more action we inspire... https://www. alz. org/abam/overview. asp - Categories: Industry News Georgia’s Department of Community Health (DCH) is preparing to reprocure its Medicaid managed care contracts (currently held by Amerigroup, CareSource and Peach State Health Plan). DCH’s selection process will begin later this year/early next year for new contracts to go-live on 7/1/2024. In addition to our existing payers, there are at least six new payors interested in the new Medicaid contract; which you have likely seen in ongoing outreach from those payors. Since we are going to be working with a minimum of nine potential bidders and multiple moving pieces, SHP is pleased to announce an upcoming Medicaid Reprocurement webinar to discuss the following: DCH’s Goals for their Next Medicaid Managed Care Cycle Who are the new payors interested in Georgia? What are our next steps to managing this reprocurement cycle? Register today! We look forward to talking with you soon. Thank you as always for the opportunity to be of service. - Categories: Industry News National Scoliosis Awareness Month takes place yearly in June with the goal of highlighting the growing need for education, early detection and awareness to the public about scoliosis and its prevalence within the community. The campaign also unites scoliosis patients, families, physicians, clinicians, institutions and related businesses in collaborative partnerships of local activities, events and grassroots networking throughout the month. https://www. srs. org/patients-and-families/additional-scoliosis-resources/scoliosis-awareness-month - Categories: Industry News Every year countries around the world celebrate World Blood Donor Day (WBDD). The event serves to raise awareness of the need for safe blood and blood products and to thank voluntary, unpaid blood donors for their life-saving gifts of blood. Check out the American Red Cross for opportunities to donate! https://www. redcross. org - Categories: Industry News There are currently about 8 million people in the United States with PTSD. Even though PTSD treatments work, most people who have PTSD don't get the help they need. June is PTSD Awareness Month. Help us spread the word that effective PTSD treatments are available. Everyone with PTSD—whether they are Veterans or civilian survivors of sexual assault, serious accidents, natural disasters, or other traumatic events—needs to know that treatments really do work and can lead to a better quality of life. https://www. ptsd. va. gov/understand/awareness/index. asp - Categories: Industry News Worldwide, 50 million people are living with Alzheimer's and other dementias. Join the Alzheimer's Association in going purple and raising awareness this June. The more people know about Alzheimer's, the more action we inspire... https://www. alz. org/abam/overview. asp - Categories: Industry News May is Skin Cancer Awareness Month. With over 5 million cases diagnosed in the United States each year, skin cancer is America’s most common cancer. Fortunately, skin cancer is also one of the most preventable forms of cancer. About 90 percent of nonmelanoma skin cancers and 85 percent of melanoma cases are associated with exposure to ultraviolet radiation from the sun. By sharing facts about the dangers of unprotected exposure and encouraging people to check their skin for warning signs, we can and will save lives. https://www. skincancer. org/get-involved/skin-cancer-awareness-month/ - Categories: Industry News Each year millions of Americans face the reality of living with a mental illness. During May, NAMI joins the national movement to raise awareness about mental health. Each year we fight stigma, provide support, educate the public and advocate for policies that support people with mental illness and their families. Mental health is an incredibly important part of overall health. With a growing number of Americans experiencing mental health symptoms, we need to join together to advocate for improving our nation's mental health care system. To find out more, go to https://www. nami. org/Get-Involved/Awareness-Events/Mental-Health-Awareness-Month - Categories: Industry News National Nurses Week begins each year on May 6th and ends on May 12th, Florence Nightingale's birthday. These permanent dates enhance planning and position National Nurses Week as an established recognition event. The nursing profession has been supported and promoted by the American Nurses Association (ANA) since 1896. We applaud you for your hard work and appreciate everything you do, Nurses! Thank you! - Categories: Industry News National Infertility Awareness Week® (NIAW) begins April 18 – 24, 2021. Currently 7. 3 million Americans are facing infertility, no matter what race, religion, sexuality or economic status you are, infertility doesn’t discriminate. Anyone can be challenged to have a family. All throughout NIAW, we will unite millions of Americans who want to remove the stigmas and barriers that stand in the way of building a family of their own. - Categories: Industry News The drug overdose epidemic in the United States is a clear and present public health, public safety, and national security threat. DEA’s National Prescription Drug Take Back Day reflects DEA’s commitment to Americans’ safety and health, encouraging the public to remove unneeded medications from their homes as a measure of preventing medication misuse and opioid addiction from ever starting. DEA is committed to making our communities safer and healthier, and we can do this by reducing overdoses and overdose deaths. While the community does its part to turn in unneeded medications and remove them from potential harm, we are doing our part to further reduce drug-related violence. - Categories: SHP News Register for the webinar today! Value-Based Care has finally come for the specialists... ... the first specialist based value models have arrived, primarily addressing bundled payments or site of care redirections. But beyond that, your primary care referral base are taking on more risk in managing the full direction and scope of care. Their value models have matured and they are accessing data and quality results on your services; including unit reimbursement, cost, volume, case mix scenarios, quality results, and overall margin targets for your payer strategy. So how do independent specialists and ASCs develop relationships as the preferred downstream provider in a value-based shared savings model? Join us to learn more about this and how you drive increased volume by becoming the preferred value based partners for your primary care community. Register for the webinar TODAY! - Categories: Industry News National Donate Life Month (NDLM) was established by Donate Life America and its partnering organizations in 2003. Observed in April each year, National Donate Life Month helps raise awareness about donation, encourage Americans to register as organ, eye and tissue donors and to honor those that have saved lives through the gift of donation. https://www. donatelife. net/ndlm/ - Categories: Industry News This year marks the 15th annual World Autism Awareness Day, a United Nations-sanctioned World Autism Awareness Day on April 2. Find out more at https://www. autismspeaks. org/world-autism-awareness-day - Categories: SHP News To many, managed care is managed care. But with the leverage and bottom-line impact of an ASC to a physician group or hospital system, planning a specific strategy is essential to account for market forces that have significantly changed the landscape in the last twelve months. We will cover such managed care topics as: How managed care differs for ASC’s to your practice revenue stream. How does the No Surprises Act impact in- vs. out-of-network strategies? Contract strategy and negotiation. How the insurance market has changed; diminishing the big five payers. New ASC reimbursement methodologies hitting the market. This webinar will be on April 6th from 12:00-100pm. As usual, registration ahead of time is required. Please do so today! - Categories: Industry News According to the CDC, Each year, we recognize World TB Day on March 24. This annual event commemorates the date in 1882 when Dr. Robert Koch announced his discovery of Mycobacterium tuberculosis, the bacillus that causes tuberculosis (TB). - Categories: Industry News World Down Syndrome Day (WDSD), 21 March, is a global awareness day which has been officially observed by the United Nations since 2012. Find out more at: https://www. worlddownsyndromeday. org/ - Categories: Industry News According to the National Sleep Awareness Foundation, launched in 1998, Sleep Awareness Week is NSF’s national public education campaign that celebrates sleep health and encourages the public to prioritize sleep to improve health and well-being. The campaign commences with the beginning of Daylight Saving Time. NSF provides valuable information during Sleep Awareness Week about the benefits of optimal sleep and how sleep affects health, well-being, and safety. - Categories: Industry News According to the World Kidney Day organization, Chronic kidney disease (CKD) is common and harmful: 1 out of 10 adult people worldwide have it, and if left untreated it can be deadly. While early detection allows for disease care and management to help prevent morbidity and mortality, and improve cost effectiveness and sustainability, kidney disease related mortality continues to increase yearly and is projected to be the 5th leading cause of death by 2040. A persistent and ongoing CKD knowledge gap exists, one that is demonstrable at all levels of healthcare. - Categories: Industry News "National Nutrition Week," initiated in March 1973, was embraced by members of the American Dietetic Association (now the Academy of Nutrition and Dietetics) as a way to deliver nutrition education messages to the public while promoting the profession of dietetics. In 1980, in response to growing public interest in nutrition, the week-long celebration expanded to become a month-long observance. - Categories: Industry News According to the Colorectal Cancer Alliance, in February 2000, President Clinton officially dedicated March as National Colorectal Cancer Awareness Month. Since then, it has grown to be a rallying point for the colorectal cancer community where thousands of patients, survivors, caregivers and advocates throughout the country join together to spread colorectal cancer awareness by wearing blue, holding fundraising and education events, talking to friends and family about screening and so much more. - Categories: SHP News On January 12, we collaborated with our partners @ Capitol Strategy Group for a GA Legislative Update. During this time, we highlighted 2021 legislative action and took a look at expectations for this coming session. Find the webinar recording here for more information or reach out to SHP for any assistance. - Categories: Industry News, SHP News The annual awareness day on February 22 aims to increase recognition of the specific risks and symptoms of heart valve disease, improve detection and treatment, and ultimately save lives... https://www. valvediseaseday. org/ - Categories: Industry News, SHP News It’s a surprise! On Dec 22nd, we collaborated with Michele Madison from Morris, Manning & Martin for our No Surprises Act Webinar. We used that time to share the key takeaways from this legislation that went into effect on Jan 1, 2022. Find the webinar recording here for more information or reach out to SHP for any assistance. - Categories: Industry News Per HRSA, National Donor Day focuses on five points of life: organs, tissues, marrow, platelets, and blood. Many health groups use this day to sponsor blood and marrow drives and organ/tissue sign-ups. National Donor Day was started in 1998 by the Saturn Corporation and its partner, the United Auto Workers. It is supported by the U. S. Department of Health and Human Services and many nonprofit health groups. - Categories: Industry News As follow up to recent updates and webinars, join us on February 17th as we discuss the latest on the ARP payments and HHS reporting guidelines. We will cover important items such as the reconsideration portal to what is required as part of your reporting guidelines. Please let us know of any questions as well beforehand, and we will be sure they are addressed. As usual, registration ahead of time is required. Please do so today! - Categories: COVID19, Industry News The CMS Vaccine Mandate for Medicare certified facilities is moving forward. Please join us to learn more about how this will impact providers across the healthcare delivery system. Register Today! - Categories: COVID19, Industry News HHS has just issued the below press release indicating that they are releasing another $2B in Phase 4 General Distribution funding. When the first round of distributions occurred in December, HHS noted that they had processed approximately 75% of applications. In the release below, HHS raises that number up to 82% of Phase 4 applications. Therefore, they are still processing the remaining 18% of applications received for funding; if you applied and did not receive funds or a notification that you did not qualify in December or today, then HHS should still be processing your application. Please let us know if you have any questions. Thank you as always! With this funding, more than $18 billion will have been distributed from the Provider Relief Fund and the American Rescue Plan Rural provider funding in the last three months. The U. S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), is making more than $2 billion in Provider Relief Fund (PRF) Phase 4 General Distribution payments to more than 7,600 providers across the country this week. These payments come on the heels of the nearly $9 billion in funding that was already released by HHS in December 2021. With today's announcement, a total of nearly $11 billion in PRF Phase 4 payments has now been distributed to more than 74,000 providers in all 50 states, Washington D. C. , and five territories. This is in addition to HRSA's distribution of American Rescue Plan (ARP)... - Categories: Industry News The GA healthcare payer landscape is changing rapidly. Within the next few years, we expect to see further growth in the SHBP & Medicaid CMO plans. As governmental-based payers become critical to your success, it is paramount that you have a clear map forward. Join us as we discuss how payer push-back on reimbursements will require value-based care models in your practice. Plus, we’ll also discuss the recent payer activities in the state. Register for your spot today! ## Podcasts - Categories: ASC, Revenue Cycle Management What if your ASC could see problems weeks before they hit your bank account? We dig into a practical playbook for turning raw data into clear decisions, from daily flash reports that act like a heartbeat to monthly benchmarks that expose where performance drifts and why. Instead of waiting for cash-basis financials to tell a late story, we focus on questions that move leaders to action: Where did payer mix shift? Which referrals slowed? Are we prioritizing the right cases at capacity? And are our fee schedules quietly capping revenue? We share a simple, powerful benchmark strategy: index everything to Medicare. With that lens, a steady month of cases can still produce a revenue dip if Medicaid volume rises or a commercial contract underperforms. Using NPIs to track referral sources brings transparency to relationships, helping you target outreach when a group’s volume fades. Then we layer in forecasting: take the last 90–180 days, project cash forward, incorporate known inflows and takebacks, and set thresholds so partner distributions and capital decisions stop being guesses and start being planned. Revenue cycle details matter. Patient liability collection should approach 95% of allowable, and the fastest wins often come from pre-surgical estimates, up-front collection workflows, and early-out strategies. Denials and zero-pay encounters can reveal coding issues or outdated charge masters; many groups unknowingly bill below allowable after Medicare updates. On profitability, we break down incremental contribution by service and payer to guide site-of-service choices and give you real leverage in payer negotiations. The outcome... - Categories: ASC, Industry News Join A&J as they recap the recent webinar regarding the provider supply chain and how community hospitals and medical practices can proactively prepare for potential tariff impacts. You’ll hear key highlights and excerpts to hear points you may have missed from Supply Chain guru, Phil Churuch. Learn actionable strategies to manage rising supply costs, optimize procurement, and proactively plan with your vendors. We cover how to effectively work with your vendors, review and leverage GPO contracts, and best understand your terms to minimize disruptions. And apply to lessons learned from disruptions during COVID. Facilitators: Mike Scribner & Jason Crosby Guest / Expert / SME: Phil Church, Materials Management Consultant - Categories: Industry News, Rural Health Specialized wound care has emerged as both a clinical necessity and financial opportunity for rural hospitals struggling with staffing shortages and patient retention. This eye-opening conversation with Joe Eberwein of Corstrata reveals how virtual wound care models are transforming outcomes for facilities that often "hold their breath" when admitting complex wound patients. Rural hospitals face a perfect storm of challenges: limited access to wound specialists, knowledge gaps in evidence-based treatments, and alarming out-migration patterns. The data paints a stark picture - only 45% of wound-related ER patients stay local compared to 65-70% for other conditions. Without specialized expertise, these facilities experience longer lengths of stay, more complications, and potential pressure injuries, creating a cascade of negative clinical and financial outcomes. Ready to explore how virtual wound care could transform outcomes at your facility? Visit corstrata. com to learn more about implementing specialized wound care services in your rural setting, or watch the full webinar at shplc. com/webinars. Virtual wound care models offer rural hospitals a clinically urgent and financially strategic solution to address specialized care gaps while improving patient outcomes and retaining revenue within communities. • Rural hospitals often "hold their breath" when admitting wound patients due to lack of specialized expertise • Without wound care specialists, hospitals experience longer lengths of stay, complications, and higher readmission rates • Only 45% of wound-related ER patients remain at rural facilities vs. 65-70% for other conditions • Virtual wound care provides on-demand access to board-certified specialists through telemedicine • Case study: Alaska... - Categories: SHP News Ever dressed up as Santa Claus and felt like a rockstar? Aaron shares his hilarious experience of riding on a fire truck spreading holiday cheer, while Jason Crosby, confesses a secret love for the festive frenzy at local malls and markets. Join us as we reminisce about our favorite Christmas tunes, movies, and dishes that add a special sprinkle of magic to the holiday season. From the joyous melodies filling the air to the warm aroma of holiday treats, we recount light-hearted tales that capture the essence of this wonderful time of year. This episode is a heartwarming celebration of community events, local artisans, and the joy of supporting small businesses. Listen in for a cheerful conversation that might inspire you to craft some new traditions of your own this holiday season as we wrap up Season 4. 5 with a bow. - Categories: Industry News, Management, Value Based Care What drives a person to commit an unimaginable act? With the shocking and tragic murder of UnitedHealthcare's CEO dominating headlines, we shift the lens to probe deeper into the healthcare industry's brewing tensions. As AI reshapes denial management, we wonder: Is technology fueling discontent among healthcare professionals & the public? Did UnitedHealthcare's use of an AI claims evaluator, which denied 90% of claims without human intervention, drive us towards this contentious intersection of technology and patient care? The conversation doesn't end there. We tackle the pressing issue of workplace violence that has gained momentum since the onset of the COVID pandemic, questioning its role in this incident. As AI continues to gain a foothold in healthcare, we ponder its impact on denial rates and the broader industry ramifications. Join us for a thoughtful exploration of these urgent topics and the future path of denial management in healthcare. This episode is a must-listen for those seeking to understand the shifting dynamics at play in today's healthcare landscape. - Categories: Clinically Integrated Networks In this episode, Aaron sits down with our very own Jason Crosby to talk about CINs, how they work, how to start or join one, the keys to a successful CIN, the potential for legal pitfalls, and how CINs may fit the greater goal of providing value-based care. - Categories: Marketing Unlock the secrets to mastering your digital marketing efforts with insights from Jeremy Miller, our trusted marketing expert from Boost by Design. Ever faced the headache of losing access to critical digital channels due to employee turnover? Discover how to safeguard your business from such pitfalls by maintaining control over your social media, website, and hosting logins. Jeremy shares invaluable real-world experiences and practical strategies to ensure your marketing campaigns run smoothly, without unnecessary delays or obstacles. But it doesn’t stop there. Grasp the power of data to propel your business forward. Jeremy explains why understanding your analytics is crucial for measuring ROI and refining your strategies. Whether you're running email campaigns or engaging on social media, learn how often to review your metrics and how to leverage them to fuel growth. This episode is a treasure trove of actionable advice, designed to guide you through the complexities of digital marketing and put your small business on the fast track to success. - Categories: SHP News Thanksgiving is a time for reflection and gratitude, and we've got plenty to be thankful for at Strategic Healthcare Partners (SHP) this year. Did you ever think a small team in Savannah could expand globally, adapting to a remote-work world and broadening our reach to navigate the ever-evolving healthcare landscape? Join us as we share stories of growth, evolution, and the milestones that have marked our journey over the years. From welcoming new team members to partnering with stellar firms like Sliced Health and notable individuals like Joe Eberwine from Corstrada, our gratitude extends to those who have played pivotal roles in our success. This episode is both a heartfelt celebration and a candid discussion of how SHP has adapted to shifting market dynamics and how our podcast came to be a platform for sharing these insights. As we recount our transformation from three physical offices to a team of over 40 members spread worldwide, we also offer a glimpse into the changing tides of the healthcare industry, with big players making waves—and sometimes disappearing altogether. Whether you're a dedicated listener or tuning in for the first time, discover the passion and commitment that drive us to keep you informed and engaged with the dynamic world of healthcare. - Categories: Industry News, MIPS/QPP Unlock the intricacies of the 2025 CMS final ruling on the Quality Payment Program with insights from Aaron Higgins of Strategic Healthcare Partners. Get ahead of the curve with the crucial performance threshold of 75 points needed to dodge penalties and the revamped scoring system allowing up to 10 points for full compliance on topped-out measures. As the MIPS program evolves into the more streamlined and specialty-specific MIPS Value Pathways, discover how this shift can benefit your practice with the introduction of new MVPs and modifications, especially in cancer and heart disease care. Through our conversation, you'll gain clarity on the 75% data completeness requirements extending through 2028, the addition of seven new quality measures, and the removal of ten measures, providing a comprehensive view of the changes that await healthcare professionals. As we close the episode, we shine a light on the collective efforts of our committed team behind "Beyond the Stethoscope: Vital Conversations with SHP. " Experience the meticulous work of our executive producers, Mike Scribner and John Crew, our editor, Nyla Weave, and our social media strategist, Jeremy Miller. Discover our transcription process that blends cutting-edge technology with human expertise to bring precision to every episode. Don't miss out on delving deeper into our podcast archives at shpllc. com/podcast, and join the ongoing conversation by connecting with us on Facebook and LinkedIn. We invite your questions and comments to further enrich our discussions and explore the ever-evolving landscape of healthcare together. - Categories: Industry News, Marketing, Other Join us for a compelling conversation with Jeremy Miller from Boost by Design, who lends his expertise on the evolving role of AI in marketing. Jeremy draws our attention to the crucial importance of integrating a human touch amidst the rise of AI tools like ChatGPT and Google’s AI-driven search capabilities. He provides a thoughtful perspective on the potential pitfalls of AI learning from AI—what he terms the "dark force problem"—which can result in content lacking in warmth and personal connection. With AI becoming an integral part of our marketing strategies, Jeremy emphasizes the need for human insight to bridge the gap between technology and authenticity, ensuring businesses maintain trust and relatability with their clients. As we navigate the intersection of AI and healthcare marketing, Jeremy illustrates how AI can be a powerful tool for data collation and strategy development, provided that human experts play a central role in the process. He draws parallels between using AI in healthcare and marketing, advocating for AI as an aid rather than a replacement for human intuition and expertise. By 'filing off the edges,' or refining AI-generated content, businesses can ensure the messaging remains authentic and reliable. This episode is essential listening for those striving to harness AI's potential while safeguarding the irreplaceable value of the human element in digital marketing. - Categories: SHP News After a long summer break and unexpected curveballs, we're back with a special edition marking the transition into season 4. 5! Join us as we share personal stories that have influenced our podcast's new direction and learn how we juggle our roles at Strategic Healthcare Partners with our passion for delivering insightful content. This mini-season promises engaging conversations, a sprinkle of news, and a few surprises along the way as we look ahead to a full-fledged season five launch in early 2025. We're also deeply aware of the recent challenges faced by our southeastern communities due to Hurricane Helene and Milton. As we regroup, our thoughts are with those affected, and we're committed to bringing you concise and informative discussions throughout this mini-season. Expect guest experts to join us, sharing tips and insights across various fields to ensure you leave each episode with something valuable. So, grab your headphones and join us on this re-energized journey as we offer a mix of quick conversations, topical discussions, and valuable insights. - Categories: Advocacy/Legislative, Managed Care, Value Based Care On today’s episode you’ll hear our interview with Mike Scribner and John Crew. We covered a variety of topics, such the No Suprises Act and other regulatory and legislative trends, and the role of Medicare Advantage in Ambulatory Care. We also talked about the impact of traditional Medicare to independent ASC's and the managed care strategies independent ASC's can take and utilize in 2023. - Categories: Advocacy/Legislative, Managed Care, Value Based Care On today's episode, join us as we dive into the world of Value Based trends in primary care markets with guests Mike Scribner, John Crew, and Kelly Mooney. They share their expertise and discuss how independent PCPs will be impacted by these trends in healthcare. They will highlight both Commercial and Medicare arrangements in the marketplace, how practices are impacted by such, as well as how best to thrive and incorporate into an overall managed care strategy. - Categories: ACO, Advocacy/Legislative, ASC, Clients, Clinical, Clinically Integrated Networks, Health Exchange, Hospital, Industry News, IT, Managed Care, Management, Marketing, Materials Management, Medicaid, Medicare, MIPS/QPP, Physician, Revenue Cycle Management, Rural Health, SHP News, Value Based Care Step into the world of healthcare reform with the unique perspective of Congressman Earl "Buddy" Carter, a pharmacist serving in Congress, whose career has taken him from the quaint town of Pooler's mayoral office to the halls of the U. S. Capitol as Georgia's 1st District Representative. Delve into a conversation that traverses the landscape of healthcare legislation, as we dissect Carter's contributions on the Energy and Commerce and Budget Committees, and the transformative bills he passionately supports. The Lower Cost, More Cures Act and the Saving Our Students in Schools Act take center stage, revealing a behind-the-scenes look at their implications and the legislative journey from conception to enactment. Hear how the government shapes the trajectory of healthcare services through the levers of Medicare and Medicaid, alongside the burgeoning telehealth revolution that promises to redefine rural healthcare access. Congressman Carter sheds light on the imperative for high-speed internet to support telehealth innovations and the legislative efforts in motion to combat maternal mortality through the Healthy Moms and Babies Act. As we unravel the threads of bipartisan legislation, such as the Emergency Medical Services for Children Reauthorization Act, it becomes clear how collective efforts across the aisle can forge pathways to superior emergency care for our youngest citizens. Join us for an episode that not only informs but ignites a dialogue on the future of healthcare policy. - Categories: Clinical, Hospital, Industry News, Managed Care Unlock the strategies that are shaping the future of independent physician practices, with our esteemed guests, Sherry Roussarie and Kelly Macken-Marble. Their insights promise to guide you through the maze of leadership challenges, collaboration necessities, and the incisive market strategies that are vital for anyone invested in healthcare's evolution. Drawing from Sherry’s prowess in marketing and payer relations and Kelly’s transition from hands-on nursing to administration, their conversation is a beacon for those navigating the industry, revealing the importance of visionary partnerships like the one at Integrative Care Partners network in fortifying independent practices. Ready to see how technology is sparking a revolution in healthcare? We've got the conversation that maps out the terrain where AI and advanced technology intersect with the day-to-day operations of medical practice. Sherry and Kelly analyze the role of AI in patient care and administrative efficiency, and they dissect the emerging models that are redefining physician practice and hospital administration. This discussion is an invaluable resource for grasping the transformations that tech is driving in healthcare, and how these advancements are creating both challenges and opportunities for providers. We round off our journey with a deep dive into market trends and the core metrics that healthcare CEOs must prioritize. The dialogue transitions from the effects of private equity to how healthcare market dynamics vary across different states, offering a nuanced look at the interplay between health systems and independent practices. We highlight the importance of financial health, employee satisfaction, and innovation as critical success indicators... - Categories: Industry News, Value Based Care Unlock the secrets behind the impact of Certificate of Need (CON) laws on healthcare providers, especially in rural areas, with our special guest, Tom Campanella. Drawing from his extensive experience at Blue Cross and Blue Shield of Ohio, Tom sheds light on the frustrations and inefficacies associated with these regulations. We delve into the critical balance between maintaining an optimal number of healthcare providers and fostering a competitive marketplace. Tom passionately argues that competition is key to driving value-based care and discusses how government regulations can sometimes be more of a hindrance than a help. Ever wondered how non-compete clauses and NDAs are stifling innovation and patient care in the healthcare sector? Join us as we examine the Federal Trade Commission's (FTC) recent ruling against non-competes, exploring its potential to drive innovation, enhance patient choices, and reduce unnecessary legal expenses for practices. We also tackle the pressing issue of cybersecurity, emphasizing the urgent need for a national strategy to combat ransomware attacks and data breaches. The growing demand for cybersecurity consultants across industries is also highlighted, underscoring the evolving landscape of healthcare security. To wrap up our enlightening discussion, we shift gears to the complexities of value-based care and its intricate relationship with value-based reimbursement. Drawing parallels to outdated but still prevalent communication methods in healthcare, we scrutinize different reimbursement methodologies and the challenges faced by hospital CFOs in transitioning to value-based care. Don't miss this engaging and thought-provoking episode. - Categories: ACO, Medicaid, Medicare, Value Based Care In this episode, Aaron Higgins and Jason Crosby share articles about how our providers and children are burning out, and the new cyber security rules and requirements for healthcare facilities that are being prepared by the Biden administration. Then, we are joined by Sean Cavanaugh, CCO / CPO Aledade. Previously he served as Deputy Administrator and Director of the Center for Medicare @ CMS. In this special 2 part series, you’ll hear his viewpoint related to today’s independent primary care physician, the impact of Value Based Care (VBC), and how Aledade supports their practices for success in their ACO. - Categories: ASC, Clinically Integrated Networks To respond to the challenges of health care reform, many health care providers are joining with others to form Clinically Integrated Networks (CINs). Jason will help clear up the vague three letter acronym, CIN. We’ll talk through what a Clinically Integrated Network is exactly, why you should look into joining one, and how they can fit into your provider strategy. Beyond The Stethoscope: Vital Conversation with SHP can found be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. - Categories: Industry News With the recent CMS updates about provider enrollment, we felt that we needed to bring you some timely information about these changes. We sat down with Raquel Grizzard SHP’s Provider Enrollment expert. She has been working in Provider Enrollment since 2014 and has seen her fair share of changes, but none as dramatic as this all at once. We discuss DMEPOS, CHOW Filing, changes to the 8550, the new specialists that have been added, and more. Join Raquel Grizzard as she shares her insight and tricks of the trade for all things Provider Enrollment. - Categories: Industry News, IT, SHP News Join us, as we reminisce on season 4's highlights and look to season 5's promising future in the Fall. From inspiring conversations with awe-inspiring guests to current and impactful news stories, this season has certainly been a journey worth reliving. We recap our interviews with the likes of authors, CEO’s, AI innovators, legislators, and more. Also, a request by the guys. A 5 question survey coming your way to help us in our off-season planning. Remember to stay tuned till the end for a special bonus surprise that we promise, you won't want to miss! The question everyone has been asking... Enjoy the rest of your summer and kickoff to the Fall. - Categories: Advocacy/Legislative, COVID, COVID19 This episode is unique in that we talk live and in person with the mayor of a suburban town that has seen extraordinary growth and posed for more. The perspective of a consumer who has lived in this city all her life, a view as a new city councilwoman during the COVID-19 pandemic, to a newly sworn in mayor. What is such a perspective from someone outside our industry and the work she sees is necessary to improve healthcare in such a thriving suburban town that currently cannot meet the needs of its residents. A great conversation with Pooler, GA Mayor Karen Williams. - Categories: Industry News, Value Based Care Join Aaron Higgins and Jason Crosby as they talk with Thomas Campanella as they pick up where they left off last week in this 2nd half of their discussion. This episode, they talk about recent CON activity and the impact on provider settings. They also touch on Value Based Care and Non-Compete Agreements and the impact such has, in particular, in the rural setting along with Tort Reform concerns. Yep, consider all the world’s problems solved with these 2 interviews. - Categories: Rural Health, Value Based Care Join Aaron Higgins, Mike Scribner, and Jason Crosby as they talk with Thomas Campanella, JD and Healthcare Executive in Residence with Baldwin Wallace University in Cleveland, Ohio. Tom has a vast background and in this 1st of 2 part interview, they talk about the shortages and challenges with primary care in our industry. They also touch on trends and challenges in the rural setting. Both very timely and impactful topics with great insight from Tom. - Categories: Health Exchange, Industry News, SHP News Jason and Aaron talk recent headlines including how the retailers have had a rough last couple of months. They have been all the rage the last few years and a few starting to fall on hard times. The guys talk through a few headlines and stories regarding the about face many have taken so suddenly. And more impact from the ransomware attacks this year and what the HHS is doing about it. We talk through what Change is now responsible for and how such accountability may play out with future attacks. Join us for this discussion and general updates on our podcast schedule. - Categories: Industry News, Managed Care In this podcast episode, we dive into the multifaceted world of employee benefits, highlighting their significance in today's workforce landscape. We get valuable industry insight from SHP’s broker, Matt Usher. We’ll revisit trends and challenges, as well as discuss what Matt is seeing on a daily basis from employers as well as employees. We’ll talk industry wide news as well as things you can look for as you evaluate your health benefit needs. Interested in learning more about Direct Contracting Performance metrics used by employers for proper steerage towards quality providers. If so, Matt has you covered during this “2024 Halftime Benefits” episode. - Categories: Industry News Jason and Aaron talk recent headlines including how Ascension has handled their ransomware attack this past month. Their transparent and timely communication as well as the impact it has had on their facilities. They also talk through Uber Health’s recent product announcements for 2024 and what impact that may have in access for many. Lastly, another report regarding AI. This one being a 50 page IHI report with input from leading tech giants. We talk through the guidelines and concerns expressed for how AI should best be adopted by providers. Join us for this discussion and general update on our podcast schedule. - Categories: Hospital, Industry News, Management, Marketing In this episode, we continue our discussion with Shery Roussarie and Kelly Macken-Marble to discuss the book they co-authored in 2023 that highlights their personal and professional journey that led to a leadership path within our industry. Their stories were so moving in fact, we pull in 2 other SHP team members to help with the interview. Join us as we talk through Two Rivers – The Power of Collaboration and Other Leadership Lessons. - Categories: Clinical, Hospital, Industry News, Managed Care In this episode, we sit down with Shery Roussarie and Kelly Macken-Marble in our first of two episodes. Both have held numerous leadership roles in the practice, vendor, and hospital settings in the Midwest. Most recently, they co-authored the book, Two Rivers – The Power of Collaboration and Other Leadership Lessons, in 2023 on their leadership journey within our industry. We discuss the challenges of remaining independent physician practices, collaboration challenges, and other helpful insights from the fantastic leaders. - Categories: Industry News, SHP News Join Aaron and Jason with their usual shenanigans, but this time with 2 guests that also work at SHP – Ami and Julia. We take a break to talk about the recent FTC rulings regarding non-compete agreements and how they plan to be more aggressive with the trend of data breaches. We’ll also highlight our upcoming episodes with former clients from the Indiana market, Shery Roussarie and Kelly Macken-Marble. These two have had an outstanding career with an abundance of leadership experience. We first talk with them about their CEO challenges, what they learned, and their words of wisdom. The second interview is regarding their book, Two Rivers – The Power of Collaboration and Other Leadership Lessons. During this episode, you will hear from our new Guests to the podcast, Ami and Julia, with their interview of these two wonderful women. Look for those announcements coming soon. - Categories: Clients, Hospital, IT, Physician In this episode, we sit down with Dr. Dean Rottinghaus, serving as the Chief Clinical Officer for QurHealth and Infinity Care Partners. These affiliated companies are pioneering the use of voice-enabled AI and virtual care management across both inpatient and outpatient healthcare settings. Dean's three decades of experience in healthcare, coupled with his determination to confront prevailing industry challenges such as staffing gaps and elevated readmission rates, underpin these transformative efforts. Tune in for an enlightening discussion with Dean, offering valuable insights into these innovative approaches shaping the future of healthcare. - Categories: Hospital, Industry News, Management, Other, SHP News We take a quick break after our first two episodes this season to do a recap of the interviews thus far, Aaron and Jason present the news segment where we discuss recent headlines, and then an update on interviews coming up. In case you did not listen to the first two episodes, we recap the great information shared by both Congressman Buddy Carter and Mayor Karen Williams. We also touch on the recent Change ransomware attacks, Best Buy layoffs, and impact both may have on providers. We then highlight the exciting interviews lined up for the remainder of the season. So, join us again for our new episode on Wednesday April 17th. - Categories: Advocacy/Legislative, COVID, COVID19 This episode is unique in that we talk live and in person with the mayor of a suburban town that has seen extraordinary growth and posed for more. The perspective of a consumer who has lived in this city all her life, a view as a new city councilwoman during the COVID-19 pandemic, to a newly sworn in mayor. What is such a perspective from someone outside our industry and the work she sees is necessary to improve healthcare in such a thriving suburban town that currently cannot meet the needs of its residents. A great conversation with Pooler, GA Mayor Karen Williams. - Categories: ACO, Advocacy/Legislative, ASC, Clients, Clinical, Clinically Integrated Networks, Health Exchange, Hospital, Industry News, IT, Managed Care, Management, Marketing, Materials Management, Medicaid, Medicare, MIPS/QPP, Physician, Revenue Cycle Management, Rural Health, SHP News, Value Based Care Another great episode with a someone that brings a very unique perspective, US Congressman Buddy Carter of Georgia’s first district. Rep. Carter has worn many hats from Pharmacist to business owner, mayor of a suburban town, and for the last 12 years, as the US Representative from Georgia’s largest district. What is such a perspective from someone outside our industry and the work he sees is necessary to improve healthcare in such a thriving suburban town that currently cannot meet the needs of its residents. A great conversation with US Congressman Buddy Carter. - Categories: ASC, Clinically Integrated Networks To respond to the challenges of health care reform, many health care providers are joining with others to form Clinically Integrated Networks (CINs). Jason will help clear up the vague three letter acronym, CIN. We’ll talk through what a Clinically Integrated Network is exactly, why you should look into joining one, and how they can fit into your provider strategy. Beyond The Stethoscope: Vital Conversation with SHP can found be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. - Categories: ACO, Industry News, Management We are joined by Tyler Barnett and Matthew Nichols, PhD of University Hospitals out of Cleveland OH, where they discuss the popular project and goal-setting framework known as OKRs, or Objectives and Key Results. As leaders within the Population Health and Analytics team at UH, and training in OKRs, they breakdown the OKR methodology, highlight specific examples of how UH has implemented it and ways that your organization can as well. Beyond The Stethoscope: Vital Conversation with SHP can found be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. - Categories: Marketing In this episode, Aaron Higgins & Jason Crosby discuss some recent headlines about some recent cyber attack class action lawsuits and the HHS Information Blocking rule taking effect. We start with a replay of our very first episode with Scott Regan, Managing Partner at LeadWorks, LLC, who sat down with us to discuss what the “experience economy” really means for healthcare. Great insight into how best to interact with your patient for a more engaging, loyal, and profitable experience. Learn more about LeadWorks on their website. Scott Regan can be found on LinkedIn. Beyond The Stethoscope: Vital Conversation with SHP can found be found on all podcast apps including Spotify, Apple Podcasts, & Amazon. - Categories: SHP News Join Aaron and Jason today as they highlight the upcoming season, interviews, schedule, and a very important question between cohosts. Then, join us the following day on March 13th as an appetizer for Season 4. We start with a replay of our very first episode with Scott Regan, Managing Partner at LeadWorks, LLC, who sat down with us to discuss what the “experience economy” really means for healthcare. Great insight into how best to interact with your patient for a more engaging, loyal, and profitable experience. - Categories: Health Exchange, SHP News Prepare to voyage Beyond the Stethoscope with us, as we reminisce on season 3's highlights and look to season 4's promising future. From inspiring conversations with awe-inspiring guests to heartwarming news stories and thrilling travel plans, our podcast has been a journey worth reliving. Brace yourselves for an exciting ride through the unchartered territories of the future of healthcare, where disruptors are on the rise and AI, virtual care, and M&A activities are all set to change the game. This episode, we also put a spotlight on Kroger's successful model of serving healthcare right where the people are. Join us in celebrating the spirit of Christmas, reflect, unwind, and soak in the magic of the season. Remember to stay tuned till the end for a special bonus surprise that we promise, you won't want to miss! - Categories: Industry News, Management, Value Based Care Get set to untangle the intricacies of health insurance with us and our esteemed guest, Matt Usher. We promise you a guided tour through escalating out-of-pocket maximums, specialty medication costs, and their implications on the affordability of health insurance plans. We shed light on why employers need to consider alternative plans to lessen the financial strain on employees. Moreover, we analyze the latest shifts in the health insurance industry, such as the Humana / Cigna merger, and what they mean for the future of health insurance in businesses. Brace yourself for an insightful ride into the pulsating world of health insurance, with a special emphasis on the industry's recent mergers stimulated by the competitive prescription benefit management market. Tune in and increase your knowledge about how the Biden administration might influence these mergers. We also present invaluable advice for both employers and employees on how to evaluate their plans, comprehend the market they're dealing with, and become smarter health care consumers. Our discussions on the significance of self-funded arrangements and the power of making informed decisions about where to seek care serve as potent strategies to save money for everyone involved in the plan. This episode is a perfect opportunity to arm yourself with the understanding needed to confidently navigate the health insurance market. - Categories: Industry News, Management, Value Based Care Are you ready to unravel the labyrinth of insurance trends in the small business sector? We've got you covered! We welcome insurance broker Matt Usher to our show who shares his knowledge on an array of topics. From understanding premium hikes, exploring alternative solutions for businesses against increasing costs, to the innovative designs like HSA plans in the post-COVID era, we leave no stone unturned. And that's not all; stay on the line to hear more from Matt on HSA out-of-pocket maximums in our upcoming episode. As we traverse the complex terrains of healthcare costs, we shed light on how insurance companies master the tightrope walk between profitability and providing quality care. We dissect the budding trend of reference-based pricing and how it could metamorphose employers' health insurance offerings. In a riveting section, we address the steep cost of specialty medications in employer healthcare. From financial assistance programs to international sourcing, we showcase potential solutions to counteract the soaring costs of specialty medications. This exchange is a crucial one, as we delve deep into the current and future scenarios of healthcare costs and insurance. So, lend us your ears for these vital conversations that promise to enlighten and empower. - Categories: MIPS/QPP A reminder to join Aaron and I for part 2 of our QPP discussion. Aaron will further discuss the MVP program, the new Population Health measure, and other updates with APM’s. He will also share his thoughts on what you need to focus on now to be best prepare and how to best manage throughout the year for maximum benefit. - Categories: MIPS/QPP Are you ready to master the CMS Quality Payment Program changes for 2024? Buckle up as we, your co-hosts Jason Crosby and Aaron Higgins, equip you with the necessary knowledge to navigate these changes. We unpack the crucial amendments, including participation in traditional MIPS, alternative payment models, and the MIPS value pathways. We also delve into the changes that didn't make the cut, and provide an in-depth understanding of the performance expectations for the four categories of QPP: quality, cost, improvement activities, and promoting interoperability. As the conversation continues, we shed light on the adjustments to the Promoting Interoperability category for the 2020 MIPS reporting period and introduce you to the MIPS Value Pathways Program (MVP). From the removal of the base and performance score to the introduction of the Promoting Interoperability performance score, and the mandatory Safer Guidelines measure, we cover it all. We also discuss the transformations in the Improvement Activities and Cost categories and how MVP influences traditional MIPS participation. Gain insights on how these changes can be strategically navigated for an optimal performance and a reduced administrative burden. - Categories: Industry News, Management, MIPS/QPP, Physician Ever wondered why so many physicians are leaving their profession? What if we told you that 63% of them are experiencing symptoms of burnout and over 117,000 have quit in the past year alone? Join us, your hosts Aaron Higgins and Jason Crosby, as we unpack the harsh realities of physician burnout and the alarming rise in cyber attacks in the healthcare industry. Our conversation takes us on a journey through recent news headlines as we shed light on these issues with a surge of anxiety-inducing statistics. We also explore how technological advancements such as AI could potentially lighten the administrative load on healthcare providers, thereby reducing stress levels and keeping more doctors in the profession. But the problems don't stop there. Did you know that an astonishing 88% of healthcare organizations report an average of 40 cyber attacks in the past year? We delve into the costly repercussions of these attacks, highlighting their disruptive impact on operations and potential consequences on patient care. As we sound the alarm on the need for enhanced cybersecurity measures, we also share actionable tips on how organizations can protect themselves. The future of healthcare is a complex web of challenges and opportunities, and we're here to guide you through it. So, buckle up and stay tuned for our next episode where we'll dive into the 2024 final rule and its implications on MIPS and QPP. This is a conversation you won't want to miss! - Categories: Industry News, SHP News Are you ready to take stock and contemplate gratitude? We're doing exactly that in the latest episode of Beyond the Stethoscope. Join us, Jason Crosby and Aaron C Higgins, as we muse over the last year - the highs, the lows, the triumphs, and the challenges. We're sharing our gratitude for our families, the exceptional team at SHP, and you, our dedicated listeners who inspire us to keep going. As we wind down the year, we're excited about the enlightening episodes coming your way. We'll be discussing the QPP Final Rule for 2024 - a topic crucial for those keeping an eye on MIPS. Finally, we'll conclude the season with a thought-provoking conversation with Matt Usher, SHPs insurance broker. We'll be addressing the 2024 health plan challenges from the viewpoint of both the employee and employer. This episode will be for everyone who interacts with healthcare. Don't miss this opportunity for insight and growth on Beyond the Stethoscope. Tune in! - Categories: Clinical, Management, Physician A reminder to join Aaron and Jason for part 2 of their interview with Craig Kilgore. They’ll continue their discussion around the challenges remaining an independent private practice from the specialist point of view. Among the challenges being staff retention, growth strategies, and advice for those just joining the stressful profession. Great insight you won’t want to miss from an experienced and successful CEO. - Categories: Industry News, IT, Managed Care, Management, Physician Join us for our interview with Craig Kilgore, CEO of Coastal Vascular & Vein Center in Charleston, SC. Craig has served in IT, Finance and Administrative executive roles for multiple and successful independent specialty groups in the Southeast. During his 30+ years in the practice setting with these groups, needless to say, Craig has encountered the many challenges independent physicians face. More importantly, how to best thrive in our continuously evolving landscape. We’ll talk through these challenges and strategies for the independent practices with Craig. Join us as we continue with our provider discussion focus this season. - Categories: Industry News, MIPS/QPP Curious about what the latest headlines in the health sector mean for you? Join us for a vital conversation with Jason Crosby & Aaron Higgins where we dissect the implications of the proposed HHS crackdown on information sharing and explore its potential to revolutionize patient data flow across different care settings. We delve into the consequences of non-compliance, especially for hospitals & practices participating in MIPS, offering insights that providers and other stakeholders will find incredibly enlightening. In addition, we reflect on the first anniversary of the 988 suicide and crisis hotline, evaluating its impact and the challenges it faces. Our discussion uncovers the urgent need for more local resources for the hotline and the strides it has made in advancing mental health initiatives. We also discuss the open enrollment of the ACA health plans. What are the things to be on the lookout for going forward as more people become eligible for these plans. Wrapping up, we share a sneak peek into our upcoming interview with Craig Kilgore. With subject matter that impacts us all, this episode is a treasure trove of essential health sector insights. Don't miss it! - Categories: Hospital, Rural Health, Value Based Care Join Mike Scribner and Jason Crosby for Part 2 of our interview with Damien Scott, CEO of Emanuel Medical Center in Swainsboro Georgia. As we wrap our conversation, we continue talking with Damien about how organizational culture has evolved, what he and his team have found most impactful, how staffing challenges in today’s environment impacts their planning, and how payers and their respective plan evolution is embraced strategically. - Categories: Hospital, Rural Health, Value Based Care In this two-part interview, Jason is joined by SHP Principal Mike Scribner as they interview Damien Scott, CEO of Emanuel Medical Center in Swainsboro Georgia. They discuss his unique background and how he got into healthcare administration, which includes his experience as a Physical Therapist. This unusual approach to leadership has provided him with some unique insights into healthcare works from the clinical perspective, as well as well as how it should work to best meet the needs of a rural community. Join us as we talk through quality, the challenges in finding providers, and how the healthcare scene continues to change. - Categories: Health Exchange, Hospital, Industry News, Management The post-COVID healthcare landscape is riddled with burnout and heightened tensions. Are you equipped to navigate these challenges? Join us as we converse with Allison Griffin, a healthcare stalwart with over three decades of experience, who shares profound insights into maintaining a healthy work-life balance amidst this turmoil. Allison peels back the layers on the long-term impacts of the pandemic on healthcare providers and staff, the dire need for self-care, and the essential role of leadership in burnout prevention. Gear up to discover pragmatic tools for dealing with workplace stressors in the healthcare sector. We delve into the importance of a robust code of conduct policy and the role of federal laws in safeguarding workers from discrimination and hostility. Allison divulges the intriguing concept of a patient-provider agreement implemented in her practice to manage unruly behaviors. We also take a fascinating look at the American Medical Association's Organizational Biopsy assessment tool. Listen in today for a comprehensive understanding of managing workplace stress and preventing burnout in the healthcare sector. - Categories: Industry News, SHP News Are you ready to embark on a new journey with 'Beyond the Stethoscope: Vital Conversations with SHP'? We're kicking off our third season with a bang! Join us, your hosts Aaron C. Higgins and Jason Crosby, as we celebrate our first podcast anniversary and revel in crossing over 1,000 listens. Looking back, we've had a spectrum of engaging interviews and explored a variety of formats, but this season, we have a truly impressive lineup of guests to introduce. We're starting this season off with a deep dive into the latest developments in the healthcare industry. We'll discuss Costco's unexpected step into healthcare and explore how a Mark Cuban-sponsored study on price transparency reveals some big discrepancies. Then we look into the future... of our podcast! This season, we shift our focus to feature conversations with CEOs of successful, independent practices and hospitals. We can't wait to introduce you to some of our upcoming guests: Damien Scott, CEO of Emmanuel Medical Center in Georgia, Kelly Mackin-Marble, CEO of Oswala Medical Center in Wisconsin, and some more stellar "in the trenches" guests. Get ready for a season filled with enlightening discussions and invaluable insights. Let's go beyond the stethoscope together! - Categories: ACO, Industry News, Value Based Care In this episode, Aaron Higgins and Jason Crosby share articles about how our providers and children are burning out, and the new cyber security rules and requirements for healthcare facilities that are being prepared by the Biden administration. Then, we are joined by Sean Cavanaugh, CCO / CPO Aledade. Previously he served as Deputy Administrator and Director of the Center for Medicare @ CMS. In this special 2 part series, you’ll hear his viewpoint related to today’s independent primary care physician, the impact of Value Based Care (VBC), and how Aledade supports their practices for success in their ACO. - Categories: Industry News, IT, Managed Care In this episode, Jason Crosby and Aaron Higgins provide a quick overview of the PFS Final Rule that released at the end of October. Then Jason talks with Joe Ebberwein. Joe is the Co-founder and Chief Financial Officer of Corstrata, a technology-enabled care management solution focused on improving outcomes for wound and ostomy patients. We gain data-oriented insight into this often-neglected area of care and how Corstrata is working on solving this care gap; then, they discuss how virtual care and telehealth are viable solutions for any provider to utilize. - Categories: Industry News, Value Based Care On today’s episode, Jason shares an article about how Mark Cuban is expanding his low-cost pharmacy project. And Aron shares about how charging for digital messages may be on shaky ground. Jason sits down with our guest Steve Adams. A Certified Professional Coder Instructor with InGauge Healthcare Solutions with more than 20 years-experience with training others how to code in all arenas of care. Steve dissects the coding changes for 2023 in the Final Rule, including E&M, new G-codes, and screening reimbursements. - Categories: Hospital, SHP News With the recent CMS updates about provider enrollment, we felt that we needed to bring you some timely information about these changes. We sat down with Raquel Grizzard SHP’s Provider Enrollment expert. She has been working in Provider Enrollment since 2014 and has seen her fair share of changes, but none as dramatic as this all at once. We discuss DMEPOS, CHOW Filing, changes to the 8550, the new specialists that have been added, and more. Join Raquel Grizzard as she shares her insight and tricks of the trade for all things Provider Enrollment. - Categories: SHP News Welcome to the Season 3 Teaser Trailer for "Beyond the Stethoscope: Vital Conversations with SHP"! Hosts Aaron C. Higgins and Jason Crosby give you an exciting glimpse of what's coming up in the new season. Get ready for engaging discussions, the latest healthcare headlines, insightful interviews, and a touch of healthcare humor. A brand-new season of "Beyond the Stethoscope: Vital Conversations with SHP. " Season 3 is on its way October 11, 2203, so stay tuned for more enlightening episodes that empower and educate. We're excited to have you onboard for another round of insightful conversations and vital discussions. Stay curious and stay connected with Strategic Healthcare Partners! What to Expect in Season 3: Discover the success stories of Practice Administrators who have overcome challenges and found innovative solutions. Gain inspiration from Hospital CEOs and CFOs as they share how they've turned obstacles into opportunities. Hear firsthand accounts from Physician clients about the transformative impact of SHP's services on their practices. Explore the world of data-driven healthcare through insights from clients who have utilized SHP analytics. Stay ahead in the healthcare landscape with expert discussions on the latest trends and topics. Stay updated on the 2024 Quality Payment Program changes through our dedicated segment. "Greatest Hits" Repeats: Before Season 3 kicks off, enjoy memorable moments from some of our past episodes. Every week in September, before Season 3 starts, relive thought-provoking discussions that made you laugh, ponder, and connect. Stay Connected with SHP: Explore all podcast episodes, resources, and more... - Categories: SHP News In our last episode part of this 4 episode series, as well as last for Season 2, Jason Crosby and Aaron Higgins discuss the leadership style of the Yellow Tux himself, Jesse Cole, and how his passion and energy is shared across Banana Land. In continuing of the series highlights, they recall case studies by their very first guest last season, Scott Regan, and how the leader can directly walk in the shoes of their patients. With the detailed insight into the game experience, further discussion on the culture comparisons highlight this last episode. So, put on your yellow tux, grab a Slippery Banana, and listen in as they wrap up the season with highlights of the differences in culture and opportunities in creating fans of the provider setting. - Categories: Industry News, SHP News This Wednesday, Episode 3: "The Triple Aim Meets the... Breakdancing First Base Coach" In the 3rd part of a 4 episode series, Jason Crosby and Aaron Higgins peel back the magic a little bit more behind the Fans First culture of The Savannah Bananas and pick up where they left off with our culture comparisons. This week, they look more into the experience once you’ve entered the gates for the game and discuss how the team members serve as the charge behind the energy in the stadium. They then compare that to a lack of staff engagement in a practice setting that sets a tone for the overall patient experience during that first call to schedule their appointment. Listen in as they compare these interactions and value adds that highlight the differences in culture and opportunities in creating fans of the provider setting. - Categories: Industry News, SHP News Most in our industry have heard of, or read the book, “What if Disney ran your hospital? ” In this episode, our host Jason Crosby starts a series in the same light as the well followed book, but in comparison to a nation-wide phenom, The Savannah Bananas. Yep, the baseball team from South Georgia that has figured out how to sustain what they call "Fans First". Join Jason as he kicks off the series, “What if your healthcare provider went bananas? ” as he highlights how the baseball team captures your attention and how a physician practice may learn something. - Categories: Industry News, SHP News In this episode, Jason and Aaron follow up last week with part 2 of our series, “What if your healthcare provider went Bananas? ” We’ll talk about patient and fan engagement and how the fan experience can translate to our industry. And the correlation to the good old Triple Aim we are all familiar with. So, let’s look into how patient and staff engagement may benefit from this Fans First mentality. Get your banana suit, or tux ready, and let’s go Bananas... . - Categories: IT As our reliance on technology in healthcare grows, so does the threat of cyber criminals. In this podcast Aaron & Jason sit down with cyber-security experts from Seimitsu, a Savannah-based IT solutions company, Matt Defore & Randal Humphries. They discuss some of the biggest digital threats facing healthcare organizations today and what simple steps can be taken to solidify your company's defenses. Join us for this week's Beyond the Stethoscope: Vital Conversations with SHP as we dive into the world of cyber warfare. - Categories: Industry News Aaron Higgins and Jason Crosby talk all about AI and how it is already starting to impact healthcare. We start to explore the AI-health revolution and how it's already shaping the industry. From smarter hospitals to better patient outcomes, the possibilities are endless. And we've got news articles stacked higher than a tower of circuit boards, all highlighting how companies are planning to implement AI to help make hospitals smarter, safer, and better for staff. - Categories: Marketing In this episode, we explore the world beyond medicine and delve into an often overlooked aspect of the healthcare business. Jeremy Miller from Boost by Design joins us as our special guest. Jeremy navigates us through the complex world of digital marketing, breaking down the technical jargon and providing helpful suggestions on how to approach this underappreciated but vital strategic tactic. - Categories: Industry News In today's episode, Jason and Aaron dive deep into some of the most pressing and timely healthcare news headlines. Our discussion includes proposed changes to prior authorizations, which have the potential to save billions in employee costs, and Best Buy's expansion of its at-home healthcare service by partnering with healthcare systems. Additionally, we explore the pediatric mental health crisis, a growing problem that requires urgent attention, and the fact that medical debt is predominantly owed to hospitals. - Categories: Management In this episode, Jason & Aaron sat down with Tyler Barnett and Matthew Nichols, PhD, from University Hospitals in Cleveland, OH. They discuss the powerful goal-setting framework known as OKRs, or Objectives and Key Results. As leaders within the Population Health and Analytics team at UH, and with expertise in OKRs, Tyler & Matt dive deep into the OKR methodology, share specific examples of how UH has successfully implemented OKRs, and provide insights on how your organization can benefit from OKRs. - Categories: Industry News With the recent CMS updates about provider enrollment, we felt that we needed to bring you some timely information about these changes. We sat down with Raquel Grizzard SHP’s Provider Enrollment expert. She has been working in Provider Enrollment since 2014 and has seen her fair share of changes, but none as dramatic as this all at once. We discuss DMEPOS, CHOW Filing, changes to the 8550, the new specialists that have been added, and more. Join Raquel Grizzard as she shares her insight and tricks of the trade for all things Provider Enrollment. - Categories: Clinical During this episode, we interview Dr. Dean Rottinghaus, who has successfully launched and managed a hospital-based Diabetes Management Clinic for Jenkins County Medical Center in Millen, GA. Dean has taken his previous 30 years of healthcare experience and desire for effective treatment options for those with chronic conditions and found a cost-effective way to help those in need of Diabetes management. He provides condition background, statistics, and treatment options we can all adhere to. - Categories: Industry News In today's episode, our hosts Jason Crosby & Aaron Higgins go over our new format and then jump into four news headlines with some generally positive news: There's been a marked drop in healthcare debt since 2020, Mark Cuban's Cost Plus Drug Pharmacy could save the country billions in medication costs, the FTC may be pumping the brakes a bit on the rapid changes in the retail healthcare race, and finally can AI tools like ChatGPT help overworked clinicians? - Categories: Industry News In today’s episode Jason Crosby and Aaron Higgins look into the future of retailers in the healthcare space. Throughout Season 1, we often discussed how retail giants like Amazon, Walmart, and even Best Buy have waded into the waters of healthcare delivery and they're promising disruption. In this outsized episode, we really unpack what this means for healthcare in the coming years. - Categories: Advocacy/Legislative, Managed Care, Value Based Care On today’s episode you’ll hear our interview with Mike Scribner and John Crew. We covered a variety of topics, such the No Suprises Act and other regulatory and legislative trends, and the role of Medicare Advantage in Ambulatory Care. We also talked about the impact of traditional Medicare to independent ASC's and the managed care strategies independent ASC's can take and utilize in 2023. - Categories: Advocacy/Legislative, Managed Care, Value Based Care On today's episode, join us as we dive into the world of Value Based trends in primary care markets with guests Mike Scribner, John Crew, and Kelly Mooney. They share their expertise and discuss how independent PCPs will be impacted by these trends in healthcare. They will highlight both Commercial and Medicare arrangements in the marketplace, how practices are impacted by such, as well as how best to thrive and incorporate into an overall managed care strategy. - Categories: Clinically Integrated Networks In this episode, Jason shares with us the results of a study that shows PCPs may be unfairly punished with poor MIPS scores. Aaron shares a warning about two different crypto viruses targeting healthcare organizations. And we briefly discuss our upcoming season 2. Then, Aaron sits down with our very own Jason Crosby to talk about CINs, how they work, how to start or join one, the keys to a successful CIN, the potential for legal pitfalls, and how CINs may fit the greater goal of providing value-based care. - Categories: Revenue Cycle Management On today’s episode, Jason shares an article about how Mark Cuban is expanding his low-cost pharmacy project. And Aron shares about how charging for digital messages may be on shaky ground. Jason sits down with our guest Steve Adams. A Certified Professional Coder Instructor with InGauge Healthcare Solutions with more than 20 years-experience with training others how to code in all arenas of care. Steve dissects the coding changes for 2023 in the Final Rule, including E&M, new G-codes, and screening reimbursements. - Categories: MIPS/QPP In this episode, Jason shares with us a few of the "Top 10 Digital Health Stories of 2022" and Aaron discusses a recent survey that shows 6 out of 10 patients have had a poor experience with healthcare in the last year. Then we tease a bit about our upcoming changes in season 2. Then Jason interviews Aaron about the Quality Payment Program (QPP). The program has continued to evolve in the last several years, and this year is no exception. Aaron goes into some of the history of how QPP came about, where the program is heading, and what practices need to be doing now to prepare for it. - Categories: Management In this episode, Jason shares a report that shows that hospital safety improved prior to the COVID-19 pandemic, but did the pandemic erase all our progress? And Aaron shares how workers in all sectors are taking more sick time, but not for the reasons you might think. Then, we both sat down with Kristin Woodlock, CEO of Woodlock & Associates. For years, Kristin has worked with healthcare organizations as both an advocate and a champion for behavioral health. Kristin now helps organizations work through complex decision-making challenges and develop better methods of communication. We dive into the realm of leadership. In particular with regard to leading during a time of change and innovation. We further discuss the art of feedback and how best to manage such and develop as a core skill set within your organization. - Categories: Revenue Cycle Management In this episode, Jason shares about a recent study showing that Telehealth is here to stay. And Aaron talks about the growing attitude in Washington about mandating cyber security in healthcare. Then Jason sits down with Troy Reichert, the Chief Revenue Officer of Coral, where he oversees all business development strategies working with advisors, medical providers, and industry leaders to expand the adoption and utilization of self-funded medical plans and direct provider relationships. He is an “evangelist” for free market healthcare, fair & transparent pricing and choice for employers, employees, and individuals. His TPA established one of the most successful direct contract programs putting doctors. - Categories: Clinical In this episode, Jason Crosby and Aaron Higgins provide a quick overview of the PFS Final Rule that released at the end of October. Then Jason talks with Joe Ebberwein. Joe is the Co-founder and Chief Financial Officer of Corstrata, a technology-enabled care management solution focused on improving outcomes for wound and ostomy patients. We gain data-oriented insight into this often-neglected area of care and how Corstrata is working on solving this care gap; then, they discuss how virtual care and telehealth are viable solutions for any provider to utilize. - Categories: ACO, Medicare, Value Based Care In this episode, in the headlines, Jason Crosby and Aaron Higgins discuss the growing helium crisis for MRIs and how the pool of volunteer health transportation drivers is shrinking at an alarming rate. Are we heading for a great volunteer resignation? Then, we continue with part two of the interview that Mike Scribner & John Crew had with Aledade CCO / CPO Sean Cavanaugh. Where they will wrap up their discussion about value-based care: where it is going, how organizations like Aledade can help, and what this ultimately means for patient care. - Categories: ACO, Medicare, Value Based Care In this episode, Aaron Higgins and Jason Crosby share articles about how our providers and children are burning out, and the new cyber security rules and requirements for healthcare facilities that are being prepared by the Biden administration. Then, we are joined by Sean Cavanaugh, CCO / CPO Aledade. Previously he served as Deputy Administrator and Director of the Center for Medicare @ CMS. In this special 2 part series, you’ll hear his viewpoint related to today’s independent primary care physician, the impact of Value Based Care (VBC), and how Aledade supports their practices for success in their ACO. - Categories: ACO, Medicare, Value Based Care In this episode, Aaron Higgins & Jason Crosby discuss how major retailers are entering into the healthcare space and are likely going to shake things up and they talk about how popular telemedicine has become and how most states are scaling it back. Then Jason & Mike Scribner finish the 2-part interview with our guest, LeadWorks LLC CEO & founder, Scott Regan. Scott talks to us about the experience economy and how healthcare is not immune from its effects. Learn more about LeadWorks on their website Scott Regan can be found on LinkedIn - Categories: Marketing In this debut episode, Aaron Higgins & Jason Crosby discuss some recent headlines about some recent cyber attack class action lawsuits and the HHS Information Blocking rule taking effect. Then Jason & Mike Scribner sit down in a special 2-part interview with our guest, LeadWorks LLC CEO & founder, Scott Regan. Scott talks to us about the experience economy and how healthcare is not immune from its effects. Learn more about LeadWorks on their website Scott Regan can be found on LinkedIn. ## Webinars - Categories: Managed Care, Management, Medicaid, Medicare This webinar showcases how rural and Critical Access hospitals can strengthen financial sustainability by combining insurance discovery, presumptive charity/FAP classification, and reimbursement intelligence inside existing billing workflows. The session will include provider-class results and case-study examples from Effingham Health System and Jenkins County Medical Center. Objectives Identify missed Medicaid and other insurance coverage before accounts are written off or reclassified. Improve the accuracy of charity/FAP determinations using presumptive, policy-driven financial intelligence. Support DSH, ICTF, and directed-payment reimbursement with defensible audit detail. Reduce manual work by returning structured outputs into existing billing workflows. Understand the provider CFO/CEO perspective on operational value, reimbursement lift, workflow integration, and audit readiness. Presenters Mike Scribner, Principal, Strategic Healthcare Partners James Zadoorian, Ph. D. , Managing Principal, ARxChange Antoine Poythress, CFO/COO, Effingdam Health System Facilitated by Jason Crosby, VP Network Integration & Strategic Planning, Strategic Healthcare Partners - Categories: Managed Care, Management Tuesday, January 6, 2026 12:00PM - 1:00PM EST Presented By: Mike Scribner, Principal - Strategic Healthcare Partners, LLC Creating and assessing a managed care strategy can be overwhelming due to market nuances, products, and provider shifts; just to name a few obstacles. We will outline how best to simplify your approach and dive into the key pillars of such planning. This includes key components such as provider enrollment, contract language review, negotiation tactics, and analytics to best develop a manageable plan by payor and product. We will also highlight trends in policy, revenue cycle analysis, relationship management, and performance review necessary to assess your payors. Afterwards, you should have more tactics to build leverage and level the playing field. Session Objectives: Present recent and current market trends. Data to support other presentation objectives. Outline of best practices and recommendations. - Categories: ASC This webinar reviews the GA ASC Semi-Annual Conference from August 2025, highlighting how data analytics can further an ASCs ability to strengthen their managed care contracting efforts. We'll cover how to extract key data points from PM systems, how to manipulate in a meaningful manner, and an effective outcomes analysis to negotiate favorable rates, demonstrate value to payers, support alternative payment models, and align ASC operations with data driven objectives. - Categories: Hospital, Industry News, Managed Care, Management, Other In August 2025, SHP hosted Attorney Michele Madison of Bradley Arant Boult and Cumming, who provided critical insights into Georgia’s Tort Reform legislation, highlighting components of Senate Bill 68 and Senate Bill 69 which passed during Georgia’s 2025 Legislative Session. Tort reform was a signature legislative achievement of the most recent legislative session in Georgia so please take a moment to revisit with Michele who covered regulatory changes, policy updates, implementation timelines and impacts on the healthcare industry. - Categories: ASC, Managed Care, Revenue Cycle Management This presentation, conducted at the GA ASC Semi-Annual Conference in August 2025, highlighted how data analytics can further an ASCs ability to strengthen their managed care contracting efforts. Attendees learned key data points to extract from their PM systems, how to manipulate in a meaningful manner, and an effective outcomes analysis to negotiate favorable rates, demonstrate value to payers, support alternative payment models, and align ASC operations with data driven objectives. - Categories: Hospital, Industry News, Management, Physician, Rural Health Join our upcoming webinar on August 11th to explore how community hospitals and medical practices can proactively prepare for potential tariff impacts. Learn actionable strategies to manage rising supply costs, optimize procurement, and strengthen financial resilience. We’ll cover how to effectively work with your vendors, review and leverage GPO contracts, and best understand your terms to minimize disruptions. Our Materials Management expert will share insights to help your organization navigate economic uncertainty and maintain operational stability amid evolving trade and tariff policies. Facilitator: Mike Scribner Guest / Expert / SME: Phil Church, Materials Management Consultant - Categories: Rural Health What you'll walk away with: ● Understand the clinical and financial burden of unmanaged wound/ostomy care in rural hospitals ● Discover real-world strategies to strengthen documentation, staffing, and compliance ● Learn how virtual specialty consults can unlock new revenue and reduce transfers ● Access tools and funding to support a scalable wound/ostomy program - Categories: ASC, Managed Care We were honored to present to a group of ASC Orthopedic Executive associations in GA, SC, TN, AL, FL, MO, KS, AR, and OK on May 1st – Managed Care Tactics and Strategy. Topics including creating and assessing a managed care strategy can be overwhelming due to market nuances, products, and provider shifts; just to name a few obstacles. We will outline how best to simplify your approach and dive into the key pillars of such planning. This includes key components such as provider enrollment, contract language review, negotiation tactics, and analytics to best develop a manageable plan by payor and product. We will also highlight trends in policy, revenue cycle analysis, relationship management, and performance review necessary to assess your payors. Afterwards, you should have more tactics to build leverage and level the playing field. - Categories: Hospital, Physician Join us for an exclusive webinar designed for primary care and specialty physicians, where we will provide critical insights into the latest market trends and legislative developments impacting the industry. Our expert panel will cover regulatory changes, policy updates, and emerging managed care trends that may affect your operations and strategic planning. - Categories: Medicare With so many changes occurring for Georgia’s Medicaid population, please join us for an update on Medicaid Unwinding, Medicaid Managed Care Reprocurement and Medicaid Expansion via Georgia Pathways to Coverage. This webinar covers latest news (as of 11/2/2023) about the ongoing changes for the Georgia patient population. - Categories: Industry News, Medicaid Join us for the recording of the insightful webinar on 'Tracking Medicaid Developments in Georgia' from Oct 24, 2023. We've discussed pivotal topics like Medicaid Unwinding, Medicaid Managed Care Reprocurement, and Medicaid Expansion through Georgia Pathways to Coverage. Learn about the latest updates as we guide you through the evolving landscape for Georgia's Medicaid population. - Categories: Managed Care, SHP News Mike Scribner and Kelly Mooney recently presented to the Southeast Association of Orthopaedic Executives. They discussed market trends with Medicare and Medicare Advantage, and how to best position your provider organization as part of an overall Manage Care strategy. They also touch on payer performance, new carriers into the market, and negotiation tactics. See the PowerPoint here. - Categories: MIPS/QPP CMS released the Final Rule for Quality Payment Program for 2023 which will shape the way the whole mixed bag of acronyms (MIPS, APMs, & MVPs) work starting on Jan 1, 2023. - Categories: MIPS/QPP CMS released the Proposed Rule for Quality Payment Program for 2023 which will shape the way the whole mixed bag of acronyms (MIPS, APMs, & MVPs) work starting on Jan 1, 2023. - Categories: Managed Care, Medicaid, Other Georgia’s Department of Community Health (DCH) is preparing to reprocure its Medicaid managed care contracts (currently held by Amerigroup, CareSource and Peach State Health Plan). DCH’s selection process will begin later this year/early next year for new contracts to go-live on 7/1/2024. In addition to our existing payers, there are at least six new payors interested in the new Medicaid contract; which you have likely seen in ongoing outreach from those payors. Since we are going to be working with a minimum of nine potential bidders and multiple moving pieces, SHP is pleased to announce an upcoming Medicaid Reprocurement webinar to discuss the following: DCH’s Goals for their Next Medicaid Managed Care Cycle Who are the new payors interested in Georgia? What are our next steps to managing this reprocurement cycle? We look forward to talking with you soon. Thank you as always for the opportunity to be of service. Click the button below to register. - Categories: Advocacy/Legislative Please join SHP’s Legislative Affairs Team for a recap of key legislation from the 2021 session and to understand what bills will impact you in the coming year! - Categories: ASC, Value Based Care Value-Based Care has finally come for the specialists... ... the first specialist based value models have arrived, primarily addressing bundled payments or site of care redirections. But beyond that, your primary care referral base are taking on more risk in managing the full direction and scope of care. Their value models have matured and they are accessing data and quality results on your services; including unit reimbursement, cost, volume, case mix scenarios, quality results, and overall margin targets for your payer strategy. So how do independent specialists and ASCs develop relationships as the preferred downstream provider in a value-based shared savings model? Join us to learn more about this and how you drive increased volume by becoming the preferred value based partners for your primary care community. As usual, registration ahead of time is required. Please do so today! - Categories: ASC, Managed Care To many, managed care is managed care. But with the leverage and bottom-line impact of an ASC to a physician group or hospital system, planning a specific strategy is essential to account for market forces that have significantly changed the landscape in the last twelve months. We will cover such managed care topics as: How managed care differs for ASC’s to your practice revenue stream. How does the No Surprises Act impact in- vs. out-of-network strategies? Contract strategy and negotiation. How the insurance market has changed; diminishing the big five payers. New ASC reimbursement methodologies hitting the market - Categories: COVID As follow up to recent updates and webinars, join us on February 17th as we discuss the latest on the ARP payments and HHS reporting guidelines. We will cover important items such as the reconsideration portal to what is required as part of your reporting guidelines. Please let us know of any questions as well beforehand, and we will be sure they are addressed. - Categories: COVID The CMS Vaccine Mandate for Medicare certified facilities is moving forward. Please join us to learn more about how this will impact providers across the healthcare delivery system. - Categories: Advocacy/Legislative Today marks the start of the second-half of the 2021-2022 GA Legislative Session. Register today to join SHP and our partners at Capitol Strategy Group, for a GA Legislative Update on January 12th at 12:00 pm. We will review 2021's Legislative actions, what passed and what didn’t, then take a look at what is on the docket for 2022 to help you prepare for what the State Assembly is considering. A Q&A will follow the presentation, so come ready with your questions. Register now to save your seat! - Categories: Advocacy/Legislative, Industry News, Revenue Cycle Management It’s a surprise! Join us for our No Surprises Act Webinar this Wednesday (12/22) at noon as Michele Madison from Morris, Manning & Martin shares the key takeaways from this legislation that goes into effect on Jan 1, 2022. - Categories: MIPS/QPP Just under the wire! On Dec 1st, CMS just released the long-anticipated QPP 2021 Final Rule. This next Wednesday, Dec 9th @ 12PM EST, SHP is offering a free webinar to bring you up-to-speed on the latest changes to QPP (MIPS & APMs) that go into effect on Jan. 1st, 2021. - Categories: COVID The HHS Portal for Round 3 Relief Applications closes this Friday, November 6, 2020. Following the reminder sent yesterday, we have received multiple inquiries regarding the application and guidance on completion. Therefore, we are pleased to announce that SHP will be hosting a webinar and Q&A tomorrow, November 5, 2020 at 10:00 a. m. to walk through the application and answer any questions that you may have. - Categories: MIPS/QPP Following what has become a late-summer tradition, the Centers for Medicare & Medicaid released the Proposed Rule for the 2021 Quality Payment Program. Like previous years, the proposed rule introduces changes to help providers and practices participate and be successful in QPP. Join this Lunch ‘n’ Learn on Aug 20th to learn about the proposed changes and what it means for your medical practice for 2021. Whether you are in an APM (such as an ACO) or doing “pure” MIPS, there will be something here for everyone. - Categories: COVID As a reminder, we are holding our recap forum this coming Wed @ noon. Just us as we recap topics such as funding status, FFCRA legislation, and more. The response to COVID-19 is ever shifting, with new legislation, evolving federal guidance, and hard-to-find PPE creating a challenge for all medical organizations. Join us as we provide timely updates so you can get back to taking care of your patients. ## Team Members