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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.
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!
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
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