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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.
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
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.
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.
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.
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.
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.
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.
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.
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