Accreditation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine designates this Internet Enduring Material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
ABPLM Designation Statement: This Internet Enduring Material has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1.5 management hours toward certification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.
Session Description: This session will consist of a moderator and panelists representing a skilled care provider, managed care organization (MCO) payer, physician group taking risk for use of high acuity services and, a provider of a clinical program, and services within a MCO. Each will spend 10 minutes describing the value drivers from their different perspectives. Barriers and solutions for collaboration will be discussed. Case-based role play, amongst the panelists, will provide examples of how a clinician leader can engage with the payer on behalf of patients and their facility or organization.
Describe the value-based drivers viewed positively by the managed care organization (MCO) payers
Develop a value proposition and plan that includes these metrics to highlight their value in the marketplace
Discuss the programs and services they provide
Advocate on behalf of patients, prior to, and during admission
Speaker(s): Sally Brooks, MD Ronald J. Shumacher, MD Philip Painter, MD Michael R. Wasserman, MD
Disclosure(s): Dr. Brooks - Employee: Kindred Healthcare Dr. Shumacher - Employee: Optum Services, Inc Dr. Painter - Employee: Humana Inc Dr. Wasserman - Editorial Board of Merck Manual