The Current and Future State of Medicare

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Presented on:
October 8, 2020 10:00 AM PT
Duration:
1 hour, 20 minutes
Location:
Online

Dive into the current and proposed states of Medicare reimbursement in 2020 and the coming year. This session will cover emerging issues and factors impacting rate setting and reimbursement caused by changes in hospital operations and economic disruption during the pandemic. Focus areas will include waivers; payment rates, including those for uncompensated care; and more.

*Please note, this webcast is part of our seven-part 2020 Health Care Executive Webcast Series: Consequences of a Crisis & Revolutionizing Care. The entire series is priced at $149 and provides access to all webcasts. $25 off two or more registrations. Must register at the same time to receive discount.

Webcasts will be available via recording following the series, however CPE is only available for attending live sessions. Recorded sessions don’t qualify for CPE per the National Association of State Boards of Accountancy (NASBA) guidelines.

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Speakers

Alyssa Keefe, Vice President, Policy and Analysis, Federation of American Hospitals

Alyssa Keefe serves as Federation of American Hospitals’ (FAH) liaison to the Centers for Medicare & Medicaid Services (CMS), as well as the Medicare Payment Advisory Commission (MedPAC) and the Medicaid and CHIP Payment and Access Commission (MACPAC). In addition, Keefe supports FAH policy and legislative initiatives on Medicare, the Affordable Care Act, and managed care, and helps staff both FAH’s Medicaid and Managed Care and Health Financing Committees. Prior to joining FAH, Keefe served as vice president of federal regulatory affairs at the California Hospital Association. There, she was responsible for policy development and analysis of federal regulations and served as a liaison between the CHA and the federal government.

Paul Holden, FHFMA, Partner, Health Care Consulting, Provider Reimbursement Enterprise Services, Moss Adams

Paul Holden has been in public accounting since 2003. He provides business assurance and reimbursement consulting services to health care providers in acute and post-acute settings throughout the Western United States. Holden is well-versed in preparing Medicare and Medicaid cost reports, assisting clients during third-party audits, formulating appeals of audit issues in connection with cost reports, and assisting critical access hospitals, rural health clinics, and federally-qualified health centers with billing and reimbursement issues. He explores the role of the Medicare cost report and claims data in the diagnosis related groups (DRG) and Ambulatory Payment classifications (APC) rate-setting processes, wage index cost-finding and labor market definitions with a focus on wage index reform, and Medicare cost report data-mining and benchmarking.

Michael Newell, Partner, Health Care Consulting, Provider Reimbursement Enterprise Services, Moss Adams

Michael Newell has worked in health care financial management since 1982. Most recently, he served as president of Southwest Consulting Associates (SCA), which combined with Moss Adams in January 2020. SCA worked with hundreds of hospitals, totaling thousands of fiscal years, to prepare and review Medicare DSH and Worksheet S-10 for cost report filings. Additionally, SCA oversaw the associated audits and managed the appeals for a variety of Medicare DSH-related issues. Prior to joining SCA, Newell was the vice president of reimbursement services for Triad Hospitals Inc., a Fortune 500 company that operated 54 hospitals and 13 ambulatory surgery centers across the country.

Applicable Industries

Ancillary Health Care ServicesHealth Plans & InsuranceHospitals and Health SystemsLong-Term CareMedical Groups & Physicians