Value-Based Contract Management

9 Feb 2016 10:00 AM | Ronald Gallagher (Administrator)
Speaker: Nick Hilger


Now that Value-Based Reimbursement is a reality, Health Systems need to take a serious look at their Fee-For-Service revenue cycle IT platforms and plan for the ultimate changes underway. This Presentation will examine the new approaches and provide insights into not only how the contracting will evolve, but also offer constructive approaches and strategies to improve preserve, protect, and improve the bargaining position of the Health System. The discussion will address the Managed Care Contracting strategies and the downstream implications for the Patient Financial Services team and the Financial Reporting teams. Participants will also learn about key clinical interfaces that will impact the traditional financial transaction sets.

Learning Objectives:
  • Discuss the critical elements included in Value-based Contracting by third party payers.
  • Identify gaps in current revenue cycle resources and applications to track, monitor and adjudicate Value based payments.
  • Identify VBP data required for clinical staff retrieval.

Take Away:
An ability to understand Revenue cycle implications of VBP.

Speaker Biography:
Nick Hilger is a Partner with JDA eHealth Systems, a Revenue Cycle Middleware solution provider to Hospitals and Physicians. Nick spent the majority of his professional life as the CEO of Health Systems in Minnesota (Allina and HealthEast), Colorado (HealthOne), and Illinois (Columbia/HCA). Following his Health System leadership, he advised and launched start-up health service ventures, including United Surgical Partners. He was a Principal with Dorsey & Whitney, a Legal/Consulting firm and advised major Health Systems in the area of Hospital / Physician partnerships and joint ventures. Immediately prior to joining JDA he was a senior executive at United Health Group working in strategic outreach to Health Systems. He has deep strategic and operational experience in multiple Healthcare industry sectors. Mr. Hilger received his BA in Finance from the College of St. Thomas, St. Paul Mn., and his MHA from the University of Minnesota. He also completed the Program in Management Development at the Harvard Business School.

Field of Study: Specialized Knowledge
Delivery Method: Group Internet Based
Program Level: Basic
Prerequisite(s): None
Advanced Preparation: None
Cost: Free
CPE Hours: 1.0 Hours CPE
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