How to Start Transformation to Value Care

The Finances of Transformation –   Evolving Concepts of Partnering with Payors – STEVE TRINGALE

Changing Home and Nursing Home Care – Various Kinds of Home Care – ANTHONY PINEVICH, MD, MBA, FACP

Restructuring the Delivery System – STUART ALTMAN, PhD

A Step-by-Step Guide for Putting a Telemedicine Program in Place – GARY KAPLAN, MD

Local, Inventive and Reasonable Cost Behavioral Health – JOSEPH SCHERGER, MD

Behavioral Health covers a wide range of mental health problems from the common stress related conditions, anxiety disorders, and depression to more serious problems such a bipolar disease and schizophrenia. As much as 25% of all health problems patients present with are primarily mental health, and there is a behavioral health component of up to 75% of patient problems. Providing behavioral health care improves patient and population health and can lower costs by reducing expensive emergency room visits and excessive testing. Most behavioral health care is provided by primary care physicians, and this primary care dimension should be recognized and supported. Referral options to behavioral health should include a range of providers working together, such as psychiatric social workers, marriage and family therapists, clinical psychologists and psychiatrists. These providers should be able to care for children and adults. This breakout will explore these issues as well as the varied and often complex reimbursement for behavioral health.

Nursing Team and Executives Taking the Lead – ANTHONY PINEVICH, MD, MBA, FACP

Legal Clinic – DAN MULHOLLAND, ESQ.

Whistleblowers – A Protected Species

Whistleblowers seem to be popping up everywhere. And more and more laws are passing to protect them. The State of Washington just enacted a law saying that individuals qualify as “whistleblowers” by reporting to the Department of Health or initiating, participating, or cooperating in investigations which raise quality of care concerns. These whistleblowers are now protected against “reprisal or retaliatory action” taken against them in the peer review process so long as their actions are taken in good faith. Between laws like this and the qui tam provisions of the False Claims Act, hospitals and physicians need to watch their backs more than ever before.

#MeToo in Health Care

Suing the Hospital for Events Outside Its Walls

Rise of Fraud

Decline of Community Governance

  

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