REVIEW OF ACCELERATOR

TOOLS AND RESOURCES

Allison Silvers, MBA

Vice President, Payment & Policy

Center to Advance Palliative Care

Accelerator Class 2018-9 Webinar

March 8, 2019

Link to Webinar Recording

Webinar Recording: How to Use

Accelerator Tools

Click on the link above to access the

recording of the webinar for these slides.

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Accelerator Action Items

1. Answer Poll Question in Webinar: Please identify a

specific topic or challenge as you seek out financial

partners that you would like addressed during the program

check-in session (on 3/22). Responses will be collated and

shared with the facilitator to inform the session.

2. Complete this survey (progress report) by March 13th

– Deadline extended from 3/7 to 3/13

– Expected completion time: 3 minutes

3. Register for the Accelerator-exclusive Program Check-in

on March 22nd

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Thank you to those who have completed these action items!

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26 tools

and

resources

for organi-

zations in

the 2018

CAPC

Payment

Accelerator

class

Organization of resources

➔Program Adaption: Tools to help you “play

with” staffing and patient visit changes

➔Business Partnerships: Tools for showing

your value, making your pitch, and building

partnerships

➔Financing: Tools to help understand how

payment works and how to develop a price

➔Target Measures: Suggest quality measures

for pitches and contracts; cost benchmarks

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Organization of resources (cont’d)

➔Managing Populations: Tools to find

appropriate patients and risk-stratify them,

using both data and clinical relationships

➔Contracting and Legal: Tools for your lawyers

to use! Plus guidance on regulatory/licensure

issues and on hiring lawyers and actuaries

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A CLOSER LOOK AT A FEW . . .

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➔ Suggestions on what to present when you meet with a

potential financial partner

➔ Prompts the basics:

– What is palliative care, and what are its benefits

– Existing slides of published literature

– Patient story

– Introduction of organization, and of program

➔ Prompts articulation of your program’s unique

advantages

– What data to gather

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➔ Who pays you now? Who refers to you now?

➔ How do you compare to competitors and potential

competitors?

➔ What local organizations are “hurting” now

– Hospitals with Medicare re-admission penalties (look

through

www.medicare.gov/hospitalcompare/readmission-

reduction-program.html)

– Hospitals with fewer than 3 Stars (look through

www.medicare.gov/hospitalcompare/search.html)

➔ Who’s pursuing value in your area?9

CMMI: Where Innovation is

Happening

➔https://innovation.cms.gov

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➔ Understanding how your

program design impacts

your costs

➔ Modifying your program

design and determining

the impact on costs

➔ Turning costs into prices

for negotiation

➔ Yes, this tool is complicated

➔ Yes, it has spreadsheets

➔ Resources to help:

– Instruction Guide

– Example Workbook

– Webinar Recording of

“Deep Dive into

Understanding Costs”

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➔Document that lays out “who does what” in

a pilot partnership

– Can be the only document for a long-term

relationship as well

➔Prompts for each section

➔Gives your lawyer a starting point

– Don’t try this at home!

➔Raises the cautions of potential

compliance issues

– Delivering home-based care

– Anti-Kick-Back Statute

– Stark Law

➔Gives your lawyer a starting point

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➔Enrolling patients without relying solely on

referrals!

– How to find appropriate patients

– How to introduce your services to patients and

families

– How to coordinate and build relationships with treating

clinicians

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➔Advice on:

– Choosing a video platform

– Preparing patients for video visits (sample

scripts)

– Do’s and Don’t’s

– Billing considerations

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➔Emerging model of small monthly payment

for home-based care – how to make it work?

➔Existing ratios for MDs, NPs, RNs, SW, and

others

➔Considerations for developing a cost-

conscious staffing model

➔ We work with a very

high-cost population and

we can’t make them low-

cost

➔ These benchmarks show

how high a total cost of

care really is for seriously

ill patients

➔ This data is not easy to

get!

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Payment Primer

and Glossary

➔Starts with the basics of how payment for

health care works in the US

– How health plans work

– What incentives are at play

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But wait, there’s more . . .

• First Program Check-in on March 22nd (in 2 weeks)

• Learn from your peers and discuss what is working, what is/has been challenging, how colleagues have overcome similar challenges

• Stay connected, leave with new ideas

Program Check-in (Quarterly Convening)

• Managing Populations on May 21st

• How to use data to find the right patients, successfully bring them on program, and work with treating providers by developing clinician relationships

Accelerator-Exclusive Webinar

• Introductory email will be sent no later than March 12th

• Stay up to date! Reminders for upcoming Accelerator-exclusive events

• Opportunity for peer support and discussion

Accelerator listserv

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CAPC MEMBERS: Don’t forget to take

advantage of membership offerings and

benefits as well! (Webinars, VOH, Toolkits)

Accessing the Accelerator Tools

➔ DropBox and BaseCamp

– Email Seema.Setia@mssm.edu to have your email

address added to the Dropbox folder and Basecamp

site

– This enables access to any new materials and updates

➔ Email ZipFile (last resort)

– Email Seema and request file

– Caveats:

• No access to any new materials or updates

• Large file may not make it past your organization’s firewall

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Questions?

Please type your question into the questions pane

on your WebEx control panel.