We are excited to share the topics for the 2023 Business of Collaborative Care Symposium. Join us and our speakers for this one-of-a-kind event.
Pharmacy Payment for the Part B Dollar
The healthcare landscape is changing at a rapid pace and innovative approaches to reaching the rural and underserved communities are having a significant impact on care.Troy Medicare is a healthcare technology company started by pharmacists and software engineers. By leveraging the use of Troy.AI technology, they have transformed the way that Medicare Advantage Plans can connect with local pharmacies and other members of the healthcare team. Beyond this, they have provided opportunities for pharmacies to get paid through the Part B dollar for services that have a direct impact on HEDIS quality measures. In this session, you will have the opportunity to hear directly from the payer for an inside perspective on what they are looking for and how they’re translating actions to payment.
Objectives:
Describe the innovative approaches to impacting HEDIS measures through pharmacy interventions.
Discuss the role of technology in resolving patient needs and managing the health of a population.
Assess how to adopt a fee schedule for addressing interventions using the framework of an innovative payer.
Avoiding the Audit Red Flag
There are a lot of companies out there trying to do what you are doing, but are they doing it correctly? Too many times it comes down to the bottom dollar and the rules and regulations are not followed. Your business model should align with CMS regulations to set your program apart and protect your collaborators. It allows you to guarantee safety in a world of delegating. This session will explore common audit findings and how to implement workflows to avoid these findings and secure audit processes.
Objectives:
Assess common audit findings.
Discuss workflow and team members to reduce audit risks.
Discuss the role of technology and how it can be utilized to maintain accountability with the rules and regulations of services.
How to Lead Value-based Initiatives
Value-based care is here to stay, but that doesn’t mean it has been a smooth transition to improving care. Each payer seems to have competing contract objectives and dashboards to report interventions to meet these objectives. To effectively address these needs, you cannot address them in silos. In this session, our speakers address practical ways to address gap closures through workflow and collaboration between pharmacists and medical providers to help practices meet the benchmarks for incentive payments.
Objectives:
Explain the benefits of pharmacist-provider collaboration in value-based care.
Discuss strategies to address competing value-based contract needs.
Describe how to integrate care gap closures into a practice workflow.
Addressing the Full Spectrum of Cognitive Health and Functional Capacity Across Care Teams
Alzheimer’s disease was officially listed as the sixth-leading cause of death in the United States in 2019. Alzheimer’s disease and other forms of dementia present a population health issue with rising prevalence in the United States and globally, yet there are limited systems in place to effectively conduct routine screenings for cognitive impairment. Patients report that healthcare providers are the most likely driver for having a cognitive evaluation completed yet projected primary care physician shortages highlight the necessity for solutions to meet the growing needs of patients. In addition, patients with abnormal results require referral for further evaluation and care and there are limited resources available to patients with indicators of frailty and cognitive decline. Join our panel of experts as they address the role of physiatry, standardized assessment tools, and practical ways to address this growing need to address cognitive health.
Objectives:
Summarize the need to address cognitive health and the impact of early screening.
Describe the role of healthcare team members to screen, refer, and effectively manage patients presenting with symptoms of cognitive decline.
Discuss how to implement high-quality cognitive care codes into workflow.
Taking Positive Screenings to Tangible Solutions
Oftentimes we can find ourselves just checking the boxes to complete the task at hand, but have we become complacent in our daily workflows? As pharmacists, we have an advanced set of skills and knowledge that can assist the provider and offer them a unique perspective not currently found on their care team. Too often providers run out of time and aren’t able to address all the issues a patient may have or they may not know all the options to address those issues. That stops with us. As a collaborative team we can assist in connecting problems with solutions!
Objectives:
Describe potential services that can be used for follow up to address an issue.
Determine appropriate follow up measures and timelines.
Review community based resources for resolving patient needs.
Tips & Tricks of Collaborative Services
While every clinic and partnership is unique, the challenges that are presented are a tale as old as time. This session will provide tips and tricks for the common hurdles we have observed over the years. We will also open the floor to discuss how different technology and services can assist in creating a smoother workflow.
Objectives:
Assess challenges that may be encountered while performing services.
Discuss solutions for RPM engagement; CCM/RPM/BHI enrollment, and workflow of all service sets.
Blueprint Towards Medical Practice Ownership and Effective Management
As a provider, you probably went into the medical field anticipating that the majority of your time would be spent on patient care. The reality is that medical practice ownership translates to endless hours spent on paperwork, evaluating finances, staff management, and navigating the ever-changing requirements of payers. Learn about the benefits of working with a management services organization to map out your pathway to successful medical practice ownership.
Objectives:
Explain the needs for successful medical practice ownership.
Discuss the purpose of management services organizations.
Understand how to calculate contribution margins in building successful models within a medical practice.
Sweet Spot for Solutions
Each day after lunch we invite you to enjoy dessert while hearing from different vendors who may be able to outfit your collaborations with solutions to enhance your patient care and workflow experience. During this time you will also have the opportunity to meet and discuss with them one on one.
Objectives:
Explore technology solutions to enhance workflow and collaboration within the clinics.
Review opportunities to expand current services through support of vendor offered technologies.
