C102 - Business Strategies for Payer Negotiations and/or How to Go off the Grid

Event Time: Monday April 24, 2017 3:30 pm to 5:30 pm
Topic(s): Practice, Policy, and Ethics
Director(s): Brad Klein MD, MBA, FAAN
Description: Neurologists struggle to spend the necessary amount of time to provide high quality care for patients. Despite limited data to support neurology quality metrics or appropriate cost saving measures, government and commercial payer intervention in the physician-patient relationship continues to expand. Efforts to work under ever-increasing demands and requirements may be unsustainable for many neurologists, raising serious questions of viability in maintaining a traditional practice model. Faculty will provide a framework to evaluate and negotiate current payer relationships and, if collaboration is not possible, how to assess and develop alternate practice models that could remove dependency on payers for payments and maintain the physician-patient relationship.
Completion Message: Participants should be able to develop an advanced understanding of their practice's clinical revenues; develop a comprehensive and critical assessment of the value of each payer; build a sensitivity analysis to project potential financial implications of leaving a payer if needed; understand potential steps in negotiations; and recognize and manage unfavorable payer contract clauses in participation agreements. Participants should also be able to understand specific challenges related to leaving government payers such as Medicare. Lastly, participants should be able to learn additional skillsets to help transition to a cash practice as well as strategies and techniques to grow, maintain, and succeed in caring for patients unencumbered by insurance contracts.
CME Credits: 2
Core Competencies: Practice-Based Learning and Improvement

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