As more and more medical home pilot programs are being launched to improve care for chronic conditions, including a Medicare demonstration project this year, healthcare organizations are seeking a way to reimburse for services provided through the medical home.

Listen to pre-conference comments from Lesley Reeder and Dr. Barbara Walters.

During Reimbursement Models for Medical Homes: From Pilot to Practice, a 90-minute webinar on CD-ROM, via On Demand Web access or as a recorded webinar on DVD, three industry experts with an expertise in medical homes examined case studies of reimbursement strategies for medical home programs. You'll get the inside details from Lesley Reeder, RN, BSN, quality improvement specialist, Colorado Department of Health Care Policy and Financing and Dr. Barbara Walters, senior medical director of Dartmouth-Hitchcock Medical Center, on:

• Developing a reimbursement strategy for medical home programs that’s attractive to payors and providers;
• Incentivizing providers through a pay-for-performance component to the medical home;
• Reflecting the value of non-physician encounters in a reimbursement methodology; and
• Analyzing the panel size and mix for successful implementation.

In addition, Julie Schilz,RN, BSN, is the manager of IPIP and PCMH Initiative for Colorado Clinical Guidelines Collaborative provided an overview of the anti-trust considerations for a medical home reimbursement strategy.

Have questions on our webinar and/or webinar formats? Visit our webinar FAQ.

You can listen to this program right in your office and enjoy significant savings – no travel time or hassle; no hotel expenses. It’s so convenient! Invite your staff members to gather around a conference table to listen to the CD, DVD or the On Demand version.

WHO WILL BENEFIT FROM THIS CONFERENCE?

CEOs, medical directors, disease management directors, managers and coordinators, health plan executives, care management nurses, business development and strategic planning directors and physician practice leaders.

ABOUT OUR PANELIST:

Lesley Reeder

Medical home reimbursement models by public payors around the country incorporate a variety of payment structures.

Lesley Reeder, RN, BSN currently works in the quality improvement section at the Department of Health Care Policy and Financing. Her responsibilities include: working with Colorado’s Medicaid managed care organizations on quality improvement activities, implementation of medical home legislation for the department and developing performance measures for a number of initiatives within and outside the department.

Reeder represents Colorado’s quality improvement interests as a member of the Steering Committee of the Center for Improving Value in Health Care (CIVHC). CIVHC was established by Governor Ritter’s executive order and is charged with improving the quality, access to and efficiency of the healthcare delivery system in Colorado. She is a member of the Steering Committee for the Colorado Multi-Payer Patient Centered Medical Home Pilot convened by the Colorado Clinical Guidelines Collaborative. Reeder leads the State Medicaid Working Group for the Patient-Centered Primary Care Collaborative, a national organization developed to promote the medical home approach to healthcare delivery. She has presented on the Center for Health Care Strategies, the Patient-Centered Primary Care Collaborative and numerous Colorado stakeholders’ meetings.

Prior to joining the department, Reeder was a labor and delivery nurse and a clinical nurse instructor for Regis University in Denver, Colorado. She holds a Bachelor of Arts in Biology from University of Colorado and a Bachelor of Science in Nursing from Regis University. She is currently pursuing a master’s Degree in Public Health from University of Colorado Health Sciences Center.

Julie Schilz

Julie Schilz, RN, BSN, is currently the manager of Colorado Clinical Guidelines Collaborative Improving Performance in Practice (IPIP) Program and the Colorado Multi-Stakeholder Patient Centered Medical Home (PCMH) Pilot. She is a co-chair for the Patient Centered Primary Care Collaborative (PCPCC) Center for Multi-Stakeholder Demonstrations. Schilz also serves on the Colorado Medicaid Medical Home Advisory Committee and Provider Task Force.

Her experience collaborating with healthcare organizations and industry stakeholders drives her expertise in care management and quality office system redesign programs, quality reimbursement programs such as Pay-for-Performance and critical knowledge of PCMH.

Schilz received her formal clinical training as a Registered Nurse at the University of Nebraska Medical Center - Omaha and is currently working on her Master’s in Business Administration from Regis University.

Dr. Barbara Walters

At Dartmouth-Hitchcock, there is always a physician at the table when reimbursement rates are negotiated with commercial payors.

Dr. Barbara Walters, DO, MBA, is currently senior medical director for Dartmouth-Hitchcock’s Southern New Hampshire community group practices and is responsible for the management of ambulatory practice operations located in 15 locations. In addition, she is responsible for commercial payor contracting for the Dartmouth-Hitchcock system and is the principal investigator for the Centers for Medicare and Medicaid Services (CMS) Physician Group Practice (PGP) Demonstration Project.

Board certified in psychiatry and neurology, Dr. Walters came to Dartmouth-Hitchcock in 1998 from the Carolina Permanente Medical Group in Chapel Hill, North Carolina, with extensive experience in group practice and managed care.

Dr. Walters earned her medical degree from Michigan State University, completed her internship in family practice at Lansing (Mich.) General Hospital in Lansing and her psychiatric residency at the University of North Carolina, Chapel Hill. Dr. Walters received her Master’s in Business Administration from Duke University.