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Fee-For-Value Payments: Building the Entities to Effectively Manage Risk
Efforts to improve healthcare quality and reduce costs have focused attention on new payment models. However, despite this scrutiny, there is still very little understanding of the inner workings of global payments, bundled payments and other Fee-for-Value models. The last webinar began to address this issue by explaining why these models really are not new models at all, but rather, a repackaged form of FFS that uses better data analytics to give physicians the confidence to assume more risk. This webinar will focus on the importance of organizational principles and governing structures as a means to ensure physicians have a seat at the table when the payment pie is divided between model participants. Learn why the terms of the risk sharing agreement and the design of the Risk Bearing Entity, rather than the fee schedule, should be the focal point of your negotiations. Finally, get the Innovators perspective on why provider productivity will continue to be factored into FFV payments and why physicians should not worry about their role in a changing healthcare system. Should you have technical questions, please call the AMA Unified Service Center at 800-621-8335. Direct content-related questions to Jason Scull at webinarquestions@ama-assn.org.
Fee-For-Value Payments: Building the Entities to Effectively Manage Risk  
Release Date: July 16, 2014
End Date:
July 16, 2015

Technical Support
Should you have technical questions, please call the AMA Unified Service Center at 800-621-8335.

Federation Staff Access
Please contact Terri Marchiori at terri.marchiori@ama-assn.org to obtain your discount code before registering.


Objectives
At the end of this activity, participants will be able to:

  1. Summarize the importance of contract negotiations and the Division of Financial Responsibility (DOFR) to manage risk.
  2. Contrast risk under FFS from risk under FFV.
  3. Distinguish clinical risk from actuarial risk.
  4. Define the role of a Risk Bearing Entity.
  5. Build a 2-sided risk DOFR for a practice with stop-loss for unforeseen events.    

Target Audience
This activity is designed to meet the educational needs of practicing physicians.

Statement of Need
Physicians have a persistent fear of the unknown when it comes to how they will get paid under new models. This webinar will make the case that most new payment models will continue to rely on a modified Fee-for-Service (FFS) payment system for the foreseeable future. Rather than replacing FFS entirely, most new models are FFS hybrids with enhancements that enable more accurate cost and quality projections and performance benchmarking. This is made possible by emerging data analytic and sharing capabilities which give physicians the confidence to assume more risk in their payment contracts. 

Statement of Competency
This activity is designed to address the following ABMS/ACGME competencies: practice-based learning and improvement, interpersonal and communications skills, professionalism, and systems-based practice.

Accreditation Statement
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
The American Medical Association designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Claiming Your CME Credit
In order to claim AMA PRA Category 1 Credit™, you must; 1) view the webinar, 2) successfully pass the post-test answering 4 out of 5 questions correctly, and 3) complete the evaluation. 


Planning Committee

Cindy Brown – VP, Government Relations/AMA
Rita LePard - CME Program Committee/AMA
Sandy Marks -  Associate Director, Federal Affairs/AMA
Jason Scull– Associate Director, Federal Affairs
/AMA

Faculty
Michael Abecassis, MD - Northwestern University
Philip Gaziano, MD - Accountable Care Associates
 
About the Innovators Committee
The Innovators Committee is a group of innovative physicians tasked with developing resources to help their colleagues from various specialties implement effective delivery and payment reforms that are applicable to their practice setting and service mix. Go to http://www.ama-assn.org/go/paymentpathways for more information about the Committee and its work.

Disclosure Statement

The content of this activity does not relate to any product of a commercial interest as defined by the ACCME; therefore, neither the planners nor the faculty have relevant financial relationships to disclose.

Hardware/software Requirements
Adobe Flash 9.0.115 or above

Audio speakers or headphones

Screen resolution of 800X600 or higher.

MS Internet Explorer 8.0 or higher, Firefox, Opera, Safari, etc.
Adobe Reader 5.0 or higher.


Type:     Internet Activity (Enduring Material)
$30.00
Activity Price
27 Registered Users
Credits
1 Credits> AMA> AMA PRA Category 1 Credit

0 Credits> AMA> Certificate of Participation for Non-Physicians