Health Care Hot Topics – CCJR, Price
Transparency & Legal Summary
Thursday January 28, 2016
12:00pm – 5:30pm
Location:
Brio on the Plaza
502 Nichols Drive
Kansas City, MO 64112
Lunch Provided along with a Networking Happy Hour after the event!!
Learning Objectives:
 Truths & Myths About How Lawsuits Really Work in Missouri & Kansas
 Gain understanding on Medicare’s pay for performance, proposed Comprehensive Care
for Joint Replacement model
 Detailed discussion of the recent HFM Article on price transparency published in May
2015
Program Agenda:
12:00 - 12:45pm
12:45 - 1:00pm
1:00 - 2:00pm
2:00 - 2:20pm
2:20 - 3:20pm
3:20 - 4:20pm
4:20 - 5:30pm
Lunch and Registration
Welcome & HOA Chapter Update – Paul Knudtson, President
Scott Walterbach, How Lawsuits Really Work, Bessine Walterbach
Networking Break
Emily Anne Nolte & Stacey Lee, Price Transparency, PWC
David Roberts, CCJR Model, Center Corporation
Networking Happy Hour
Speakers
Scott Walterbach
Scott Walterbach is a partner at Bessine Walterbach, LLP (www.bw-llp.com), a
small law firm in the Kansas City northland where he has worked since February
2010. He practices in high-volume collections and creditors' rights. Scott represents
clients throughout Missouri & Kansas seeking to collect medical debt, student loans,
rent, utilities & various other consumer obligations. Scott handles litigation, postjudgment collection, policies & procedures, compliance, risk management, client
relations, business development & personnel. He also defends against consumer
protection lawsuits, handles worker’s compensation claims, bankruptcy claims, probate claims and
hospital liens. Scott graduated from Indiana University School of Law – Indianapolis in 2007. Currently
he is the Regulatory Committee Chair of Missouri Collectors Association & the Vice President of
Education for Missouri Creditors Bar, Inc.
Emily Anne Nolte, MBA
As a Senior Associate, PwC Health Industries Advisory - Emily Anne has significant
experience in hospital revenue cycle, patient access, price transparency, underpayment
analysis, and medical staff offices. She is an HFMA Certified Revenue Cycle
Representative. Her work in for-profit and not-for-profit organizations focused on all
entry points to the revenue cycle process from patient access to denial management. In
addition, Emily Anne has negotiated on behalf of hospitals with insurance companies
regarding large dollar contract compliance issues and assisted in drafting new
contracts. Emily Anne earned a Bachelor of Arts degree from Swarthmore College and
an MBA with a specialty in Finance and Operations from Goizueta Business School at
Emory University. She has numerous published articles on patient access and pricing transparency.
Stacey Lee, MPH
As an Experienced Associate, PwC Health Industries Advisory - Stacey’s experience
spans revenue cycle, clinical operations, supply chain management, and shared services
with a focus on customer experience and health care policy. Previously, she worked in
healthcare market research primarily for pharmaceutical and medical device companies,
before completing her Master of Public Health in Healthcare Management and Policy
from the University of Michigan. She holds a B.A. in Biopsychology and Community
Health from Tufts University.
David Roberts
David is a former CEO and senior executive with over 25 years’ experience with managed health care and
population health companies. These companies include publicly traded, non-profit and start-up
organizations. Experience includes all facets of these organizations and direct responsibilities for
operations, development, provider contracting, financial and reimbursement modeling, network
development, sales, strategic planning, integrated delivery systems and P&L performance. He has been
instrumental in starting managed care, population health and behavioral health companies and also served
as the executive in charge of acquisitions and turn-around of distressed companies. While at Cerner
Corporation David has assisted over a dozen hospitals in successfully becoming Meaningful Users along
with dozens of Eligible Providers. He currently is part of a team that assists clients in defining their
strategic direction, market positions and competitive opportunities related to new models of health care.
David is also an Adjunct Professor at William Jewell College where he works with the School of Nursing
and the School of Business where business principles and population health are introduced to students.
Summary of Topics:
Legal Collections Presentation by Bessine Walterbach, LLP
Truths & Myths About How Lawsuits Really Work in Missouri & Kansas. This presentation will discuss
about how cases get to the point of requiring legal action, what we do to move cases through the system,
& address common misconceptions about how it works in a truth / myth guess-the-answer format. It will
also touch briefly on bankruptcies, worker’s compensation claims, probate claims, etc. from a creditor’s
perspective.
Price Transparency Presentation by PwC
This session will be a detailed discussion of the recent HFM Article on price transparency published in
May 2015. Initially, we will discuss the results of PwC’s 2o15 Touchstone Employer survey outlining the
substantial increase in high-deductible health plans (HDHPs) nationally and how these benefit changes
are affecting providers and resulting in increases in bad debt as well as a need for increased pricing
transparency. Our team interviewed senior leadership at a number of large hospitals throughout the nation
regarding how they are responding to the community and legislative pressure for increased price
transparency along with patient satisfaction to pull patient volume to their facilities. We will discuss the
outcomes of these interviews with a focus on how these providers are taking action prior to service in the
pre-processing environment, providing healthcare estimates prior to service, adjusting charge description
master, and/or addressing legislative requirements pushing pricing transparency requirements. In
addition, there will be discussion on how providers and payors are collaborating (or not) in these markets
to change utilization patterns and drive patients to lower cost facilities.
Comprehensive Care for Joint Replacement model, Bundled Payments by Cerner
This presentation will cover the CMS Comprehensive Care for Joint Replacement (CJR) model detail and
background. We will discuss the potential financial impact on local hospitals and how to prepare your
organization to be successful when this become effective.
Registration:
Health Care Hot Topics
Thursday January 28, 2016
12:00pm – 5:30pm
Brio on the Plaza
502 Nichols Drive
Kansas City, MO 64112
Registration Options:
1.
Register and pay by credit card at:
http://events.constantcontact.com/register/event?llr=rav5q7qab&oeidk=a07ebwllw4md9c0124b
2.
Mail, fax or email the completed registration with check payable to:
Heart of America Chapter, HFMA
% Damara Harper
715 NW 51st Street
Kansas City, MO 64118
3.
Check One:
HFMA Member ____
Non-Member ____
$30.00
$40.00
Paying Person Name: _____________________________________________________
Title: __________________________________________________________________
Organization: ___________________________________________________________
Address: _______________________________________________________________
Telephone: _____________________________________________________________
Email: _________________________________________________________________
Cancellation Policy:
Payment is expected from all registrants. Refunds are available only for written cancellations made more than 1 week prior to the date of
the event. Substitute attendees are always welcome.
*The Heart of America Chapter supports our attendees who are also students working to further their careers. Our chapter is committed to
providing quality programming and networking opportunities to students.
If you have questions regarding the program, contact:
Todd Kenney
tkenney@bkd.com
816.701.0266 (office)