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Event Details

Telemedicine—Best Practices in Building and Negotiating Payer Contracts

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Dates: February 28, 2019 - 12:30 p.m. to 1:30 p.m.

Location: Webinar

Registration Deadline: February 21, 2019

This presentation will focus on the current environment and unique issues associated with payer contracting for telemedicine services. Faculty will discuss access enhancement, contracting models, application to value-based care, and the disciplines where telemedicine is being utilized most commonly.

Pricing Details: $99 HAP Member - Live OR Recording / $150 HAP Member - Live PLUS Recording / $199 Non-Member - Live ONLY

Overview

As health care continues to embrace the digital age, more and more clinicians are using telemedicine as a tactic to provide care in an innovative way. While Pennsylvania is one of a number of states without a mandate that private payers cover telehealth visits to the same extent as they cover in-person visits, some health plans include telehealth services in their participating provider agreements that include coverage for digital health services if they can be convinced that the service improves clinical outcomes and reduces wasteful spending.

The presentation will also include an in-depth discussion of licensure requirements, parity laws, standards of care, the establishment of patient-provider relationships, coverage rules, supervision requirements, asynchronous prescribing, use of non-physician personnel, rate considerations, and fair market value.

Learning Objectives

After this webinar you’ll be able to:

  • Describe how telemedicine is being used and reimbursed today
  • Discuss the state and federal laws that come into play when delivering and contracting for telemedicine services
  • Review how the payer market views telemedicine services and approaches to rate negotiation

Faculty

R. Christopher Raphaely is co-chair of the Health Care Practice Group at Cozen O’Connor and is resident in the firm’s Philadelphia office. Prior to joining the firm in 2014, Chris served as deputy general counsel to Jefferson Health System and general counsel to the system’s accountable care organization and captive professional liability insurance companies. Chris has worked in the health care industry for nearly three decades. His practice focuses on major transactions for health care clients and the comprehensive regulatory schemes requisite to doing business in the health care space.  His practice focuses on matters involving payer negotiations, payment disputes and contract enforcement, mergers and acquisitions. accountable care organizations, clinically integrated networks, value based payment arrangements, digital health, facility and professional licensing, the Stark Law, state and federal anti-kickback statutes, and general compliance.

Kathryn Slatt (Kate), is the senior director, innovative payment and care delivery, at HAP. In this role, she leads the association’s efforts related to value-based payment programs. Kate also identifies and analyzes important public policy issues related to Medical Assistance, Medicare, and programs for the uninsured. Prior to joining HAP, Ms. Slatt worked as Strategic Provider Relations and Initiatives Director for Highmark, Inc., where she was responsible for developing and leading strategic relationships with provider partners, and developed and launched Highmark’s first accountable care arrangement in central Pennsylvania. Kate also previously worked as Senior Consultant at Health Strategies & Solutions, Inc., where she developed strategic plans for hospitals, health systems, and physician practices nationwide.

Stephanie Watkins is the vice president of state legislative advocacy for HAP, Stephanie works to maintain effective relationships with state legislators and legislative staff, and other government personnel. She is responsible for reviewing proposed legislation and determining the possible impact on the health care industry, as well as communicating HAP policy positions on state legislative and regulatory matters impacting health care. Prior to joining HAP, Stephanie served as senior government relations specialist at Ridge Policy Group for three years. Stephanie also has worked for the Pennsylvania House of Representatives, most recently as a research analyst for the House Republican Policy Committee.

Who Should Attend

This webinar is recommended for chief financial officerss, managed care contracting staff, compliance officers, legal counsel, and other hospital and health system leaders that are involved in payer contract negotiations. 

Pricing and Registration Information

Fee

$99 HAP Member Rate - Live OR Recording (includes 1 phone line/web connection per site. Additional phone lines will be billed at $99)

$150 HAP Member Rate - Live PLUS Recording (includes 1 phone line/web connection per site for live webinar Additional phone lins will be billed at $99

$199 Non-Member Rate (includes 1 phone line/web connection per site. Additional phone lines will be billed at $199)

Fee includes handout materials forwarded via email prior to the session.

Registration Cancellation Policy

No refunds will be issued for cancellations received after February 22. There is a $25 administrative fee on all cancellations. Cancellations must be received in writing.

The registration deadline is February 21.

Certificate of Attendance

A general certificate of attendance will be emailed to all participants. Some national, state, and local licensing boards and professional organizations will grant continuing education credits for attendance when you submit the course outline (save the program email) and your certificate of attendance. It is recommended you contact your own board or organization to find out what is required.

How the Webinar Will Work

There is no limit to the number of staff from your office per connection who can tune in to the seminar via speakerphone and computer. Additional connections dialing/logging in will be billed. Enjoy the benefits of attending a live conference without having to leave the office.
Upon receipt of registration, confirmation will be emailed to the registrant. Dial-in instructions will be emailed to each registrant’s email address approximately 48 hours prior to the program, including information on how to obtain handout materials for the conference. If you do not receive an email by this date, please email HAP_Education_Services@HAPonline.org.

Please register only one name per connection.

Questions

For registration information, or if you need special accommodations, please contact HAP Education Services at (717) 561-5270.

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