PRIVATE PRACTICE - AC24 - Navigating the Value-Based Care Frontier: How To Thrive Financially & Clinically In This Era!
From 2011-2023, physical therapy reimbursement declined 37.0%. In 2024, Medicare reimbursement is scheduled to decrease by another 3.4%. Healthcare providers and insurance companies are looking at other reimbursement and care delivery models as the way of the future. Value-based care is that model. Medicare has clearly stated that all payments to healthcare providers will be in a value-based care model by 2030. Other insurance companies will follow. The clock is ticking for physical therapy providers to prepare for this seismic reimbursement and care delivery shift. Given the magnitude of this change, physical therapy providers will not be able to simply “flip the switch”. In this session, you will learn from two pioneers in the value-based care area. They were talking about value-based care long before it was fashionable. Marc Gruner is a Mayo Clinic fellowship-trained physician with extensive clinical experience in developing value-based care models. He is also the founder and Chief Medical Officer for Limber Health. Kennedy Hawkins was instrumental in commercializing the Intermountain ROMS clinical outcomes platform, which is built upon value-based care models. He helped develop the Intermountain ROMS national coast-to-coast clinical outcomes and value-based care community. In this session, you will learn about why you need to prepare for value-based care now, discover practical strategies on how to pivot your organization to value-based care, and be given proven techniques on how to negotiate value-based care agreements with insurance companies.
Learning Objectives:
Upon completion of this course, you will be able to
- Learn what value-based care is and why you need to start preparing now for this new reimbursement and care delivery model
- Understand why physical therapy is uniquely positioned to capitalize on the shift to value-based care
- Discover practical strategies on how to set up your organization to thrive financially and clinically in value-based care models
- Learn proven techniques on how to negotiate value-based care arrangements with insurance companies
Kennedy I. Hawkins, MBA, JD, LLM
President
Kennedy Hawkins Consulting
Kennedy Hawkins, MBA, JD, LLM was the President & CEO of PT Northwest for 21 years until starting his own consulting firm in 2023. He helped PT Northwest become a widely respected physical rehabilitation group at the state and national levels. In 2016, 2017, 2018, 2021, & 2022, PT Northwest was named a Top Oregon Workplace by The Oregonian newspaper. Kennedy was instrumental in helping PT Northwest win the National Association of Rehabilitation Agencies 2016 Innovation Award. In 2023, Kennedy received Intermountain Healthcare’s ROMS Quality Improvement Award.
Along with his consulting work, Kennedy recently became the Director of the Executive Development Center at Willamette University’s Atkinson Graduate School of Management. Kennedy will oversee the development of the healthcare leadership program, as well the expansion of the MBA program’s current executive development offerings. Willamette University has become one of the leading MBA programs in the nation.
He has over 30 years of experience and has held numerous national physical rehabilitation industry leadership positions. Kennedy is regarded as a “thought leader” in the areas of healthcare and leadership.
Kennedy enjoys snowboarding with his family, hiking behind his in-laws' farm in the Highlands of Scotland, international travel, and mentoring teens and young adults.
Disclosure information not submitted.
Marc Gruner, MBA
Founder of Limber Health
Limber
Marc Gruner DO, MBA, RMSK, FAAPMR is a Mayo Clinic fellowship trained sports physician practicing at Orth Bethesda and Aligned Orthopedic Partners. He also is the Founder of Limber Health, which provides home exercise programs, remote therapeutic monitoring, and is an outcomes registry.
Marc has over 15 years working in the value-based care space. He has an MBA focused on value-based care, briefly worked at the Center of Medicare and Medicaid Innovation Center on alternative payment models, attended Michael Porter’s value based healthcare intensive seminar at Harvard Business School, lectured across the country on digital health and value-based care, and represented his medical society nationally on quality, evidence, and clinical practice guidelines.
Most recently, Marc is a consultant to the State of Maryland and PACES working with them and other specialties on alternative payment model development. In Maryland, he developed the first ever physical therapy muscular skeletal alternative payment model that is focused on the entire episode.
Course Instructions
- Click on the Contents tab to watch the course recording.
- Click the Take Quiz button to complete the assessment. Learners will have 3 attempts to pass and must answer at least 70% of questions correctly.
- Click Fill Out Survey under the Evaluation listing to provide valuable course feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
- Click the View/Print Your Certificate button under the Certificate listing. You can view/print your certificate at any time by visiting the APTA Learning Center and clicking the CEU Certificate/Transcript link on the left-hand side of the page.
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