August 7, 2015
Volume 59, Issue 31
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WHN Forum Panelists Discuss Broad Array of Health Care “Hot Topics”
Forum covered Medicaid expansion, behavioral health, state health insurance and more
Even though it is only a very remote possibility that Wisconsin would ever expand Medicaid, it remains a hot topic. Medicaid expansion was the first question Wisconsin Health News (WHN) Editor Tim Stumm raised with a group of health care association executives at a WHN forum held August 4 in Madison.
In his response, WHA President/CEO Eric Borgerding said during the last budget session, WHA received many inquiries from legislators on both sides of the aisle on the financial and political ramifications of Medicaid expansion.
“It is in the realm of possibilities… but it’s on the fringe of the realm,” according to Borgerding. “What keeps it on the radar is the dollars involved, because if you look at what Wisconsin did do on Medicaid, we have a net of 80,000 more people enrolled in Medicaid. We now probably have more people enrolled in Medicaid than we’ve ever had. And that was without taking the expansion.” He added, “Whether you like it or not, we expanded Medicaid without doing the ACA version of expansion.”
Borgerding joined three Wisconsin Association executives, including: Stephanie Harrison, CEO, Wisconsin Primary Health Care Association; Nancy Wenzel, CEO, The Wisconsin Association of Health Plans; and Rick Abrams, CEO/executive vice president, Wisconsin Medical Society.
Harrison described the important role the health centers played in the regional enrollment networks to connect those eligible with coverage.
“We focused our members on making sure that people were enrolled to help make the Wisconsin plan work, and then help those who are at 100 percent FPL and over to retain their coverage,” Harrison said. “When you are talking about people at the lower end of the income spectrum, being able to retain coverage is more of an art than a science.”
Borgerding noted that he would not be surprised if Wisconsin seeks a “1332 waiver,” which offers wide latitude to states for transforming their health insurance and health care delivery systems. All the panelists basically agreed that they are not expecting a large-scale change to the ACA, but some of the revenue generators in the ACA will be on the table, including the medical device tax, the “Cadillac” insurance tax, and the Independent Payment Advisory Board (IPAB).
“Keep in mind, as these go away, so do a lot of the funding sources for those things that a lot of us like about the ACA, including subsidies for premiums on the exchange and for those states that did expand Medicaid, that includes the government paying for 100 percent of the Medicaid expansion,” Borgerding said.
When asked about post-budget legislative priorities, Wenzel said the decision of whether the state will self-fund the state employee health insurance plan looms large over her Association—a concern shared by WHA.
Citing a recent study, Wenzel said self-funding a group that comprises 14 percent of Wisconsin’s commercial health insurance market would have a broad and devastating impact on the state.
“It could also have an impact on Wisconsin’s competitive health insurance market, on state budget stability, on the economy and jobs and on consumer choice, and on our health care delivery system,” according to Wenzel. “We are opposed because we believe that a competitive model is the most effective model in the country. Our competitive model has saved the state over a billion dollars in the last five years. Moving to self-funding could cost the state $100 million or more.”
Borgerding agreed, noting that the state Legislature has a stake in decision. “We have seen the Legislature on many occasions inject itself into certain types of decisions…On the issue of self-funding state employee health insurance, we think it is appropriate and reasonable for the Legislature to have a role.”
“WHA’s post-budget priorities are keenly focused on public policy that enables our members to deliver high-quality, high-value health care,” according to Borgerding. This includes passing the physician licensure compact and a behavioral health bill.
Borgerding is optimistic the Legislature will support a bill aiming to improve care coordination for behavioral health patients. The initiative calls for establishing a web-based inpatient psychiatric bed tracker that is modeled after a similar program in Minnesota. The tracker would provide real-time information about the availability of beds, lead to better care delivery and save money, Borgerding said.
The legislation would also include a care coordination pilot within the Medicaid program. Providers that can provide “a full continuum of behavioral health care” would contract with the Department of Health Services. Borgerding said those providers would likely be paid a per-member-per-month amount to better manage care for those suffering from mental illness who frequently appear in emergency rooms, “the costliest place and sometimes least appropriate place to be receiving care,” Borgerding noted.
A final part of the program would reimburse mental health consultations in the Medicaid program. Such consultations could be part of a primary care visit, if a doctor encounters someone with a behavioral health issue and brings in a psychiatrist to speak with them.
The project would be funded by $1 million that was originally slated for health care data collection and set aside in the 2015-’17 state budget by the Joint Finance Committee. Walker vetoed the appropriation because the budget lacked details on the proposal. Rep. Mary Czaja (R-Irma) plans to pursue the bill this fall.
Abrams said the Society also supports the “speedy passage” of the physician licensure compact and said it is a top legislative priority for his group. Another area Abrams said is a concern is the abuse of prescription drugs and the heroin problem.
“Overdoses are taking more Americans than auto accidents,” according to Abrams. “To that end, we need to help educate our doctors so they know how they can address this problem.”
Responding to a question about population health, Abrams said as a state and as providers, we need to start connecting the medical and public health communities. Doctors can provide great care, but if the person is homeless or illiterate, the care won’t make a difference because the patient is not able to comply or does not understand the care plan.
“This is an outcome we cannot tolerate,” Abrams said.
The next Wisconsin Health News event on September 1 in Madison will feature three Wisconsin health leaders: Robert Nesse, MD, CEO, Mayo Clinic Health System; Art Nizza, CEO, Meriter-UnityPoint Health; and Sue Turney, MD, CEO, Marshfield Clinic Health System. For information contact Tim Stumm at 608-216-8898, or via email at firstname.lastname@example.org.
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2015 Wisconsin Hospitals Conduit & State PAC Update - $100,000 to Goal
The 2015 Wisconsin Hospitals Conduit and State PAC fundraising campaign needs to raise just over $100,000 to reach the goal to raise $270,000 by the end of the year. So far the campaign has raised more than $165,000 from 202 individuals.
“The 2015 Campaign is an important rebuilding one, as the 2014 Campaign disbursed a record $342,000 in a single year to 109 candidate campaigns and left our balances low,” according to 2015 Advocacy Committee Chair Ed Harding. “That is why we need to reach our goal sooner and keep up a strong pace heading into fall,” he added.
Individual contributors are listed in The Valued Voice by name and affiliated organization on a regular basis. Special thanks to the contributors to date who are listed alphabetically by contribution amount category below. The next publication of the contributor list will be in the August 14 edition of The Valued Voice. For more information, contact Jodi Bloch at 608-217-9508 or Jenny Boese at 608-274-1820.
|Contributors Ranging from $1 - $499|
|Anderson, Phil||Sacred Heart Hospital|
|Appleby, Jane||Aurora Health Care|
|Ballentine, Anne||Wheaton Franciscan Healthcare|
|Bayer, Tom||St. Vincent Hospital|
|Bard, Jeffrey||Aurora Medical Center - Oshkosh|
|Bollig, Dale||SSM - St. Mary's Hospital|
|Brenny, Terrence||Stoughton Hospital|
|Brisch, Donald||Holy Family Memorial|
|Cardinal, Lori||Agnesian HealthCare|
|Carter, Shane||Aurora Medical Center - Oshkosh|
|Clark, Julie||HSHS - St. Joseph's Hospital|
|Clark, Renee||Fort HealthCare|
|Collins, Sherry||Wisconsin Hospital Association|
|Colman, Gerard||Aurora Health Care|
|Coniff, Barbara||HSHS - St. Mary's Hospital Medical Center|
|Coopman, Dianne||St. Mary's Janesville Hospital|
|Cormier, Laura||Bellin Hospital|
|Culotta, Jennifer||St. Clare Hospital & Health Svcs|
|Curran-Meuli, Jane||Holy Family Memorial|
|Davidson, Lisa||Wisconsin Primary Health Care Association|
|Dettman, Amy||Bellin Hospital|
|Dux, Larry||Froedtert & MCW Community Mem. Hosp|
|Evans, Kim||Bellin Hospital|
|Feeney, John||Community Health Network, Inc.|
|Fielding, Laura||Holy Family Memorial|
|Freitag, Vanessa||Our Lady of Victory Hospital|
|Gullicksrud, Lynn||Sacred Heart Hospital|
|Hafeman, Paul||St. Vincent Hospital|
|Halida, Cheryl||HSHS - St. Joseph's Hospital|
|Hamilton, Mark||UW Hospitals and Clinics|
|Harrington, Kathleen||Mayo Health System - Eau Claire|
|Hernandez, Terri||HSHS - St. Joseph's Hospital|
|Jelle, Laura||St. Clare Hospital & Health Services|
|Kaufmann, Marilyn||Holy Family Memorial|
|Klay, Chris||HSHS - St. Joseph's Hospital|
|Klay, Lois||HSHS - St. Joseph's Hospital|
|Knutzen, Barbara||Agnesian HealthCare|
|Krueger, Kari||St. Mary's Janesville Hospital|
|Lampman, Sandra||St. Mary's Hospital|
|Leschke, John||Mercy Medical Center|
|Lynch, Sue||Mayo Health System - Franciscan HC|
|Maurer, Mary||Holy Family Memorial|
|Mays, Laura||Stoughton Hospital Association|
|McArdle, PeggyAnn||Agnesian HealthCare|
|McMeans, Scott||Holy Family Memorial|
|Mercer, Carla||Reedsburg Area Medical Center|
|Merrick, Marianne||SSM - St. Mary's Hospital|
|Miller, Thomas||Children's Hospital of Wisconsin|
|O'Hara, Tiffanie||Sundial Software|
|Olson, Bonnie||Sacred Heart Hospital|
|Palecek, Steve||HSHS - St. Joseph's Hospital|
|Peiffer, Susan||Sacred Heart Hospital|
|Range, Bonnie||Holy Family Memorial|
|Riddle, Roberta||Rusk County Memorial Hospital|
|Rocheleau, John||Bellin Health|
|Roethle, Linda||Bellin Memorial Hospital|
|Roundy, Ann||Columbus Community Hospital|
|Schubring, Randy||Mayo Health System - Eau Claire|
|Selle, Ginger||St. Clare Hospital & Health Services|
|Statz, Darrell||Rural Wisconsin Health Cooperative|
|Stelzer, Jason||St. Clare Hospital & Health Services|
|Swanson, Kaitlin||HSHS-Eastern WI Division|
|Tapper, Joy||Milwaukee Health Care Partnership|
|Theiler, Brian||Gundersen Tri-County Hospitals & Clinics|
|Thornton, Eric||SSM - St. Mary's Janesville Hospital|
|Van Abel, Lois||Bellin Hospital|
|Vergos, Katherine||Agnesian - Ripon Medical Center|
|Walker, Troy||St. Clare Hospital & Health Services|
|Werkheiser, Cindy||Monroe Clinic|
|Wheeler, Susan||St. Nicholas Hospital|
|Whitinger, Margaret||Agnesian HealthCare|
|Wold, Gwen||Amery Regional Medical Center|
|Contributors Ranging from $500 - $999|
|Bagnall, Andrew||St. Nicholas Hospital|
|Bailet, Jeffrey||Aurora Health Care|
|Dexter, Donn||Mayo Health System - Eau Claire|
|Dicus-Johnson, Coreen||Wheaton Franciscan Healthcare|
|Dietsche, James||Bellin Hospital|
|Dolohanty, Naomi||Aurora Health Care|
|Ericson, Allen||Froedtert & MCW HSHS - St. Joseph's Hospital Campus|
|Frangesch, Wayne||Wheaton Franciscan Healthcare|
|Freimund, Rooney||Bay Area Medical Center|
|Furlong, Marian||Hudson Hospital & Clinics|
|Golanowski, Marie||Aurora St. Luke’s Medical Center|
|Graul, Mark||Children’s Hospital of Wisconsin|
|Gullingsrud, Tim||Hayward Area Memorial Hospital & Nursing Home|
|Gustafson, Andy||SSM Health Care-Wisconsin|
|Hanson, Gail||Aurora Health Care|
|Heaney, Dwight||Fort HealthCare|
|Jablonski, James||Children's Hospital of Wisconsin|
|Jacobson, Terry||St. Mary’s Hospital of Superior|
|Jensema, Christine||HSHS-Eastern Wisconsin Division|
|Kersten, Juliet||Children's Hospital of Wisconsin|
|Kingston, Mary Beth||Aurora Health Care|
|Kirsch, Jennifer||Gundersen Health System|
|Korom, Nancy||Children's Hospital of Wisconsin|
|Lange, George||Westgate Medical Group, CSMCP|
|Larson, Margaret||Mercy Medical Center|
|Latta, Richard||Godfrey & Kahn, SC|
|Lindberg, Steve||Mayo Clinic Health System - Red Cedar|
|Miller, Thomas||Children's Hospital of Wisconsin|
|Mohorek, Ronald||Ministry Health Care|
|Mulder, Doris||Beloit Health System|
|Nelson, James||Fort HealthCare|
|O’Day, Thomas||Godfrey & Kahn, SC|
|Oland, Charisse||Rusk County Memorial Hospital|
|Ose, Peggy||Riverview Hospital Association|
|Peterson, Douglas||Chippewa Valley Hospital|
|Quinn, George||Wisconsin Hospital Association|
|Reardon, Brian||Hospital Sisters Health System|
|Roesler, Bruce||The Richland Hospital|
|Rohrbach, Dan||Southwest Health Center|
|Rozenfeld, Jon||St. Mary’s Hospital - Madison|
|Rude, Nels||The Kammer Group|
|Seitz, Verna||ProHealth Care, Inc.|
|Selberg, Heidi||HSHS-Eastern Wisconsin Division|
|Shabino, Charles||Wisconsin Hospital Association|
|Shorter, Tom||Godfrey & Kahn, SC|
|Simaras, Jim||Wheaton Franciscan Healthcare|
|Sisney, Mary||Children's Hospital of Wisconsin|
|Stuart, Philip||Tomah Memorial Hospital|
|Teigen, Seth||St. Mary’s Hospital|
|Thurmer, DeAnn||Waupun Memorial Hospital|
|Van Meeteren, Bob||Reedsburg Area Medical Center|
|Yaron, Rachel||Ministry St. Clare’s Hospital|
|Zenk, Ann||Ministry St. Mary’s Hospital|
|Contributors Ranging from $1,000 - $1,499|
|Ashenhurst, Karla||Ministry Health Care|
|Bedwell, Elizabeth||Children's Hospital of Wisconsin|
|Bloch, Jodi||Wisconsin Hospital Association|
|Brenton, Andrew||Wisconsin Hospital Association|
|Connors, Larry||St. Mary's & St. Vincent Hospital|
|Cullen-Schultz, Jeannie||JP Cullen & Sons|
|Geboy, Scott||Hall, Render, Killian, Heath & Lyman|
|Geraghty, Tricia||Children's Hospital of Wisconsin|
|Just, Lisa||Aurora Health Care-South Region|
|Kerwin, George||Bellin Hospital|
|Killoran, Carrie||Aurora Health Care|
|Lewis, Jonathan||St. Mary's Hospital|
|McCawley, Thomas||Beloit Health System|
|Punzenberger, Lindsay||Children’s Hospital of Wisconsin|
|Reynolds, Sheila||Children’s Hospital of Wisconsin|
|Rickelman, Debbie||WHA Information Center|
|Robertstad, John||ProHealth Care - Oconomowoc Memorial Hospital|
|Roller, Rachel||Aurora Health Care|
|Rush, Steven||Wisconsin Hospital Association|
|Sato, Thomas||Children’s Hospital of Wisconsin|
|Schafer, Michael||Spooner Health System|
|Swanson, Kerry||St. Mary’s Janesville Hospital|
|White-Jacobs, Mary Beth||Black River Memorial Hospital|
|Wolf, Edward||Lakeview Medical Center|
|Contributors Ranging from $1,500 - $1,999|
|Boese, Jennifer||Wisconsin Hospital Association|
|Clapp, Nicole||Grant Regional Health Center|
|Coffman, Joan||HSHS - St. Joseph's Hospital|
|Court, Kelly||Wisconsin Hospital Association|
|Decker, Michael||Divine Savior Healthcare|
|Dotson, Jason||Beloit Health System|
|Frank, Jennifer||Wisconsin Hospital Association|
|Grasmick, Mary Kay||Wisconsin Hospital Association|
|Harding, Edward||Bay Area Medical Center|
|Kammer, Peter||The Kammer Group|
|McKevett, Timothy||Beloit Health System|
|Natzke, Ryan||Marshfield Clinic|
|Nauman, Michael||Children's Hospital of Wisconsin|
|Olson, David||Froedtert & The Medical College of Wisconsin|
|Russell, John||Columbus Community Hospital|
|Schulze, Connie||Ministry Health Care|
|Sexton, William||Crossing Rivers Health Medical Center|
|Sheehan, John||UW Hospitals and Clinics|
|Wallace, Michael||Fort HealthCare|
|Contributors Ranging from $2,000 - $2,999|
|Alig, Joanne||Wisconsin Hospital Association|
|Anderson, Sandy||St. Clare Hospital & Health Svcs|
|Duncan, Robert||Children's Hospital & Health System|
|Herzog, Mark||Holy Family Memorial|
|Hilt, Monica||St. Elizabeth Hospital|
|Kachelski, Joe||WI Statewide Health Info Network|
|Leitch, Laura||Hall Render|
|Levin, Jeremy||Rural Wisconsin Health Cooperative|
|Lewis, Gordon||Burnett Medical Center|
|Meyer, Daniel||Aurora BayCare Medical Ctr Green Bay|
|Oliverio, John||Wheaton Franciscan Healthcare|
|Pandl, Therese||HSHS-Eastern Wisconsin Division|
|Potter, Brian||Wisconsin Hospital Association|
|Potts, Dennis||Aurora St. Luke’s Medical Center|
|Sanders, Michael||Monroe Clinic|
|Sliwinski, Ron||UW Hospitals and Clinics|
|Stanford, Matthew||Wisconsin Hospital Association|
|Troy, Peggy||Children’s Hospital of Wisconsin|
|Contributors Ranging from $3,000 - $4,999|
|Boatwright, Damond||SSM Health Care-Wisconsin|
|Jacobson, Catherine||Froedtert & The MCW|
|Little, Steve||Agnesian Health Care|
|Mettner, Michelle||Children’s Hospital of Wisconsin|
|Neufelder, Dan||Ministry Health Care|
|Normington, Jeremy||Mercy Medical Center|
|O’Brien, Kyle||Wisconsin Hospital Association|
|Size, Tim||Rural Wisconsin Health Cooperative|
|Standridge, Deb||Wheaton Franciscan Healthcare|
|Starmann-Harrison, Mary||Hospital Sisters Health System|
|Turkal, Nick||Aurora Health Care|
|Contributors Ranging from $5,000+|
|Borgerding, Eric & Dana||Wisconsin Hospital Association|
|Brenton, Stephen||Wisconsin Hospital Association|
|Tyre, Scott||Capitol Navigators, Inc.|
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Physician Licensure Compact Receives Majority Support in Assembly and Senate
Legislation to implement an expedited licensure process for physicians wanting to practice across state lines has garnered enough co-sponsors to account for a majority in both the state Assembly and state Senate. Assembly Bill 253, the Interstate Physician Licensure Compact Implementation legislation, has received broad, bipartisan support in both chambers of the Legislature with 56 sponsors in the Assembly and 17 sponsors in the State Senate.
The legislation, which has been supported by the health care industry in Wisconsin, will be heard before the Assembly Committee on Health August 18. This will be the first step forward in adopting the Compact in Wisconsin. Eleven states, including Illinois, Iowa and Minnesota, have adopted the physician licensure compact legislation. Legislation adopting the physician licensure compact has been introduced in eight additional states, including Michigan and Wisconsin.
Assembly Bill 253 and its counterpart legislation in the Senate, Senate Bill 196, were introduced by Rep. Nancy VanderMeer (R-Tomah) and Sen. Sheila Harsdorf (R-River Falls). The Interstate Physician Licensure Compact is a voluntary, expedited licensure process for those wanting to be licensed in multiple states. Provisions of the legislation only impact those who choose to participate in this voluntary process.
During WHA’s Advocacy Day earlier in 2015, over 600 people attended meetings with their local legislators and asked them to sponsor the bill. Within days after Advocacy Day, more than 70 lawmakers signed on as co-sponsors of the legislation.
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Prescription for Success: A Workshop for Hospital Foundations
A complimentary program brought to you by WHA, WORH and RWHC
August 20, 2015
Riverwalk Hotel, Neenah
This program is available at no cost to hospital foundation staff, but pre-registration is required.
Register today at: http://events.SignUp4.net/Foundation15.
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State Broadband Grant Application Process Opens
The Wisconsin Public Service Commission has posted the process for organizations to apply for up to $1.5 million in grants to provide reimbursement for equipment and construction expenses incurred to extend or improve broadband telecommunications service in underserved areas of Wisconsin. Grant applications are due September 30.
According to the Public Service Commission, an application for a grant may be submitted by any of the following entities:
• An organization operated for profit or not for profit, including a cooperative;
• A telecommunications utility;
• A local government that has a legal partnership or joint venture with one of the above.
The funding was authorized in the recently enacted state budget bill and expands the available funds from $500,000 per year to $1.5 million per year.
Additional information about the State Broadband Expansion Grant Program and additional details about eligibility and the application process can be found at: http://psc.wi.gov/utilityInfo/tele/broadband/grants/bbGrantApplicationPage.htm.
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Successful Launch to WHA APNP Hospitalist Webinar Series
Session 2 offered September 2
Staff from more than 70 hospitals and health systems participated August 5 in the first of a three-part, complimentary WHA webinar series focused on the use of advanced practice clinicians (APCs) in hospitalist programs.
Quarles & Brady attorneys Sarah Coyne, Kerry Moskol and Leah McNeely provided their insights into the multiple legal parameters relevant to an APC hospitalist program and described challenges hospitals face when considering use of APCs as hospitalists during the complimentary webinar presentation. Quarles & Brady is a silver-level WHA corporate member.
Session two, scheduled September 2, will focus on various APC hospitalist structures that can be implemented in CAHs or PPS hospitals, as well as provide an overview of regulatory risks involved in these programs and propose strategies to mitigate the risks. The final session, scheduled October 6, will describe practical steps hospitals need to take to implement an APC hospitalist program, including a discussion of bylaw considerations, privileging documents, co-signature timeframes, and policies and procedures.
Complete descriptions of the three sessions and online registration can be found at: http://events.SignUp4.net/2015APHospWebSeries. There is no fee for WHA hospital and corporate members to participate, but pre-registration is required. This WHA Member Forum webinar series is intended for and limited to staff of WHA hospital and WHA corporate members only, as a membership benefit. For WHA corporate membership information, contact Jennifer Frank, email@example.com or 608-274-1820.
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Medicare Releases PPS Rules, New Bundled Payment Model
WHA summaries and hospital-specific analysis available
In addition to the nice weather that summer brings, it is also the season for CMS to release their Medicare proposed and final prospective payment system rules for hospital based services ranging from inpatient and outpatient, to home health, psychiatric, rehab and SNF services. In addition, there is a new bundled payment model for hip and knee replacements for the hospitals in the Milwaukee and Madison MSAs.
WHA has excellent resources on wha.org to help members understand these important Medicare payment rules, by providing detailed rule summaries and hospital-specific analysis on the financial impact of the changing rules.
All completed PPS rule summaries can be found on the WHA website at www.wha.org/medicare.aspx. Once there, see the left hand side of the webpage for the PPS topic of interest to you.
The hospital-specific fiscal analysis of the Medicare PPS payment rules and the Bundled Payment Model can be obtained on the WHA member portal at http://members.wha.org/Home.aspx.
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Register Now for the Rural Medical Educators Faculty Development Conference
The Wisconsin Collaborative for Rural Graduate Medical Education (WCRGME) and the Rural Wisconsin Health Cooperative (RWHC) will present their third annual Rural Medical Educators Faculty Development Conference Friday, September 25 from 8:30 a.m. – 3:30 p.m. The theme is “Efficiency in Teaching.”
The purpose of the conference is to support rural and community medical education by providing faculty development for faculty and community preceptors which recognizes the unique advantages and challenges of these settings.
Resident and medical student faculty and community preceptors are encouraged to attend. There is no charge for WCRGME members; the fee for non-WCRGME members is $75, which includes program handouts, continental breakfast, refreshments and lunch.
AAFP (American Academy of Family Physicians) CME Credit is applied for and estimated to be 5-6 credits. The conference will be held at the RWHC Office & Training Center at 880 Independence Lane, Sauk City, WI. Registration deadline is September 11.
Register here. For more information, email Jill Niemczyk, program assistant, at firstname.lastname@example.org or call 920-652-0238.
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Anthem Names Samitt Chief Clinical Officer
Anthem announced Craig Samitt, MD, MBA will join the company as chief clinical officer, effective September 21, 2015. In this newly-established role, Samitt will report directly to Joseph Swedish, president and CEO, Anthem, and will also serve as a member of the company’s executive leadership team.
Samitt has extensive experience in the transformation of health care delivery and insurance sector. In July, Samitt facilitated the WHA Board Planning Session. Samitt is in his fourth year of serving as a member of the Medicare Payment Advisory Commission (MedPAC), which is a nonpartisan legislative branch agency that provides the U.S. Congress with analysis and policy advice on the Medicare program.
Samitt noted during the Board planning session that Wisconsin is more ready than other parts of the country to move from a “volume to a value-based environment.”
“While we don’t have the ability to measure quality among regions with the accuracy required now, we should get to the point where we can pay regions more that have higher quality,” Samitt told WHA Board members.
Samitt has more than 20 years of experience leading integrated delivery systems. Prior to joining Oliver Wyman, Samitt served as the president and CEO of HealthCare Partners, a division of DaVita HealthCare Partners. From 2006 through 2013, Samitt was president & CEO of the Dean Health System in Wisconsin, one of the largest integrated delivery systems in the Midwest.
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