Coffee with Coker

Max Reiboldt and Tom Anthony join Mark to discuss what lies ahead for physicians and hospitals in America. Max, Tom, and Mark talk about the changes in the healthcare market and the transformation of the marketplace over recent years.

Episode Synopsis

As the end of 2018 approaches, Max and Tom talk about how the healthcare industry has undergone tremendous change, and they discuss patient expectations, technology, regulatory adjustments, value-based care, models of care, and concerns about the industry.

Recent Healthcare Industry Trends

• Affordability/Value
• Disruption
• Reduced Regulatory Burden
• Ensuring Access to Care
• Alignment/Integration
• Value-Based Programs

Extras

Contact Tom Anthony (Frost Brown Todd)

Follow Max on Twitter (@mreiboldt)

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Ellis Knight, MD, and Mark Stabile join Mark to discuss the ValuePath™ approach to value-based care and the benefits of technology solutions. Mark, Dr. Knight, and Mark talk about the changes in the healthcare market and the transition to value-based care as a delivery model and business model.

Episode Synopsis

Mark Stabile is the CEO of TEAM of Care Solutions, a company that combines best-practice operational processes with the most advanced healthcare technology platform in the world to deliver real-time, evidence-based care coordination workflow across a diverse team of providers. Dr. Knight and TEAM of Care Solutions work together to provide the suite of services known as ValuePath™.

Dr. Knight and Mark Stabile join Mark to discuss the key features of ValuePath™ and how their approach differs from others within the industry.

Extras

Episode 12: ValuePath™: Transitioning to a Value-Based Care Delivery Model

Blog: Key Points about Risk Adjustment of Quality and Cost Data

TEAM of Care Solutions Website

Contact TEAM of Care Solutions

Follow TEAM of Care Solutions on Twitter

ValuePath™ Twitter Moment

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We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on topics for future episodes.

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Justin Chamblee, Jack Liu, and Matt BonDurant join Mark to discuss the evolution of physician compensation and the benefits of a software solution. Mark, Justin, Jack, and Matt talk about the changes in the healthcare market and how these changes have affected compensation.

Episode Synopsis

Jack and Matt are managing partners with ProCARE Portal, a software-as-a-service platform built around a rules-based engine to automate the administration of physician compensation plans. Coker Group has teamed up with ProCARE Portal as an advisory partner for consulting and strategic services.

Jack and Matt join Justin and Mark to discuss how the shift toward fee-for-value reimbursement has changed the way physicians are compensated and how compensation plans are managed and administered. Fee-for-service provided a simple calculation to determine compensation (wRVUs multiplied by a rate), and fee-for-value has added a myriad of other potential metrics to the calculations, making it difficult to manage and administer compensation plans.

They introduce the concept of compensation automation as a solution for increasingly complex compensation plans.

Extras

ProCARE Portal Website

Contact ProCARE Portal

ProCARE Portal Company Page on LinkedIn

Follow Justin on Twitter

Connect with Justin on LinkedIn

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We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on topics for future episodes.

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Terry Wilk joins Mark to discuss the use and management of a healthcare organization's information resources, systems, technologies, and staff. For their discussion, Mark and Terry pose five critical questions that Boards should be asking concerning the use of IT throughout their organizations.

Episode Synopsis

Mark and Terry discuss the need for executives and boards to ask the right questions to help their organizations make the appropriate decisions. They explain why executives and boards must understand and govern IT based on the business implications of IT investments.

Common Business Issues for Healthcare Organizations

• High ongoing IT capital and operating costs;
• Major IT system implementation, conversion, or outsourcing initiatives;
• Leveraging emerging technologies;
• Legal, regulatory, and operational compliance issues; and
• Business recovery and continuity.

The Five Questions

1. What is the strategic importance of IT to the organization?
2. What role should executives and the Board have in governing IT assets?
3. What competencies do executives and the Board need to govern IT effectively?
4. How and when are IT-related matters reported to the Board?
5. How should the Board leverage IT to improve its value to the organization?

Extras

White Paper: Executives Beware: Five Questions Astute Boards are Asking about Healthcare IT

Cybersecurity Twitter Moment

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Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know!

We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on topics for future episodes.

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Brandt Jewell joins Mark to discuss improving access to care for patients which has many different interpretations. For their discussion, Mark and Brandt define patient access as the ability for patients to access care promptly, and how a provider practice manages patient touch points and schedules to coordinate service access and minimize wait times.

Episode Synopsis

Mark and Brandt discuss how to improve access to care for patients by reducing patient wait times, better managing provider schedules and templates, and enhancing visit slot utilization.

They explain the primary challenges and common barriers when addressing patient access to care with a focus on why it is essential to improve.

Key Performance Indicators (KPIs)

• 3rd Next Available appointment by visit type (short/long and new patient/follow up)
• Visit slot utilization
• Un-booked hours/slots
• No-shows and cancelations
• Provider productivity (wRVUs and visit volumes)
• Provider time away from practice (true clinical FTE)

Extras

Pursuing Patient Access: Explore strategies to maximize value for patients, providers, and health systems

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Contact Information

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We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues in which you have an interest. You can also provide recommendations on topics for future episodes.

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Justin Chamblee joins Mark to explain physician compensation market data and the correlation between wRVUs, total cash compensation and the total cash compensation per wRVU ratio.

Episode Synopsis

Mark and Justin discuss the foundational premise of alignment between compensation and wRVU productivity. They provide examples illustrating the corresponding compensation per wRVU ratio which allows alignment to occur.

Figure

Extras

Episode 5: Espresso Shot #1: The Perpetual Upward Shift of the Median

Episode 10: Physician Compensation Round Table Discussion

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Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know!

We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues in which you have an interest. You can also provide recommendations on topics for future episodes.

• Email us: [email protected]
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Dr. Mac Knight and Brandt Jewell join Mark to discuss preparing a physician practice for MACRA participation. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) becomes effective January 1, 2019.

Episode Synopsis

Mark, Dr. Knight and Brandt discuss how MACRA and other pay for performance reimbursement models are shaping the healthcare industry and how these changes are affecting the physician practice.

They explain key data points to review while preparing for the changes to reimbursement on January 1, 2019. They also present different types of costs to consider in concert with reviewing past quality data to evaluate a practice's return on investment when participating in MACRA.

Extras

White Paper: Preparing a Physician Practice for MACRA Participation

MACRA Implementation: Have you Established a Plan to Succeed?

Making the Most of Your MACRA Reporting

Follow Dr. Knight on Twitter

Connect with Dr. Knight on LinkedIn

Follow Brandt on Twitter

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Contact Information

Subscribe to our feed in Apple Podcasts, Google Podcasts, Google Play, Spotify, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know!

We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues in which you have an interest. You can also provide recommendations on topics for future episodes.

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Brandt Jewell joins Mark to discuss various services available to physician practices and healthcare organizations working with physician groups. Coker's physician services focus on a myriad of factors affecting the "physician enterprise."

Episode Synopsis

Mark introduces Brandt and his expertise within the physician services realm. They provide an overview of key areas to consider during the volume-to-value shift including process improvement, operational considerations, and physician engagement.

Extras

Follow Brandt on Twitter

Connect with Brandt on LinkedIn

Contact Information

Subscribe to our feed in Apple Podcasts, Google Podcasts, Google Play, Spotify, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know!

We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues in which you have an interest. You can also provide recommendations on topics for future episodes.

• Email us: [email protected]
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• Connect with us on LinkedIn: Coker Group Company Page

Dr. Mac Knight joins Mark to discuss Coker's approach of transitioning to a value-based care delivery model. ValuePath™ is a suite of services designed to aid physicians and healthcare organizations with improving their quality of care and lowering the cost of services.

Episode Synopsis

Mark and Dr. Knight outline the key success factors for performance under value-based care, including clinical integration, care process design, contracting for value-based care delivery, operational performance management, and revenue assurance.

They explain how CMS uses the risk adjustment factor (RAF) scores to measure the complexity of patients as well as how physician practices and healthcare organizations can use RAF scores to prioritize and focus their efforts to best serve their patient population.

Extras

Risk adjustment in healthcare: Essentials that all providers should know

Managing Financial Risk through a Value-Based Clinical Care Delivery System

Twitter Moments: #ValuePathTM

Follow Dr. Knight on Twitter

Connect with Dr. Knight on LinkedIn

Contact Information

Subscribe to our feed in Apple Podcasts, Google Play, Spotify, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know!

We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues in which you have an interest. You can also provide recommendations on topics for future episodes.

• Email us: [email protected]
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Dr. Mac Knight joins Mark to discuss Coker's comprehensive approach to coding, compliance and clinical documentation known as revenue and quality integrity (RQI). As a former clinician, Dr. Knight is familiar with the challenges physicians face during the clinical documentation process and importance of proper coding from both a compliance and billing standpoint.

Episode Synopsis

Mark and Dr. Knight explain the RQI process and discuss the importance of accurately coding and completing clinical documentation. They examine the different types of coding (procedural, outpatient, inpatient, technical, etc.) and regulatory compliance as well as discuss the importance of regular coding audits.

They explain how clinical documentation plays a role in due diligence processes, value-based healthcare reimbursement and a comprehensive compliance strategy. Mark and Dr. Knight provide insight on how RQI ultimately affects all facets of any healthcare organization.

Extras

Revenue and Quality Integrity: A Comprehensive Approach to Coding, Compliance, and Clinical Documentation

Clinical Documentation: 10 means for compliance and convenience

Follow Dr. Knight on Twitter

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Contact Information

Subscribe to our feed in Apple Podcasts, Google Play, Spotify or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know!

We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues in which you have an interest. You can also provide recommendations on topics for future episodes.

• Email us: [email protected]
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