Management and Payment for Social Determinants
WHO SHOULD PARTICIPATE: COOs, risk managers, nursing leaders, quality improvement staff, finance personnel, reimbursement staff, compliance officers, case management leaders, and anyone else interested in the topic
OVERVIEW: Learn how Beacon Community Connections built a cross-collaborative model to solve for and help treat patients with Social Determinants of Health (SDOH). This model enabled Beacon to take advantage of a significant shift in payment models, when Centers for Medicare & Medicaid Services (CMS) launched new Health Common Procedure Coding System (HCPCS) codes in January 2024 coupled with including SDOH in risk-adjusted payments Hierarchical Conditions Category (HCC).
LEARNING OBJECTIVES:
• Discuss how collaboration led to creating a model to solve for SDOH; and
• Understand the new HCPCS codes and how HCC is being affected.
AGENDA:
• Significant Reduction in 30-Day All-Cause Hospital Readmissions;
• Significant Reduction in 30-Day All-Cause Emergency Department Revisits;
• Majority of Patients Connected to One or More Community Resource;
• Strong Financial Impact for Health System Through Social Care;
• New HCPCS Codes; and
• New HCC Modifier
MEET YOUR FACULTY:
Dr. Holly Howat, Founder and Executive Director, Beacon Community Connections, Speaker Bio
Mr. Cian Robinson, Founder and CEO, Robinson Ventures, Speaker Bio
CONTINUING EDUCATION: Upon completion of the webinar and evaluation, participants will receive a certificate documenting up to 1.0 continuing education/clock hours.
Registration
Registration not available.