Changes in Practice Models Require Adjustments



8:00 a.m. – 12:00 p.m.

Room 360A

Changes in the regulation of health care and reimbursement are driving more cardiothoracic surgeons into practice models with new business strategies. Surgeons need to keep pace with changing trends as they increasingly join larger medical practices or hospitals in this new environment.

“Many cardiothoracic surgeons are no longer in independent private practices but are aligned with large health care systems. We still deal with the business aspects of delivering cardiothoracic surgery services and how to best deliver care for our patients, but the landscape has changed, and is continuing to change rapidly,” said Frank L. Fazzalari, MD, MBA, Chair of the STS Workforce on Practice Management.

Frank L. Fazzalari, MD, MBA

Frank L. Fazzalari, MD, MBA

Changing from a fee-for-service model of reimbursement to a value-based one will be examined by cardiothoracic surgeons and non-surgeons involved in health care management in a series of Sunday presentations. Dr. Fazzalari, of the University of Michigan Health System in Ann Arbor, and Paul S. Levy, MD, MBA, of Northeast Arkansas Baptist Hospital and Clinic in Jonesboro, are co-moderators.

Many of the reimbursement changes are driven by the Centers for Medicare & Medicaid Services. Eight speakers will discuss these developments, their impact on practice, and how to address them in a session divided into two parts, with panel discussions at the end of each section.

“These changes are not well defined. A lot of this is new thinking, and it is untried,” Dr. Fazzalari said of the evolving CMS regulations. “What we are trying to do in this Practice Management Summit is provide an educational program that helps practicing cardiothoracic surgeons deal with the changes.”

The first speaker is Aaron Robinson, CEO of Community Hospitals with Health First in Melbourne, Fla., who will examine bundled care plans in “Defining Value in the Cardiovascular Service Line.”

Michael N. Heaton, a health care business consultant from Indianapolis, will discuss contract negotiations during “Recent Trends in Economic Surveys and Their Use in Contract Negotiations.” The focus will be on employee models and professional service agreements, including compensation.

Michael G. Moront, MD, of ProMedica Toledo Hospital in Ohio, will present “Work Relative Value Unit Employment Models: A Bad Choice for Cardiothoracic Surgeons,” looking at models used in some health systems to determine the productivity of surgeons.

Chair of the STS Standards and Ethics Committee Richard I. Whyte, MD, MBA, of Beth Israel Deaconess Medical Center in Boston, will present “Ethical Issues in an Employment Model.”

In the second half of the session, health care attorney Mark Kopson, of Plunkett Cooney in Bloomfield Hills, Mich., will discuss “Experience in Dealing With Employed Physicians,” with a focus on his background in contracting and employing physicians.

Steven V. Manoukian, MD, of Nashville, will present “Partnering for Excellence in Today’s Health Care Environment: Health Corporation of America’s Cardiovascular Service Line” and review his experience working with hospital health systems.

Alan M. Speir, MD, of Cardiac, Vascular and Thoracic Surgery Associates in Falls Church, Va., will review legislative issues in “Update From the STS/AATS Workforce on Health Policy, Reform, and Advocacy.” Dr. Speir is Chair of the Workforce.

The final speaker will be Steven F. Bolling, MD, also of the University of Michigan Health System, who will present “How to Take Your Idea From a Napkin to a Company.”

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