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With data now available from the first three quarters of DSRIP, most Performing Provider Systems appear on track to collect the lion’s share of their first-year awards. Among the 25 PPSs, 12 were awarded all of their achievement values, or AVs. The worst-performing PPS, Advocate Community Providers, was on track to earn 93% of its AVs, according […]

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State of Reform
April 08, 2016

Redesigning our Workforce for 21st Century Care
Presenter: Leah Rosengaus, Director

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Hear from Cindy Ehnes, our Executive Vice President about what’s next for Medi-Cal 2020 implementation and financing. California’s health care leaders are already deep into thinking about how $7 billion from CMS can drive system-level change. So, State of Reform invited some voices from the trenches to talk about what implementation strategies they see emerging, […]

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Team Member Spotlight
March 23, 2016

Kelly Ochoa is a Regional Manager overseeing workforce development programs at St. Joseph Hospital of Orange and Kaiser Permanente Riverside. She is responsible for supervising program operations, working with her portfolio of clients to identify short-term and long-term health care talent needs and adding value through additional services and projects. In addition to her client […]

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The Letters of Intent for Next Generation Accountable Care Organization (NextGen ACO) model through the Center for Medicare and Medicaid Innovation (CMMI) are due May 2, 2016 for the program starting in 2017. Twenty-one participants nationwide will qualify for the NextGen ACO that builds upon the experience gained through the Medicare Shared Savings Program (MSSP) […]

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The U.S. Health Care landscape is shifting at an unprecedented pace.  Since implementation of the Patient Protection and Affordable Care Act (ACA), reimbursement policies and methodologies have undergone significant changes alarming providers (i.e., hospitals, health systems, physicians, allied health and post-acute providers/professionals across the country). 2015 was especially remarkable due to significant policy changes in […]

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Overview: California’s next Section 1115 Medicaid Waiver, Medi-Cal 2020, was approved on December 31, 2015. The Medi-Cal 2020 initiatives include a Global Payment Program, a Whole Person Care Pilot program, a Dental Transformation initiative and the introduction of the Public Hospital Redesign and Incentives in Medi-Cal program (PRIME). PRIME builds upon the successes of […]

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The Texas Medicaid 1115 Waiver is going through a transformation. The sooner providers prepare, the better. As the current Texas Medicaid 1115 Waiver Demonstration nears a close in late 2016, many health care providers across the state find themselves pondering the “what ifs” of operations post-DSRIP. DSRIP, or Delivery System Reform Incentive Payment, is a […]

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Models of Provider Risk and Value Based Payment - Seattle, WA
Presenter: Cindy Ehnes

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Sustainability in Healthcare Finance: Adding Value Over a Lifetime - Los Angeles, CA
Presenter: Roland Fargo, Sarita Mohanty, Joel Yuhas, Allen Miller

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