13S159: Experts Roundtable: Current and Future Payment Models, MIPS, and Other Hot Topics in Practice Management

Sunday, November 13, 2022

3:00 PM – 4:30 PM Eastern Time

Location: Room 108

CE: 0.50

All of the relevant financial relationships listed for faculty have been mitigated.

Moderator(s)

Marcus Snow, MD

University of Nebraska Medical Center
Omaha, NE, United States

Disclosure(s): No financial relationships with ineligible companies to disclose

Payment models in rheumatology have continued to evolve, and new challenges to reimbursement seem to pop up daily. MIPS options and rewards/penalties change each year, with 2023 being the highest reward/penalty year yet. The new MIPS value pathway (MVP) will be introduced in rheumatology in 2023 and will be discussed, as will the role ACR’s RISE registry can play in helping practices pivot to a quality-based mentality. Is quality / value-based care contracting the future? Potential models and examples of successful implementation strategies in rheumatology practices will be discussed, as will other current and future payment challenges to watch. The session will bring together thought leaders and participants in an interactive discussion regarding the future of rheumatology practice reimbursement.

Learning Objectives:

Upon completion, participants will be able to articulate future changes in federal reporting, including the new rheumatology-specific MIPS value pathway
Upon completion, participants will be prepared to engage in value-based contracting discussion with payers
Upon completion, participants will be able to articulate the major reimbursement barriers being currently presented or proposed by major payers

Presentations:

3:00 PM – 3:20 PM Eastern Time

Quality Payment Plan Changes: What We Know and What We Expect
Speaker: William Harvey, MD, MSc – Tufts Medical Center
3:20 PM – 3:30 PM Eastern Time

Q&A
3:30 PM – 3:50 PM Eastern Time

Value-Based Contracting: What is Coming and How Not to Get Left Behind
Speaker: Karen Ferguson, MS – Our Stories Rx
3:50 PM – 4:00 PM Eastern Time

Q&A
4:00 PM – 4:20 PM Eastern Time

Keep Your Practice in the Black! Current and Future Reimbursement Pain Points and How to Address Them
Speaker: Liz Schultz – Salem Rheumatology & Infusions
4:20 PM – 4:30 PM Eastern Time

Q&A