Dana Alexander, Divurgent’s Vice President of Clinical Advisory Services, is a recognized industry thought leader, with concentrated expertise in population health, accountable care, strategic planning, and clinical transformation. She currently resides as the HIMSS Board of Directors, Chair, and is extremely active within the healthcare industry. Dana brings decades of experience in the clinical and operational environment paired with executive-level experience.
Dana utilizes her industry expertise and clinical experience to work with Divurgent’s clients to implement transformative clinical and business strategies that allow for the collection, measurement, and application of data toward improving the safety, effectiveness, efficiency, and delivery of patient care. Dana’s expertise in population health and analytics, patient engagement, and patient safety, arm Divurgent’s Clinical Advisory Services Team with the client-focused solutions that improve health outcomes and clinical efficiencies.
MACRA: What We Know, Don’t Know, and How to Prepare
Payments by CMS through alternative payment models for achieving outcomes and quality will increase to 50 percent by the end of 2018. This shift to payment for value will be driven by APM programs, bundle payments and ACO’s. Continued refinement of provisions in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) will further enhance these models, as well as introduce new physician performance guidelines such as the Merit-Based Incentive Payment System (MIPS).
It is clear that MACRA will create a shift in thinking and approach for providers, creating challenges for governance, forecasting, data management, care delivery, and outcomes monitoring. In light of the release of CMS’s proposed rule, this presentation will give an overview of the current understanding and requirements for MACRA, outline strategies as to how provider organizations should be positioning for success, and help determine the state of readiness through a structured MACRA assessment.
- Establish core understanding of MACRA regulations and areas of impact as defined by CMS, and discuss the challenges for anticipated governance, forecasting, data management, care delivery, and outcomes monitoring.
- Share insights from provider organizations as to their thinking, approach, risk concerns, and how they are preparing for MACRA, and transitioning from the MU and quality programs as we know today
- Outline strategies for how organizations can prepare for MACRA such as a MACRA Readiness Assessment and strategies for establishing governance models to support integrated stakeholder accountability