Thursday May 11th, 2017, 9:45 am – 10:45 am
Breakout Session 101:
Physician Independence, Strategic Planning. OK, what is next?
Steve Fiore, MBA, FACMPE
Chief Executive Officer, Orthopaedic Specialty Group, PC
Steve has been in healthcare administration for 39 years, and has held senior executive positions within Medical Practices for over 37 years. Steve is a past member of the Board of Directors of MGMA, Past President for the Eastern Section of MGMA, Past President of Massachusetts / Rhode Island MGMA, and Past President of American Association of Orthopaedic Executives (Bones Society Inc.), a national organization of Orthopedic Administrators. Steve holds a BS in Health Administration and a Masters of Business Administration. Steve is a Fellow in the American College of Medical Practice Executives. For the past 18 years, Steve has been the Chief Executive Officer for Orthopaedic Specialty Group, PC, Fairfield Surgery Center, LLC in Fairfield Connecticut, Executive Director for ENT Specialists, PC, in Norwood, MA, and is a Principle of Medical Consultants of New England, LLC, a national healthcare consulting firm.
Breakout Session 102:
Preparing for Pay for Performance
Paul Martino, Chief Strategy Officer, VillageMD
A 30 year veteran of the health care industry, Paul has driven growth and fostered innovation as an executive for health plans and consultancies. As Co-Founder and Chief Strategy Officer of VillageMD, Paul is responsible for negotiating value-based arrangements to support the VillageMD model. Prior to VillageMD, he was Senior Vice President of Clinical Strategy and Innovation at Anthem/WellPoint, the second largest health plan in the US. He was instrumental in architecting Anthem’s payment innovation strategy, developing its Patient Centered Primary Care model, and establishing value-based contracts with Anthem’s primary care physician network. Prior to Anthem, he led business development for Kaiser Permanente nationally, as well as for their population health company, Avivia Health. Paul has recently spoken at the Healthcare Financial Management Association and BMS Market Access Summit. Paul holds a B.A. in Philosophy from the University of Connecticut.
Breakout Session 103:
Patients as Medical Consumers: Making Online Reviews & Marketing Work For You
John Theriault, Consultant, Truventis
John Theriault is founder of Truventis Digital providing online growth and reputation management strategies for medical practices, hospitals, and healthcare systems. The company assists clients in understanding the latest digital trends, platforms, tools and analytics that are rapidly changing patient behavior and competition in healthcare.
He was previously a Management Consultant PriceWaterhouseCoopers in Boston. He was also an associate producer for news at WHDH-7 Boston and holds a MPA from Harvard University.
Thursday May 11th, 2017, 11:15 am – 12:15 pm
Breakout Session 201: Technology Trends & The Associated Threats
Joe Young, CEO, Global Data Systems Inc.
Joe Young, a lifelong Bostonian, is a 30-year IT Industry veteran. He has been CEO of Global Data Systems for over 20 years and has guided the company through many stages from startup to industry leader in the managed services space. Joe has developed a reputation as an individual who understands technologies and the ability to create a strategy to effectively meet operational & financial requirements of the organization. Joe has been a guest speaker at many industry events sharing his knowledge and understanding of the threat landscape healthcare organizations face today.
Breakout Session 202:
Building the Primary Care Practice of the Future
Meryl Moss, MPA, EMHL, Chief Operating Officer, Coastal Medical Inc.
Meryl Moss, MPA, EMHL, serves as Chief Operating Officer of Coastal Medical. In her role, Moss is orchestrating a complete practice transformation at Coastal Medical. With 25-years of healthcare experience, Moss provides the insight and leadership necessary to continually explore new ways to deliver high quality, cost effective, patient-centered care to Coastal’s population of patients.
Over a 5-year period, Coastal has transitioned from being a traditional group practice, to an NCQA Level 3 recognized PCMH practice and, most recently, earned a Medicare Shared Savings Program ACO quality score of 100 percent.
Moss also focuses her expertise on building a corporate culture that fosters employee engagement and accountability. She believes this is the foundation for achieving service and clinical excellence, and the way to ensure that the services delivered by Coastal Medical are consistent with the organization’s mission.
Moss is an accomplished public speaker. She presents to groups across the nation on a wide range of leadership and healthcare topics.
Moss studied economics at Boston University, received her Master’s Degree in Administration from Harvard’s Kennedy School of Government and is a graduate of the Brown University Executive Master of Healthcare Leadership Program.
Breakout Session 203: The Washington Update
Mollie Gelburd, Associate Director, Government Affairs, MGMA
Mollie serves as a member liaison for MGMA Government Affairs and has broad expertise in the details of federal legislative and regulatory issues, and their impact on group practices. She coordinates Association grassroots efforts and is a frequent speaker at MGMA state and national meetings. Previously, she worked as an attorney at the Social Security Administration, where she was responsible for making recommendations on disability determinations.
Thursday, May 11th, 2017, 3:00 pm – 4:00pm
Breakout Session 301:
Supporting Physicians Through the Change to Value Based Reimbursement
Lisa Sherwin, MBA, Director
Population Health, Operations New Hampshire
Lisa brings more than 17 years of experience in the healthcare industry, working across acute and ambulatory settings. As VillageMD Director of Population Health Operations for New Hampshire, Lisa works to improve the templates, processes and patient education across the Cognitive Ancillaries and tracking performance against value based contract quality metrics to improve practice performance. Most recently, she was part of the Population Health and Value Based Care practice of a large consultancy working with clients on governance models and systems to support their population health efforts. She has led large programs form strategy through execution, implementing electronic health records, departmental systems and health information exchanges. Lisa holds an MBA from Rensselaer Polytechnic Institute and a BA in Organizational Behavior from University of Illinois at Urbana-Champaign.
Breakout Session 302:
Hot Topics for Employers: An Employment Lawyer’s Perspective
John Gannon, Attorney
Skoler, Abbott & Presser, P.C.
John S. Gannon is an attorney with Skoler, Abbott & Presser, P.C., and practices in the firm’s Springfield, Massachusetts, office. Since the firm’s founding in 1964, Skoler, Abbott & Presser has exclusively represented management and employers throughout the northeast in the fields of labor relations and employment law.
Since joining the firm, John has defended employers against lawsuits and adminstrative actions involving claims discrimination, retaliation, harassment, and wrongful termination, as well actions arising under the Family Medical Leave Act, the Occupational Health and Safety Act, and wage & hour law. John also has experience with lawsuits seeking to enforce restrictive covenants and protect trade secrets.
John frequently assists employers in litigation avoidance strategies. He has reviewed numerous employee handbooks and related polices for compliance, as well as employment and non-compete agreements. John has also conducted comprehensive wage & hour and employment practices audits. He regularly counsels employers on compliance with state, federal and local laws, including the Americans with Disabilities Act, Fair Labor Standards Act, Davis-Bacon Act and state prevailing wage laws.
John is a regular contributor to business publications and to the Massachusetts Employment Law Letter. He also is a frequent speaker on employment-related legal topics for a wide variety of associations and organizations, including appearances on Western Mass News and the Massachusetts Lawyers Weekly podcast sessions.
Breakout Session 303:
CMS Overview of MACRA/QPP, Timelines & Next Steps
Health Insurance Provider Relations Specialist
Rick works for CMS (Centers for Medicare and Medicaid Services) in the Boston Regional Office. He is a Provider Relations/Health Insurance Specialist in the Division of Financial Management Operations. Rick is responsible for the development and implementation of comprehensive educational programs and initiatives in the New England Region by ensuring that providers and beneficiaries are informed of Medicare program benefits and policies. His current duties also include contractor oversight, and serving as the Regional Rural Health Coordinator and Health Information Technology Lead for New England. Rick has over 25 years of health care experience. Before coming to CMS, Rick was the Manager of the Provider Education & Outreach Department at National Heritage Insurance Company, a Medicare Contractor based in Hingham.
Friday, May 12th, 2017, 9:30 am – 10:30 am
Breakout Session 401:
Value Based / HCC Coding in a changing environment
Nancy M. Enos, FACMPE, CPMA, CPC-I, CEMC
Nancy is an independent consultant with the MGMA Health Care Consulting Group. Nancy has 35 years of operations experience in the practice management field. She was a practice manager for18 years before she joined Ingenix in 1995 as the Director of Physician Services and Compliance Officer. In July 2008, Nancy established an independent consulting practice. Nancy provides coding certification courses; outsourced coding services; chart auditing; coding training; consultative services and seminars. Nancy is a Fellow in ACMPE. She serves as ACMPE Forum representative for Rhode Island and serves on the ACMPE Advancement Committee of MGMA.
Breakout Session 402:
Good Relationships are Built on Good Communication
Vice President for POS Professional Office Services
Wendy O’Malley is a vice president for POS Professional Office Services. Wendy has more than 30 years of expertise within the healthcare industry.
Prior to joining POS, her career included positions at Sage and a variety of healthcare IT companies. Throughout her career, she has focused her energies on creating and executing marketing and sales strategies and delivering new technology products and services to the healthcare market designed to reduce administrative burden while improving the patient experience. Wendy holds a Bachelor of Science degree in management from Bentley University.
Breakout Session 403: Improving Practice Quality
Daniel Rubin, President and CEO, PARx Solutions
Dan became President and CEO at PARx in mid-2012. In his role, Dan is responsible for helping to set the company’s strategic direction while working closely with key clients and strategic partners.
Prior to joining PARx, Dan served as the co-founder and CEO of Adheris, Inc. from the company’s inception in 1993 until 2008 when he became the President of inVentiv Health’s Patient Outcomes division. As President of inVentiv Patient Outcomes, Dan oversaw multiple businesses including: Adheris; The Franklin Group, a business that provides patient assistance and reimbursement case management programs to the pharmaceutical industry; in addition to several other businesses providing prescription-related services.