Feeling the Pressure Yet?
Solutions for Physician Independence and IntegrationJoin the Greater Houston Healthcare Alliancefor a lively Happy Hour dis-cussion featuring informa on for doctors, prac ce administrators, ancillary providers, independent hospitals and ASC’s to thrive in today’s healthcare environment. Take the opportunity for a “quick consult” with GHHA Members (over 15 professional healthcare service organiza ons and locally-based lead-ing healthcare academicians) to give you insight immediately.
Seating is limited
Please Register at www.ghhalliance.org
GHHA Fall Happy Hour Conference
GHHA Fall Happy Hour Conference
Norris Conference Centre @ City Centre
816 Town & Country Blvd., Suite 210 | Houston, Texas 77024
Thursday, October 16, 2014
4:00 pm to 7:00 pm
Cocktails & Hors d'oeuvres Provided |
Free Parking
Your Healthcare Think Tank
Agenda
4:00 PM
Registration and Networking
Sign up for 15 minute “Quick Consults” - See Page 8
4:30 PMRoundtable 1
Innovative Physician Organization Models
Maximizing Reimbursement in Today’s New
Pay-ment System Models
Dr. Dianne Love: Clinical Integration, ACOs and PHOs
Stuart Miller: Clinical Integration & Antitrust
Dorma Kohler: Group Practices Without Walls
Wes Spears: Systems & Clinical Integration
Kim Dunn, M.D.: Medical Home, Telemedicine and
Pa-tient Engagement Services
Moderator:
Trina Fowlkes
5:40 PM
Bridges to Excellence Recognition
Put some extra $$ in your pocket NOW!Dawn Wang, Harris County Medical Society
6:00 PM
Roundtable 2
Value Based Reimbursement
Navigating the Transition from a Fee for Service
to a Value Based Reimbursement Model
John Adams: IPA’s, Bundled Pricing
Catherine Lightfoot: Accruing for Risk
John Going: Impact on Financial Position
Jeff Levy: Limiting Risk for Capitation
Lori Ramirez: The Impact of Narrow Networks on
Ancil-lary Providers
Moderator:
Mark Worthen
7:00 PMMicrosoft Surface Pro 3 Drawing
** Must be Present to Win
Woody Moore
Master of Ceremonies
Innovative Physician Organizations
Dianne B. Love, MBA, PhD
Roundtable Leader
Dr. Dianne B. Love is an educator and
healthcare consultant, based in Houston, Tex-as. She is an associate professor of
healthcare administration at the University of Houston – Clear Lake where she instructs advanced degree students in managed care, strategic planning, group practice manage-ment and the financial aspects of the
healthcare business. She is also the founder, and served as the director of, the MBA for Physicians program. at the University of Hou-ston – Clear Lake. She is an adjunct
profes-sor in the Auburn University Physician Executive MBA program. She was a co-developer of the American Society of Anesthesiologists and South-ern Medical Association Certificate in Business Administration programs and currently serves a faculty member in both programs.
Value Based Reimbursement
John W. Adams, Jr.
Roundtable Leader
John W. Adams, Jr. joined Global Healthcare Alliance (Global) as a founding director, president and chief executive officer in 1997. Under his leadership, Global has grown from a modest service organization to an award-winning, industry leader providing revenue cycle management services to healthcare providers. Mr. Adams has more than 30 years of diversified experience in the healthcare industry. He served in executive positions for The Methodist Hospital in Hou-ston and Texas Children’s Hospital, and held positions with National Heritage Insurance
Company; American Medical, International, and Hospital Affiliates, In-ternational. Mr. Adams is a Fellow of American College of Healthcare Executives and a member of the Medical Group Management Associa-tion. He earned his Bachelor of Business Administration from the Uni-versity of Texas at Austin and his Master of Science in Healthcare Ad-ministration from the University of Houston—Clear Lake.
Trina Fowlkes
[email protected] Moderator
Trina Fowlkes is the Healthcare Services Manager at Amegy Bank. Her team provides comprehensive banking services includ-ing start-up prac ce financing, personal loans, mortgages and lines of credit. Clients will also benefit from our best in class treas-ury management services such as receipt processing and manage-ment with imaging and indexing, merchant card processing, credit cards, fraud protec on, and check recovery. At Amegy, we have the flexibility to customize our products for each
of our clients, knowing that banking is not a “one size fits all” environment. Speak with an Amegy Banker today by calling 713-235-8825 or visit us online at www.amegyhealthcare.com.
Kim Dunn, M.D.
Medical Home, Telemedicine & Patient Engagement Services Dr. Kim Dunn is a recognized interna onal leader in telemedicine, medical home, and physician leadership development for quality. She established KDunn and Associates, PA, dba The HealthQuilt Network, which is an interdisciplinary Independent Prac ce Asso-cia on commi ed to value based care contrac ng for a new mod-el of care that is pa ent centered, tmod-elemedicine based, and driven to improve quality and
ser-vice at the best cost for the pa ent. Prac oners that are members of The HealthQuilt Network ad-here to verifiable standards to meet The Physician Quality Standard TM.
Dorma L. Kohler, MBA, CMPE
Group Practices without Walls
Dorma Kohler, MBA, CMPE is the President of AlteraMed Group, a full service Prac ce Management Services Organiza on. As a sea-soned team of professionals, AlteraMed Group provides a wealth of prac ce management services and consul ng exper se that support physician prac ces of all special es and size. Helping physicians achieve financial
success while managing the day-to-day administra ve burdens of their prac ces remains the sole focus of the AlteraMed team.
Stuart Miller
Clinical Integration & Antitrust
Stuart Miller is an experienced healthcare transac onal and regulatory lawyer. Stuart represents all types of healthcare providers from the individual physician to hospital sys-tems. Stuart is also a professor at UHCL where he teaches a graduate level course on
Healthcare Law. Stuart gradu-ated from Columbia University and The University of Texas School of Law.
Wes Spears
IT Systems & Clinical Integration
The Weston Group is a provider of solu ons in informa on tech-nologies including adap ve systems based on the Unicist Logical Approach. Historically, the value proposal of TWG includes all aspects IT for physicians groups, suppor ng their opera ons. This includes system selec on, implementa on, support and
integra-on, hardware and so ware maintenance and applica on devel-opment and customiza on. The Weston Group provides services to single physicians through groups of more than 50 physicians and can provide services in an outsourced, turnkey fashion or in coordina on
with exis ng resources. Mr. Spears role is in ensur-ing that the systems and people are in place to remain reliable and responsive to client needs.
Woody Moore
Master of Ceremonies
Woodrow M. Moore, as The Physician's Advocate, is an inde-pendent and unbiased resource to assist progressive physi-cians, private equity sources and health systems develop and operate physician-ventured healthcare services. Services in-clude development and opera on of start up and opera onal Ambulatory Surgery Centers (ASC), Freestanding ER Centers, hospital interim C-suite management as well as regulatory-compliance turnaround engagements for
trou-bled facili es. Mr. Moore is also Founder of the "United Voice of the Texas ASC Industry", the Texas ASC Society.
Mark S. Worthen, CPA, FHFMA
Moderator
Mark Worthen is a CPA, licensed in Texas and Louisiana, a Cer fied Healthcare Financial Professional, and a Fellow of the Healthcare Financial Management Associa on. Mark is President of the Texas Gulf Coast Chapter of the Healthcare Financial Management Associa on. He also serves on the Healthcare Commi ee for the Houston CPA Society and is on the Board of the Texas Chapter of the Risk
Man-agement Associa on. Mark is the Healthcare Bank-ing Manager for Trustmark Na onal Bank in Hou-ston.
John Going, CFP
Impact on Financial Position
A specialist in asset protec on, financial planning & employ-ee benefits for physicians, their families and their prac ces, John Going has been showing physicians how to make smart choices with their money since
1999 as the founder of Going Financial. It’s this specializa-on that allows him to provide the best available wealth management solu ons while keeping on the cu ng edge of opportuni es in financial planning.
Jeff Levy
Limiting Risk for Capitation
Specializing in Medical Professional Liability Insurance, Jeff Levy has built his career helping Physicians and Healthcare Facili es design solu ons to
their insurance needs. His prac ce is focused on deliv-ering innova ve and cost-effec ve insurance programs, and providing val-uable consul ng advice to new and exis ng clients .
Catherine Lightfoot, CPA, CHBC
catherine.ligh [email protected]
Accruing for Risk
Healthcare CPAs and Accountants, EEPB is a leading Healthcare Advisory Firm commi ed to doctors specific needs. We solve and secure cash-flow and profitability enhancements, minimizing taxes and securing reserves for re rement to ensure your lifestyle. New technology like EEPB’s Doctor Dashboard allows doctors to do what they do best by taking away the
head-aches, and the worry… by serving up the data you need when you need it. EEPB is Your Trusted Advisor con nuously serving doctor's needs for nearly 30 years.
Lori Ramirez
lramirez@elitesurgicalaffiliates.com
The Impact of Narrow Networks on Ancillary Providers The benefits for physicians and pa ents alike from Elite's business model are countless.
"For our physicians, we provide a niche opportunity, we offer ma-jority ownership, and we provide higher returns than others in the industry," "The bo om line is our physicians are aligned with us... and they have a vested interest in
providing the best quality and consisten-cy of care - thereby ul mately benefi ng our pa ents. Lori has successfully part-nered with hundreds of surgeons and credits the success of her company by living by Elite's corporate mo o: "What's good for our pa ents and physicians is good for us."
Monica de la Cerda, MBA
[email protected]GHHA Officer & Producer
Ms. de la Cerda currently serves as the Opera ons Manager of The Weston Group, a reliable provider of solu ons in informa on tech-nologies for the healthcare industry. She serves as the Vice-President on the board for ZCH of Zonta Interna onal and as a current officer for the Greater Houston Healthcare Alliance. She was part of the original team that executed INeedaDoc.com, the first ever na onally localized doctor search engine and partner with Clear Channel Communica ons. Her background includes Director of Web Services at IP2M and Healthcare Dialog, a New York City based ad agency that specializes in na onal hospital systems and FDA cleared pharmaceu cal marke ng. Monica later formed Calls Work, LLC, a Healthcare marke ng and consul ng
firm which provides solu ons for hospitals and physician prac ces.
C. Sco Nichols counsels health care providers regard-ing development of strategies
to maximize reimbursement and compliance with applica-ble state and federal laws. Sco advises providers regard-ing development of processes to handle RAC/CMS/ Medicare audits and appeals and represent them throughout the appeal process. Sco also represents health care providers, including physicians and hospitals, in connec on with medical staff creden aling and peer review ma ers. He represents providers who are the subject of fraud inves ga ons in-cluding by the OIG, state and federal, and insurance company special inves ga on units.
Mr. Tobin Lassen, co-founder and vice president of business development of Global Healthcare Alliance, has more than 20 years in the healthcare
industry with specific experience in revenue cycle man-agement and bundled healthcare payment and admin-istra on.
Boyd credits the "stellar" Elite team and the company's "winning philos-ophy" as keys to why the
organiza-on has come out organiza-on top. "We're certainly not the biggest company of our kind out there - but we defi
-nitely strive to be the best. If we have two surgery cen-ters or 20 surgery cencen-ters... we want them to be the best two or 20 surgery centers in the country."
Beck-Ford is a Commercial General Contractor, who specializes in the construc on of shopping centers, medical facili es, hospitals, sur-gery centers, health care, imaging centers, dental offices, private
educa onal facili es, churches, banks, offices, fitness centers and retail buildings.
Spotlight - GHHA Members to Know
C. Scott Nichols
Sco [email protected]Boyd Yarbrough
byarbrough@elitesurgicalaffiliates.comTobin Lassen
[email protected]Robert Becktell
[email protected]Con
Ɵ
nuing Medical Educa
Ɵ
on (CME) Credit
Participating in the conference will be 15 leading professional healthcare service organizations including academicians from the healthcare field. This is your opportunity to sign up for as many 15 mi-nute quick consults as time permits live at the conference. These con-sults will take place at the member tables. Plan accordingly to take ad-vantage of these no obligation sessions to assess how GHHA may help your organization thrive. Suggested topics:
A Cer fied Medical Prac ce Execu ve and ac ve adminis-trator, Ms. Po er is Past President of Gulf Coast Medical Group Management Associa on and Texas MGMA, Past Legisla ve Chair for TMGMA and President Elect of the Texas Gulf Coast Chapter HFMA. She is a professor at UHCL teaching Medical Reimbursement and a Fellow of both HFMA and ACHE. Her clinical background is in medi-cal technology and radiology, receiving her undergradu-ate degree in Medical Technology from Texas Tech Uni-versity. She obtained her MBA in Health Care
Administra-on from Our Lady of the Lake University
This program is approved for educational credit by an accredited CME provider and designates this educational activity for a maximum of 3 hours in AMA PRA Category 1 credits.
Please register online www.ghhalliance.org to attend and then
check in at the event to claim the hours of credit for this
pro-gram’s educational activity.
Informa on Technology Financial Planning Banking Services ACOs and PHOs Legal Services
Managed Care Consul ng ASC Managed Services Insurance
Bundled Pricing Medical Billing
Revenue Cycle Management Healthcare Consul ng IPAs
Healthcare Staffing Group Prac ce w/o Walls EMR
Meaningful Use HIPAA Compliance Security Risk Analysis Telemedicine MSOs
“
Quick Consult
” Overview
Sign up at the registration table early or directly
at the GHHA Members table during the conference.
Pam Potter, MBA, CMPE, FHFMA, FACHE
pam.po [email protected]
Medical Professional “MalpracƟce” Construc on Financing
Treasury Management Services Asset Protec on for Physicians Wealth Management /Protec on Interim C-Suite Roles
Appeal & Denial Management Adjudica on of Claims Syndica on
Facility Design
The Greater Houston Healthcare Alliance,
“GHHA”, was formed in 2010 with the idea of
helping independent physicians remain
inde-pendent by aggregating the best organizations
serving the physician market. All GHHA
mem-bers specialize in healthcare and operate in the
Houston area.
Currently, GHHA has over 15 members and
works hand-in-hand to provide various services
ranging from assistance in or outsourcing of
basic practice operations, to advanced
consult-ing on cuttconsult-ing edge healthcare organizations
models and processes for physicians to thrive in
today’s market.
Please contact GHHA regarding any services or
questions and we will find the right solutions for
you and your practice.
Your Healthcare Think Tank
Direc
Ɵ
ons
The Norris Conference Center is located at City Center off of the Sam Houston Tollway West at I-10 West. A parking garage may be accessed (to the right) from the beltway service road while heading north from Memorial Drive.
