Learn and Earn CEU with NCMGMA and BOH

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Video interviews available online for CEU credit

This interview series is made possible by Business of Healthcare and the North Carolina Medical Group Management Association. These interviews further our mission to provide high-level content for continuing education for our members while highlighting key players and issues in North Carolina’s healthcare industry.

By reading, watching or listening to a full interview, you may self-report to earn 0.5 hours Continuing Education Credits for Certified Medical Practice Executive (CMPE) or Fellow of the American College of Medical Practice Executives (FACMPE) credentials.

2019 BOH-NCMGMA List of Interviews

boh18-kdo231aCan Physicians Fix Healthcare by Becoming Independent Again?
K. Dale Owen, Jr., MD
Chief Executive Officer and Cardiologist
Tryon Medical Partners
Cardiologist and Tryon Medical Partners CEO Dale Owen, MD, and his 88 physician partners recently separated their practice from a large health system. In a BOH interview available as podcast and video available here, Owen explains why he and his partners made this change, why plans to take on population health risk is critical to physician engagement and how challenging it is to stand up a 75,000-patient practice in weeks.

cohen120bNorth Carolina’s Move to Medicaid Managed Care
Mandy K. Cohen, MD, MPH
Secretary, Department of Health and Human Services
State of North Carolina
Mandy Cohen, MD, MPH, Secretary of the Department of Health and Human Services for North Carolina, in a BOH interview available as podcast and video here, spoke with Business of Healthcare about the state’s transition to Medicaid managed care as well as efforts to impact social determinants of health and curb opioid abuse. The interview was recorded live with 200 physician practice leaders at the North Carolina Medical Group Management Association Fall Conference.

james260aPhysician Practice Helping Employers Manage Medical Cost, Quality
Jeff James, MBA
Chief Executive Officer
Wilmington Health
Large employers provide health insurance for about half of insured Americans but face enormous barriers managing medical costs. Wilmington Health CEO Jeff James joined BOH to describe how they help large employers overcome these obstacles to achieve better cost and quality. The interview was part of a series co-sponsored by the North Carolina Medical Group Management Association. Follow this link to view the interview.

jarrett250aWhy Joining a Professional Association is Important
Sandra Jarrett
Practice Manager
Salisbury Orthopaedic Associates, PA
Why is joining a professional association important to your employer and your career? NCMGMA Board Member Sandra Jarrett, FACMPE, of Salisbury Orthopaedic Associates, which is part of Wake Forest Baptist Health, describes the value she and her physician practice have derived as a member. Follow this link to view the interview.

brown183cHow Wilmington NC Leaders Triggered
Scalable Opioid Use Disorder Interventions
Philip M. Brown, Jr., MD, FACS
Chief Physician Executive
New Hanover Regional Medical Center 
In 2016, Wilmington, NC had the highest concentration of opioid use disorder among US cities. Community leaders including regional health system chief physician executive Philip M. Brown, MD, FACS, helped intervene. Brown describes here the moment a national report triggered awareness of the local opioid epidemic. He and his fellow leaders undertook multi-faceted interventions to change prescribing habits, impact social determinants and, most importantly, de-stigmatize addiction.

boh19-smith2Treating Opioid Addiction in Rural Family Practice
Karen L. Smith MD, FAAFP
Owner and Family Practice Physician
Karen L. Smith, MD, PA
Karen L. Smith MD, FAAFP, kept discovering opioid addiction in the families she served in her independent, rural primary care practice. With growing need and few referral options, Smith began providing medication-assisted treatment (MAT). MAT uses medication, counseling and behavioral therapies to treat substance use disorders and sustain recovery. Smith shares patient stories here which led her to take on this challenge and the barriers a physician must overcome to provide MAT.

NCMGMA and BOH thank Mako Medical Laboratories for helping
to make this interview series possible.

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About the Business of Healthcare

BOH was founded as a forum and information exchange for the 40,000 decision-makers leading hospitals and health systems, physician practices, pharma, device, and senior living as well as government and commercial payers. These leaders, and innovators serving them, join Business of Healthcare interviews to solve the complex issues they face together.

Hosted by Matthew Hanis, each interview balances Margin & Mission: making good healthcare accessible to all. New subscribers come to BOH through your referrals. Please share our content with your colleagues and invite them to join our expert community.

Interested in Participating?

If you are interesting in being interviewed or have a tip on someone who would be a great interview candidate, please contact Melissa Klingberg in the NCMGMA offices at melissa@ncmgm.org.

Takeaways from the August 9th DHHS Stakeholder Call with Mandy Cohen, M.D.

By Leah, Paraschiv, NCMGMA Board Member

On Thursday, August 9th, the NC Department of Health and Human Services (DHHS) held a stakeholder call led by DHHS Secretary Mandy Cohen, M.D. The call addressed DHHS’s upcoming issuance of the Request for Proposal for Prepaid Health Plans (PHP) in Medicaid Managed Care.

In short, DHHS has issued an official RFP for managed care carriers. They will accept proposals until October and announce their final selections in February. Managed care will officially begin in the fall of 2019.

Here are the most important takeaways from the call:

  • PHPs cannot refuse to contract with you.
  • Physicians and physician extenders are guaranteed payment at current rates.
  • DHHS has worked to mitigate administrative burden for clinicians.
  • PHPs will have real accountability and rigorous oversight.
  • You will receive education and support during and after the transition to managed care.

Anticipated Timeline:

  • Now and ongoing — PHPs may start to reach out to initiate contract discussions with clinicians.
  • February 2019 — DHHS will announce which health plans will be PHPs in managed care.
  • Summer 2019 — PHPs must have contracted with enough care providers to meet DHHS network standards.
  • July 2019 — PHPs must have all call centers operational and all relevant staff located in North Carolina.
  • July – September 2019 — Managed care will start in two phases. For regions of the state in Phase 1, this will be the window in which beneficiaries select a PHP.
  • November 2019 — Medicaid Managed Care program will launch in regions in Phase 1.
  • October – December 2019 — For regions of the state in Phase 2, this will be the window in which beneficiaries select a PHP.
  • February 2020 — Medicaid Managed Care will launch in regions in Phase 2.

For additional information on Prepaid Health Plans in Medicaid Managed Care, there is a two page fact sheet available on the NC DHHS website which contains more details specific to the provider community, with even more information for all stakeholders on the full website.

Join us at the Fall Conference in Historic Charleston

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Registration is Now Open
Join us in Historic Charleston, SC

October 17-19, 2018
Charleston Marriott | Charleston, SC

fc18-pf300aNCMGMA is heading back to Charleston, South Carolina for our 2018 Fall Conference. Scheduled for October 17-19, we will be at the Charleston Marriott, located just blocks from historic downtown Charleston. Start making your plans to join us for this exciting healthcare industry event: registration is now open so sign up today!

Browse this email for details on our Thursday keynote presentations, registration, nominations for Practice of the Year, and more! For complete details about this year’s Fall Conference, visit the NCMGMA website here.

Thursday Keynote Presentations

berrett300aBritt Berrett, PhD, FACHE
Program Director / Clinical Faculty
Univ. of Texas Dallas Jindal School of Management
SESSION: Patients Come Second: Leading Change
by Changing Parts I and II

Britt Berrett currently serves as the Program Director of Healthcare Management in the Jindal School of Management at the University of Texas at Dallas. His depth and breadth of professional and academic experience provides a tremendous foundation in the preparation for the next generation of healthcare leaders.

He is an Executive Coach with MEDI and has more than 25 years of experience as a hospital president and CEO. In 2013, Dr. Berrett co-authored a New York Times Best Selling book on leadership in healthcare entitled, “Patients Come Second – Leading Change by Changing How You Lead.”

cohen300aMandy Cohen, MD, MPH
Secretary
NC Dept. of Health and Human Services
SESSION: An In-depth Interview with Dr. Mandy Cohen
by Matt Hanis of the Business of Healthcare

Since being appointed as Secretary of the N.C. Department of Health and Human Services in January 2017, Mandy Cohen, MD, MPH, and her team have worked tirelessly to improve the health safety and well-being of North Carolinians. DHHS is a cabinet-level agency with approximately 16,000 employees and an annual budget of $20 billion. Among her top priorities are combating the opioid crisis, building a strong, efficient Medicaid program, and improving early childhood education.

A graduate of Cornell University, she received her medical degree from Yale School of Medicine, a Master’s in Public Health from the Harvard School of Public Health and trained in Internal Medicine at Massachusetts General Hospital.

hanis300aMatthew Hanis
Executive Producer and Host
Business of Healthcare
SESSION: An In-depth Interview with Dr. Mandy Cohen
by Matthew Hanis of the Business of Healthcare

Matthew Hanis is the Business of Healthcare Executive Producer and Host. He helps a wide range of healthcare organizations commercialize new solutions. Hanis has held executive leadership roles with Mercy, a St. Louis Based $5 billion health system, Advanced Practice Strategies, an Ascension Ventures portfolio company, and the Healthcare Business of Thomson Reuters, now Truven Health Analytics.

Registration

Registration is open for the 2018 Fall Conference in Charleston so sign up today. Click on the links below to access our online and print registration forms. For complete details on registration costs, follow this link. Early registration discounts end September 24th.

Accommodations

All events for the Annual Conference are scheduled at the Marriott Charleston located at 170 Lockwood Blvd. in Charleston, SC. We are pleased to offer our attendees the discounted group rate is $174 per night (plus 14% tax + $2.24 destination fee). Hotel reservations can be made online by clicking here.

About the Marriott
Experience true southern hospitality and modern accommodations at its finest at the Charleston Marriott. Our location overlooking the Ashley River, offers easy access to beautiful downtown historic Charleston, the old city market, local area beaches, The Citadel, and of course, great dining and entertainment. Our downtown Charleston hotel offers luxurious hotel amenities including high-speed wireless internet, shuttle service to the historic district, state of the art business and fitness centers.

Practice of the Year Award
Submit Your Nomination Today

First Citizens Bank LogoThe North Carolina Medical Group Management Association (NCMGMA) is proud to partner with First Citizens Bank to present the 6th Annual Practice of the Year Award, to be presented on the evening of Thursday, October 18th at the NCMGMA Fall Conference in Charleston.

About the Award
This award recognizes a medical group practice that has made a significant contribution to their community, patients and/or staff through volunteer work, indigent clinics, fundraisers, staff wellness programs, community clean ups, community screenings and education (internal & external), etc.

Submit Your Nomination Today
Follow this link for complete Practice of the Year award nominations information, including the award nominations form. The deadline to submit nominations is Friday, August 31st.

Questions

Follow the links above for more information and for registration. If you have any questions, please contact the NCMGMA offices at info@ncmgm.org.