Finding Your Value in Evolving Payment Models Recordings

Charles Crecelius, MD, PhD, CMD, is the Medical Director, Post-Acute Care Services for BJC Medical Group, an over 600 provider, 12 associated hospital multispecialty group in the Greater St Louis area. He is also a multi-facility medical director for Delmar Gardens Enterprises, and Associate Clinical Professor of Internal Medicine and Geriatrics at Washington University School of Medicine. He helped found the St Louis Post-Acute and Long Term Care Roundtable, which brings together nursing homes, hospital systems and other stakeholders to improve the quality and transitions of care of nursing home residents in a service area of over 3 million persons. He is a Past President of AMDA – The Society for Post-Acute and Long Term Care Medicine, was their 2019 Medical Director of the Year. and represents the Society at the AMA Relative Vallue Update Committee.

Tom Haithcoat is the President of Ceptor Consulting, LLC, a PAC Physician Practice consulting firm focused on Growth, M&A, and Value Model selection & strategy. Tom has over 25 years of senior living experience in both Nursing Home management and Post Acute Care physician practice management. In addition, Mr. Haithcoat is the Vice President of Network Development and Integration for CareConnectMD. A National PALTC aligned ACO Model.  Mr. Haithcoat is also the co-founder of Geriatric Medical Specialists, LLC. GMS is a Management Services Organization for small Post Acute Care physician practices. Tom sits on the Board of Directors for AMDA-The Society for Post Acute and Long Term Care Medicine and on the Board for the AMDA Foundation. Within AMDA Mr. Haithcoat Chairs the Practice Management Section(PGN) and Co-Chairs the Chief Medical Officer Leadership Meetings.

Christine Mlot, MD, is the Medical Director for Supportive Care and Risk Adjustment at CareConnectMD ACO and GeriNet Medical Associates in southern California. She is co- founder of GeriNet Medical Associates along with Kim Phan, providing long-term and post-acute care since 1996. She was Medical Director for VITAS hospice San Diego, CMO at the Veteran’s Home of Barstow, CA, San Diego’s first PACE program Medical Director, Associate Clinical professor at UCSD School of Medicine and had medical practices in Nepal, India and Mexico. Dr. Mlot has been focused on Risk adjustment and HCC coding for the past 5 years, educating physician partners across numerous states.

Kerry Weiner, MD, MPH, has over 30-year experience in developing and managing clinical models in value-based reimbursement strategies. He has served as CMO of Lakeside Medical Group, a delegated HMO Medical Group in CA and CMO of Acute and Post Acute care at Team Health. He is currently the Medical Director of the MSSP ACO at Careconnectmd.

Jason Feuerman is the founder, President and CEO of LTC ACO, the first Medicare Shared Savings Program (“MSSP”) of its type dedicated exclusively to management of the full Medicare spend of nursing facility residents throughout the United States. As the only MSSP ACO serving residents throughout the country, LTC ACO has been able to produce consistent and predictable results generating more than $60m in shared savings since 2016. It currently operates in more than 1,500 skilled nursing facilities with in excess of 2,500 participating providers. As the largest MSSP ACO of its type, it presently assumes risk for nearly 20,000 Medicare Fee-for-Service beneficiaries which consume in excess of $400m annually.

Ian Strand, LNHA, began his healthcare career as a nursing home administrator, specializing in post-acute-rehab, opening new facilities and improving quality outcomes. It was there that he became passionate about improving quality of care and services through aligning the goals of providers, payers, and the patient. In 2016, Mr. Strand took on the role of operations lead to start and manage the first provider-owned I-SNP in the state of Oregon, and created a medical group of physicians and advanced practice clinicians to provide on-site medical care to patients living in over 32 different facilities of varying levels of care. It was this experience and passion that lead Ian to Patient Pattern, a technology company that has created a holistic care management tool to address these issues.

Manoj Wadhwani, is the President of Saisystems International, a growing healthcare and technology services company headquartered in Shelton, CT. He currently manages operations, delivery and strategic direction with more than 25 years of experience in the health and technology industries. His specialties include strong delivery and application development, business consulting expertise and experience with a diverse portfolio of industry verticals. He strongly believes the two are meant to work in synergy and, when successfully managed, produce the best clinical and financial outcomes for providers, patients and payors.

Victoria Walker, MD, CMD, FAAFP, is the Medical and Clinical Officer for the Avera eCARE Senior Care telemedicine program. She provides support and direction to an interdisciplinary team that supports nursing home staff and residents of post acute, long term care and assisted living in 24 states. Dr. Walker is also a Clinical professor of Family Medicine at the University of South Dakota Sanford School of Medicine. She currently serves on the AMDA Board of Directors, the Clinical Issues Subcommittee of the Public Policy Committee, the Telemedicine Workgroup and the Education workgroup for the North Central Society of PALTC.

Matthew Wayne, MD, CMD, is an experienced chief medical officer with a demonstrated history of working in the hospital and health care industry. He is currently chief medical officer for CommuniCare Family of Companies and CEO of Personalized Health Partners. He has skills in population health, disease management, Medicare and Medicaid, and physician relations. He is a long-time active AMDA member and served as president in 2012-2103.

Steven Buslovich, MD, CMD, is a practicing geriatrician and medical director of several nursing homes and post-acute care facilities, is an active committee member in the American Geriatrics Society (AGS), Advancing Excellence in Long Term Care Collaborative, Society for PALTC Medicine on the Public Policy and Clinical Practice Guidelines Committee, and has won AMDA's Shark Tank Innovation Award. Dr. Buslovich is working with CMS and ONC to standardize clinical data elements across all post-acute care settings. Dr. Buslovich has presented nationally on PDPM to audiences from many organizations and is a nationally recognized expert on frailty models of care. Dr. Buslovich is an Assistant Clinical Professor at University at Buffalo School of Medicine.

Walter Lin, MD, is the Founder and Chief Executive Officer of Generation Clinical Partners, a medical practice focused on caring for frail Medicare beneficiaries in senior living communities. He also serves as the Missouri and Kansas Medical Director for TruHealth, the provider organization of an institutional special needs plan; Associate Medical Director for Landmark Health, a company providing home-based medical care for the seriously ill; and Medical Director of various skilled nursing and assisted living facilities. Dr. Lin is an active member of The Society for Post-Acute and Long-Term Care Medicine (AMDA), serving on its Public Policy Committee, HHS' Physician-Focused Payment Model Technical Advisory Committee (PTAC), and the board of the Missouri Association of Long-Term Care Practitioners.

Robert Zorowitz, MD, MBA, CMD, FACP, AGSF, is Regional Vice President, Health Affairs, for the Northeast Region at Humana. A graduate of Albany Medical College, he completed a residency in Internal Medicine at Long Island Jewish Medical Center and a fellowship in Geriatric Medicine at Mt. Sinai School of Medicine. He received his MBA from the Goizueta Business School of Emory University. He is board-certified in Internal Medicine, Geriatric Medicine, Hospice/Palliative Medicine and is a Certified Medical Director in Post-Acute and Long-Term Care.  During his career, he was an attending physician or medical director at a variety of nursing facilities of varying sizes in the Atlanta and Metro New York city areas.  For the last 15 years, he has been the American Geriatrics Society Advisor to the American Medical Association's CPT Editorial Panel.  As part of that work, he was a member of the working group that revised the CPT Evaluation and Management code descriptors.