2011 Virginia Rural Health Summit presentation

1. Virginia Rural Health Summit Washington Update Spring, 2011 Wintergreen, Virginia

2. Bill Finerfrock Senior Vice President Health Policy Capitol Associates 202-544-1880 [email_address]

4. Budget Impasse – Business as Usual?

11. Who is the Rural Safety Net?

24. Healthcare Reform – Timeline The Challenge of Change

25. Provisions already implemented Provide dependent coverage for adult children up to age 26 for all individual and group policies. This provision takes effect on September 23 rd . However, companies do not have to make this available until the scheduled renewal of the company’s policy.

32. ACO and Workforce

36. The Politics and Legality of Healthcare Reform

37. New Deliver Models Shared Savings?

39. Accountable Care Organizations

44. How Will ACOs affect RHCs and other safety net providers? Rural Health Clinics, FQHCs and CAHs can be part of an ACO. Rural Health Clinics, FQHCs and CAHs that are part of an ACO can continue to receive cost-based reimbursement from Medicare. However, How patients will be “assigned” or “attributed” to an ACO could affect RHC and FQHC participation.

54. Providers who fall into Quartile 1 would receive a reduced Payment. Providers who fall into Quartile 2 and 3 would receive “regular” payment. Providers who fall into Quartile 4 would receive a “bonus”

61. Other Issues

64. Medicaid EHR Incentive Payments

77. 5010 Standards

91. Bill Finerfrock Senior Vice President Health Policy Capitol Associates 202-544-1880 [email_address]