Tracy Miller to Present Leading Age New York Audio Conference

November 9, 2014

By: Tracy E. Miller

DSRIP: An Overview and Legal Implications for Non-Lead Providers

Audio Conference
10 - 11:30 a.m.

Who Should Attend? CEOs, Administrators, CFOs, Program Directors, Directors of Nursing, HR Professionals

Program Summary:
Over the next five years, up to $6.42 billion in incentive payments will be made to health care providers through the Delivery System Reform Incentive Payment (DSRIP) program. With a core goal of reducing avoidable hospitalizations by 25 percent, DSRIP will fundamentally restructure the health care delivery system in New York State, with implications for all health care providers. While some providers will be the lead entities in forming Performing Provider Systems (PPSs) in their regions, non-lead entities (hospitals, home care, long-term care, OPWDD providers, clinics and physician practices, among others) will play a key role in PPS organizations. Just as important, PPS participation has significant legal, financial, operations, and clinical implications for all participating providers.

In the overview we will review, among other things:

  • DSRIP objectives and requirements
  • Timelines, projects and domains
  • Major legal issues facing DSRIP participants
  • Financial, operations and clinical issues posed by PPS participation
  • The role of organized labor

Legal issues we will talk about will include:

  • Collaboration, anti-trust and Certificate of Public Advantage (COPA)
  • PPS Governance: Structures, representation and participation
  • Requirements for PPS budget planning, funding allocations and sanctions for poor performing providers
  • Incentives for coordinating care and reducing preventable hospital admissions
  • Fraud and abuse issues posed by network referral, affiliation agreements and pay-for-performance
  • Data sharing, HIPAA and credentialing

Speaker: Tracy E. Miller, counsel, Bond, Schoeneck & King

Program fee:
This is a complementary program to LeadingAge NY members.  
No registration required/No credit available