Workshops for Hospitals, Health Plans, Post-Acute Care – SNF, HH, Hospice:
- Alternative Payment Models (ACOs, BPCIs, Capitation)
- Care Transitions (Hospital/PAC/SNF/EOL/Etc)
- Care Continuum Delivery Model
- Care Management
- Cost Savings (ACO/Duals/EOL/HH/MA/PAC/SNF)
- Dual Eligible Risk
- End-of-Life Risk
- Hospitalists Programs
- Medicare Advantage Risk
- Medicare’s Value-Based Purchasing (VBP)
- Medicare’s Hospital Readmission Reduction Program (HRRP)
- Readmission Reduction (Hospital/HH/SNF/Etc)
- Skilled Nursing Facility (SNF) Risk
- SNF Care Models
About Dr. Jeff Hay:
Dr Jeffrey Hay is a nationally-recognized expert in Accountable Care, Clinical Effectiveness, Hospitalist Programs, Case Management Programs, Post-Acute Care, Medical Management Operations, Medical Group & IPA Operations, Knox-Keene Operations, MSO Operations and Managed Care.
Dr. Hay is well known nationally throughout CMS and CMMI, as he presently leads development of new key programs. Dr Hay is a seasoned health care executive proven to effectively and collaboratively lead teams to optimize clinical & business operations. He is trained in the clinical fields of internal medicine and critical care medicine. He also is trained and experienced in health services research: the scientific approach to optimizing patient outcomes and resource utilization.
Dr. Hay was a participant in the CMS Pioneer ACO application process in 2011, as Sharp was the first US organization to apply, interview, and then to sign a CMS ACO contract. As CMO of the Pioneer ACO, Dr. Hay developed the strategic plan, the tactical operating plan, and the annual operating budget for the Sharp Pioneer ACO.
Recently, Dr. Hay participated in the CMMI application process for obtaining the largest single Community Care Transitions Program (CCTP) grant in the US to date: San Diego Care Transitions Partnership, which includes these partners under this Medicare Fee-for-Service (MCFFS) program: 1) County of San Diego, Health and Human Services Agency, 2) Sharp Healthcare, 3) Scripps Health, 4) Palomar Health, 5) UCSD Health systems. Together this program was awarded a $9 M annual budget to provide Care Transitions Intervention (CTI) for MCFFS patients discharged from San Diego hospitals. Dr. Hay participates in the countywide CCPT Executive Steering Committee for this program..
Over the past 20 years, Dr. Hay has an extensive background in healthcare consulting, working as an independent, as well as with The Camden Group, and L.E.K. Consulting. Past projects have been completed in most large markets across the US, working with Hospital systems, Provider organizations, and Payers.