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Healthcare Reform Are neuropsychologists at the Table? . Karen Postal Ph.D., ABPP-CN Chair of Practice, American Academy of Clinical Neuropsychology Katherine Nordal , Ph.D. Executive Director APA Practice Organization. Timeline of Changes:. Medicare is Changing. Prior: pay per procedure
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Healthcare ReformAre neuropsychologists at the Table? Karen Postal Ph.D., ABPP-CN Chair of Practice, American Academy of Clinical Neuropsychology Katherine Nordal, Ph.D. Executive Director APA Practice Organization
Medicare is Changing Prior: pay per procedure Now: incentive less care/ quality
Private Insurance is Changing Prior: pay per procedure Now: incentive less care/ quality
Private insurers are rapidly moving towards global payments and ACOs
accountable care organizations (ACOs) reimbursements are tied to reductions in the total cost of care for a population of patients. (as long as quality markers are met)
Who shares in the incentives? Medicare Professionals MD DO PA NP CNS Other entities may join the groups as “participants”
ACOs Tools to Control Costs The ACO knows exactly what each doctor is billing
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Fundamental shift in our professional identity
This means neuropsychologists have to own Patients health and healthcare costs.
How many neuropsychologists Treat medication non-compliance as a crisis? Utilize psychological and cognitive data to develop an action plan to address their major health issues? Diabetes action plan: blood monitoring and diet Heart disease action plan: exercise Asthma management (often family systems intervention)
Who will succeed? Neuropsychologists who: Identify and Develop a relationship with local ACO(s) Effectively communicate how Neuropsych assessments will help them lower costs/ improve quality Support APA Practice organization/ advocacy for more favorable rules