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Healthcare Reform Are neuropsychologists at the Table? 

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 Reform Are neuropsychologists at the Table? 

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  1. 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

  2. Timeline of Changes:

  3. Medicare is Changing Prior: pay per procedure Now: incentive less care/ quality

  4. Now.

  5. Timeline PPACA

  6. The supreme court decision is not stopping that train.

  7. U.S Healthcare system

  8. Private Insurance is Changing Prior: pay per procedure Now: incentive less care/ quality

  9. Private insurers are rapidly moving towards global payments and ACOs

  10. Why do private insurers love Global Payments?

  11. 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)

  12. Medicare ACO Quality Measures

  13. Who shares in the incentives? Medicare Professionals MD DO PA NP CNS Other entities may join the groups as “participants”

  14. ACOs Tools to Control Costs The ACO knows exactly what each doctor is billing

  15. Thought Experiment

  16. Current common referral patterns

  17. $ $ $

  18. $

  19. Fundamental shift in our professional identity

  20. This means neuropsychologists have to own Patients health and healthcare costs.

  21. 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)

  22. 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

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