Archive ORX Session Previews 2017

The Future of Reimbursement

Change is coming. Are you ready for the transition?

Zeev Kain, MD, MBA


OR Excellence

Considering all the reimbursement-related alphabet soup surgical facility leaders have had to decode in the past year or so, it's almost like having to learn a new language. APM. HCAHPS. MACRA. MIPS. OAS CAHPS. How well do you speak it?

Healthcare reimbursement is on the cusp of a momentous transition, from one of volume to one of value. In this new landscape, insurers will pay healthcare providers on the quality of their patient outcomes, not based simply on the number of patients who pass through their doors. Although many providers look to the future with a sense of uncertainty, even fear, there is plenty of room for optimism, according to Zeev N. Kain, MD, MBA, FAAP, of the University of California, Irvine School of Medicine and the American College of Perioperative Medicine, both of Irvine, Calif.

In his ORX address, "From Volume to Value: The Future of Facility Reimbursement," Dr. Kain will explore the roots of the current volume-to-value movement and explain the clinical, operational and regulatory implications of this complex new paradigm. He will also take a look at the reimbursement-specific challenges surgical facility leaders are likely to face, tackle the issue of bundled payments and delve into the Trump administration's role in shaping reimbursements going forward.

Reasons for optimism and concern. As margins on reimbursements go down, I think facilities will have to be more prudent in the way they spend money and, in a way, be smarter about how they spend money. That's concerning to a lot of people, but the fact that we're seeing the ambulatory space continue to grow, with predictions of even more investment to come, is a clear indicator that there's a lot of optimism out there.

Zeev N. Kain, MD, MBA, FAAP

speaker profile
arrow Chancellor's Professor in the Department of Anesthesiology and Perioperative Care at the University of California, Irvine School of Medicine.
arrow President of the American College of Perioperative Medicine in Irvine, Calif.
arrow Well known for his work in transforming surgical care through the Enhanced Recovery After Surgery and Perioperative Surgical Home models.
New to Outpatient Surgery Magazine?
Sign-up to continue reading this article.
Register Now
Have an account? Please log in:
Email Address:
  Remember my login on this computer

advertiser banner

Other Articles That May Interest You

2018 OR Excellence Awards

There's a little piece of you in each of this year's winners.

Answers to Your Toughest Sterile Processing Questions

Why Do I Feel So Overwhelmed?

It's easy to feel burned out as a surgical leader, but there are proven ways to manage the stress and lighten your load.