Medicare's New Value-Based Purchasing Program for Hospitals: Prepare Now to Maximize Your Incentive Payments

Donald H. Romano – Moderator

Foley & Lardner LLP

• Of counsel to Foley & Lardner LLP, in the firm’s Washington D.C. office
• Counsels clients on regulatory compliance matters, particularly those pertaining to the Anti-Kickback Statute, the physician self-referral statute (Stark Law), HIPAA, and the Medicare enrollment regulations
• Advises hospitals and other providers and suppliers on Medicare reimbursement issues
• Prior to joining Foley & Lardner LLP, he was a partner in another Washington D.C. based law firm, and prior to that he had more than 25 years of experience in the Department of Health and Services, including as a senior attorney in the Office of General Counsel, and as a Division Director in the Centers for Medicare & Medicaid Services
• In that latter position, he was responsible for, among other things, Stark policy, Provider Reimbursement Review Board procedures, and the Anti-Markup Rule
• Frequent speaker and writer on health law topics
• Immediate past chair of the American Bar Association Health Law Section’s Interest Group on Fraud and Compliance, and is a vice-chair of the American Health Lawyers Association’s Regulations, Accreditation and Payment Group
• Admitted to the Bars of the District of Columbia, Maryland and Massachusetts
• J.D. degree, University of Baltimore; B.A. degree, Towson University
• Can be contacted at 202-945-6119

Lisa Grabert

American Hospital Association

Lisa Grabert, MPH

• Senior associate director of policy at the American Hospital Association
• Supports the development of quality polices on behalf of more than 5,000 member hospitals
• Works with various different stakeholders in endorsing, adopting and implementing quality measures
• Focuses on enabling integration of health care service delivery by developing policies regarding bundled and global payments and accountable care organizations
• Prior to the AHA, was a policy analyst in the Hospital and Ambulatory Policy Group at the Centers for Medicare & Medicaid Services where she supported the strategic and operational implementation of CMS’ value-based purchasing initiatives for both inpatient and physician office fee-for-service Medicare
• Worked at the Centers for Disease Control and Prevention while pursuing her masters, and worked in a prostate cancer laboratory and was a nursing assistant at the University of the Wisconsin Hospital during her undergraduate education
• Master’s degree in public health with an emphasis in health policy and management, Emory University in Atlanta, Georgia; B.S. degree with an emphasis in biochemistry and communication arts, University of Wisconsin-Madison

Daniel Hettich

King & Spalding LLP

Daniel J. Hettich

• Senior associate in King & Spalding LLP’s Healthcare Practice Group in Washington, D.C. and a member of the King & Spalding LLP’s Healthcare Reform Task Force
• Advises health care providers on a full range of legal issues surrounding Medicare reimbursement, including DSH, bad debt, and IME/GME issues, and advocates on their behalf before various administrative and judicial bodies
• Has spoken at multiple national conferences on Medicare’s value-based purchasing (VBP) program including at national conferences for AHLA and the ABA
• Published multiple articles on the same topic for the Aspen publication Dennis Barry’s Reimbursement Advisor
• Co-chair for the American Health Lawyers Association’s (AHLA) Health Reform Education Task Force and a member of the Health Law Sections of the American Bar Association (ABA) and the District of Columbia Bar
• J.D. degree and M.A. degree in philosophy and bioethics, Georgetown University
• Can be contacted at 202-626-9128 or [email protected]