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Aging Policy Briefing & Capitol Hill Day: Billing Codes and Data Standards: What AAAs, CBOs and Community Care Hubs (CCHs) Need to Know to Navigate the Social Care Payment Landscape

Park Hyatt Washington, DC 1201 24th Street NW, Washington

Billing Codes and Data Standards: What AAAs, CBOs and Community Care Hubs (CCHs) Need to Know to Navigate the Social Care Payment Landscape The 2024 Medicare Physician Fee Schedule adds new codes related to social care interventions that expand Medicare payment opportunities for AAAs, CBOs and CCH-led networks. Capitalizing on these and other opportunities will require sharing care and data between health and social care partners. Meanwhile the standards world continues to march forward on the development of data standards that will govern this information exchange and that will require AAAs, CBOs and CCHs to develop the capacity to perform billing and electronically exchange data as well as payment codes in a health care–compliant manner to support screening, assessing and addressing individuals’ health-related social needs (HRSNs). 7:30 a.m.    Breakfast, Registration Opens 8:30–8:45 a.m.     Welcome and Opening Remarks Sandy Markwood, CEO, USAging Marisa Scala-Foley, Director, Aging and Disability Business Institute, USAging 8:45–10:15 a.m.   Addressing Health-Related Social Needs through Medicare: The 2024 Physician Fee Schedule The 2024 Medicare Physician Fee Schedule offers new codes related to social care interventions that expand Medicare payment opportunities for AAAs, CBOs and networks led by Community Care Hubs. This session will provide an in-depth discussion of these codes, and how AAAs, CCHs and CBOs can best prepare themselves to pursue reimbursement through them. Kelly Cronin, Deputy Administrator, Center for Innovation and Partnership, U.S. Administration for Community Living Doug Jacobs, Chief Transformation Officer, Center for Medicare, Centers for Medicare & Medicaid Services Timothy McNeill, Co-Chair, Partnership to Align Social Care & Principal, Freedman’s Health Christine Vanlandingham, CEO, Region IV AAA, St. Joseph, MI Moderator: Paul Cantrell, Director, Center of Excellence to Align Health and Social Care, USAging 10:15 a.m.                     Break 10:30 a.m.-12:00 p.m.    Session 2: Sharing Care and Information on HRSNs: Data Standards and Interoperability Capitalizing on new Medicare codes and payment opportunities requires sharing care and data between health and social care partners. Meanwhile the standards world marches forward on the development of data standards that will govern this information exchange and that will require AAAs and CBOs to develop the capacity to perform billing and electronically exchange data as well as payment codes in a health care compliant manner to support screening, assessing and addressing individuals’ health-related social needs (HRSNs). This session will provide a lively discussion on developments related to data standards and interoperability, and on what it takes to share care effectively between health care and social care providers to meet the needs of older adults and people with disabilities in a person-centered way. Michael Klinkman, Professor of Family Medicine and Learning Health Systems, University of Michigan & Medical Director, Cross Sector Data Sharing Program, MiHIN Jennifer Raymond, Chief Strategy Officer, AgeSpan, Lawrence, MA Moderator: Courtney Baldridge, Business Strategy and Health Systems Integration, USAging   Special thanks to The John A. Hartford Foundation for its support of the Aging and Disability Business Institute and this pre-conference intensive.

Introduction to Community Care Hubs: Why CILs Should Be Involved

Join the Aging and Disability Business Institute in partnership with ILRU for a discussion with colleagues from the U.S. Administration on Community Living (ACL) and Centers for Independent Living (CIL) on the value of the community care hub (CCH) model in supporting the advancement of independent living and bringing social care expertise to health care organizations. With increased attention on the impact of health-related social needs (HRSNs), CILs are positioning themselves to partner and contract with health care organizations in providing social care services that are core to independent living. A growing number of CILs and other community-based organizations (CBOs) are entering into contracts as part of a CBO network led by a CCH. CCHs provide administrative and operational infrastructure for a network of CBOs and enable efficient contracting and sustainable financing to better serve populations in need. This webinar will define and introduce the CCH model, illustrate the various roles for CILs in engaging in a CCH-led network, and feature CIL leaders and their experiences in partnering with a CCH and operationalizing health care contracts through the CCH model.

The Medicare Physician Fee Schedule: Opportunities for AAAs, CBOs and Networks

Data, Billing and Coding: What AAAs, CBOs and Networks Need to Know The Centers for Medicare & Medicaid Services’ (CMS) new health related social needs (HRSN) screening— at the hospital inpatient level and with physicians — are providing Area Agencies on Aging (AAAs), and community-based organizations (CBOs) with opportunities to expand partnerships with health clinicians to better serve clients and caregivers. The opportunities also require agencies to manage social determinant of health data and technology standards and workflow realities that exist when sharing care between health, post acute and social care eco-systems. This webinar series will provide information about the new opportunities to partner with health clinicians, and the related data, information exchange and related billing/payment models being advanced by CMS. The Medicare Physician Fee Schedule: Opportunities for AAAs, CBOs and Networks Join this webinar for a deeper dive into the 2024 Centers for Medicare & Medicaid Services Medicare Physician Fee Schedule. This rule creates new codes to address health-related social needs and encourages CBO collaboration with health care partners. Speakers will discuss what this means for AAAs, CBOs and networks; their systems, workflows and professional teams; and how the changes create opportunities for contracting.