mid-year forum

MID-YEAR FORUMApril 15 – 18, 2015Washington, D.C.

MID-YEAR FORUM • Washington, DC April 15 - 182015

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Marriott Marquis 901 Massachusetts Ave., N.W. Washington, D.C. 20001

2015 MYF Final Program

This annual forum provides an opportunity for members and leaders of the Academy and allied ophthalmic organizations to identify and discuss critical issues facing ophthalmology.

WEDNESDAY,APRIL15 Congressional Advocacy Day

4:00 pm – 8:30 pm Registration/InformationGALLAUDET UNIVERSITY (MEETING LEVEL 1) from 4:00 to 7:00 pm and LIBERTY BALLROOM FOYER (MEETING LEVEL 4) from 7:00 to 8:30 pm.

4:00 pm – 9:30 pm Congressional Advocacy Day – Appointment Pick-up*

*Appointment Pick-Up Desk Hours: 4:00 to 6:45 pm in Gallaudet University (Meeting Level 1) and 8:45 to 9:30 pm in the Liberty Ballroom Foyer (Meeting Level 4).

7:00 pm – 8:30 pm Dinner BriefingLIBERTY BALLROOM (MEETING LEVEL 4)

MODERATOR: Donald J. Cinotti, MD – Chair, OPHTHPAC Committee, American Academy of Ophthalmology

The 114th Congress began in January with over 70 new members who need to be introduced to the issues that impact ophthalmology. This year’s Congressional Advocacy Day will focus on wide-spread changes to our health care system and Medicare. A fair and stable Medicare physician payment system remains a top legislative priority at Congressional Advocacy Day 2015. The Academy will also focus attention on improvements to Medicare quality programs, such as Meaningful Use and the Physician Quality Reporting System. Other issues could include increased support for eye health medical research or legislation that addresses advertisements that misrepresent a health care provider’s qualifications. Please join us as ophthalmologists from across the country descend on Washington to lobby Congress on these and other key ophthalmology issues. Before making their way to Capitol Hill, attendees will be fully trained on best practices for representing ophthalmology before members of Congress and their staff. All Academy members are encouraged to participate in this important and exciting Academy event.

*Appointment Pick-Up Desk Hours: 4:00 to 6:45 pm and 8:45 to 9:30 pm.

7:00 pm – 7:05 pm Welcome

Donald J. Cinotti, MD – Chair, OPHTHPAC Committee, American Academy of Ophthalmology

7:05 pm – 7:10 pm Remarks from the President

Russell N. Van Gelder, MD, PhD – President, American Academy of Ophthalmology

7:10 pm – 7:20 pm OPHTHPAC®/ Surgical Scope Fund

Donald J. Cinotti, MD – Chair, OPHTHPAC Committee, American Academy of Ophthalmology Thomas A. Graul, MD – Chair, Surgical Scope Fund Committee, American Academy of Ophthalmology

7:20 pm – 7:30 pm Advocacy Pointers


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WEDNESDAY,APRIL15 Congressional Advocacy Day continued…

7:30 pm- 8:00 pm Legislative Briefing

Cathy G. Cohen – Vice President, Governmental Affairs, American Academy of Ophthalmology Michael X. Repka, MD, MBA – Medical Director for Governmental Affairs, American Academy of Ophthalmology

OPHTHPAC COMMITTEE

Donald J. Cinotti, MD – Chair, Jersey City, New Jersey Janet A. Betchkal, MD, Jacksonville, Florida William S. Clifford, MD, Garden City, Kansas Robert A. Copeland, Jr., MD, Washington, DC Anna Luisa DiLorenzo, MD, Troy, Michigan Sidney K. Gicheru, MD, Irving, Texas Michael L. Gilbert, MD, Bellevue, Washington Gary S. Hirshfield, MD, Port Washington, New York Thomas J. McPhee, MD, Scottsdale, Arizona Jeff S. Maltzman, MD, Tucson, Arizona Lisa Nijm, MD, JD, Springfield, Illinois Andrew J. Packer, MD, Hartford, Connecticut Diana R. Shiba, MD, South Pasadena, California Woodford S. Van Meter, MD, Lexington, Kentucky John A. Wells, III, MD, Columbia, South Carolina

8:00 pm – 8:25 pm Remarks from Rep. Michael Burgess, MD (TX-26)

8:25 pm – 8:30 pm Closing


8:30 pm Adjourn

8:45 pm – 10:00 pm Advocacy Ambassador Program Briefing and Reception – for Advocacy Ambassadors onlyARCHIVES ROOM (MEETING LEVEL 4)

THURSDAY,APRIL16 Congressional Advocacy Day continued…

7:00 am – 8:00 am Continental Breakfast – Questions and AnswersLIBERTY BALLROOM (MEETING LEVEL 4)

7:00 am – 7:05 am Welcome


7:05 am – 7:10 am Academy Foundation Remarks

C P Wilkinson, MD – Chair, EyeCare America, Foundation of the American Academy of Ophthalmology

7:10 am – 7:45 am CAD Question and Answer Session

7:45 am – 8:00 am Training on the Academy’s New Advocacy App

Shana Glickfield – Partner, Beekeeper Group


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THURSDAY,APRIL16 Congressional Advocacy Day continued…

8:00 am – 3:00 pm Scheduled visits with Members of Congress and Staff

For questions about your appointments, contact Craig Blum [email protected] or call 202.737.6662

11:30 am – 2:00 pm LuncheonRESERVE OFFICERS ASSOCIATION, ONE CONSTITUTION AVE., NE

A boxed lunch for Academy members visiting Capitol Hill will be available during these hours.

THURSDAY,APRIL16 Preconference Activities

12:30 pm- 2:45 pm Leadership Development Program Luncheon and Meeting – by invitation only121 CANNON HOUSE OFFICE BUILDING

Participants in the Academy’s Leadership Development Program XVII, class of 2015, who have been selected through a competitive nomination process, meet in the third of a four-session leadership program which addresses a variety of leadership, advocacy and association management topics.

THURSDAY,APRIL16 Mid-Year Forum Events

COMMERCIAL SUPPORT PROVIDED IN PART BY – PLATINUM LEVEL

7:00 am - 6:00 pm Registration/InformationLIBERTY BALLROOM FOYER (MEETING LEVEL 4)

3:30 pm Welcome and Introduction to the 2015 Mid-Year ForumLIBERTY BALLROOM (MEETING LEVEL 4)

David W. Parke, II, MD - CEO, American Academy of Ophthalmology and Russell N. Van Gelder, MD, PhD - President, American Academy of Ophthalmology

3:40 pm- 5:30 pm Under Pressure: Payment Trends in the Insurance Marketplace

MODERATOR: Cynthia Mattox, MD, FACS - Member, Health Policy Committee, American Academy of Ophthalmology

The marketplace for purchasing medical coverage is changing. Not only are record numbers of Medicare beneficiaries choosing private insurers in Medicare Advantage plans, an estimated 7+million of non-Medicare subscribers are purchasing coverage through Affordable Care Act (ACA) exchanges. These insurer-designed offerings utilize cost control techniques such as narrow networks and quality designation programs that impact ophthalmologists. The Academy, Congress, and CMS are voicing concerns about access to care and patients who need specialty care. Coverage for ophthalmic procedures and surgery may look very different in the next few years.

3:40 pm – 3:50 pm Narrow Networks in Medicare Advantage: AAO Response

Michael X. Repka, MD, MBA – Medical Director for Governmental Affairs, American Academy of Ophthalmology

3:50 pm – 4:00 pm Network Adequacy and Notification Legislation

William Gerardi, MD – Senior Vice President Health Management and Chief Medical Officer at Blue Cross and Blue Shield of Minnesota

4:00 pm – 4:10 pm Medi-Connect – Dual Eligibles Demo

Craig H. Kliger, MD – Executive Vice President, California Academy of Eye Physicians and Surgeons


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THURSDAY,APRIL16 Mid-Year Forum Events continued…

4:10 pm – 4:20 pm Game Changer #1: High Deductible and Exchange Plans: Impacts on Practice

John T. Thompson, MD – Past President, American Society of Retina Specialists

4:20 pm – 4:30 pm Game Changer #2: CMS to Surgeons: Eliminate Global Periods. Now What?

George A. Williams, MD – Secretary for Federal Affairs, American Academy of Ophthalmology

4:30 pm – 4:40 pm Game Changer #3: Medicare Prior Authorization for Care. How Would that Work?

Rep. Tom Price (GA-6) – Member of Congress, House Budget Committee & House Ways & Means Committee

4:40 pm – 5:30 pm Q&A

5:30 pm End of Session

5:30 pm – 6:00 pm Council Regional Meetings Chair and Co-Chair Orientation – by invitation onlyTREASURY ROOM (MEETING LEVEL 4)

MODERATORS: Ann A. Warn, MD, MBA - Council Chair Mathew W. MacCumber, MD, PhD - Council Vice Chair

Council Regional Meeting chairs and co-chairs are invited to attend a special orientation. The orientation will include a review of the agenda for the regional meetings and responsibilities of facilitating the meetings.

6:00 pm – 9:00 pm Welcome Reception and Awards BanquetRECEPTION: INDEPENDENCE SALON C (MEETING LEVEL 4)

AWARDS BANQUET: LIBERTY BALLROOM (MEETING LEVEL 4)

KEYNOTE SPEAKER: Mara Liasson - National Political Correspondent, National Public Radio

TOPIC: Politics and Elections

9:15 pm – 11:15 pm Surgical Scope Fund Reception – by invitation onlyCLYDE’S AT GALLERY PLACE, 707 7TH ST., NW, WASHINGTON, DC

If you have any questions, please contact Megan Vijiarungam at [email protected] or call 202.737.6662.

FRIDAY,APRIL17 Mid-Year Forum Events continued…

7:00 am - 5:00 pm Registration/InformationLIBERTY BALLROOM FOYER (MEETING LEVEL 4)

7:00 am – 8:00 am Continental BreakfastLIBERTY BALLROOM FOYER (MEETING LEVEL 4)

7:00 am – 8:00 am Orientation for New Councilors – by invitation onlyTREASURY ROOM (MEETING LEVEL 4)

MODERATORS: Ann A. Warn, MD, MBA - Council Chair Mathew W. MacCumber, MD, PhD - Council Vice Chair

New Councilors are invited to attend a special orientation. The orientation will include an overview of Council operational procedures and responsibilities of Councilors.


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8:15 am – 9:45 am Hearings (Concurrent Hearings)1. Ophthalmology EHRs: What You Need to Know in 20152. Ophthalmic Pharmaceuticals: New Challenges to Access

8:15 am – 9:45 am Hearing #1. Ophthalmology EHRs: What You Need to Know in 2015LIBERTY SALON I (MEETING LEVEL 4)

MODERATOR: Michael F. Chiang, MD – Chair, Task Force on IRIS™ Registry Analytics and Research and Past Chair, Medical Technology Committee, American Academy of Ophthalmology

Electronic health records have had a tremendous impact on the practice of ophthalmology and the issues related to EHRs are ever changing. In this session, experts will discuss the impact that EHRs have on quality of care, medico-legal liability, and office efficiency. The latest update on Meaningful Use will also be included.

Attendees will learn:

• how EHRs can be used to improve compliance with best care guidelines, prevent medical errors, and improve office efficiency;

• how to improve documentation practices in EHRs to avoid medico-legal problems;

• the role of registries in quality improvement, and about current and long-term goals of the AAO’s IRIS Registry; and

•the trends in the federal Meaningful Use program, and how real-world practices can qualify for this program.

8:15 am – 8:25 am EHRs and Quality of Care

Michael F. Chiang, MD – Chair, Task Force on IRIS Registry Analytics and Research and Past Chair, Medical Technology Committee, American Academy of Ophthalmology

8:25 am – 8:35 am EHRs and Medicolegal Liability

Bradley D. Fouraker, MD – Member, Board of Directors, Ophthalmic Mutual Insurance Company (OMIC)

8:35 am – 8:45 am EHRs and Office Efficiency

Robert E. Wiggins Jr., MD, MHA – Senior Secretary of Ophthalmic Practice, American Academy of Ophthalmology

8:45 am – 8:55 am EHRs and Meaningful Use

Brittney Wachter, CPC, OCS – Member, EHR Committee, American Academy of Ophthalmic Executives

8:55 am – 9:05 am IRIS™ Registry: The Value Proposition on EHRs

William L. Rich III, MD – President-Elect and Medical Director of Health Policy, American Academy of Ophthalmology

9:05 am – 9:40 am Q&A

9:40 am – 9:45 am Conclusion


9:45 am End of Session


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8:15 am – 9:45 am Hearing #2. Ophthalmic Pharmaceuticals: New Challenges to AccessLIBERTY SALON N (MEETING LEVEL 4)

MODERATOR: Suber S. Huang, MD, MBA – Chair, Committee for Research Regulatory and External Scientific Relations, American Academy of Ophthalmology and National Eye Health Education Program (NEHEP) Planning Committee, National Eye Institute (NEI)

Ophthalmologists and patients have faced unprecedented challenges in accessing several ophthalmic drugs in recent years. New compounding pharmacy laws leave continued access to some critical treatments uncertain and many other drugs have seen significant increases in price without explanation. Ophthalmic Pharmaceuticals: New Challenges to Access will examine the continuing impact of compounding pharmacy legislation and implementation on ophthalmology practices.

8:15 am – 8:20 am Welcome

Suber S. Huang, MD, MBA – Chair, Committee for Research Regulatory and External Scientific Relations, American Academy of Ophthalmology and National Eye Health Education Program (NEHEP) Planning Committee, National Eye Institute (NEI)

8:20 am – 8:33 am Compounding Pharmacies: What They Can Currently Provide to Ophthalmologists, What Challenges They Face in Providing Drugs for Office Use

David G. Miller, RPh – Executive Vice President and CEO, International Academy of Compounding Pharmacists

8:33 am – 8:43 am Practitioner Perspective: How the Drug Quality & Security Act (DQSA) is Affecting Ophthalmology Practices

George A. Williams, MD – Secretary for Federal Affairs, American Academy of Ophthalmology

8:43 am – 8:55 am Hill Perspective: Congressional Perspective on the DQSA from the Staff That Drafted the Law

Adam Harbison – Legislative Director, Rep. Morgan Griffith (VA-9)

8:55 am – 9:45 am Q&A



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9:00 am – Noon Advocacy Ambassador Program: L.E.A.P. Forward (Leadership, Engagement, Advocacy and Practice Management) – for Advocacy Ambassadors only ARCHIVES ROOM (MEETING LEVEL 4)

Advocacy Ambassadors will beinspired and engaged to be active leaders in their practice setting, community, state and subspecialty society as well as national and international organizations. This session will provide young members an opportunity to network and interact with active leaders in ophthalmology with panel discussions covering 4 major areas: Leadership, Engagement, Advocacy, and Practice Management.

MODERATORS:

Purnima S. Patel, MD – Chair, Young Ophthalmologist (YO) Committee, American Academy of Ophthalmology Janice C. Law, MD – Member, YO Committee, American Academy of Ophthalmology

WELCOME REMARKS:

Robert F. Melendez, MD, MBA – Secretary for Online Education and eLearning, American Academy of Ophthalmology Daniel J. Briceland, MD – Senior Secretary for Advocacy, American Academy of Ophthalmology

PANEL LEADERS:

LEADERSHIP: Paul Sternberg Jr., MD – Past President, American Academy of Ophthalmology ENGAGEMENT: Jean E. Ramsey, MD, MPH – Past Council Chair, American Academy of Ophthalmology and Vice-Chair of Education and Program Director, Department of Ophthalmology, Boston Medical Center ADVOCACY: Daniel J. Briceland, MD – Senior Secretary for Advocacy, American Academy of Ophthalmology PRACTICE MANAGEMENT: James C. Tsai, MD, MBA – President of the New York Eye & Ear Infirmary and Chair of Ophthalmology for the Mount Sinai Health System

9:45 am – 10:15 am Break LIBERTY BALLROOM FOYER (MEETING LEVEL 4)

10:15 am – 11:45 am Hearings (Concurrent Hearings)1. The Fine Print and More: Evaluating Payer Contracts and Relationships in Today’s Healthcare

Environment2. Be Prepared: Do’s and Don’ts for Surviving a Medicare Audit

10:15 am – 11:45 am Hearing #1. The Fine Print and More: Evaluating Payer Contracts and Relationships in Today’s Healthcare Environment LIBERTY SALON I (MEETING LEVEL 4)

MODERATOR: Robert E. Wiggins Jr., MD, MHA – Senior Secretary for Ophthalmic Practice, American Academy of Ophthalmology

With the back drop of narrowing networks, rate cuts, and potential reimbursement penalties, more than ever practices must have a strategy in place related to their payer contracts. As practices are being asked to take bundled rates and share in financial risk that has traditionally been placed on the payers, practices must “partner” with their payers if they want to be successful. Keys to a successful partnership include: knowing your payer partner, having the right data, and being able to support the value that your practice adds in the network. Solutions that work will be presented, but the practical take-home is that it will take doing homework.

10:15 am – 10:20 am Introduction

Robert E. Wiggins Jr., MD, MHA – Senior Secretary for Ophthalmic Practice, American Academy of Ophthalmology

10:20 am – 11:05 am Partnering with Payers to Successfully Negotiate Your Contracts

Brenda N. Laigaie, Esq. – Attorney, Wade, Goldstein, Landau & Abruzzo, P.C.


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11:05 am – 11:10 am Managing Risk Contract Arrangements: Competition, Exclusivity and Patient Volume

Ann M. Hulett, COE, CAE – Administrator/CEO, Eye Health Northwest and Member, Annual Meeting Program Committee, American Academy of Ophthalmic Executives

11:10 am – 11:15 am Payer Quality Reporting and its Impact

Denise C. Fridl, COT, COE – Chief Performance Officer, Asheville Eye Associates

11:15 am – 11:20 am Capitated Contracting – Experience from the Trenches

Edward C. Laski, MBA, COE – Practice Administrator, San Luis Obispo Eye Associates

11:20 am – 11:45 am Q&A


10:15 am – 11:45 am Hearing #2. Be Prepared: Do’s and Don’ts for Surviving a Medicare AuditLIBERTY SALON N (MEETING LEVEL 4)

MODERATOR: Rajiv R. Rathod, MD – Member, Board of Directors, American Academy of Ophthalmic Executives

Being the subject of an audit is stressful and time consuming for physicians and staff. Given the way audits are conducted, both by Medicare Part B as well as all other third-party payers, most physicians will be audited by some payer at some time during their career. This session will detail proactive preparation and present a step-by-step process of what physicians can do when the request for records is received. Real-life audit scenarios of Supplemental Medical Review Contractor (SMRC), Comprehensive Error Rate Testing (CERT), Recovery Audit (RA), and Zone Physician Integrity Program (ZPIC) in addition to Office of Inspector General (OIG) investigations will be presented.

10:15 am – 10:20 am Welcome and Why Session Topic is Timely

Rajiv R. Rathod, MD – Member, Board of Directors, American Academy of Ophthalmic Executives

10:20 am – 10:25 am Why All Payers Conduct Audits

Stephen A. Kamenetzky, MD, OCS – Carrier Medical Director, Anthem BCBS (Blue Cross Blue Shield)

10:25 am – 10:40 am Proactive Preparation

Sue Vicchrilli, COT, OCS – Director, Coding & Reimbursement, American Academy of Ophthalmic Executives

10:40 am – 10:50 am My Audit Experience – Recovery Audit

Louise A. Mawn, MD – Councilor, American Society of Ophthalmic Plastic & Reconstructive Surgery

10:50 am – 11:00 am My Audit Experience – The Retina Experience

James G. Howard, MD – Councilor, Utah Ophthalmology Society

11:00 am – 11:10 am If I Could Document it Over Again. Lessons Learned Through the Appeals Process

Stephen A. Kamenetzky, MD, OCS – Carrier Medical Director, Anthem BCBS (Blue Cross Blue Shield)


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11:10 am – 11:45 am Q&A


12:00 pm – 2:00 pm Luncheon and Closing SessionINDEPENDENCE BALLROOM C (MEETING LEVEL 4)

New Era in Quality Reporting - Patient Outcomes All the TimeMODERATOR: Michael F. Chiang, MD – Chair, Task Force on IRIS™ Registry Analytics and Research and Past Chair,

Medical Technology Committee, American Academy of Ophthalmology

There is broad agreement that current federal quality programs—PQRS, Value Based Modifier, Meaningful Use - are not effective at really moving the quality needle. Such programs, which come with the potential for significant financial penalties, often create administrative burden and extra work for physicians, without adding true value or improving patient outcomes. Physicians, patients and other consumers want the focus to be on what is actually meaningful in terms of patient-centered outcomes; not just meaningful use. This session will explore how specialty-led clinical data registries, such as the Academy’s IRISTM Registry, are shaping a new era in quality reporting, shifting focus to clinical outcomes and patient-centered outcomes, and driving true improvements in quality.

12:45 pm – 12:50 pm Ushering in a New Era in Quality Reporting


12:50 pm – 1:05 pm Creating Significant Leaps in Quality: What Payers are Doing – Bridges to Excellence, Prometheus Payment

Francois de Brantes, MS, MBA – Executive Director, Health Care Incentives Improvement Institute

1:05 pm – 1:20 pm Rewarding for Quality and Efficiency: What the Public and Business are Doing

Bill Kramer, MBA – Executive Director, Pacific Business Group on Health

1:20 pm – 1:35 pm Moving the Needle: How Specialty-led Clinical Data Registries Drive Quality Improvement

Kim Allan Williams, Sr., MD, FACC, FAHA, FASN – President, American College of Cardiology

1:35 pm – 1:50 pm Future Think: How Clinical Data Registries Support High Value Healthcare and Tangible Quality Improvement

Josh Rising, MD, MPH – Director, Medical Devices, Pew Charitable Trusts

1:50 pm – 2:00 pm Q&A

2:00 pm End of Session

2:00 pm – 2:30 pm Break LIBERTY BALLROOM FOYER (MEETING LEVEL 4)


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FRIDAY,APRIL17 Post Conference Events

COMMERCIAL SUPPORT PROVIDED IN PART BY – GOLD LEVEL

2:30 pm – 3:30 pm Advocacy Ambassador Program: Post Hill Visits Debriefing – for Advocacy Ambassadors onlyCHINATOWN ROOM (MEETING LEVEL 3)

2:30 pm – 3:45 pm Council Opening SessionLIBERTY SALON I (MEETING LEVEL 4)

4:00 pm – 6:00 pm Council Regional Meetings REFER TO MEETING ROOM LIST

6:30 pm – 8:30 pm OPHTHPAC Reception – by invitation onlyWOMEN IN MILITARY SERVICE FOR AMERICA MEMORIAL 1 MEMORIAL AVENUE, ARLINGTON, VA

OPHTHPAC members are invited to attend a special reception. The reception includes a full open bar and hors d’oeuvres. Members who contribute $500 to OPHTHPAC in 2015 on or before April 17 are invited to attend this lively cocktail reception. To check your giving history or to make a contribution, contact Ashley Mild at [email protected] or call 202.737.6662.

6:15pm – 9:00pm Motorcoach Transportation to/from the OPHTHPAC Reception

OPHTHPAC will provide transportation from the Marriott Marquis - 901 Massachusetts Ave, Washington, DC - to the OPHTHPAC reception at the Women’s Memorial - 1 Memorial Avenue, Arlington, VA starting at 6:15 pm. Departures will run every 15 minutes until 6:45 pm to the Women’s Memorial. Return service to the Marriott Marquis will be every half hour until 9:00 pm.

MYF Mobile Meeting Guide Access event, hotel and transportation information from your mobile device, smartphone or tablet.

Save items to your personal planner to access them later.

This easy-to-use wireless app is available for any Web-enabled mobile device at https://myf.apprisor.org.


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SATURDAY,APRIL18 Post Conference Events

7:00 am – 1:00 pm Meeting InformationLIBERTY BALLROOM FOYER (MEETING LEVEL 4)

7:00 am – 8:00 am Continental BreakfastLIBERTY BALLROOM FOYER (MEETING LEVEL 4)

8:00 am – 9:15 am Council State Section MeetingLIBERTY BALLROOM I (MEETING LEVEL 4)

8:00 am – 9:15 am Council Subspecialty/Specialized Interest Section MeetingARCHIVES ROOM (MEETING LEVEL 4)

9:15 am – 9:30 am BreakLIBERTY BALLROOM FOYER (MEETING LEVEL 4)

9:30 am – 11:30 am Council Elections and Hearing on Council Advisory Recommendations LIBERTY BALLROOM I (MEETING LEVEL 4)

11:30 am – 1:00 pm Council Luncheon and Closing Session Entertainment: “The Capitol Steps”INDEPENDENCE SALON C (MEETING LEVEL 4)

1:00 pm Adjournment

Save the DateNext Mid-Year Forum: April 13-16, 2016Marriott Marquis, Washington, DC

mid-year forum

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