The Perfect Storm Coming to Healthcare: Value Based Care Meets Fraud and Abuse and Social Determinants of Healthcare

Healthcare is transitioning from Volume-based care to Value Based Care. Volume-based care: the more patients the doctor sees the more money she makes; the more expensive procedures, the more money the doctor makes. Value-based care : How can you keep the patient healthy and out of expensive hospital room stays and emergency room visits. But there is a tension between this emerging Government goal of Value -based care and legal & regulatory barriers such as Fraud and Abuse and Antikickback ( with potential criminal exposure) that stand in the way of healthcare delivery becoming more efficient and productive. Add in Social Determinants of Healthcare that complicate this transition. This webinar offers strategy, marketing and legal suggestions for moving to Value-based care and navigating the regulatory landscape.

1.    How to navigate the tension between moving to Value-based Care without transgressing legal and regulatory barriers
2.    How to integrate Strategy, Marketing / Regulatory elements
3.    What competing against the likes of vertical competitors like hi tech firms, health insurers and healthcare systems will look like
4.    How to navigate “The Regulatory Sprint Toward Value-based Care

1.    Transitioning from Volume-based care to Value-based Care
2.    Integrating SDOH into the transition
3.    A strategic framework for moving to Value-based Care
4.    Managed Care, Medicare, Medicaid
Regulatory sectors such as: The Office of Inspector General (OIG); The Dept. of Justice (DoJ); State Attorneys General; and very important > The Impact of Government Advisory Opinions

1.    This transition has favorable government and regulatory leeway.
2.    This webinar offers strategies, marketing and regulatory suggestions for making the transition.
3.    This webinar includes analysis of Social Determinants of Healthcare (SDOH): where you live (Zip Code) / Quality of schools / Job Opportunities / Housing / Food Deserts / Transportation / For people who have been incarcerated, now what happens after they are released and seek to re-enter society

Anyone who works in Healthcare and deals with the non-clinical, business aspects of healthcare delivery: Doctors; Nurses; Hospital Administrators;  Pharmacists; Allied Health Practitioners; Healthcare Adminstrators.

Dr. Bill Trombetta is a Professor of Healthcare Strategy & Marketing at the Faculty of the Erivan K. Haub School of Business, St. Joseph’s University, Phila. PA. He received his Ph.D. from Ohio State University. He is also an attorney licensed in NY and NJ specializing in healthcare regulatory and antitrust law. Bill served as a Deputy Attorney General in The State of New Jersey, Dept. of Law & Public Safety, Div. of Criminal Justice, Antitrust Section. He has been invited to be a faculty member, adjunct, at Philadelphia College of Osteopathic Medicine (PCOM). He has been writing the annual Pharmaceutical Executive Pharmaceutical Industry Audit for 18 years (see Pharmaceutical Executive September 2018). Bill is an internationally recognized speaker who has presented to pharmaceutical firms and medical device professionals. In 2016, he was selected as one of the Top 100 Most Influential Professionals in Life Sciences for Pharma Voice September. Bill is also certified as a “Neutral” in the American Health Lawyers Assoc Alternative Dispute Resolution / Mediation Service and is also certified as an Arbitrator with AHLA Neutrals.