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Future of ‘Fee for Service’ Examined in Tuesday Miniseminar

With a number of changes on the horizon regarding payment, otolaryngologists will be able to get answers to their questions on the topic during Tuesday’s “Board of Governors’ Hot Topic 2014: Will Fee for Service Survive?”

The Miniseminar, which takes place from 8:00 am-9:20 am in the Chapin Theater and is supported by the BOG Executive Committee, will include a panel discussion.

The course objectives include helping attendees understand the history of fee for service and how it has changed in the last 10 years, the influence of healthcare reform on current and future payment systems, and the challenges private practice will have with new reimbursement models. 

“I think we’re seeing major changes coming down the pipeline for how otolaryngologists will be paid for their services,” said Sanjay R. Parikh, MD, medical director of surgical specialties at the Bellevue Clinic and Surgery Center at Seattle Children’s Hospital, and associate professor of otolaryngology-head and neck surgery at the University of Washington, who will moderate the session. “We project changes in the way Medicare and other private payers will be providing payment for otolaryngologists. The nebulous right now is how is that change going to happen and what’s the timeline going to be?”

Panelists include David W. Kennedy, MD, who will separately discuss “Fee for Service: What We’ve Seen in the Last 10 years (Ratcheting-Back and Abuse)”; Richard W. Waguespack, MD, who also will ask “What Will Bundled Payments Look Like?”; James C. Denneny III, MD, who will present “How Will Quality Affect Payment?”; and Michael Setzen, MD, who will deliver “Can Private Practice Compete with Hospital Employment?”

“Our panel has four outstanding leaders in otolaryngology,” Dr. Parikh said. “We have three presidents of the Academy and one previous chair of the Board of Governors on the panel sharing their thoughts on where we have been with payment, where we are now, and what the future is going to look like. I’m personally excited to have such a terrific group of panelists who have agreed to be a part of this Miniseminar.”

Dr. Parikh said he believes attendees will walk away with a lot of useful information as they experience all of the impending changes.

“I think it’s an extremely timely topic because there’s so much unclarity about how quality and patient satisfaction are going to affect our payment structure,” he said. “Fortunately, these four panelists are experts and thought leaders from our Academy who are going to help guide our specialty and payers with how it’s best approached.

“I hope attendees walk away feeling secure that their Academy will support them, whatever the future holds with regards to payment structure. I also hope attendees walk away with more knowledge about what’s coming down the road for how payment will be structured for our services.”