Compliance Implications and Strategies in Response to Managed Care Reforms
Course Overview
Presenter: Gerald J. Archibald, CPA, FHFMA, CMCP
Partner in Charge; Healthcare/Tax Exempt Central Division
The Bonadio Group.
This course examines the changes that are currently taking place in Managed Care within New York State and across the country. In Part 1, Mr. Archibald presents an overview of the various goals and compliance challenges with regard to recent reforms in NYS Medicaid and Medicare as well as current and upcoming requirements of the Affordable Care Act. Part 2 discusses the Top Ten Compliance Issues related to these changes and presents specific recommended actions to be taken in order to meet these challenges.
Time to view Part 1 of the course is 25 minutes.
Time to view Part 2 of the course is 28 minutes.
Course Objectives
After completing this course, the learner will:
- Understand recent and upcoming changes impacting managed care in NYS
- Identify recommended actions for the top compliance issues
- Be able to identify how reforms will lead to increased health care value
Time to complete the course is approximately 85 minutes.
Presenter: Gerald J. Archibald, CPA, FHFMA, CMCP
Jerry is the partner in charge of the Healthcare/Tax-Exempt Central Division of The Bonadio Group. He began his career with Arthur Andersen & Co., where he spent 12 years before joining The Bonadio Group in 1986.
Jerry has over thirty five years of experience in providing business advisory, assurance, compliance, and consulting services to healthcare, tax-exempt, and government clients. He has provided services to more than 300 tax-exempt, municipal, and healthcare organizations in his career.
Jerry is certified as a Fellow in the Healthcare Financial Management Association and as a Certified Managed Care Professional. His expertise in the health and human service industries has provided him with a unique perspective of all aspects of health and human service delivery systems. He has been involved extensively in health and human service client engagements, which involve the evaluation, assessment, and implementation of operating improvements. A unique aspect of Jerry’s experience allows him to provide ongoing consulting and support services to organizations both during and after implementation of strategies and recommendations. His work does not end with the design and implementation phase.
Jerry has written a monthly column on non-profit management strategies for the Rochester Business Journal for the past fifteen years and the Central New York Business Journal for the past three years. He is currently the editor of the Thomson Reuters publications entitled Nonprofit Controller’s Manual and Corporate Controller’s Manual.
Jerry received his BS degree in accounting from St. John Fisher College in 1974. He is a member of the American Institute of Certified Public Accountants, the New York State Society of Certified Public Accountants, and the Healthcare Financial Management Association, of which he was a past president. He has served and continues to serve his community as an Honorary Board member of the School of Holy Childhood, Board Chair of the Mary Cariola Children’s Center, Advancement Committee of Bishop Kearney High School, and Allocations Committee and Agency Staff Training Committee of the United Way.
Developing Organization: The Bonadio Group
Big Firm Capability. Small Firm Personality.
The Bonadio Group is comprised of a set of different companies, alliances and strategic partnerships that taken as a whole, delivers over fifty different services.
Complementing this structure is the diverse spectrum of law firms, banks, government officials and programs, regulators, insurers, venture capitalists, & MORE that we have built over the years into one of the area’s largest referral networks.
In effect, if you have a financial need, issue or problem—whether you’re a commercial company, a not-for-profit, or an individual—yes, we can help through our association, our affiliations, or through any one or combination of the Bonadio family of companies, described below.