Measuring and Managing Total Cost of Care: The Quality Payment Program and Beyond


Medicare Payment Policies

Quality Payment Program

SKU: 20WEB07


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04/23/2020 at 1:00 PM to 2:00 PM

Note: If you experience issues with your member login, please email or call the MGMA Service Center at 877.275.6462 ext. 1888 to register.

Register for the webinar, April 23, 2020, at 1:00 pm ET (12:00 pm CT, 11:00 am MT, 10:00 am PT). This webinar is eligible for ACMPE, ACHE, CPE (live) and CEU credit. This webinar will be made available as a recording.

If your practice serves traditional Medicare patients, then you’re participating in the Quality Payment Program in either the MIPS track or in an alternative payment model (APM). Of the four categories of MIPS affecting Medicare reimbursement, cost is the least understood and may represent 30% of a practice’s future MIPS score. Many administrators and clinicians may have little experience in terms of understanding their total cost of care, let alone having a strategy to actively manage those costs. This session will define total cost of care in terms relevant for all practices, including total per-capita cost, Medicare spend per beneficiary and relevant episode-based measures. The session will offer examples of data sets available to clinicians, as well as instructions on how to access and/or request such data, plus examples of how practices can interpret and apply this data to manage costs within their control. The session will provide examples of how various specialties address reducing healthcare expenditures and demonstrate how practices can use this information in numerous settings, including mergers and acquisitions (M&A)/strategic partnerships, payer contracting, recruiting, network alignment, physician compensation methodology and more.

This 60-minute webinar will provide you with the knowledge to:
  • Derive data for total cost of care management in a healthcare organization of any size.
  • Apply data-driven strategies to manage healthcare costs.
  • Discover uses for total cost of care data in M&A /strategic partnerships, payer contract negotiations, physician compensation methodology and recruiting.




CPE: 1.2

CEU: 1

Continuing Education Information

Delivery method: Group Internet Based | Internet Live Course
Learning level: Intermediate – Education that builds on a basic curriculum, designed to improve your ability to analyze and apply skills learned to a topic or knowledge area.
Learning format: Traditional  
Prerequisites: A basic understanding of the topic or knowledge area.
Advance preparation: None
Duration: 60 minutes

Claiming Credit

Required Exam

If you wish to claim the following credit, you must first attend the webinar, then pass the associated exam with a score of 80% or higher. Registration is required for BOTH the webinar and the exam.

  • ACMPE, medical practice administrators in certification and Fellowship through ACMPE
    • Exam must be completed no later than: April 23 2021
  • ACHE, American College of Healthcare Executives Qualified Education
    • Exam must be completed no later than: April 23 2021
  • CPE, Continuing Professional Education for accountants
    • Attendance at the live instructor lead program
    • Exam must be completed no later than: April 23 2021
  • CEU, generic continuing education unit
    • Exam must be completed no later than: April 23 2021

After you register for the exam, instructions on how to access the exam will be emailed to you.

Team Participation

Participants who want to claim continuing education credit must be individually registered for the webinar and subsequent exam. If registered participants attend as a team, the person who launched the webinar will need to email a list (first and last names) of all participants to after the webinar has concluded. Each participant will be required to complete the exam under his/her own account.

Official Continuing Education Statements and Availability

Continuing education credit is granted to registered attendees who purchase and complete both the webinar and exam.

American College of Medical Practice Executives (ACMPE)

This program is approved as a live learning event for ACMPE continuing education hours. A cumulative total of 50 ACMPE continuing education credit hours is among the requirements for attaining the Certified Medical Practice Executive (CMPE) credential. To maintain CMPE or Fellow status, you must earn 50 hours of qualifying credit hours every three years, of which 30 hours must come from MGMA national, state or local offerings, including 12 from a live learning event.

Learn more about the ACMPE certification program.

One ACMPE credit is earned for every 60 minutes of educational content, rounded down to the nearest 0.25.

American College of Healthcare Executives Qualified Education (ACHE)

By attending the Measuring and Managing Total Cost of Care: The Quality Payment Program and Beyond webinar offered by the Medical Group Management Association, participants may earn up to 1 ACHE Qualified Education Hour toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.

One ACHE credit is earned for every 60 minutes of educational content, rounded down to the nearest 0.25.

Continuing Professional Education (CPE)

MGMA-ACMPE is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website:
  • In accordance with the standards of the National Registry of CPE Sponsors. CPE credits have been granted based on a 50-minute hour. Rounded down to the nearest 0.5.
  • This program is in the Specialized Knowledge field of study.
  • The type of instruction is group-internet-based.
  • National Registry of CPE Sponsors ID: #103652.

Continuing Education Units (CEU)

A certificate of attendance will be provided to healthcare professionals requesting generic CEUs for professional development, certifications through other professional associations or specialty societies.

One generic CEU credit is earned for every 60 minutes of educational content, rounded down to the nearest 0.25.

Doral Jacobsen

Doral Jacobsen, MBA, FACMPE

Chief Executive Officer, Prosper Beyond, Inc.

Doral Davis-Jacobsen, MBA, FACMPE, is a Partner at Prosper Beyond LLC, a specialized healthcare consulting firm nestled in beautiful Asheville, North Carolina. Doral is a seasoned healthcare consultant with over 20 years of experience serving healthcare providers ranging from solo practitioners to large academic medical centers. She is a popular speaker and author, always looking around the corner to help her clients prepare for “what’s next.” Doral is known for assisting practices with next generation managed care contract negotiations, payment reform and revenue cycle. She is a Fellow in the American College of Medical Practice Executives. Doral serves as the Chair for the North Carolina MGMA Payer Contracting Committee 2019. Doral has written numerous articles on medical practice revenue cycle, managed care contracting and payment reform and is a frequent speaker at national, regional and local healthcare forums. Doral is a co-author of MGMA’s book, Transitioning to Alternative Payment Models: A Guide to Next Generation Managed Care Contracting, published in October 2016.


Webinars are delivered live using online web conferencing software, which allows you to interact directly with presenters and colleagues through your web browser.

This webinar will consist of a 60-minute presentation and question-and-answer session.

You will receive informational emails with log-in instructions, handout materials and the recording.


Technical requirements

To participate you will need:
  • Adobe Connect: Run this connection test.
  • Internet: A high-speed connection
  • Audio: Computer speakers and a phone in case of audio difficulties

View the technical requirements page for mobile device information as well as operating system, browser and software requirements.

This is a member exclusive webinar. There is no registration or exam fee.

Live Instructor Cancellation Policy

If for any reason MGMA must cancel this program, MGMA will notify participants by email of the cancellation no less than 48 hours prior to the expected start time.

Contact the MGMA Service Center for cancellations or refunds:

Toll-free: 877.275.6462, ext. 1888
Complaint resolution policy
Please contact the MGMA Service Center toll-free at 877.ASK.MGMA (275.6462) for issues or concerns with this webinar.


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