Practice Management Portfolio

The healthcare environment has recently undergone significant changes in delivery processes with restrictive networks, shared risk agreements, new medical insurance products, and alternate value based payment models as an alternative to fee-for-service reimbursements. Providers need a better understanding of the legal environment, healthcare finance and cost-accounting methodology, contract negotiation skills, and value propositions presented by various insurers and employers.

ASRA’s new Practice Management Portfolio (PMP) provides attendees with an overview of these key areas through a series of specially identified sessions within the meeting. Participants will learn how to:

  • Assess the essential financial, accounting, strategic, and marketing competencies to provide the most efficient and effective patient care.
  • Align stakeholder interests and incentives within their healthcare system.
  • Evaluate the current legislative environment and impact of the planned implementation phase contributing to major transformations in the reimbursement methodology.
  • Discuss practice case scenarios facilitating rapid implementation of all techniques into practice.

PMP registrants receive a bundled set of sessions designed specifically to provide education around these important topics. Participants will receive a certificate of completion for attending:

  • one (1) of four (4) problem-based learning discussions (PBLDs)
  • one (1) of two (2) parallel sessions
  • two (2) required ask the experts interactive sessions

The certificate provides evidence of your specialized education. Space is limited so register early to ensure your spot. The program is open to physicians and non-physicians. The portfolio fee includes registration to the paid sessions and a nominal certificate administration fee.

Sessions that are part of the PMP are indicated in the meeting guide with this symbol.


Each PBLD will evaluate a regional anesthesia/acute pain service (APS) practice from the perspective of a specific topic.  These will be theoretical or practical cases (at the discretion of the presenter) that will specifically outline the following 4 topics:

  • The essential requirements to run an effective and financially sustainable practice.
  • The value that a regional aesthesia/acute pain service practice could bring to a healthcare system.
  • Analysis of a regional aesthesia/acute pain service practice from a legal perspective.
  • The alternative payment environment and practical implications for a regional anesthesia service.

PBLD-23: Strategies to Leverage Your Value within the Healthcare System

  • Understand the value you bring to the healthcare system
  • Cost savings in the inpatient settings/outpatient settings
  • Competitive advantage/recruiting efforts

PBLD-24: Key Aspects of Alternative Payment Models

  • Narrow networks & Reference pricing
  • Bundled payments: definition and role in regional anesthesia
  • Neutral site payment impact on anesthesia services
  • Accountable Care Organizations
  • Medical homes

PBLD-25: Effective Strategies for a State-of-the-Art APS Service

  • Financial considerations
  • System and anesthesia group support
  • Essential metrics

PBLD-26: Complexity and Implementation Options for Patient Protection and Affordable Care Act

  • PPACA and MACRA Impact by service line
  • Strategic service-system alignment models during PPACA and MACRA implementation
  • Legal perils of PPACA and MACRA

Parallel Sessions (two consecutive parallel sessions)

PS-3b Practice Management Portfolio Part 1: Law, Marketing, and Strategy

After this session, participants should be able to:

  • Identify the essential marketing components and their importance in the new era of healthcare consumerism.
  • Demonstrate skills for promoting regional anesthesia and APS to various healthcare stakeholders.
  • Identify the various incentives present in healthcare and the importance of their alignment.
  • Identify legislation that impacts clinical practice in the new alternative payment environment.
  • Develop new skills for sustaining competitive advantage and help in contract negotiation.


  • Marketing an APS to all Healthcare System Stakeholders
  1. Marketing components for regional anesthesia and APS
  2. Price as an essential component of marketing
  3. How to promote your regional anesthesia and APS
  • PPACA and Beyond
  1. Patient Protection and Affordable Care Act (PPACA) implementation and implications for regional anesthesia and APS
  2. Medicare Access and CHIP Reauthorization Act (MACRA), and its role in current and future payment models
  3. Stark law, anti-kickback regulations, and implications for regional anesthesia practice
  • How to Gain Competitive Advantage in Regional Anesthesia and APS
  1. Internal environmental analysis
  2. External environmental analysis
  3. System mission, vision, goals and its alignment with regional anesthesia and APS strategy
  • Panel Discussion


PS-4b Practice Management Portfolio Part 2: Finance

After this session, participants should be able to:

  • Identify trends in CMS and private payers approach to value and payment: concept and methodology.
  • Position regional anesthesia and APS preparedness in a value based healthcare environment.
  • Discuss the various cost definitions and the impact of cost in negotiating contracts.
  • Develop a business plan and review its essential role in developing any service line.
  • Assess the various types of budgets present in the healthcare system.
  • Identify various revenue sources within current and future payment methodology.
  • Evaluate current quality metrics and their impact on regional anesthesia and APS.



  • CMS value proposition and implications for regional anesthesia and analgesia
  1. Balance between value and quality
  2. What do we need to do to continue providing the right care to our patients
  3. Is there a way for business as usual? If no, what’s the best way forward?
  • Financial sustainability in the alternative payments environment
  1. Cost accounting
  2. Time driven activity based costing (TDABC)
  3. Finance essentials
  • Update on Quality and safety reporting modalities
  1. Correlation between quality metrics and clinical practice
  2. Transition from PQRS to MIPS and other trends
  3. Regional anesthesia and APS impact on quality and safety metrics at a system-wide level
  • Panel Discussion

Ask the Expert Interactive Sessions  

General Objectives: The two consecutive, 1.5 hour sessions will be interactive. They will be based on real case scenarios from daily practice management. Attendees and panelist will present and discuss various clinical scenarios. The panelists will suggest solutions and engage in interactive discussions with attendees. At the end of the two sessions, attendees should be able to identify practical approaches to their real practice management scenarios.

  • Practical details on regional anesthesia service costs
  • How to negotiate a regional anesthesia and APS
  • Essentials of shared risk payment plans
  • Concept & Impact of creating various service lines (e.g. orthopedic service line)
  • Assessing the value of your service within the healthcare system
  • Optimal ways to evaluate potential alternative sources of revenue


IS-01 Practice Management Case Scenarios 1

  • Real Practice Scenario Simulator Session
  • Feasibility of a joint program in your practice
  • Feasibility of a comprehensive pain management program in your healthcare system
  • Effective strategies in negotiating bundled payments


IS-02 Practice Management Case Scenarios 2

  • Alternative sources of revenue in a healthcare system
  • Assessing the merits of a hospital proposal shared risk program
  • Determining Acute Pain Service costs and revenues

Physician Leads 

  • Alexandru Visan, MD, MBA
  • Andres Missair, MD