2012 October Newsletter

Perspec ves
October, 2012 In This Issue: President’s Message Region 2 Fall Ins tute 2012 Golf Tournament President’s Message It’s that time of year again for our Chapter Membership
Satisfaction Survey. National HFMA will be sending out
via email the annual survey in October. The survey will
include all chapter members with the exception of chapter
officers, directors and members of less than six months.
Please take the time to complete the survey as the feedback
is very important to the chapter and to National. Your
feedback will inform chapter leadership on what you like
and where we can improve. Our goal is for all members to
have a rewarding and informative HFMA experience.
Member Spotlight Batavia Downs Event Member get a Member HFMA News Ar cles Member Milestones Member Happenings Career Corner Commi ee Updates Our annual Fall Institute will be held on November 2nd
this year and will be a full day session. The education
committee is excited about this event that will bring you a
full morning of updates from NYS DOH and HANYS. Along with these updates, the
committee will introduce to you a special speaker that our chapter leaders heard at
HFMA’s Leadership Training Conference (LTC) earlier this year. They were so inspired;
they wanted to bring the message back to our membership. Four diverse afternoon
breakout sessions will be held following lunch and then we will wrap up the day with a
happy hour. Be sure to come and join us, we believe it will be one of our best events this
year!
As the autumn months progress into (do I dare say?) winter, be sure to watch your weekly
email updates for several upcoming community service events. It’s a great time of year to
participate in volunteer activities and get to know other fellow HFMA members at the
same time.
As I close, I want to say thank you to all our sponsors for their generous support this
chapter year. If you are not currently a sponsor and are interested in becoming one, or
finding out more information, please do not hesitate to contact me directly. Take care and
have a wonderful and safe holiday season!
Chapter Sponsors Alicia Dockrell, CHFP
President
Page 2 Chapter Officers & Directors 2012/2013 Region 2 Fall Ins tute President: Alicia Dockrell Unity Health System The 2012 Region 2 Fall Institute was held October 15-17th in Saratoga,
NY. The program was packed with many educational sessions which were very
beneficial to all who attended. A cocktail reception kicked off the event featuring
Tommy John, Major League Baseball legend. Mr. John gave a presentation the
following day which featured his life as a baseball player, what motivated him to
succeed and how he persevered through injuries. A captivating presentation was
also made by Captain James Lovell, Astronaut and Commander of Apollo 13.
The stories recapped by Captain Lovell about the mission into space and the
teamwork on board the aircraft were inspirational and amazing. As you can see
from the pictures in this newsletter, a highlight of the Region 2 Conference was
the cheesy 80’s cover band, “Velveeta”. HFMA would like to thank all those
who attended and supported the conference. It was a huge success.
President Elect: Chris Harris Rizzo DiGiacco & Hern Program Chair: Paula Tinch Rochester General Health System Secretary: Geoff Bernhardt Unity Health System Treasurer: Stephan Kotsch Rochester General Health System Past President: Chris Etsler Unity Health System Directors, Class of 2013: Carla D’Angelo Excellus Rob Nasso Rotenberg, LLP Mark Prunoske Thompson Health System Richard Yarmel Abrams, Fensterman, et al LLP Attendance may have broken a record.
Directors, Class of 2014: Cheryl Benne Unity Health System Roberta Spezzano Wes all Surgery Center Mary Whalen Whalen Consul ng, LLC Tom Crilly, Regional Executive, welcomes
the conference attendees.
Jim Lovell, commander of Apollo 13, was
the keynote speaker on Wednesday.
Leadership Opera ons Commi ee Page 3 Region 2 Fall Ins tute (con nued) 2012/2013 Mee ng Schedule August 7th 9:30 a.m. ‐ 10:30 a.m. September 4th 9:30 a.m. ‐ 10:30 a.m. October 2nd 9:30 a.m. ‐ 10:30 a.m. November 6th 9:30 a.m. ‐ 10:30 a.m. December 4th 9:30 a.m. ‐ 10:30 a.m. January 8th 9:30 a.m. ‐ 10:30 a.m. February 5th 9:30 a.m. ‐ 10:30 a.m. March 5th 9:30 a.m. ‐ 10:30 a.m. April 2nd 9:30 a.m. ‐ 10:30 a.m. May 7th 9:30 a.m. ‐ 10:30 a.m. Carl Luger, Mike Gsellmeier and Mario Urso
interrupted by the roving photographer.
The Bonadio Group presented the
Accounting and Auditing Update
break-out session.
Karl Hagen, Jerry Archibald and Keith
Campbell during the presentations.
Chris Etsler talks to baseball
legend Tommy John.
Ralph Lawson,
National HFMA Chair,
delivers his comments.
All mee ngs are held at Rochester General Health System 100 Kings Highway S. A representa ve from each commi ee (Chair or Co‐Chair) is expected to a end in person or via teleconference. Courtney Spitz and two term
President Alicia Dockrell.
Mary Whalen and Kristen
Clark at the opening reception.
Bruce Liebel, Regional
Executive-Elect with Jim
Lovell.
Rabin Kayastha, NENY
Chapter, took the professional
pictures during the entire event.
Rochester member Rich
McMullen (l) from CBCS was a
sponsor for the event.
Tommy John
keynote address.
Page 4 New York State Department of Health (DOH): www.nyhealth.gov Region 2 Fall Ins tute (con nued) The following pictures are courtesy of Rabin Kayastha of the NENY Chapter
Medicaid CSC Regional Representa ve: (800) 343‐9000 emenyprovid‐
er_rela [email protected] CSC Provider Seminars & Trainings eMedNY: (800) 343‐9000 www.emedny.org/training/
index/aspx Medicaid Preferred Drug Program: www.emedny.org www.health.state.ny.us www.newyork. sc.com Prior Authoriza on Clinical Call Center: (877) 309‐9493 Drug Program Billing: (800) 343‐9000 Medicaid Pharmacy Policy and Opera ons: (518) 486‐3209 Disqualified Provider List (NYS DOH): www.nyhealth.gov/
health_care/medicaid/
fraud/index.htm The Two Johns - John
Eichner and Region 2
Treasurer John Cousins.
Roberta Spezzano and
John Milligan at the
opening reception.
John Gahan from the DOH joined
the party along with Jason Allen
from the CNY Chapter.
Velveeta, the 'cheesy' 80s band had a great
sound and played awesome nostalgic songs!
Bruce Liebel and Chris Etsler
checking on registrations.
The Yankees game was on the big screen
during the dessert extravaganza.
Dancing the night away...
Closing out the 2012 institute.
Page 5 2012 Golf Tournament With the looming threat of all-day rain, this year’s Golf Tournament
dodged the clouds and was a great success. 52 golfers in total came out to
Ravenwood Golf Club in Victor, NY - congratulations to the winning team of
Tom Ford, Charlie Andrews, Kevin Segerson, and Dom Frisicano!
Page 6 2012 Golf Tournament (con nued) Page 7 memberSPOTLIGHT Paula Tinch, CPA PAHM & 2012‐2013 Rochester Regional HFMA Program Chair! HFMA Member Since:
Job:
Responsibilities:
Been employed there since:
2008
Interim CFO, RGHS & VP - Finance
Lead finance teams, overseeing all operational
finance aspects for eight affiliates of Rochester
General Health System.
2008
The best part of my job is:
The people I work with! Sounds cliché, but without
good people, nothing else aligns.
I joined HFMA because:
It’s a great organization! The resources have been
invaluable.
My favorite food is:
My very first job was:
The best advice I ever received was:
Potatoes – if I could survive on carbs alone, I
would!
Part-time retail customer service clerk while in
high school.
Put your best effort forward in everything you do,
and find a way to get paid to do what you love. The
rest will come.
My family includes:
Husband Brian, daughter Deanna and two pocket
beagle puppies (one year olds).
My hero/mentor is:
I’ve been fortunate enough to have two of them in
my professional career; I was able to work directly
for both of them and developed lots of insight and
leadership skills from them. They know who they
are!
If I’m not at work, you’ll find me:
What I’m Most Proud of:
Hobbies:
A book I would recommend:
Benefits realized from
my involvement in HFMA:
Home, where there’s always plenty to do! But I
love to travel.
My family – and thank goodness they still keep me
around :)
Reading and decorating.
The Last Lecture, by Randy Pausch… puts
everything in perspective.
The opportunity to learn and focus on healthcare
finance has been great, and the networking / peer
partnerships I’ve developed have really been
second to none!
Page 8 Batavia Downs Social Event On Friday October 5, members from both the Rochester and Buffalo
Chapters of HFMA met up at the Batavia Downs Casino for a night of fun, food
and horse racing! In addition to the 12 horse races, we were also given a $10
voucher to play the slots.
The competition between members to win their
horse races was fierce. Mary Mahaney from the Buffalo
Chapter won many times during the various races. John
Veloski, also from the Buffalo Chapter, won the first
'exacta box' (he picked three horses to win) in Race 2 and
won $24.80!
In Race 6, our own Roberta Spezzano won a whopping $4.30 when she
picked Joker's Wild to win! Richard McMullen, also from Rochester was also a
big winner in Race 7 winning $42. I have decided not to mention how much we
spent to win those amounts!
Thanks to Bruce Liebel, our Region Executive-Elect, for coordinating this event.
John Veloski and his wife, Celeste, happy about their winnings so far.
Roberta became an honorary member of the Buffalo Chapter
Friday night (with Larry Nowak and Bruce Liebel).
Page 9 Batavia Downs Social Event (con nued) Bruce, Roberta and Todd Fragale
show off their winning tickets
(Roberta's says $.01)!
We got to take our group picture in the
Winners Circle (it was cold as we waited
for the winning horse).
Mary Mahaney making her
winning picks.
Bruce Liebel making sure
everyone is enjoying themselves.
Christine Blidy didn't have much luck but she
studied the brochure anyways!
Page 10 Member Get a Member Rewards Page 11 HFMA News Ar cles (Reprinted from HFMA.org) AHA Sues HHS Regarding Denied Medicare Payments
Posted on 11/2/2012
The American Hospital Association (AHA), along with four healthcare
providers, has brought suit against the U.S. Department of Health and Human Services
for denying Medicare payments for inpatient services that recovery audit contractors
(RACs) retrospectively determined could have been provided in an outpatient setting.
The services were considered medically necessary; however, the Centers for Medicare
& Medicaid Services (CMS) determined that the setting for services was inappropriate.
CMS bases its decision to deny payment on RAC audits.
According to the AHA's complaint, the CMS policy to deny payment based on wrong
setting for care violates federal law because it was never established through a formal
rulemaking process. The lawsuit follows a year of discussions between CMS and the
AHA in which the organizations tried to reach a resolution.
The four healthcare providers involved in the lawsuit are Missouri Baptist Sullivan
Hospital, Munson Medical Center, Lancaster General Hospital, and Trinity Health.
These four hospitals received an adverse decision from a RAC auditor regarding the
setting for services and have spent considerable funds appealing the decision.
For a copy of the suit, click here.
CMS Issues Final Rules for OPPS/ASC Services and Primary Care
Posted on 11/2/2012
The Centers for Medicare & Medicaid Services (CMS) issued two final rules
today: one that updates Medicare payment policies and rates for hospital outpatient
services and ambulatory surgical care, and another that specifies payment rates to
certain physicians for specific primary care services.
The hospital outpatient prospective payment system (OPPS) and ambulatory surgical
center (ASC) rule affects hospital outpatient departments in more than 4,000 hospitals.
In 2013, payment rates for hospital outpatient departments will increase 1.8 percent,
CMS said in a release. The final rule also will reduce Medicare payments to physicians
by 26 percent if Congress does not approve a sustainable growth rate payment fix by the
end of this year.
Additionally, the OPPS/ASC final rule bases relative payment weights on geometric
mean costs, as proposed. This aligns the metric used in rate setting for the OPPS with
that of the inpatient prospective payment system. ASC payment rates will increase by
0.6 percent in 2013 under the final rule.
Under the final rule for physicians, certain physicians who provide primary care will be
paid at Medicare rates in 2013 and 2014, rather than at Medicaid rates. The change
applies to primary care services delivered by family medicine, general internal
medicine, and pediatric physicians and other, related subspecialists.
The final rule can be found by clicking here.
Page 12 MEMBER NEWS MEMBER APPOINTMENTS ANNIVERSARY MILESTONES NEW MEMBERS memberMILESTONES member ANNIVERSARIES 15 YEARS Bridge Reed Karen Yacono 10 YEARS Mark Mandrycky Lora Means 5 YEARS Andrea Johnson new MEMBERS Please join us in welcoming new members to our Chapter! Thomas Wesley Gail Bellanca Greater Rochester Health Founda on Rochester General Health System Lindsey Stroller Rebecca Wise Rochester General Health System Greater Rochester Health Founda on Joel Rogozinski Tracy Devito First American Healthcare Finance Rochester General Health System Doug Melech Judy D’Ambrose Rochester General Health System Rochester Community Orthopedics Karl Sprague Arnot Health Page 13 memberHAPPENINGS Hugh Chisolm
has joined Rochester General Hospital Health
System as Director of Accounting and Financial
Reporting. On August 21 he and his wife,
Shara, welcomed their daughter, Kenley Marie.
Jonathan Miller
and his wife, Erin, welcomed their daughter,
Audra Grace, on August 8.
Matthew Geuink
is now responsible for the New York region for
Winthrop Resources Corporation.
Karen Klinter
has joined Anthony L. Jordan Health Center as
Corporate Controller.
Congratulations to Diane Zimmerman,
FHFMA, of URMC, who recently attained
HFMA Fellowship status!
Page 14 careerCORNER Director, Treasury and Investments
Rochester General Health System, Rochester, NY
This position will oversee Rochester General Health System’s investment
portfolio in order to help ensure the system achieves sustainable, focused growth
along with the continued ability to provide quality patient care and community
service. This position works directly with the Chief Financial Officer and the
Finance and Investment Committees of the Board of Directors in the management
of the system’s investments related to the financial health of the system in order
to continue to invest in people, equipment and technology in accordance with the
agreed upon investment strategy of RGHS.
To apply: email [email protected]
Page 15 Cer fica on Commi ee Chair: Rachelle Fletcher (315) 462‐0111 rachelle.fletcher@ cshosp.com Cer fica on Commi ee News Certi iedHealthcareFinancialProfessional(CHFP)
FactSheet
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Co‐Chair: Karl Hagen (315) 789‐0113 [email protected] Members: Jim Helms (607) 324‐8051 [email protected] Diane Lage (585) 368‐6264 [email protected] Mary Whalen (585) 797‐5106 whalenconsul ng@ rochester.rr.com Cer fica on Requirements

Current Full HFMA Member
Successful comple on of cer fica on examina on
Recommend 3‐5 years, healthcare finance management, senior accountant, senior financial analyst Cer fica on Fees


On‐line study prep material not required but highly recommended  Examina on fee  Exam Retake – at least 90 days a er exam $195/$295
$395
$200
Self‐Study Materials




Designed to raise awareness of significant issues
Not all encompassing
A guide, but only one set of guides among many
Cross func onal, integrated presenta on of needed prac ce knowledge and technical skills
 Less emphasis on a stand‐alone specialty area

Exam Process





Purchase on‐line study materials through HFMA website
Schedule test through HFMA website
Take exam – 150 mul ple choice ques ons ‐ 4 hr. me limit
Pass – receive CHFP Cer ficate from Castle Worldwide
Ques ons

Frequently Asked Ques ons (FAQs) on HFMA’s website at:
h p://www.hfma.org/cer fica on/
 Contact HFMA Cer fica on at cer fica [email protected] or (800) 252‐4362
 Chapter Cer fica on Commi ee:
 Rachelle Fletcher – Chair;
[email protected] (315) 462‐0111
 Karl Hagen – Co‐Chair
[email protected] (585) 520‐2521
Communica on Commi ee Page 16 Communica ons Commi ee News Chair: Ryan McGinnis (585) 922‐1894 ryan.mcginnis@ rochestergeneral.org Co‐Chair: Courtney Spitz (585) 249‐2809 [email protected] Members: Chuck Faller (585) 922‐1908 chuck.faller@ rochestergeneral.org Diane Lage (585) 368‐6264 [email protected] Nancy Reiss (585) 368‐6273 [email protected] Deb Robinson (585) 368‐6201 [email protected] Roberta Spezzano (585) 256‐3861 rspezzano@ wes allsurgery.com From the Chair’s desk:
With Election Day now in our past, we can say goodbye to the incessant
barrage of slanderous attack ads and Facebook timelines dominated by political posts
(for now). Directly following suit are Governor Romney’s proposed efforts to overturn
health care reform. President Obama's subsequent term essentially cements the
Affordable Care Act, and gives the health care industry a little bit more certainty
looking down the road.
According to HFMA, Moody’s deemed the reelection as credit-neutral for the
not-for-profit hospital sector. They also cited the upside that the individual mandate, to
be implemented during President Obama’s second term, will decrease the number of
uninsured patients who seek care in emergency rooms - thus helping to lower
uncompensated care expenses while simultaneously increasing insured patient volumes
across other care channels. One would think this would create a credit-positive
situation, but it’s important to remember that related Medicaid and Medicare funding
reductions are still on the horizon (especially under the looming threat of the federal
deficit). This situation along with impending payer regulation burdens and reduced
reimbursement rates leaves a huge amount of uncertainty for the health care industry in
general, heightening credit risk.
As healthcare professionals the clarity provided by the close of the election is
helpful for future planning, however it does not clear the many obstacles still in the
path of reform as it marches on. Hopefully the momentum and attention that has been
generated on the topic over the past year will convert into well-planned decisions that
ensure ample resources for providing quality care to, and increasing the overall health
of, our communities.
Editor: Diane Lage (585) 368‐6264 [email protected] HFMA Websites: Chapter: www.rochesterhfma.org Na onal: www.hfma.org Educa on Commi ee Chair: Paula Tinch paula. nch@ rochestergeneral.org Co‐Chair: Geoff Bernhardt gbernhardt@ unityhealth.org Members: Hugh Chisolm hchisholm@fcc‐cpa.com Carla D’Angelo carla.dangelo@ excellus.com Chris Harris [email protected] Jilleen Hays [email protected] Sonja Gellert‐Powell sonja.gellert‐powell@ rochestergeneral.org Ellen Gallagher ellen.gallagher @rochestergeneral.org Janine Mangione [email protected] Susan Ma hews sma hews@ abramslaw.com Sharon Polak spolak@ mvphealthcare.com Lisa Smith eagleswingsconsul ng@ rochester.rr.com Courtney Spitz [email protected] Beth Young [email protected] Page 17 Educa on Commi ee News Upcoming Events (follow the links for more information & to register):
November 14: Medicare NPP Billing Webinar (1:00 - 2:30 PM)
November 15:
Working with Payers Webinar (1:00 - 2:00 PM)
November 16:
Excellus Provider Relations Joint Session
Winter TBD: ICD-10 Event
Winter TBD: Professional Development Event
Upcoming National Webinars (follow the links for more information & to register):
November 13
Revenue Cycle Efficiency and Reducing Days in A/R: Take a Systematic Approach to
Process Improvement
November 14
Improve Your Bottom Line By Reducing Supply Chain Expenses
November 15
Promote Patient Safety and Efficiency with Real Time Clinical Intelligence
November 16
The ICD-10 Readiness Roadmap: Integrating Computer-Assisted Coding and Clinical
Documentation
November 27
Analyzing the Financial Impact of ICD-10
November 29
Protecting Your Health System from Wage and Hour Lawsuits and Litigation
December 3
How to Apply for the 2013 MAP Award for High Performance in Revenue Cycle
December 4
Discovering Additional Net Revenue: Lessons from a Root Cause Investigator
December 6
Using Attribution to Drive Product Rationalization and Savings
December 11
How to Engage Employed Physicians to Improve Revenue Cycle Performance
December 13
Making the Most of Your Data and Resources to Cultivate an Improved Revenue Cycle: A
Cook County Case Study
December 18
Is Your Revenue Integrity Program Prepared To Acquire Another Hospital?
December 19
Building a Financial Foundation for the Future: The Integration of Care Settings
Membership Commi ee Page 18 Membership Commi ee News Chair: Jon Miller (585) 381‐1000 [email protected] Co‐Chair: Carla D’Angelo (585)339‐7816 carla.dangelo@ excellus.com Members: Chris Etsler (585) 368‐6276 [email protected] Michael Gsellmeier (585) 643‐3380 michael.gsellmeier@ faef.com Joe Peplin (585) 249‐2835 [email protected] Lori Saunders (585) 368‐6289 [email protected] Membership Directory Have you visited HFMA’s Online Membership Directory and updated your
information lately?
Log in at http://www.hfma.org/login/index.cfm
When you select “HFMA Directory,” not only can you search for members of
your chapter, you can also search for all your HFMA colleagues by name,
company, and location—regardless of chapter! Using an online directory instead
of a printed directory ensures that you always have the most up-to-date contact
information.
While accessing HFMA’s Online Membership Directory, you can view your
current contact information and make edits to your profile. You can also see
products you have ordered, events you have registered for, your CPE credits, your
Founders points, and more!
It’s vital that HFMA has your correct information, so please take a moment to
review your record now. By doing so, you’ll ensure that HFMA continues to
provide you with valuable information and insights that further your success.
Social & Community Services Commi ee Chair: Mark Pa erson (585) 339‐7989 mark.pa erson@ excellus.com Co‐Chair: Scot Dennis (585) 922‐1335 scot.dennis@ rochestergeneral.org Members: Cheryl Benne [email protected] Geoff Bernhardt gbernhardt@ unityhealth.org Page 19 Social & Community Services Commi ee News There are a number of upcoming events coming up
this Fall and Holiday Season:
Hillside Special Santa Drive:
From November 5th through November 16th. See flyer for information
on needed items, as well as drop off locations. Contact Lori Saunders
([email protected]) for more information.
Shawn Bishop shawn.bishop@ rochestergeneral.org Salvation Army Bell Ringing:
Diane Brothers [email protected] Janet Desmann [email protected] Saturday, December 1st at Eastview Mall and Greece Ridge Center.
Contact Dave Groth ([email protected]) for available time slots.
Lan Diep [email protected] Shannon Glassman sglassman@ unityhealth.org David Groth [email protected] Hillside Special Santa Program:
The date is Monday, December 17th. Contact Janet Desmann
([email protected]) for available time slots.
Valerie Kuhn [email protected] Kristen Pflanz [email protected] Jeff Raines [email protected] Soup Kitchen:
Stay tuned for more information.
Lori Saunders [email protected] Stephen Triola stephen.triola@ thompsonhealth.org Daniel Wright [email protected] Beth Young [email protected] Diane Zimmerman diane.zimmerman@ urmc.rochester.edu FYI!!
Next year’s United Way Day of Caring
is Thursday May 9, 2013. Technology Commi ee Page 20 Technology Commi ee News Chair: Ma Drake (585) 922‐1438 ma .drake@ rochestergeneral.org Co‐Chair: Slava Nesterov (585) 922‐1851 slava.nesterov@ rochestergeneral.org The Technology Committee is looking to increase membership in our HFMA
Rochester Regional Chapter LinkedIn group, as well as increase member participation
on the page!
The decision was made by the Operations Committee to make the LinkedIn
group open to all who request to join the group as a way to market the Rochester Regional Chapter and HFMA in general. We have been posting updates on the page and
would encourage all chapter members to start and join discussions.
Also, please help us reach 100 “likes” on Facebook so we can get a shorter,
more official URL! See the links below:
Members Tim Elder (585) 339‐7709 mothy.elder@ life mehealth.org Diane Lage (585) 368‐6264 [email protected] Rich Leight (585) 249‐2803 [email protected] Randy McKnight (585) 368‐6220 rmcknight@ unityhealth.org Jeff Rice (858) 922‐0867 jeff.rice@ rochestergeneral.org Follow Us: LinkedIn: HFMA Rochester Regional Chapter Facebook: HFMA Rochester Regional Chapter Twi er: @HFMARRC
Page 21 Sponsorship Commi ee Chair: Chris Harris (585) 662‐5046 charris @rizzodigiacco.com Co‐Chair: Paula Tinch (585) 922‐1223 paula. nch@ rochestergeneral.org Members: Alicia Dockrell (585) 368‐6249 adockrell@ unityhealth.org Stephan Kotsch (585) 922‐1570 stephan.kotsch@ rochestergeneral.org Chapter Sponsors The Rochester Regional Chapter of HFMA wishes to recognize and express its
appreciation to the following sponsors who generously support the
Chapter and its educational programs:
Pla num Key Bank
Gold The Bonadio Group
EFP Rotenberg, LLP
Harter Secrest & Emery LLP
MVP Health Care
Roberts Wesleyan College
Rochester General Health System
Bronze Beth Platt & Associates
EBS-RMSCO, Inc.
First American Healthcare Finance
First Niagara
Harris Beach PLLC
Physician's Reciprocal Insurers
Thompson Health
University of Rochester Medical Center
Xtend Healthcare
Sponsorship opportunities are available for your organization.
Contact Chris Harris @ (585) 662-5046 or [email protected]