On September 5, 2023, the Centers for Medicare & Medicaid Services (CMS) announced the establishment of the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, in an effort to support health equity within states. The goal of the new voluntary total cost of care model is to reduce disparities in health outcomes by advancing health equity, curb the growth in healthcare costs by collaborating with states, and improve population health. This Health Capital Topics article will discuss the new AHEAD Model and its implications for the healthcare industry. (Read more...)

On August 24, 2023, the Centers for Medicare & Medicaid Services (CMS) released the financial and quality performance results for the Medicare Shared Savings Program (MSSP) Performance Year (PY) 2022. The results revealed net savings of $1.8 billion for Medicare, marking the sixth consecutive year of savings. In total, 63% of MSSP accountable care organizations (ACOs) achieved savings as a result of their performance. This Health Capital Topics article will discuss the 2022 performance results. (Read more...)

On September 18, 2023, the Journal of the American Medical Association (JAMA) published a study comparing online hospital pricing and pricing given over the telephone for shoppable hospital services. Hospitals in the U.S. are required to post pricing online for specified services, but it was unknown whether or not hospitals quoted the same prices to telephone callers as they posted online. This Health Capital Topics article will discuss the topic of price discrepancy and the difficulties with cost comparison. (Read more...) 

Because of the federal government’s preference for, and reliance on the success of, accountable care organizations (ACOs), some ACOs assume their legal status shields the organization from legal scrutiny on all issues. However, since the 2010 advent of ACOs, the law has adapted uniquely to these organizations. This fourth installment of a five-part series on the valuation of ACOs will discuss this unique regulatory environment in which ACOs operate. (Read more...) 
Be sure to register for The National Association of Certified Valuators and Analysts (NACVA) 2023 Business Valuation and Financial Litigation Super Conference, on December 14-15, 2023. The conference will feature a blockbuster lineup of speakers, including HCC’s Todd Zigrang and Jessica Bailey-Wheaton.