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On June 25, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) related to the regulatory burden of the physician self-referral law (known as the Stark Law), on both providers and the overall healthcare industry. The aim of this request is to determine whether revision(s) of healthcare fraud and abuse laws is needed in order to remove any regulatory impediments to the accelerating shift toward value-based reimbursement (VBR) and coordinated care, and further innovation in the U.S. healthcare delivery system. (Read more...)  

The future of healthcare policy could be significantly affected by the appointment of President Donald Trump’s nominee, Judge Brett M. Kavanaugh, to the Supreme Court of the United States (SCOTUS). SCOTUS has been highly influential in U.S. healthcare policy in the past, and going forward, it has the power to drastically change the healthcare system, perhaps most severely by declaring laws or past executive action to be unlawful or unconstitutional. (Read more...)  

On July 12, 2018, the Centers for Medicare & Medicaid Services (CMS) proposed historic changes to both fulfill President Trump’s promise to “ cut the red tape of regulation ” as it relates to Medicare and restore the doctor-patient relationship while shifting healthcare reimbursement from a volume-based to a value-based system. The 1,473 page proposed rule was posted in the Federal Register on July 27, 2018, and CMS will receive comments on its proposal through September 10, 2018. The rule includes proposed updates to payment policies, payment rates, and quality provisions for services rendered under the Medicare Physician Fee Schedule (MPFS). (Read more...)  

Micro-hospitals are licensed as general acute care hospitals, and they are reimbursed as such by public and private payors (e.g., under the inpatient prospective payment system [IPPS]). However, given their small size and volume of services compared to traditional hospitals, micro-hospitals may have the advantage of remaining exempt from certain reimbursement regulations, e.g., mandatory quality reporting under VBR programs such as the Merit-based Incentive Program (MIPS). (Read more...)  
ANNOUNCING
Advanced Distance Education to Launch in 2018

The  Institute for Healthcare Valuation  (IHV) &  Consultants' Training Institute  (CTI) are pleased to announce premier healthcare valuation training through a distance education program, the Certificate of Educational Achievement (CEA) for Advanced Education in Healthcare Valuation. The program will launch in 2018 and will bridge the interdisciplinary nature of healthcare valuation to include: the Four Pillars of Healthcare (regulatory, reimbursement, competition, and technology); the market forces shaping the U.S. healthcare industry; and the valuation of healthcare enterprises, assets, and services. Legal professionals and healthcare providers, as well as those wishing to expand their scope of activities in healthcare valuation engagements and those seeking to enhance their current healthcare valuation service lines, will gain comprehensive knowledge through completing the expansive program. The program has been developed and is being presented by industry thought leader Health Capital Consultants , alongside a blockbuster faculty of healthcare subject matter experts from the legal, federal regulatory, and valuation professions.

HCC President, Todd Zigrang , and Vice President and General Counsel, Jessica Bailey-Wheaton , were recently interviewed by the National Association of Certified Valuators and Analysts (NACVA) , where they discussed the development of the distance education program along with the topics that will be covered. Click HERE to watch the entire interview.
SAVE THE DATE
HCC President,  Todd Zigrang , and HCC Vice President and General Counsel  Jessica Bailey-Wheaton , will be presenting on the topic of "Healthcare Reform In the U.S."

For More Information or to Register CLICK HERE
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Health Capital Topics is a monthly e-journal written and published by the healthcare experts at Health Capital Consultants, featuring timely topics related to the reimbursement, regulatory, technology, and competition environments of the U.S. healthcare system.

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