On February 20, 2020, the
Centers for Medicare & Medicaid Services
(CMS) issued a proposed rule regarding the
Comprehensive Care for Joint Replacement
(CJR) Model. The voluntary model, which began in 2016, aims to reduce healthcare spending while enhancing quality for Medicare beneficiaries undergoing hip and knee replacements. CMS’s proposed rule seeks to add outpatient hip and knee replacements to the
episode of care
definition, change target prices, and extend the program for an additional three years.
(Read more...)
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On January 30, 2020,
1Life Healthcare, Inc. (One Medical)
went public, opening at $14 per share, and closing at $22.07 per share. The innovative San Francisco-based direct primary care organization more closely resembles a technology start-up than a traditional healthcare organization. The membership model service provides “
seamless access
” to primary care services at “
calming offices
,” 24/7 virtual care, and 21st century technology (e.g., a mobile application that allows patients to schedule appointments and message their provider).
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On January 16-17, 2020, the
Medicare Payment Advisory Commission
(MedPAC) met to discuss Medicare issues and policy questions to develop and approve a report for recommendations to Congress. MedPAC is an independent congressional agency established to advise the U.S. Congress on issues affecting the Medicare program. MedPAC is tasked with analyzing the quality of care, access to care, and other matters relevant to the Medicare program. The commissioners bring diverse expertise in the financing and delivery of healthcare services.
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On January 10, 2020, the
U.S. Department of Justice
(DOJ) and the
Federal Trade Commission
(FTC) jointly published draft guidelines clarifying antitrust enforcement policies relating to vertical mergers. The guideline changes, which are rare, reflect the “
accumulation of experience at the Agencies
” and provide insight and guidance concerning vertical merger antitrust enforcement policy. The new guidelines supersede the
1984 Merger Guidelines
, which are now withdrawn in their entirety.
(Read more...)
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Advanced Distance Education to Launch in 2020
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 2020 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.
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