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Continuing Resolution Excludes Physician Payment Increase Again
On March 15, 2025, President Donald Trump signed a continuing resolution (CR) that avoided a government shutdown and funds the federal government for the rest of the fiscal year, i.e., through September 30, 2025. Perhaps more notable than what was included in the spending bill was what was once again excluded. While the COVID-era telehealth waivers were temporarily extended, Medicare physician payment rates were not addressed, meaning physicians will continue experiencing a 2.93% pay cut for 2025. This Health Capital Topics article discusses the healthcare provisions included in and excluded from the CR, and the impacts on healthcare providers. (Read more...)
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Four Medicare Payment Models Ended Early
In the latest iteration of Trump Administration healthcare cuts, the Centers for Medicare & Medicaid Services (CMS) announced on March 12, 2025 that four Center for Medicare and Medicaid Innovation (CMMI) payment models would be sunset at the end of 2025, earlier than originally scheduled. Cutting these models, which decision was based on “a comprehensive and data-driven review of [CMS’s] model portfolio,” are anticipated to save nearly $750 million (although the source of these savings was not detailed). This Health Capital Topics article discusses the models being ended and the impact on healthcare stakeholders. (Read more...)
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Hospital Finances Held Steady in First
Month of 2025
In the first month of 2025, hospital revenue and expenses both increased, balancing each other out and resulting in continued steady financial performance for hospitals, according to Kaufman Hall’s January 2025 National Hospital Flash Report. Revenues grew more quickly in the inpatient setting, as more patients were treated in the hospital and emergency department than in outpatient settings. While expense increases were largely driven by drug costs, the rate of that growth has significantly slowed. This Health Capital Topics article reviews the Report and the current state of hospital operations. (Read more...)
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Valuation of Cardiovascular Services:
Regulatory Environment
Cardiovascular service providers face a range of federal and state legal and regulatory constraints, which affect their formation, operation, procedural coding and billing, and transactions. Fraud and abuse laws, specifically those related to the federal Anti-Kickback Statute (AKS) and physician self-referral laws (the “Stark Law”), may have the greatest impact on the operations of healthcare providers. This fourth installment in a five-part series on the valuation of cardiovascular services reviews the regulatory environment in which these providers operate. (Read more...)
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"Recent Court Actions Provide Insight into Future of Healthcare Fraud and Abuse Laws" authored by HCC President, Todd A. Zigrang, MBA, MHA, FACHE, CVA, ASA, ABV, and, HCC Senior Vice President and General Counsel, Jessica Bailey-Wheaton, Esq., was published by the National Association of Certified Valuators and Analysts (NACVA) in The Value Examiner.
For more recently published material written by HCC, please visit www.healthcapital.com
Read Here
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Don’t miss out on the American Bar Association (ABA) 26th Annual Emerging Issues in Healthcare Law Conference from April 2-5, 2025! HCC’s Jessica Bailey-Wheaton, Esq. will be presenting alongside Hannah Newman of Hancock Daniel, and Jessica LaManna who is Chief Operations Counsel of Universal Health Services. They will be discussing "Physician Compensation Arrangements: When to Take Them Outside."
Register Here
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