On November 1, 2022, the Centers for Medicare & Medicaid Services (CMS) released its finalized Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2023. While the finalized fee schedule cuts payments to physicians, there are a number of other (more positive) provisions in the final rule. Industry trade associations strongly condemned the cuts to physician services contained in the MPFS final rule. The Medical Group Management Association (MGMA) implored Congress to act to avoid cuts to physician payments, citing its own survey that 90% of medical practices believe that the reduction in Medicare payments would reduce patient access to care. (Read more...)
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On November 1, 2022, CMS released its finalized Outpatient Prospective Payment System (OPPS) for CY 2023. The finalized payment update increases payments to outpatient facilities and finalizes the conditions of participation for the newest hospital type, among other provisions. Stakeholders’ reactions to the changes in the 2023 OPPS final rule were somewhat mixed. Stakeholders were generally pleased with the revision of the 340B payment to the default payment rate; however, most were unsatisfied with the payment rate increase. (Read more...)
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The launch of Amazon Clinic comes less than two months after the announcement that Amazon Care would be shut down. Amazon Clinic, the retail giant’s virtual and in-person medical care service, was rolled out in 2019 as a pilot employee benefit for their own employees and quickly expanded to servicing non-Amazon employers across the U.S. (including large companies such as Hilton, TrueBlue, and Silicon Labs) by 2021. The service combined virtual and in-person care, offering home health services, telehealth appointments, and prescription delivery. (Read more...)
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As discussed in the first installment in this five-part series on valuing remote therapeutic monitoring (RTM), such services require the use of a device to collect and report the non-physiologic data. Those devices must be “medical devices” (rather than a general wellness device) as defined by the U.S. Food & Drug Administration (FDA). This final installment in this series will discuss the technological environment in which RTM operates. (Read more...)
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On December 15, 2022, HCC President, Todd A. Zigrang, MBA, MHA, FACHE, CVA, ASA, ABV, and, HCC Senior Vice President and General Counsel, Jessica Bailey-Wheaton, Esq., will present on the topic of "Valuing Healthcare Startups," during the National Association of Certified Valuators and Analysts (NACVA) 2022 Business Valuation and Financial Litigation Super Conference.
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"Physician Compensation Surveys - Is the New Normal Here?" authored by HCC President, Todd A. Zigrang, MBA, MHA, FACHE, CVA, ASA, 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.
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