Recent meetings of the Medicare Payment Advisory Commission (MedPAC) have provided a glimpse into the next iteration of Medicare alternative payment models (APMs). This Health Capital Topics article will discuss MedPAC’s discussion regarding the form such an APM may take, the commission’s resulting reactions and recommendations, and what these recommendations may ultimately mean for providers. (Read more...)

In a January 2022 meeting of MedPAC, commissioners reviewed various recommendations related to the Medicare fee schedule for various health sectors, and unanimously agreed to update Medicare payments to hospitals and keep physician payment rates the same for 2023. This Health Capital Topics article will review the recommendations made by MedPAC for each of the health sectors and their respective payment systems. (Read more...)

On December 15, 2021, the Centers for Medicare & Medicaid Services (CMS) released a report detailing healthcare spending in the U.S. in 2020, which confirmed the outsized impact the COVID-19 pandemic has had on the nation’s healthcare industry and on federal spending. Overall, healthcare spending increased 9.7% in 2020 (to $4.1 trillion), double the 2019 increase of 4.3%. Healthcare spending also became a larger share of the U.S. gross domestic product (GDP) in 2020. This Health Capital Topics article will review the notable findings included in CMS’s report. (Read more...) 

There has been a rapid advancement, and subsequent adoption, of medical technological innovations in the U.S. over the last couple of decades, which has fundamentally changed the healthcare delivery system. While internal medicine may not be considered a specialty in which technology plays a crucial role, advancements such as healthcare information technology (HIT), care coordination software, and telehealth are critical components of an internist’s practice. This fifth and final installment of the five-part series on the valuation of internal medicine services will discuss technological advancements that impact the providers of internal medicine. (Read more...) 

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This one-hour webinar provides legal and valuation perspectives on the finalized changes to the Stark Law and the Anti-Kickback Statute. Specific issues covered include:

  • The changes to the “big three” requirements – Fair Market Value, Commercial Reasonableness, and the Volume or Value Standard;
  • The new exceptions and safe harbors for value-based arrangements, including where the Stark Law and Anti-Kickback Statute final rules differ; and
  • Other new and modified exceptions and safe harbors included in the final rules.