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The Shift to Value-Based Care: Evidence of Progress
A recent joint report by the National Association of Accountable Care Organizations (NAACOS) and Innovaccer Inc., a healthcare artificial intelligence (AI) company, found tangible evidence that the U.S. healthcare delivery system is indeed moving toward value-based care (VBC). Fifteen years after the passage of the Patient Protection and Affordable Care Act (ACA), which promoted VBC through the advent of ACOs and other alternative payment models, there is finally evidence that providers are actually moving in that direction. This Health Capital Topics article reviews the joint report on “The State and Science of Value-based Care 2025.” (Read more...)
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CMS Proposes Increasing Inpatient & Long Term Care Payments
On April 11, 2025, the Centers for Medicare & Medicaid Services (CMS) released its proposed rules for the payment and policy updates for the Medicare inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) for fiscal year (FY) 2026. This Health Capital Topics article will discuss the proposed rule and the implications for stakeholders. (Read more...)
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CMMI’s Evolving Strategy: Initial Indications from Recent Actions
On May 13, 2025, the CMS Center for Medicare & Medicaid Innovation (CMMI) introduced a new strategic plan for its models going forward. After ending four payment models early and canceling two not-yet-implemented models in March 2025, the agency had promised to release a new strategy. Nearly two weeks later, CMMI released that strategy, as well as a preliminary evaluation of, and changes to, one of its core payment models. This Health Capital Topics article will review CMMI’s recent actions and what initial indications these actions provide. (Read more...)
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Valuation of Anesthesiology Services: Introduction & Competitive Environment
Anesthesiology is a subspecialty of medicine dedicated to the perioperative care of patients through the use of anesthetics. Approximately 40 million anesthetics are administered each year, 90% of which are administered by anesthesiologists. Several types of anesthesia are available, including general anesthesia, monitored anesthesia, regional anesthesia, and local anesthesia. While regional and local anesthesia only numb specific parts of the body, general anesthesia induces unconsciousness. (Read more...)
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"Role of Private Equity in Vascular Care," authored by HCC's Todd A. Zigrang and Jessica Bailey-Wheaton, as well as Bhagwan Satiani, MD, and Hiranya A. Rajasinghe, MD, was featured in the recent issue of the Journal of Vascular Surgery - Vascular Insights published by the Society of Vascular Surgery.
For more recently published material written by HCC, please visit www.healthcapital.com
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HCC's Todd A. Zigrang, MBA, MHA, FACHE, CVA, ASA, ABV, and Jessica Bailey-Wheaton, Esq., were featured in the recent issue of QuckRead published by the National Association of Certified Valuators and Analysts (NACVA). This article discusses the January 2025 National Hospital Flash Report by Kaufman Hall, highlighting trends in hospital revenues, expenses, and operating margins, and examining the current financial and operational state of hospitals across the U.S.
For more recently published material written by HCC, please visit www.healthcapital.com
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