Six Steps to Transition Your Organization Toward Value-Based Care
By Karl Rebay
Partner, Moss Adams LLP
By Georgia Green
Manager, Health Care Consulting, Moss Adams LLP
Value-based care continues to be an important and prevalent model and is likely impacting your market. With increased pressure from the Centers for Medicare and Medicaid Services (CMS) to move from fee-for-service to value-based care reimbursement, more health care organizations are starting to consider alternative payment models and risk-based options. As of July 2019, there are 559 Medicare accountable care organizations (ACOs) serving more than 12.3 million beneficiaries, with hundreds more commercial and Medicaid ACOs serving millions of additional patients. Read article
Beware of Prescription Scams Targeting Healthcare Providers
By Isabelle Bibet-Kalinyak
Member, McDonald Hopkins
Healthcare providers and employers should be on alert for a series of emerging phone scams specifically targeting healthcare providers with prescription authority and pharmacists. These scams have been reported in Ohio and are expected to afflict providers in other states as well. Read article
CMS Draft Guidance Offers a New Approach to Hospital Co-Location
By Ryan Thurber, Attorney, Polsinelli
By Sara Iams, Attorney, Polsinelli
Earlier this year, the Centers for Medicare and Medicaid Services (CMS) released draft guidance governing co-location between hospitals and other provider types, including the extent to which hospitals can share space, staff, and services with co-located entities. This long-anticipated guidance is not final, but was generally well-received by providers and much of it will likely be finalized as proposed. Consequently, while we await final publication (CMS has not offered a date), hospitals should consider this guidance when evaluating Medicare compliance for existing co-located sites and new locations. Read article
Practice Stability and Consistency are Vital to Success
By Thomas Ferkovic, R.Ph., MS
Medic Management Group LLC
The most significant characteristic of a practice is its unique culture and history. Whether your practice consists of a solo practitioner, group, health system, it is important to remember that the practice attracted its patients based on the personalities and styles of its physicians and staff-known as your Brand. These attributes translate into a practice culture that must continue if the practice expects to retain its patients during times of change. Read article