CMS Proposes Revamp of Federal ACO Program

On August 9, 2018, the Centers for Medicare & Medicaid Services (CMS) announced their plan to overhaul the Medicare Shared Savings Program (MSSP) by removing the Track 1 and Track 2 financial models for accountable care organizations (ACOs), effectively eliminating the program’s zero and low-risk tracks. The MSSP began in 2012, and as of January 2018, was comprised of 561 participating ACOs serving over 10.5 million Medicare fee-for-service (FFS) beneficiaries.

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CMS's Continued Payment System Overhaul: OPPS Proposed Rule

The Centers for Medicare & Medicaid Services (CMS), under the Trump Administration, has proposed numerous changes to various healthcare payment systems in efforts to empower patients and provide more affordable healthcare options. These proposed changes, and their potential effect on the current healthcare delivery system, as well as relevant stakeholder reactions and predictions for the future, will be discussed in this article. (Read more...)  

340B’s Uphill Legal Battle for Hospital Associations

The American Hospital Association (AHA), Association of American Medical Colleges (AAMC), and America’s Essential Hospitals (AEH) continue to take legal action towards the 340B Drug Discount Program. On July 17, 2018, the D.C. Circuit Court of Appeals, affirming the decision of the District Court, dismissed the lawsuit for failure to satisfy the presentment requirement for judicial review; the hospital group plaintiffs plan to refile the suit in hopes of obtaining a binding decision by the end of 2018. (Read more...)  

The New Kid on the Block: The Competitive Advantage of Micro-Hospitals

Micro-hospitals, a/k/a “ neighborhood hospitals ,” are typically developed in smaller, faster-growing communities with higher median incomes per resident, and more robust commercial payor coverage. This fourth installment of the five-part series on micro-hospitals will review how this new provider type has carved out a relevant role in the current healthcare delivery system and the future implications of this strategy.

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ANNOUNCING

Advanced Distance Education to Launch in 2018

The  Institute for Healthcare Valuation  (IHV) &  Consultants' Training Institute  (CTI) are pleased to announce premier healthcare valuation training through a distance education program, the Certificate of Educational Achievement (CEA) for Advanced Education in Healthcare Valuation. The program will launch in 2018 and will bridge the interdisciplinary nature of healthcare valuation to include: the Four Pillars of Healthcare (regulatory, reimbursement, competition, and technology); the market forces shaping the U.S. healthcare industry; and the valuation of healthcare enterprises, assets, and services. Legal professionals and healthcare providers, as well as those wishing to expand their scope of activities in healthcare valuation engagements and those seeking to enhance their current healthcare valuation service lines, will gain comprehensive knowledge through completing the expansive program. The program has been developed and is being presented by industry thought leader Health Capital Consultants , alongside a blockbuster faculty of healthcare subject matter experts from the legal, federal regulatory, and valuation professions.

HCC President, Todd Zigrang , and Vice President and General Counsel, Jessica Bailey-Wheaton , were recently interviewed by the National Association of Certified Valuators and Analysts (NACVA) , where they discussed the development of the distance education program along with the topics that will be covered. Click HERE to watch the entire interview.

SAVE THE DATE

HCC President,  Todd Zigrang , and HCC Vice President and General Counsel  Jessica Bailey-Wheaton , will be presenting on the topic of "Healthcare Reform In the U.S."

For More Information or to Register CLICK HERE

AHLA/BVR, 2017

AICPA, 2015

Wiley, 2014

Taylor & Francis, 2013