On January 1, 2021, hospitals in the US will be required to provide clear, accessible pricing information online about the […]
Category: Government and Policy
CMS Acts to Spur Innovation for America’s Seniors
One of the tenants of the Triple Aim — improving the experience of patient care (including quality and satisfaction) — […]
Follow the Insurance Money: Will the Real Payer Please Stand Up?
At a recent national meeting, a professional acquaintance stirred up the expert panel by asking if health insurance companies were […]
Stark Law and Anti-kickback Statute Proposed Updates
On October 9, 2019, the Department of Health and Human Services (HHS) announced proposed changes to clarify the Physician Self-Referral […]
Readmission Penalties: Why Some Hospitals Don’t Care
Hospital Readmissions Reduction Program data showed 2,583 US hospitals will see cuts in their Medicare reimbursements due to the number […]
Does the Stark Law Leave Doctors “Stark Naked” in the ACO Dressing Room?
It sometimes seems as if the Federal Government is its own worst enemy. In 2012 under the Affordable Care Act (ACA), […]
ERISA: The New Kid on the ACO Block
The CMS-Medicare Accountable Care (ACO) program has received so much administrative and clinical attention recently that another large and important […]
Danger Will Robinson, Danger: A Robot’s Advice in Bundled Payments
The 1960s TV space adventure Lost in Space featured a benevolent robot that had the ability to sense danger before […]
Does CMS Have Too Many Cooks in the Kitchen?
I am not sure CMS knows how to cook. A few weeks ago CMS released data showing that three ACO […]
The Continuum of Value Based Care: From Leaps to Baby Steps
As we start rounding the corner and heading towards the end of the year, we know that it is a […]