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Avoid Cost Landmines: Assessing Trends in Payments for Hospital-Based Physician Services

September 20, 2018 Luis Argueso

Published: 09/20/2018 | Author: Luis Argueso

A glance at new data reveals interesting trends regarding payments for hospital-based professional service lines.  MD Ranger, Inc. publishes benchmark data related to total annual payments made by facilities to independent contractor physician groups who cover hospital-based service lines (e.g., [...]

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Hospital/Physician Alignment: A Continuum of Opportunities

August 24, 2018 HealthCare Appraisers

A Short White Paper

As hospitals and health systems grapple with the challenges of increasing costs, regulatory uncertainty, expanding competition, and value-based payment models that require improvement in both quality and outcomes, hospital/physician alignment strategies continue to be of paramount importance. The recent spate of [...]
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Impact of Proposed CMS Changes to Telemedicine Reimbursement

Published: 07/25/2018 | Authors: Luis Argueso and Kevin Cassell 

The primary barrier to adoption of telemedicine as a universal tool for providing medicine has been the lack of reimbursement for telemedicine services.[1]  On July 21, 2018, the Centers for Medicare & Medicaid Services (CMS) took a major step towards facilitating reimbursement [...]

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The “Regulatory Sprint to Coordinated Care”: It’s Big and It’s Fast, and It May Literally Redefine What Is Fair Market Value and Commercially Reasonable for Stark Law Purposes

July 13, 2018 Andrea Ferrari, JD, MPH

Published: 07/13/2018 | Author: Andrea M. Ferrari, JD, MPH

On June 20, 2018, Department of Health and Human Services (HHS) Deputy Secretary Eric Hargan and his colleague, Kelly Cleary, from the HHS Office of General Counsel conducted a webinar for members of the American Health Lawyers Association. In that webinar, they announced details of [...]

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Dangerous Waters: When Median Benchmarks are Not a Safe Harbor - Part Two

June 19, 2018 Stephanie Tafoya

Author: Stephanie Tafoya

As discussed in a prior article, HAI examined the pitfalls of blindly relying on median benchmarks from compensation surveys.  It is worth reiterating that numerous whistleblower complaints resulting in newsworthy settlements[1] illustrate that median benchmarks are not an automatic safe harbor for compensation that is [...]

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Dangerous Waters: When Median Benchmarks are Not a Safe Harbor - Part One

June 12, 2018 Stephanie Tafoya

Author: Stephanie Tafoya

Some market participants think that selecting an appropriate compensation value that is consistent with fair market value (“FMV”) is as simple as selecting a median benchmark reported by a compensation survey.  Unfortunately, as proven through numerous whistleblower complaints resulting in newsworthy settlements,[1] [...]

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