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You've Got Patients! A Case Study in Fair Market Value and Commercial Reasonableness: Considerations for Attorneys Evaluating Telemedicine

May 23, 2018 Luis Argueso

Originally published in May 2018 ABA Health eSource web edition | Author: Luis Argueso

On February 9, 2018, President Trump signed into law the Bipartisan Budget Act of 2018passed by Congress.  It incorporated the text of the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act.2 The CHRONIC Care Act [...]

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FMVantage Point™: Telemedicine Industry Trends: Compensation Structure

May 14, 2018 Luis Argueso

Author: Luis A. Argueso

Telemedicine as a modality of medical care continues to expand and gain traction in the United States.  On February 9, 2018, President Trump signed into law the Bipartisan Budget Act of 2018 passed by Congress.  This budget incorporated the text of the Creating High-Quality Results and Outcomes Necessary to Improve [...]

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Shifting Paradigms? The Potential Impact of the Medicare Access and CHIP Reauthorization Act on What Constitutes a Fair Market Value and Commercially Reasonable Physician Transaction

By Andrea M. Ferrari, Director, HealthCare Appraisers Inc., Boca Raton, Florida; William B. EckSeyfarth Shaw LLP, Washington, D.C.;  Tizgel K.S. HighLifePoint Health,  Brentwood, Tennessee; and David S. SzaboLocke Lord LLP, Boston

A version of this article was previously published by the American Health Lawyers Association and the [...]

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Valuing On-Call Arrangements - Locums vs. Non-Locums Rates

Published: 04/17/2018 | Author: Berta Narohna and Adam S. Polsky, MBA, CVA

The use of locum tenens physicians to fill gaps in emergency department call coverage schedules is prevalent at many hospitals.  When hospitals and their compliance teams are assessing the fair market value (“FMV”) of compensation for on-call coverage arrangements, [...]

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Post-Acute Providers – Focus on Compliance with Physician Administrative Services

Published: 04/03/2018 | Author: Barbara Landy, MBA, MHS, FACHE 

As post-acute care providers continue to maintain excellent service and strive for improvements in their compliance programs, and as nursing facility operators and managers prepare for the November 2019 enforcement of regulations for compliance and ethics programs under CMS [...]

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Pay-for-Performance Across the Continuum of Care: Achieving Quality Improvement and Cost Savings through Hospital/Physician Alignment

March 20, 2018 Ann Brandt, PhD

Published: 03/20/2018

As payment models shift to focus on value targets, hospitals and physicians are increasingly being challenged to work together to redesign care delivery processes that extend beyond the acute care setting to include post-acute services.  For example, under CMS’s Comprehensive Care for Joint Replacement (CJR) bundled [...]

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