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Dangerous Waters: When Median Benchmarks are Not a Safe Harbor - Part 3

September 27, 2018 Stephanie Tafoya
As discussed in parts one and two, both of which are hyperlinked below, median benchmarks are not an automatic safe harbor for  establishing compensation that is consistent with FMV.  It is important to understand the underlying survey data in order to keep a compensation arrangement from walking the plank.  In Part Three, learn about common [...]

Disaster Preparedness and Response: Health Care Lawyers Face Unique Questions When Disaster Strikes – 4 Focus Areas and Tips

September 26, 2018 Andrea Ferrari

By Ellie Bane (Texas), Miglisa Capo (Puerto Rico), Andrea Ferrari (Florida), and Gena Peyton (California)

This article was originally published by American Health Lawyers Association in the September 14 edition of AHLA Weekly. The referenced AHLA webinar series addressing these topics will begin October 22. Registration information will be [...]


Pathways to Success: Proposed Changes to the Medicare Shared Savings Program May Impact ACO Enterprise Valuations

Published: 09/25/2018 | Authors: Hunter Outcalt, MTX, CPA and
On August 9, 2018, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule, referred to as “Pathways to Success,” with several proposed changes to the Medicare Shared Savings Program (“MSSP”). Currently, the majority of Accountable [...]

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., [...]


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 [...]

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 [...]