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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 [...]


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 [...]