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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 [...]


Navigating the Complexities of Medical Director and Other Administrative Arrangements

Published: 03/13/2018 | Authors: Berta Narohna & Barbara Landy, MBA, MHS, FACHE

Physicians continue to be involved with the management and/or administrative oversight of many health care operations, including not only acute care hospitals, but group provider practices, insurance products, the operation of foundations, and an even widening [...]

The Impact of Amazon, Berkshire Hathaway, and JPMorgan Chase’s Health Care Alliance on the Industry

February 27, 2018 Erica Jacobovits, JD

Published: 02/27/2018 | Author: Erica Jacobovits, JD

It is almost a truism that the health care system in the United States is one of the largest challenges currently facing our nation. It would seem that quality, affordability, and innovation present inherent tradeoffs – increasing one inextricably reduces the other, and it is thus difficult [...]


FMVantage Point™: Valuing Continuing Medical Education ("CME") Credits

February 20, 2018 Adam L. Slotnick, MSPH, MA

Published: 02/20/2018 | Author: Adam L. Slotnick, MSPH, MA

In order to maintain licensure in the state in which they practice medicine,1 physicians and other medical professionals must earn a set number of hours of CME credit during each reporting period.2  State licensing boards grant credit for participation in only those CME events offered [...]


Transitioning Physicians to Value-Based Payment in A Regulatory Minefield: Will a New Interagency Task Force Lead the Way?

January 25, 2018 Andrea Ferrari, JD, MPH

Published: 01/25/2018 | Author: Andrea M. Ferrari, JD, MPH 

Since at least 2015, the Centers for Medicare and Medicaid Services (CMS), which is the Federal agency responsible for enforcing the Federal Physician Self-Referral Law (commonly known as the “Stark Law”), has acknowledged incongruity between the existing Federal law and regulations [...]


New OIG Advisory Opinion: Implications for FMV in Physician Gainsharing

January 10, 2018 Andrea Ferrari

Published: 01/10/2018 | Author: Andrea M. Ferrari, JD, MPH 

On January 5, 2018, the Office of Inspector General of the United States Department of Health and Human Services (“OIG”) posted a new Advisory Opinion addressing a proposed physician gainsharing arrangement. This Advisory Opinion, No. 17-091, is the first time that the OIG has opined [...]