On April 26, 2021, the Office of the Inspector General (OIG) of the Department of Health & Human Services (HHS) released Advisory Opinion No. 21-02 (Opinion 21-02), a favorable opinion regarding an ambulatory surgery center...more
Private equity (PE) investors entered the physician practice management (PPM) market in 2011, and eight years later the PPM sector continues to be a ripe middle market for PE investors looking to diversify their portfolios. ...more
For tax-exempt hospitals, the Section 501(r) Internal Revenue Code (IRC) requirements of the Affordable Care Act are “old news” by now. However, despite the recent focus on repeal of the ACA, it is worth noting that this...more
While Medicare’s path toward pay for performance (P4P) has evolved over time, 2015 is proving to be a landmark year. July marked the 50th anniversary of the Medicare program. And in self-described “historic announcements”...more
10/28/2015
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Department of Health and Human Services (HHS) ,
Fee-for-Service ,
Health Care Providers ,
Healthcare ,
Inpatient Prospective Payment System (IPPS) ,
Long Term Care Facilities ,
Medicaid ,
Medicare ,
Medicare Access and CHIP Reauthorization (MACRA) ,
MIPS ,
Nursing Homes ,
Pay-for-Performance ,
Value-Based Purchasing
On June 25, 2015, a New Jersey Tax Court issued a significant opinion in the case of AHS Hospital Corp. d/b/a Morristown Memorial Hospital v. Town of Morristown, upholding the Town of Morristown’s denial of Morristown...more
8/3/2015
/ Affordable Care Act ,
CFOs ,
Corporate Counsel ,
Healthcare ,
Hospitals ,
NJ Supreme Court ,
Pay-for-Performance ,
Physicians ,
Property Tax ,
Tax Court ,
Tax Exemptions ,
Third-Party
An Overview of the Medicare Shared Savings Program/Accountable Care Organization Final Rules - The Centers for Medicare and Medicaid Services (CMS) recently released a final rule (Final Rule) that makes changes to the...more
6/23/2015
/ ACO Participant Agreements ,
ACOs ,
Affordable Care Act ,
Assignments ,
Centers for Medicare & Medicaid Services (CMS) ,
Data-Sharing ,
Final Rules ,
Health Care Providers ,
Healthcare ,
Medicare ,
Medicare Shared Savings Program
The Centers for Medicare and Medicaid Services (CMS) recently released a final rule (Final Rule) that makes changes to the Medicare Shared Savings Program (MSSP). The Affordable Care Act (ACA) created the MSSP as one of...more
6/22/2015
/ ACOs ,
Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Data-Sharing ,
Final Rules ,
Healthcare ,
Healthcare Facilities ,
Medicare Participation Standards ,
Medicare Shared Savings Program ,
Participation Agreements ,
Rulemaking Process ,
Skilled Nursing Facility