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Five Things to Know: Hospital Joint Venture Arrangements in Today’s Landscape

In the past three to four years, health system transaction activity has significantly slowed, due, in large part, to the unavoidable COVID-19 response efforts hospitals faced. Now, in this post-pandemic era, hospitals are...more

Private Equity in Healthcare – An Updated Review of Selected Niche Investment Areas

Since mid-2022, the macro acquisition environment has faced the challenges of inflation and increasing interest rates, among a variety of other headwinds. Global deal flow is down from its 2021 peak. Yet, as this white paper...more

D.C. Circuit Reversal Upholds CMS’ Site-Neutrality Cuts for Off-Campus Provider-Based Departments

The U.S. Court of Appeals for the D.C. Circuit recently reversed a district court ruling and upheld the Centers for Medicare & Medicaid Services site-neutrality payment cuts for off-campus outpatient hospital clinic visits....more

HHS Targets $22 Billion for Hard-Hit COVID-19 Hospitals and Rural Providers

On May 1, 2020, the U.S. Department of Health and Human Services (HHS) announced the release of $22 billion of the $100 billion public health and social services emergency fund (Provider Relief Fund) appropriated in the...more

Illinois Executive Order Provides Discretion to Hospitals Amid COVID-19 Pandemic

Update: Since release of this alert (originally posted April 23), Illinois has continued to update its emergency responses to the COVID-19 pandemic, as covered in part within our national review of stay-at-home and elective...more

The CARES Act: Key Provisions Related to Rural Health And The Healthcare Workforce

On March 27, 2020, President Trump signed into law the Coronavirus Aid, Relief, and Economic Security Act (CARES Act). This is alert is part of a series of alerts discussing the CARES Act provisions that are most important to...more

COVID-19 Stimulus Bill: Key Provisions Related to Hospitals

On March 25, 2020, the U.S. Senate passed the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) by a 96-0 vote. Thereafter, on March 27, 2020, the U.S. House of Representatives agreed to pass the CARES Act (H.R....more

CMS’s Site-Neutrality Payment Cuts Lose in D.C. District Court

On Sept. 17, 2019, a Washington, D.C. district court judge ruled that the Centers for Medicare & Medicaid Services (CMS) “exceeded its statutory authority when it cut the payment rate for clinic services at off-campus...more

CMS Postpones OPPS “Exact Match” Address Requirements Until October 2019

The Centers for Medicare & Medicaid Services (CMS) recently announced it will postpone implementation of the “exact match” validation edits to the hospital outpatient prospective payment system (OPPS) until October 2019. Once...more

CMS Proposes More Payment Cuts for Hospital Off-Campus Provider-Based Departments

Since the passage of the Bipartisan Budget Act of 2015, certain off-campus provider-based departments (PBDs) have seen their payment rates cut by nearly 60 percent. Now, in its recently released calendar year (CY) 2019...more

Emerging Models in Urgent Care Investments: 5 Key Takeaways

The next in our series of posts sharing key takeaways from panels at the Healthcare & Life Sciences Private Equity and Lending Conference focuses on urgent care investments. Emerging Models in Urgent Care Investments: 5...more

2018 Reimbursement Cuts for Some Off-Campus Hospital Provider-Based Departments

On Nov. 2, 2017, the Centers for Medicare and Medicaid Services (CMS) finalized a rule changing reimbursement rates under the Medicare Physician Fee Schedule (MPFS) for certain non-excepted hospital off-campus provider-based...more

CMS Proposes Reimbursement Cuts for Certain Hospital Provider-Based Departments

Non-excepted hospital off-campus provider-based departments (PBDs) may once again face cuts to reimbursement during calendar year 2018 (CY 2018) if the Centers for Medicare & Medicaid Services (CMS) finalizes proposed changes...more

Reimbursement Changes for Hospital Off-Campus Provider-Based Departments

Off-campus provider-based departments (PBDs) of hospitals face changes in reimbursement beginning Jan. 1, 2017, the effective date of the Centers for Medicare & Medicaid Services (CMS) outpatient prospective payment system...more

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