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Accountable Care Organizations Health Care Providers

Bass, Berry & Sims PLC

2026 Healthcare Private Equity Outlook & Trends

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As we step into 2026, the healthcare private equity landscape is defined by both powerful momentum and meaningful constraints. Record levels of dry powder and a growing pipeline of high‑quality assets suggest increased deal...more

Foley & Lardner LLP

LEAD-ing the Future of ACOs: New Long-term Enhanced ACO Design Model

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The Centers for Medicare & Medicaid Services (CMS) Innovation Center has announced the Long-term Enhanced ACO Design (LEAD) Model — a 10-year initiative designed to advance value-based care for Medicare beneficiaries,...more

Nelson Mullins Riley & Scarborough LLP

2025 Value Based Care Forum: Q&A

During the Nelson Mullins 2025 Annual Value-Based Care Forum, Navigating Opportunities in a Value-Driven World, virtual attendees submitted questions for the panelists to answer. Below are the panelists’ responses, which...more

McDermott+

ACCESS + TEMPO: The 2-door entryway to faster digital health innovation in traditional Medicare

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Harnessing new digital technologies to treat chronic conditions and improve health outcomes.” If you think this sounds like a goal that directly aligns with one of the administration’s top priorities, making America healthy...more

Sheppard Mullin Richter & Hampton LLP

CMS Finalizes Mandatory Ambulatory Specialty Model for Cardiology and Low-Back Pain

The Centers for Medicare & Medicaid Services (“CMS”) recently finalized a rule establishing the new Ambulatory Specialty Model (“ASM”)— a mandatory value-based payment model that could apply to nearly one-quarter of all...more

Blank Rome LLP

Future of Healthcare Delivery: A Conversation with Danielle Bangs

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Episode 18: Future of Healthcare Delivery: A Conversation with Danielle Bangs In this episode of the BRight Minds in Healthcare Delivery podcast, host Eric Tower is joined by Danielle Bangs of VMG Health for a dynamic...more

Benesch

CMS’s CY 2026 Fee Schedule Proposal: MSSP Reforms Take Center Stage in Push Toward Value

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On July 14, 2025, the Centers for Medicare & Medicaid Services (“CMS”) released the proposed rule for the Calendar Year (“CY”) 2026 Medicare Physician Fee Schedule (“PFS”), formally titled CMS-1832-P....more

Holland & Knight LLP

CMMI Signals New Strategy and Terminates 4 Value-Based Care Models

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The Center for Medicare and Medicaid Innovation (CMMI) has released a statement on plans to unveil a new strategy focused on "improving the health of Americans through disease prevention via evidence-based practices,...more

McDermott+

ACO REACH: What Recent Performance Results Could Mean for the Model’s Future

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Decisions, decisions, decisions. The Centers for Medicare & Medicaid Services (CMS) under the Trump Administration will have its hands full making decisions about Center for Medicare and Medicaid Innovation (CMMI) models...more

Bass, Berry & Sims PLC

New CMS Policies Position the MSSP for Expansion and Increased Savings

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New policies tucked into the Centers for Medicare and Medicaid Services’ (CMS) 2025 Medicare Physician Fee Schedule Rule (Final Rule) will likely spur increased Accountable Care Organization (ACO) participation in the...more

Foley & Lardner LLP

Risk Bearing Entity Requirements: An Introduction

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Providers and provider organizations are increasingly contracting with payors to manage specific patient pools and diseases on a risk basis. They are taking new and increasing financial risk to better align with payors’...more

McDermott+

CMMI’s Accountable Care Strategy: A Perspective

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McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. Click here to subscribe to future blog posts. October 10, 2024 – For several years, the Center for Medicare & Medicaid...more

Nelson Mullins Riley & Scarborough LLP

[Hybrid Event] 2024 Value-Based Care Conference: Evolving Value-Based Strategies - November 7th, 12:00 pm - 5:30 pm ET

Nelson Mullins Healthcare Team is pleased to announce our 2024 Annual Value-Based Care Conference: Evolving Value-Based Strategies! This year’s Conference will be held in beautiful Boca Raton, Florida on November 7, and we...more

Nelson Mullins Riley & Scarborough LLP

[Hybrid Event] 2024 Value-Based Care Conference: Evolving Value-Based Strategies - November 7th, Boca Raton, FL

Nelson Mullins Healthcare Team is pleased to announce our 2024 Annual Value-Based Care Conference: Evolving Value-Based Strategies! This year’s Conference will be held in beautiful Boca Raton, Florida on November 7, and we...more

King & Spalding

Physician Fee Schedule Proposed Rule Proposes New Quality-Driven Payment Policies

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Within its proposed CY 2025 Physician Fee Schedule (PFS) rule (the Proposed Rule), CMS is proposing to implement new payment policies intended to advance health equity and support whole-person care. CMS expects these new...more

BakerHostetler

Healthcare Providers Beware: Finalized Disincentives Sharpen the Teeth of Information Blocking Rule

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On June 24, 2024, the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) at the Department of Health and Human Services (HHS) issued the 21st...more

Rivkin Radler LLP

HHS OIG Issues Information-Blocking Disincentives for Certain Health Care Providers

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On June 24, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) announced a final rule that establishes disincentives for certain health care providers that have committed information...more

Holland & Knight LLP

HHS Is Primed to Enforce Information Blocking Conduct

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The U.S. Department of Health and Human Services (HHS) continued its commitment to timely and full access to health records on June 24, 2024, through the finalization of its information blocking disincentives rule for...more

Holland & Knight LLP

Holland & Knight Health Dose: April 30, 2024

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Holland & Knight Health Dose is an in-depth weekly dose of legislative and regulatory insights to keep stakeholders abreast of happenings in Washington, D.C., impacting the health sector....more

Holland & Knight LLP

Holland & Knight Health Dose: April 24, 2024

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Holland & Knight Health Dose is an in-depth weekly dose of legislative and regulatory insights to keep stakeholders abreast of happenings in Washington, D.C., impacting the health sector. This week's topics include...more

Holland & Knight LLP

Key Value-Based Care Developments to Watch in 2024

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The goal of value-based care (VBC) is to promote better care for individual patients and improved health outcomes for communities at reduced costs. This is an important and admirable purpose as many VBC stakeholders attempt...more

Holland & Hart LLP

HHS Proposes Disincentives for Providers Who Violate the Information Blocking Rule

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The U.S. Department of Health and Human Services (HHS) released a proposed rule that establishes disincentives for healthcare providers who violate the Information Blocking Rule (IBR) under the 21st Century Cures Act ("Cures...more

Mintz - Health Care Viewpoints

HHS Proposes Appropriate Disincentives for Health Care Providers That Commit Information Blocking

In coordination with the Centers for Medicare & Medicaid Services (CMS), the Department of Health and Human Services (HHS) and Office of the National Coordinator for Health Information Technology (ONC) proposed a...more

BCLP

HHS Proposes Rule to Establish Penalties for Committing Information Blocking: What Providers Need to Know

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On October 30, 2023, the U.S. Department of Health and Human Services (HHS) released a proposed rule (Proposed Rule) to establish disincentives for healthcare providers that engage in information blocking under the 21st...more

Bass, Berry & Sims PLC

HHS Proposes Rule to Establish Disincentives for Healthcare Providers That Engage in Information Blocking

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In 2020, when the U.S. Department of Health and Human Services (HHS) published its Final Rule to implement the information blocking prohibitions of the 21st Century Cures Act, HHS left healthcare providers wondering what...more

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