News & Analysis as of

Health Care Providers Value-Based Payments

Manatt, Phelps & Phillips, LLP

CMMI's Transforming Maternal Health Model: Considerations for State Medicaid Agencies

On December 15, 2023, the CMS Innovation Center (CMMI) announced a new voluntary model for state Medicaid agencies called Transforming Maternal Health (TMaH). TMaH was developed in response to the profound maternal morbidity...more

Epstein Becker & Green

The Guiding an Improved Dementia Experience (“GUIDE”) Model

Epstein Becker & Green on

On July 1, 2024 the Center for Medicare and Medicaid Innovation (“CMMI”) will be inaugurating a new value-based payment model designed specifically to address the devastating impacts that a diagnosis of dementia or...more

Harris Beach PLLC

New York Issues Technical Specifications Manual that Addresses Medicaid Payment Reporting

Harris Beach PLLC on

The New York Department of Health (DOH) announced March 8 that the 2022-2023 Value Based Payment (VBP) Reporting Requirements Technical Specifications Manual is available....more

McDermott Will & Emery

[Event] Value-Based Care Symposium 2023 - April 13th, Nashville, TN

McDermott Will & Emery on

Live from Nashville, the epicenter of US healthcare, we’re convening the top healthcare innovators, policy shapers and dealmakers for a day focused on the most critical business and policy issues facing companies in the...more

Manatt, Phelps & Phillips, LLP

Designing and Launching Hospital-at-Home Models: Strategic Imperatives for Health System Leaders

Introduction - Hospital-at-home programs enable patients to receive acute care in their home environment. These programs have proliferated due to the COVID-19 pandemic and subsequent surge in hospitalizations, which has...more

K&L Gates LLP

Litigation Minute: Avoiding Disputes in Value-Based Arrangements (Payor-Provider Series: Part One of Four)

K&L Gates LLP on

WHAT YOU NEED TO KNOW IN A MINUTE OR LESS - Over the past decade, health care payors and providers have come together to revolutionize how health care services are reimbursed....more

K&L Gates LLP

Health Care Triage: The Drive to Align ESG and Health Equity Priorities With Medicare Reimbursement Models

K&L Gates LLP on

Steve Pine and Alexa Sengupta address the Centers for Medicare and Medicaid Services’ emerging focus on ESG and health equity priorities, and how these priorities are impacting health data collection and Medicare value-based...more

Rivkin Radler LLP

[Webinar] Lunch & Learn Series: Compliance and Legal Considerations for Value Based Arrangements - March 10th, 12:00 pm - 1:00 pm...

Rivkin Radler LLP on

Please join us as Christopher Kutner, a partner in the Health Services Practice Group, and Ashley Algazi, an Associate in the Health Services Practice Group, discuss the following topics: - Framework and regulatory review...more

Nelson Mullins Riley & Scarborough LLP

New Opportunities in Value-Based Care Part 2: Creating a Value-Based Enterprise

This is the second in a five-part series discussing the new Value-Based Regulations adopted last year by the Centers for Medicare & Medicaid Services and the Office of Inspector General. Creating a “value-based enterprise”...more

Manatt, Phelps & Phillips, LLP

Strategies and Options for Creating an Advanced Child Health Delivery System: Lessons Learned in CA

Editor’s Note: In a new report commissioned by the David and Lucile Packard Foundation, the J.B. and M.K. Pritzker Family Foundation, and Genentech Charitable Giving, Manatt Health—in partnership with DCR Initiatives and the...more

Cozen O'Connor

CMS Releases Final Stark Rules To Promote Value-Based Care

Cozen O'Connor on

On Friday, November 20, 2020, the Centers for Medicare and Medicaid Services (“CMS”) released final regulations to remove certain barriers to the implementation of physician compensation arrangements under value-based payment...more

K&L Gates LLP

COVID-19: K&L Gates Triage: Value-Based Payment Arrangements

K&L Gates LLP on

In this week’s episode, Limo Cherian, Carla Dewberry and Steven Pine discuss recent changes to value-based health care payment arrangements triggered by the current COVID-19 emergency. In particular, the presenters discuss...more

Epstein Becker & Green

Value-Based Payment Arrangements During the COVID-19 Pandemic

The ongoing pandemic caused by the novel coronavirus has upended the American health care system in many ways. One of the many effects of COVID-19 will likely be substantial disruption in value-based payment arrangements...more

Bricker Graydon LLP

CMS and OIG propose three new value-based care exceptions to remove value-based payment barriers

Bricker Graydon LLP on

Part of the Centers for Medicare and Medicaid Services' (CMS) proposed changes to the regulations interpreting the Physician Self-Referral Law (Stark Law), released on October 9, 2019, includes three new exceptions for...more

Stinson LLP

OIG Proposes Significant Changes to Anti-kickback Statute Safe Harbors to Support Value-Based Arrangements

Stinson LLP on

Last week, the Office of Inspector General (OIG) released a proposed rule that would add a suite of additional safe harbors to the Federal Anti-kickback Statute as well as modify existing safe harbors. These changes are...more

Hogan Lovells

HHS tackles barriers to value-based care: Part 1 – new protections for value-based arrangements under Stark and the AKS and other...

Hogan Lovells on

Nearly a decade after the Affordable Care Act signaled a transition of the U.S. health care system to value-based care, the Department of Health and Human Services (HHS) published on October 9 two long-awaited proposed rules...more

Bricker Graydon LLP

CMS and OIG issue long-awaited rules proposing changes to the Stark Law, Anti-Kickback Statute and Beneficiary Inducement Civil...

Bricker Graydon LLP on

On October 9, 2019, the Centers for Medicare and Medicaid Services (CMS) and Department of Health and Human Services Office of Inspector General (HHS-OIG) issued long-awaited proposed changes “to modernize and clarify the...more

Robinson+Cole Health Law Diagnosis

Connecticut Enacts Budget that Includes Provisions Affecting Health Care Providers

Connecticut Governor Ned Lamont recently signed into law Public Act No. 19-117 (PA 19-117), which contains provisions affecting health care providers, including revisions to the hospital provider tax, a prohibition on...more

Obermayer Rebmann Maxwell & Hippel LLP

TRANSPARENCY: Embracing CMS’s Push To Publicize Your Organization’s Performance

The Centers for Medicare and Medicaid Services (CMS) is launching new value-based programs with great fervor as a central strategy to bend the healthcare cost curve. Value-based reimbursement models linked to achieving the...more

Akerman LLP - Health Law Rx

Possible Changes to Stark Law in 2019

Last summer The Centers for Medicare and Medicaid Services (CMS) solicited input on potential amendments to the federal Physician Self-Referral Law (the Stark Law)....more

K&L Gates LLP

K&L Gates Triage: Triage in 2019: Health Care Topics to Watch in the New Year

K&L Gates LLP on

As K&L Gates begins its third season of Triage: Rapid Legal Lessons for Busy Health Care Professionals, Hilary Bowman previews several topics that the health care practice group anticipates will have a significant impact on...more

Epstein Becker & Green

Response to RFIs: EBG Submits Comments to CMS on Stark Law Reforms and Is Preparing Comments to OIG on Anti-Kickback Statute and...

Epstein Becker & Green on

As addressed in a previous Epstein Becker Green (“EBG”) Client Alert, earlier this summer, the Centers for Medicare & Medicaid Services (“CMS”) published in the Federal Register a “request for information” (“RFI”) regarding...more

Manatt, Phelps & Phillips, LLP

Shared-Services Model for Small Practices: PHIP Final Report

Editor’s Note: Primary care practices are under increasing pressure from payers and regulators to move toward a medical home model and participate in value-based payment (VBP) contracts. The changes required—new staff, skills...more

Bradley Arant Boult Cummings LLP

CMS Continues Shift toward Value-Based Payments with New Home Health Groupings Model in Proposal - Healthcare Alert

On July 2, 2018, the Centers for Medicare & Medicaid Services (CMS) published its annual proposed rule outlining both payment and policy changes for home health agencies. In a press release announcing the proposed rule, CMS...more

Manatt, Phelps & Phillips, LLP

Manatt on Health: Medicaid Edition - May 2018

As healthcare costs continue to rise and stakeholders maintain focus on improving quality of care and outcomes, payors for healthcare services are turning to value-based payment (VBP) as one tool to inject greater value into...more

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