Nov 15, 2018 9:00:00 AM

Physician Alignment and Data Are Key to BPCI-A Success

Bundled Payments for Care Improvement-Advanced (BPCI-A) is one of the latest evolutions of value payment methodologies to come from the Centers for Medicare and Medicaid Services (CMS). The roots of BPCI-A are in the original bundled payment demonstration project, the Acute Care Episodes (ACE) program of 2009, which shares an underlying theme that a single, bundled payment for all providers for a defined episode of care will promote efficiency of care, coordination of care and improvement in the quality of care. CMS would like to see higher quality performance paired with lower expenditures in these identified patient populations.

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Topics: BPCI-A

Nov 8, 2018 10:00:00 AM

Tax Reform: Want to Grab Lunch?

Before passage of the Tax Cuts and Jobs Acts (TCJA), both meals and entertainment for clients and business associates were 50 percent deductible for tax purposes as long as business was discussed before, during or after the meal. Expenses for entertainment, amusement and recreation are no longer deductible starting in 2018. However, the wording in the TCJA was unclear on whether meals are now included in the overall definition of “entertainment.”

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Topics: Tax Reform

Oct 11, 2018 11:00:00 AM

Tax Reform: Time To Change Entity Structure? Maybe Not

Since the passing of the Tax Cuts and Jobs Act (“TCJA”) in December, many healthcare providers started to wonder if there might be a tax advantage to changing their choice of entity. With the new 21 percent corporate flat tax, would C Corporations be a better option? Or would the benefit of the 20 percent pass-through deduction be more beneficial?

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Topics: Tax Reform

Oct 3, 2018 10:00:00 AM

Price Transparency: Go Deeper Than Compliance with New CMS Rule

Chalk one up for advocates of consumerism. CMS is encouraging price transparency with its FY2019 Inpatient Prospective Payment System (IPPS) rule released in August.

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Topics: IPPS, Price Transparency, Hospital Chargemaster

Sep 13, 2018 10:30:00 AM

Tax Reform: Do You Want the Good News About Depreciation First?

The Tax Cuts and Jobs Act (TCJA) made several significant changes to depreciation rules when it became law in December 2017. In the “good news” department, two provisions in the law provided increased opportunities for businesses—including physician practices, hospitals and other medical practices that own or lease buildings—to expense the cost of depreciable assets sooner. On the “not-so-good news” side of things, several types of building improvements will now be depreciated over longer periods when their costs exceed the limits for immediate expensing. In addition to the longer recovery period, the new law and related guidance have created some uncertainty over what improvements may qualify for the same-year recovery provisions.

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Topics: TCJA, Tax Reform

Aug 15, 2018 10:04:42 AM

TAX REFORM: IRS Limits Tax Strategies for Pass-Through Healthcare Entities

On August 8th, the IRS released proposed regulations addressing the Section 199A deduction, commonly known as the 20 percent pass-through deduction. The guidance clarified several aspects of Section 199A that are of particular interest to healthcare providers, including the definition of “specified service trades or businesses” (SSTBs) and restrictions on splitting up existing businesses. At first glance, it appears that these new rules will limit the ability of healthcare professionals to qualify for the deduction. (For a broader look at the general impact of the proposed regulations, see the HORNE article, “Tax Reform: Guidance For Pass-Throughs Is Here.”)

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Topics: Tax Reform, Section 199A

Jul 24, 2018 9:00:00 AM

BPCI Advanced Model – Deadline Fast Approaching

The final phase of CMS’ voluntary Bundled Payments for Care Improvement Advanced (BPCI-A) application process is finally here. Whether your hospital or physician practice intends to participate in the model beginning October 1 (or in a future year) or you are a healthcare attorney advising an organization that intends to participate, CMS’ recent announcements regarding the model are noteworthy.

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Topics: BPCI-A, Bundled Care

Jul 19, 2018 9:00:00 AM

Getting it Right: Traits of Effective Physician Compensation Models

As value-based payment models gain traction, healthcare organizations are feeling pressure to control costs and improve the quality of patient care, all at a time when the supply of physicians is falling short of demand.

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Topics: Physician Compensation, Value-Based Care

Jul 12, 2018 10:00:00 AM

How Will You Win the War for Physician Talent?

Competition for physicians is already heated. It’s about to get scorching. Demand is on a trajectory to drastically outpace supply, with a projected shortage of up to 120,000 physicians by 2030, according to the Association of American Medical Colleges.

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Topics: Physician Compensation

Jul 3, 2018 4:00:00 PM

CMS Quality Payment Program Performance Feedback is Available

If you were an eligible clinician (EC) that submitted 2017 performance data for the Merit-based Incentive Payment System (MIPS) through the Quality Payment Program (QPP) website, you can review your final performance feedback, including your final score and payment adjustment information.

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Topics: MIPS CMS, APMs

Jun 7, 2018 11:31:11 AM

How To Find the Upside in Downside Risk

Wary of factors that are outside their control, almost two-thirds of healthcare leaders would rather bail out of their accountable care organizations (ACO) than make the leap to a model that includes downside risk.

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Topics: Value-Based Care

Apr 27, 2018 9:02:33 AM

7 Ways Hospitals Can Use CHNAs to Improve Health and Wellness of Communities

The Community Health Needs Assessment (CHNA) can be much more than a regulatory obligation for nonprofit and governmental hospitals. Done well, a CHNA can strengthen the hospital’s position as a provider of choice. It can also elevate the hospital beyond its historical role as a provider of sick care to a hub for health and wellness services in the community.

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Topics: CHNA, Hospital Management

Mar 29, 2018 9:00:00 AM

MedPAC to Congress: Replace MIPS With Voluntary Value Program

Congress should repeal MIPS and replace it with a new Voluntary Value Program (VVP), according to a report released recently by the Medicare Payment Advisory Commission (MedPAC), the independent advisory agency tasked with making recommendations on Medicare policy.

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Topics: MIPS Healthcare, MedPAC, Payment Models