September 11, 2020

7 Ways That COVID-19 Will Impact Physician Practice Acquisition

Change is a defining characteristic of healthcare. From technology to regulation to reimbursement, every aspect of the industry is in a constant state of evolution.

However, few things have changed healthcare as quickly and radically as the COVID-19 pandemic. Within the space of a few months, the landscape has been fundamentally reshaped. The long-term implications are still unknown, particularly in the area of physician practice acquisition.

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Topics: Merger & Acquisition, COVID-19

August 27, 2020

6 Ways COVID-19 is Impacting Healthcare Transactions

Hundreds of physician practice acquisitions and healthcare-related transactions are in process at any given time. When the COVID-19 pandemic hit, the accompanying shutdown threw many such transactions into a state of uncertainty.

Recently, we spoke to Bob Homchick about today’s acquisition environment. A partner with Seattle-based Davis Wright Tremaine, Bob has played a leadership role in the American Health Law Association for many years. During our conversation, we identified six fundamental ways that COVID-19 will impact healthcare transactions currently underway, as well as those that may commence after the state of emergency ceases.

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Topics: FMV, COVID-19, Transactions

May 07, 2020

Topics: Physician Compensation, Reimbursement, COVID-19

April 24, 2020

FCC Accepting Applications for $200M Telehealth Program Funding

Update: On June 25, 2020, the FCC’s COVID-19 Telehealth Program stopped accepting new applications.

COVID-19 continues to push the federal government to eliminate barriers to full-scale adoption of telehealth services.     

Following a March 17, 2020 announcement that the Centers for Medicare and Medicaid Services (CMS) would relax telehealth restrictions on Medicare and make telehealth available for a broader number of patients, the Federal Communications Commission (FCC) approved the COVID-19 Telehealth Program

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Topics: Reimbursement, Telehealth, COVID-19

March 31, 2020

CMS Issues Blanket Waivers of Stark Law Related to COVID-19 Pandemic

UPDATED April 8, 2020

On March 29, CMS issued blanket waivers of the Physician Self-Referral Law (commonly known as the “Stark Law”) to cover financial relationships and referrals related to the COVID-19 pandemic in the United States.  

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Topics: Stark Law

March 26, 2020

How Does COVID-19 Telehealth Expansion Affect Providers?

UPDATED April 7, 2020: There have been updates to the proposed rule which can be found here

Telehealth services have become even more critical in caring for patients as the COVID-19 pandemic quickly evolves. In order to temporarily remove barriers to practice telehealth, the Federal Government and many States are making sweeping changes in Telehealth Waiver provisions. 

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Topics: Telehealth, COVID-19

February 20, 2020

Retroactive Repeal of Parking Taxes: A Win for the Nonprofit Sector

Under the Tax Cuts and Jobs Act, certain expenditures related to providing employee parking were deemed unrelated business taxable income and resulted in taxable income for nonprofit organizations. This provision was highly unpopular in the tax-exempt sector. It resulted in a tax burden for organizations that typically did not owe income taxes, and an increase in administrative burden, due to complicated and tedious calculations.

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Topics: TCJA

January 23, 2020

Recent CMS Rulings Simplify Payments for Transitional Care Management

In recent years, the use of care management services to provide better patient outcomes has gained momentum. Contributing to this momentum is a desire to generate greater transparency around patient behaviors in Post-Acute Care settings. This setting was the first focus area for the creation of care management services.

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Topics: Physician Compensation, Patient Care, Managed Care Organization, CMS

December 05, 2019

What the Transparency in Coverage Proposed Rule Could Mean for the Healthcare Marketplace

The Department of Health and Human Services recently released the Transparency in Coverage proposed rule. It is a response to President Trump’s executive order to “Improve Pricing and Quality Transparency in American Healthcare.” It comes with significant implications for insurers, providers, consumers, and government agencies. The purpose behind it is to lower healthcare spending and increase quality by creating real-time, user-friendly data on pricing and healthcare service rates.

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Topics: Transparency, healthcare

November 21, 2019

Recent Legislative Impacts to Telemedicine in Care Delivery

Legislative support is growing for the reimbursement of care delivery via telemedicine. The Centers for Medicare and Medicaid Services (CMS) and the Office of Inspector General (OIG) have recently made final and proposed rule changes to stimulate greater use and access for telemedicine delivery. These changes mean that for healthcare providers all around the United States, telemedicine will become a greater strategic focus.

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Topics: Telecommunications

November 14, 2019

2020 Medicare Physician Fee Schedule Final Rule Highlights

A final rule updating the physician fee schedule rates was issued by The Centers for Medicare and Medicaid Services (CMS) this month. The new regulation, which increases the 2019 conversion factor of $36.04 to $36.09 in 2020, will be published in the Federal Register on November 15, 2019.

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Topics: Medicare, Physician Compensation

October 31, 2019

Valuation of Specialty Pharmacies

The specialty pharmacy marketplace in the US has experienced rapid growth in recent years. The number of specialty pharmacies operating in the US has more than doubled since 2015. US expenditures for specialty drugs have also nearly doubled from $83 billion in 2013 to $157 billion in 2017. Combined with spending on orphan drugs, total US expenditures on specialty pharmaceuticals is now nearly equal the amount spent on traditional medications.[1],[2]

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Topics: Healthcare Valuation, Valuation

October 17, 2019

Proposed Changes to Stark Law Encourage Transition to a Value-Driven Healthcare System

Last week, the Department of Health and Human Services (HHS) and the Center for Medicare and Medicaid (CMS) revealed proposed changes to “modernize” and clarify regulations that interpret the Physician Self-Referral Regulations (Stark Law) and the Federal Anti-Kickback Statute. The Proposed Rule immediately highlights a focus on the transition to a value-driven healthcare system, which is in-line with the OIG’s priorities. 

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Topics: Value-Based Care, Stark Law

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