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Jan 24, 2025 | 
jdsupra.com | Rachel Carey
Value-based care (VBC) is a healthcare delivery model that prioritizes patient outcomes over the volume of services provided. This approach aims to enhance the quality of care while controlling costs by incentivizing healthcare providers to focus on delivering efficient, effective, and patient-centered care.
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Dec 18, 2024 | 
jdsupra.com | Rachel Carey
On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) finalized the Medicare regulations interpreting the federal 60-day overpayment refund requirement (the Overpayment Statute) for Medicare Parts A and B as part of the Calendar Year (CY) 2025 Medicare Physician Fee Schedule Final Rule. The revisions were also publicized in the Federal Register on December 9, 2024.
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Nov 13, 2024 | 
jdsupra.com | Rachel Carey |Jordan M. Halle
The IRS has recently been urging healthcare entities, particularly those involving physicians and private investors, to seek private letter rulings (PLRs) to clarify the tax implications of their ownership structures.[i] This encouragement comes in light of the complexities and ambiguities surrounding the "friendly doctor" or "friendly PC" models, where a physician-owned professional corporation (PC) is managed by a separate management service organization (MSO).
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Nov 5, 2024 | 
link.springer.com | Katherine Sievert |Rachel Carey |Christine Parker |Gary Sacks |Ella Robinson
Investments by the global finance sector contribute to industrial-scale agriculture along with its harmful environmental impacts, making their actions sign
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Nov 1, 2024 | 
jdsupra.com | Rachel Carey
In 2024, Stark enforcement remains a critical focus for healthcare providers and regulatory bodies, with a continued focus on excessive compensation and productivity bonuses. Compliance with Stark Law is essential to avoid significant penalties, including repayment obligations, civil monetary penalties, and potential exclusion from federal healthcare programs.
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Sep 20, 2024 | 
jdsupra.com | Rachel Carey
The California Department of Public Health (CDPH) issued a letter on September 6, 2024, to all general acute care hospitals clarifying the scope of practice for Certified Registered Nurse Anesthetists (CRNAs) following confusion and issues at hospitals in Modesto, California earlier this year. This clarification emphasizes that CRNAs must operate under physician oversight and cannot practice medicine independently.
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Aug 2, 2024 | 
jdsupra.com | Rachel Carey
The American Academy of Emergency Medicine Physician Group (AAEM-PG) recently settled a lawsuit in United States District Court for the Northern District of California against Envision Healthcare and Envision Physician Services, accusing them of violating the corporate practice of medicine (CPOM) laws in California.[1] The lawsuit alleged the “friendly physician” model used by Envision to control medical practices through management services agreements interfered with the medical judgment and...
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Jul 18, 2024 | 
jdsupra.com | Rachel Carey
The Department of Health and Human Services (HHS), in conjunction with the Centers for Medicare and Medicaid Services (CMS), is striving to alleviate the financial strain of medication costs on the elderly and disabled populations who rely on Medicare with the Medicare Prescription Drug Payment Plan. CMS has released final part two guidance for CY 2025 on July 16, 2024, to prepare stakeholders for its implementation.
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May 29, 2024 | 
jdsupra.com | Rachel Carey
On May 21, the Centers for Medicare and Medicaid Services (CMS) announced a new option on CMS.gov to allow individuals to more easily file an Emergency Medical Treatment and Labor Act (EMTALA) complaint. Before launching the portal, patients would have to identify and contact individual state survey agencies.
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May 7, 2024 | 
yourlifechoices.com.au | Rachel Carey |Maureen Murphy
There is evidence that a growing number of Australians cannot afford to access enough nutritious food. About 8 per cent of Victorian adults were severely food insecure in 2022, meaning that they ran out of food at times and could not afford to buy more. This represents a 40 per cent increase in severe food insecurity in Victoria in two years.
