Barak Bassman at Blank Rome LLP

Structuring and Maintaining Value-based Care Arrangements

Episode 5: Structuring and Maintaining Value-based Care Arrangements - In this episode of BRight Minds in Healthcare Delivery, Blank Rome partner Barak A. Bassman joins host Eric Tower to talk about how to legally and...more

4/17/2024 / Chief Compliance Officers , Compliance , Health Care Providers , Hospitals , Managed Care Contracts , Physician Compensation Arrangements , Physicians , Risk Management , Value-Based Care

Swing and a Miss: CMS Strikes Out on Its Second Attempt to Set Arbitration Procedures under No Surprises Act

The saga between health care providers and the Department of Health and Human Services, the Department of Labor, and the Department of the Treasury (collectively, “Departments”) continues apace, as a federal district court...more

2/23/2023 / Arbitration , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , No Surprises Act (NSA) , Out of Network Provider , Surprise Medical Bills

No Surprises Act Déjà Vu: New Texas Medical Association Lawsuit

The saga between health care providers and the Department of Health and Human Services, the Department of Labor, and the Department of the Treasury (“Departments”) continues as the parties are poised, yet again, to fight in...more

10/7/2022 / Dispute Resolution , Health Care Providers , Health Insurance , Out of Network Provider , Surprise Medical Bills

Seventh Circuit Resurrects Physician’s Antitrust Challenge to Loss of Medical Staff Privileges

Although many attempts by physicians to challenge hospital medical staff privileges terminations on antitrust grounds have fallen flat over the years, often because of perceived failures by the plaintiff to allege an...more

8/3/2022 / Antitrust Provisions , Corporate Counsel , Physicians , Sherman Act , The Clayton Act

Colorado Supreme Court Rejects Hospital’s Claim for Balance Billing Out-of-Network Patient for Elective Services

The Colorado Supreme Court’s decision in French v. Centura Health Corp. is a reminder of the importance of making sure that patient financial responsibility forms are clear and understandable to an average layperson...more

6/3/2022 / Elective Surgical Procedures , Health Insurance , Out of Network Provider , Patients

Ninth Circuit Deals Significant Setback to Medicare Advantage Out-of-Network Providers

In a blow to out-of-network providers pursuing underpayments from Medicare Advantage plans, the U.S Court of Appeals for the Ninth Circuit Court of Appeals recently held in Global Rescue Jets, LLC v. Kaiser Foundation Health...more

5/18/2022 / Health Care Providers , Medicare , Medicare Advantage , Out of Network Provider

Another Defunct Small Health Insurer Fails in Challenge to ACA Risk Adjustment Rules

The Fifth Circuit Court of Appeals recently rejected a slew of claims by Vista Health Plan, Inc. (“Vista”) seeking to invalidate the 2017 and 2018 regulations governing the risk adjustment program that applies to individual...more

3/31/2022 / Affordable Care Act , Department of Health and Human Services (HHS) , Health Insurance , Risk Adjustment Formula

Surprise! Federal Court Invalidates CMS Arbitration Procedure under No Surprises Act

The Eastern District of Texas recently issued its opinion in Texas Medical Association v. United States Department of Health and Human Services, et al., invalidating key portions of regulations implementing the out-of-network...more

3/9/2022 / Centers for Medicare & Medicaid Services (CMS) , Cost-Sharing , Department of Health and Human Services (HHS) , Out of Network Provider , Surprise Medical Bills

Barak Bassman

Blank Rome LLP

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