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Health Care Providers Benchmarks

Benesch

CMS announces Policy Changes and Updates for the CKCC Model - Any KCE PY 2024 Risk Option selections must be submitted by April...

Benesch on

We encourage all CKCC Model participants to review these updates carefully and take necessary actions to ensure compliance with the deadlines for KCE CKCC Model Performance Year 2024 Risk Option selections....more

Health Care Compliance Association (HCCA)

Defensibility of a fair market value analysis

Fair market value (FMV) is a pinnacle issue with respect to healthcare regulatory compliance and compensation agreements. This article will analyze the issues related to an FMV defensibility analysis of compensation...more

Manatt, Phelps & Phillips, LLP

The Manatt State Cost Containment Update - March 20, 2023 - State Benchmarking Updates: The State of Play

The State of Play: Cost Growth Benchmarking Programs (as of March 23, 2023) - Members of California’s Office of Health Care Affordability’s Affordability Board have been appointed by state leadership. The Board will begin...more

Manatt, Phelps & Phillips, LLP

The Manatt State Cost Containment Update - March 20, 2023 - Manatt Spotlights

March Spotlight - In this issue, Manatt provides a refresher on California’s new Office of Health Care Affordability and an update on next steps for its newly elected Affordability Board, and also breaks down Congressman...more

Manatt, Phelps & Phillips, LLP

The Manatt State Cost Containment Update - March 2023

Introduction - Welcome to the Manatt State Cost Containment Update, a digital publication produced with support from the Robert Wood Johnson Foundation and developed in coordination with the Peterson-Milbank Program for...more

Benesch

Dialysis & Nephrology Digest - March 2023

Benesch on

Correction to our January 31, 2023 newsletter article, “Dialysis Provider Satellite Healthcare Reports Data Breach Affecting Nearly 100k Patients”: Media Statement, Satellite Healthcare - In January 2023, Satellite...more

Baker Donelson

CMS Revises Medicare Shared Savings Program's Performance Benchmarking Methodology to Encourage Continued Participation by Current...

Baker Donelson on

On November 1, 2022, the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year 2023 Physician Fee Schedule (PFS) Final Rule, which includes changes to the Medicare Shared Savings Program (MSSP), the nation's...more

Goodwin

Private Equity Market Update - August 2022

Goodwin on

Market Overview - Q2 2022 - Downturn in Credit Markets: In its continued effort to combat rising inflation, the Federal Reserve Bank raised its benchmark interest rate in each of March, May, June and July of this year by...more

Manatt, Phelps & Phillips, LLP

The Manatt State Cost Containment Update - February 2022: Leveraging APCDs and Other Data

Editor’s Note: Welcome to the latest edition of the Manatt State Cost Containment Update, a digital publication produced with generous support from the Robert Wood Johnson Foundation and in collaboration with the...more

Manatt, Phelps & Phillips, LLP

The Manatt State Cost Containment Update - February 2022: Manatt Spotlights

February Spotlight - In each edition, Manatt will feature a “deep dive” topic that shares new cross-cutting benchmarking program developments as states seek to evolve and advance their cost growth benchmarking programs to...more

Manatt, Phelps & Phillips, LLP

The Manatt State Cost Containment Update - October 2021

Welcome to the Manatt State Cost Containment Update, a digital publication produced with generous support from the Robert Wood Johnson Foundation and in collaboration with the Peterson-Milbank Program for Sustainable Health...more

Manatt, Phelps & Phillips, LLP

The Manatt State Cost Containment Update - October 2021: Manatt Spotlights

In each edition, Manatt will feature “deep dive” topics that share new cross-cutting benchmarking program developments as states seek to evolve and advance their cost growth benchmarking programs to meet new regulatory and...more

Manatt, Phelps & Phillips, LLP

The Manatt State Cost Containment Update - October 2021: Additional Resources

Massachusetts’ HPC released its 2021 Annual Cost Trends Report, which examines the state’s cost growth trends in 2019 and includes five overarching policy recommendations for lawmakers, providers, payers, employers, and other...more

Manatt, Phelps & Phillips, LLP

The Manatt State Cost Containment Update - October 2021: State Benchmarking Updates

On May 27, Governor Sisolak approved Assembly Bill 348, which moves the Patient Protection Commission (PPC) to the Department of Health and Human Services and designates the PPC in law as the entity responsible for the...more

Manatt, Phelps & Phillips, LLP

State Benchmarking Models: Promising Practices to Understand and Address Health Care Cost Growth

As states grow increasingly concerned with rising health care costs, establishing health care cost growth benchmarking programs can provide a structure and process for increasing health system transparency and developing...more

Robinson+Cole Health Law Diagnosis

Connecticut Governor Lamont Issues Executive Orders Aiming to Contain Health Care Cost Growth and Improve Transparency

On January 22, 2020, Connecticut Governor Ned Lamont issued two health care related executive orders (Executive Order No. 5 and Executive Order No. 6) (the Executive Orders) to address the increasing health care costs in...more

Pullman & Comley - Connecticut Health Law

Connecticut Governor Issues Executive Orders to Establish Statewide Healthcare Cost Growth and Quality Benchmarks

On January 22, 2020, Governor Ned Lamont signed two executive orders designed to reduce health care costs for Connecticut residents.  Citing data that places Connecticut sixth nationally in healthcare spending and the need to...more

Manatt, Phelps & Phillips, LLP

Implementing a Statewide Healthcare Cost Benchmark

Editor’s Note: Seeking methods to better understand and control healthcare costs, many states are taking a careful look at a state-defined spending target, or “benchmarking” model, that originated in Massachusetts and has...more

White and Williams LLP

The Struggle to Ban Surprise Medical Billing

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Many Americans have been faced with surprise medical bills. Surprise medical bills typically result when obtaining medical care from a provider or facility that you may not realize is out of your insurance network. As a...more

Manatt, Phelps & Phillips, LLP

Implementing a Statewide Healthcare Cost Benchmark: How Oregon and Other States Can Build on the Massachusetts Model

State interest in healthcare cost containment has grown dramatically since Massachusetts enacted the nation’s first cost benchmarking program in 2012. At that time, most states were focused on coverage expansion through the...more

Verrill

CMS Issues Final Rule to ACOs: It’s Time to Take a Risk

Verrill on

Just before the holidays, the Centers for Medicare & Medicaid Services (“CMS”) issued a final rule (“Final Rule”) that will overhaul the Medicare Shared Savings Program (“MSSP”). As of January 2018, the MSSP included 561...more

Verrill

No Summer Slump for CMS: Major Changes Proposed for the Medicare Shared Savings Program

Verrill on

On August 17, 2018, the Centers for Medicare & Medicaid Services (“CMS”) officially published a proposed rule (“Proposed Rule”) in the Federal Register that would significantly alter the Medicare Shared Savings Program...more

Bradley Arant Boult Cummings LLP

CMS Proposes Redesign of Medicare Shared Savings Program - Healthcare Alert

On August 9, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would redesign the Medicare Shared Savings Program (MSSP). The proposed changes would accelerate the risks associated with...more

Mintz - Health Care Viewpoints

CMS Proposes to Overhaul the Medicare Shared Savings Program

On August 9, 2018, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule to overhaul the Medicare Shared Savings Program (MSSP). The proposal, titled “Pathways to Success,” would make significant changes...more

Sheppard Mullin Richter & Hampton LLP

CMS Proposes Massive Changes to ACO Program – Pushing Providers to Accept Downside Risk

On Thursday, August 9, 2018, the Centers for Medicare & Medicaid Services (“CMS”) published a Proposed Rule (the “Proposed Rule”) regarding the Medicare Shared Savings Program (“MSSP”) for Accountable Care Organizations...more

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