Topic
Value-Based Care
134 published works
The Healthcare Investor
Where Value-Based Care Actually Works, With Dawn Owens
https://player.captivate.fm/episode/792a9c38-7378-4821-905b-73d0c03184e3 Value-based care is one of healthcare's biggest bets on changing how care is delivered and paid for, but how well has it worked? Dawn Owens, CEO and partner at…
Hall, Render, Killian, Heath & Lyman, P.C. Blog
Turning TEAM Risk into Opportunity: The Case for a Value-Based Enterprise
By Hall Render
On January 1, 2027, mandatory downside financial risk under the Centers for Medicare & Medicaid Services’ (“CMS”) Transforming Episode Accountability Model (“TEAM”) will begin for most participating hospitals. TEAM is…
Hall, Render, Killian, Heath & Lyman, P.C. Blog
Weekly Hospital Real Estate Briefing: OIG Issues Advisory Opinion on Lease Arrangements | Health Care Construction Costs Level Out
By Hall Render
Recent Revista data indicated that, over the past decade, the West Coast and Southeast have shown consistently high health care GDP growth, while the Midwest and Northeast (except NY) have…
Med Law Blog
CMS Announces New Mandatory Payment Model Targeting Cardiologists for Heart Failure Care
The Centers for Medicare & Medicaid Services (CMS) recently announced a new payment initiative that will require certain cardiologists to participate in a value-based reimbursement model focused on heart failure…
Medicaid & Medicare: A Legal Blog
CMS Launches New ACCESS Payment Model: A Promising but Risk-Loaded Frontier for Providers
The Centers for Medicare & Medicaid Services (CMS), through its Innovation Center, has announced a sweeping new voluntary payment initiative — the ACCESS model — designed to reshape how Medicare…
Healthcare Industry Legal Blog
Stark Law and Anti-Kickback Statute Changes: Navigating Value-Based Care Compliance in 2025
The healthcare industry’s transition from fee-for-service to value-based care has fundamentally altered how providers structure financial relationships. The Stark Law and Anti-Kickback Statute (AKS), two pillars of federal healthcare fraud…
Hall, Render, Killian, Heath & Lyman, P.C. Blog
From Volume to Value: Reimagining Care through Population Health Services Organizations
By Hall Render
In a health care environment increasingly driven by value rather than volume, population health services organizations (“PHSOs”) are emerging as powerful engines for transformation. Rather than relying on individual clinicians…
Data Privacy + Cybersecurity Insider
HIPAA Privacy Rule in Focus: OCR Sheds Light on PHI Disclosures and Access Rights
By Roma Patel
On August 11, 2025, the Office for Civil Rights (OCR) published updated guidance relating to the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (Privacy Rule) in the form…
Healthcare Law Blog
State-Directed Payments, Value-Based Care, and the “One Big Beautiful” Bill: A Comprehensive Analysis
By Jessica Missel, Margia Corner, Adam Herbst
Among the many sweeping changes to the Medicaid program included in the One Big Beautiful Bill Act (“OBBBA”), Congress established new statutory caps on state-directed payments (“SDPs”) in Medicaid managed…
Healthcare Law Blog
Takeaways from the America’s Physician Groups’ Spring Conference: Turbulent Times Call for Change and Innovation
By Jeralin Cardoso, John Golembesky, Chi Huynh, Kirstin Smith, Michael Sutton
“Kicking Off Accountable Care” served as the theme for this year’s America’s Physician Groups’ (“APG”) Spring Conference, a three-day event packed with compelling speakers and breakout sessions focused on the…