Topic
Value-Based Care
134 published works
Healthcare Law Blog
CMS Aims to Nix Obama-Era Payment Models
By Aytan Dahukey, Jordan Grushkin, Matthew Goldman
In a proposed rule published Tuesday, August 15, 2017, the Centers for Medicare & Medicaid Services (CMS) announced its intention to roll back a handful of payment models introduced under…
Health Industry Washington Watch
CMS Proposes Cancellation of Medicare Cardiac/Hip Fracture Episode Payment Models, Scale-Back of Mandatory CJR Participation
By Debra A. McCurdy, Elizabeth B. Carder-Thompson, Gail L. Daubert, Carol Loepere
Signals Trump Administration’s About-Face on Obama-Era Mandatory Innovation Models The Centers for Medicare & Medicaid Services (CMS) has just released a proposed rule to cancel a significant -- but still-pending…
Focus on Regulation
Measures of success: How value-based pricing may change the pharmaceutical industry
Adoption of value-based pricing, where drug prices are linked to real-world outcomes rather than on a per-pill or per-treatment basis, will have a profound impact on the pharmaceutical industry.
Healthcare Law Blog
The Financial Impact of MACRA – Uncertainty Reigns in a Recent RAND Corporation Study
By Steven Chananie, Sophie Solomon
With all the talk of the Affordable Care Act’s uncertain future, it is easy to forget about the Medicare Access and CHIP Reauthorization Act (“MACRA”), a bipartisan law passed by…
Health Industry Washington Watch
2018 “Next Generation” Accountable Care Organization (ACO) Models
CMS is soliciting applications for 2018 Next Generation ACOs, an Innovation Center initiative intended to promote Medicare quality improvement and care coordination. Letters of intent are due May 4, 2017.…
Health Industry Washington Watch
GAO Highlights Barriers to Small & Rural Provider Participation in Medicare Value-Based Payment Models
CMS has developed a variety of Medicare value-based payment models that tie payments to quality and efficiency metrics, and the importance of such models to physicians will increase under the…
Of Digital Interest
Digital Health Solutions are Key to Success under Health Care Payment Innovations
By Bernadette M. Broccolo, Lisa Schmitz Mazur, McDermott Will & Emery
Digital health—the intersection of health care related software applications, analytical tools, medical device technology and electronic data assets that are enabled and achieved through the use of the internet and…
Health Law
Senate Finance Committee Members Hear from Partner Troy Barsky and Hospital System Executives on Necessary Stark Law Reforms
Yesterday, our colleague Troy A. Barsky testified before the U.S. Senate Finance Committee led by Chairman Orrin Hatch (R-Utah) and provided recommendations for modernizing the Stark Law to regulate self-referrals…
Data Counsel
Deeper Dive: Integrating Physician Practices into a Health System’s HIPAA Privacy and Security Program
The healthcare industry shift to a value-based business model is resulting in greater alignment between hospitals and physicians to provide quality, outcomes driven care in order to receive payment for…
Health Law
Previewing the Final Rule Implementing Changes to Medicare Shared Savings Program
After much anticipation over the past few weeks, the Federal Register from Tuesday, June 9th contains the Final Rule proposing changes to the Medicare Shared Savings Program (MSSP) from the…