Topic
Value-Based Payment
20 published works
Health Care Law Today
Payor/Provider Convergence and What It Means for You
By Alexandra B. Shalom, JillAllison Opell, Alexis Finkelberg Bortniker, Morgan J. Tilleman
Editor’s Note: We are excited to announce that this article is the first of a series addressing the intersection of payor/provider convergence and the issues that plague insurance and health…
Health Care Law Today
What is Payor/Provider Convergence and What Does It Mean For You?
By Jeffrey C. Thrope, JillAllison Opell, Alexis Finkelberg Bortniker, Morgan J. Tilleman, Jessica E. Joseph, Larry S. Perlman, Anil Shankar, Michael J. Tuteur, Alexis P. Robertson, Adam J. Hepworth, Nick J. Welle
Payor/Provider Convergence refers to the evolving trend toward value based payments, in which health providers are taking financial risk in their contracts with health insurance companies (Payors), and Payors are…
Health Care and Life Sciences
Value-Based Payments: A Comprehensive State Survey
Epstein Becker Green (“EBG”) has released Value-Based Payments: A Comprehensive State Survey. EBG has researched, compiled, and analyzed state-specific content about the regulatory requirements involved in providers moving away from fee…
Medicaid and the Law
Paying for Value in Medicaid Prescription Drug Coverage
My colleague Ross Margulies has already told our readers about a provision of the new proposed Medicaid regulation governing how the program pays for outpatient prescription drugs under the Medicaid…
Health Care and Life Sciences
Value-Based Payment Arrangements During the COVID-19 Pandemic
By Jackie Selby, Gregory R. Mitchell
The ongoing pandemic caused by the novel coronavirus has upended the American health care system in many ways. One of the many effects of COVID-19 will likely be substantial disruption…
Health & Life Sciences News
Five Questions with a Health Lawyer: Drew Elizabeth McCormick
Drew Elizabeth McCormick Associate Office: Boston Years at Firm: 2 What is your favorite part about practicing health care law at McDermott? I get to work with world class lawyers…
Health Law Rx
Possible Changes to Stark Law in 2019
Last summer The Centers for Medicare and Medicaid Services (CMS) solicited input on potential amendments to the federal Physician Self-Referral Law (the Stark Law). CMS intends the amendments to eliminate obstacles…
Of Digital Interest
Digital Health Drives Forward – A Roadmap of Regulations
New digital health regulations arose at the federal and state level in 2018, bolstering the existing legal framework to further support and encourage digital health adoption in the context of…
Medicaid and the Law
CMS Approves Michigan’s State Plan Amendment
In a wide-ranging speech on CMS’s efforts to lower Medicaid drug costs, Administrator Seema Verma announced yesterday that CMS has approved Michigan’s proposed state plan amendment to utilize value-based payment…
New York Health Law
State Authorizes Another $525 Million in Capital Grants for Providers
Periodically over the years, and consistently since 2005, the New York State Department of Health (DOH) has received funding through the New York State budget process to provide capital support…