Articles and Blogs

NATIONAL 3 healthcare takeaways from the Trump-Harris debate 3 CMS moves shaking up the ASC landscape AHA calls out ‘skyrocketing’ administrative costs for hospitals AHA urges HRSA to block J&J’s illegal imposition of 340B rebate model AMA warns of ‘growing gap’ between Medicare pay and cost of physician care AMGA survey finds primary care... READ MORE

Health care continues to drive private equity (“PE”) activity, creating opportunities for investors and traditional health care providers. Transactions in the health care space are especially complicated, layering health care regulatory and reimbursement considerations on top of a complex securities, antitrust, privacy and security framework. Hall Render’s PE team of attorneys and advisors leverage... READ MORE

On July 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued its calendar year 2025 Medicare Physician Fee Schedule (“MPFS”) proposed rule (“Proposed Rule”), to implement certain payment updates effective January 1, 2025. Several major proposals are summarized below and the fact sheet accompanying this Proposed Rule may be found here. Telehealth... READ MORE

The most recent jobs report shows the labor market continues to cool off. In August, 142,000 new jobs were created, which is lower than the 162,000 jobs estimate that economists were expecting. Two Federal Reserve officials have said “the time has come” to cut interest rates. Kaufman Hall published a new hospital flash report... READ MORE

NATIONAL 5 issues to consider before selling a medical practice 774 nursing home closures in 4 years: Group warns of care disruptions 57% of rural hospitals lack maternity care: 19 states with the biggest gaps Children’s Hospital Association CEO talks about mental health crisis Dismissal Of Home Health-Related Class Action Lawsuit Against HHS Upheld... READ MORE

On August 1, 2024, the Centers for Medicare & Medicaid Services (“CMS”) released the Fiscal Year 2025 Hospital Inpatient Prospective Payment System Final Rule (“Final Rule”), finalizing the proposed Transforming Episode Accountability Model (“TEAM”). TEAM is a five-year, mandatory episode-based payment model under which selected acute care hospitals will be responsible for coordinating and... READ MORE

Health care continues to drive private equity (“PE”) activity, creating opportunities for investors and traditional health care providers. Transactions in the health care space are especially complicated, layering health care regulatory and reimbursement considerations on top of a complex securities, antitrust, privacy and security framework. Hall Render’s PE team of attorneys and advisors leverage... READ MORE

Ambulatory surgery centers (“ASCs”) continue to demonstrate strong growth nationally, as the same-day surgical care model offers advantages to both patients and providers. On the patient side, ASCs boast higher convenience and lower overall cost. For providers, well-designed and well-managed ASCs are uniquely positioned to capitalize on operational efficiencies. While offering many potential advantages,... READ MORE

NATIONAL 5 groups facing federal scrutiny for overcompensating physicians 10 Stark law changes in 3 years 57% of rural hospitals lack maternity care: 19 states with the biggest gaps Evolent Health’s stock price leaps as it explores sale to private equity firms: report Feds Killed Plan To Curb Medicare Advantage Overbilling After Industry Opposition... READ MORE

The HHS OIG recently published nearly $2M in self-disclosure settlements with medical providers that involved real estate arrangements. The most common issues involved rental rates that were outside of fair market value or a failure to timely bill and collect for operating expenses and other services being provided by landlords to tenants. A former hospital in... READ MORE