Articles and Blogs

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 improving…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 the…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, ASC…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 St….Read More

On August 28, 2024, the Centers for Medicare & Medicaid Services (“CMS”) published the Fiscal Year 2025 Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”), which can be found here (Hall Render’s alert on the 2025 IPPS Final Rule can be found here). Among other things, the Final Rule finalized updates to Graduate Medical…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 the…Read More

The Department of Health & Human Services (“HHS”) Office of Inspector General (“OIG”) recently reported five instances in which providers self-disclosed real estate arrangements and then subsequently settled alleged violations of the Civil Monetary Penalty (“CMP”) Law related to those arrangements, which were potentially tainted by kickbacks or Stark violations. The settlements for alleged violations…Read More

The Centers for Medicare & Medicaid Services (“CMS”) will publish the 2025 Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”) in the Federal Register on August 28 with an effective date of October 1, 2024. Along with increasing IPPS payments for FY 2025, the Final Rule introduces a new alternative payment model, funds additional…Read More