Articles
Value-Based Care: How Physicians Can Prevent the Corporate Takeover of Medicine
Brian S. Kern, Esq. In 2019, the US spent $3.8 Trillion on healthcare. At 18% of GDP, this figure is neither affordable nor sustainable. Efforts by the federal government to rein in healthcare spending have been met with fierce resistance from corporate interest...
The Fast Lane to Value-Based Care: Better Bundle Up
If there was any question that US Healthcare’s transition from fee-for-service to value-based would continue under the Trump Administration, the US Department of Health and Human Services’ (HHS) report, “Reforming America’s Healthcare System Through Choice and...
How Skilled Nursing Facilities Can Grow Old with Dignity
According to the National Investment Center for Seniors Housing and Care, almost one in five nursing home beds are unoccupied. Occupancy – once as high as 87 percent in 2011 – is down to 81.7 percent. Several factors related to skilled nursing facility (SNF)...
How Shared-Savings Partnerships Can Improve End of Life Care
In July, the OIG issued a report entitled, “Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program Integrity.” Fifteen recommendations were made by the OIG to CMS, including to “Assess the current payment system to determine what changes may...
Why Providers in Value-Based Care Programs Should Suddenly Care about the Collateral Source Rule
The collateral source rule (CSR) prevents attorneys from using to their advantage whether defendants in a negligence lawsuit have insurance (a “collateral source”) to cover awards. The concern is if a jury knows that a defendant has insurance, it will rule for the...
Eliminate the Double Penalty for Complication Expenses in Bundles Payment Programs
A “bundled payment” is a term that refers to a single, global payment for an “episode” of care. Currently, the most common episodes are orthopedic surgical procedures (e.g. hip and knee replacements), but can include a pregnancy, a colonoscopy or even cancer. As...
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