Our Latest Thinking

We are constantly scanning the health care market for new and interesting developments; then we write about them here. Check out our latest thinking.

MACRA

Overview, Impact & Strategic Considerations of the Quality Payment Program

March 31st, 2017

In April 2015, Congress enacted a law that alters the method by which physicians and other health care providers are paid for Medicare Part B services.

Read More >

Challenges for Small Rural Practices in Value-based Care

December 14th, 2016

The Government Accountability Office (GAO) recently issued a report outlining five key areas in which smaller, rural physician practices tend to struggle as they shift from fee-for-service reimbursement to value-based care. Given the unique nature of rural medicine, and the fact that value-based payment will continue to grow, it is important to understand these challenges […]

Read More >

CMS Proposes New Mandatory Bundled Payment Models: 4 Observations

July 29th, 2016

On July 25, 2016, CMS announced a proposed rule to provide additional incentives for hospitals to provide higher quality care at a lower cost. The proposed rule seeks to increase coordination of care and decrease costs for heart attack and bypass surgery patients, creates a new Surgical Hip/Femur Fracture Treatment model (SHFFT), and outlines a […]

Read More >

MACRA: Quality Incentives, Provider Considerations, and the Path Forward

December 21st, 2015

In April 2015, a divided Congress almost unanimously passed a landmark law that will permanently change the way physicians and other health care providers are paid for Medicare services. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the sustainable growth rate formula with physician payments tied to quality.

Read More >