Veralon Views Blog

The Veralon Views blog is an extension of our partnership with leaders who are transforming the healthcare industry. Here, we share expert perspectives from our nationally recognized senior consulting team on issues that are key to the success of your organization.

Special Fraud Alert: Speaker Programs

by Karin Chernoff Kaplan, Director
and Monica Nuñez, Manager

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In November 2020, the Department of Health and Human Services Office of Inspector General (OIG) issued a Special Fraud Alert related to speaker programs sponsored by pharmaceutical and medical device companies. Specifically, the Alert centered on the OIG’s significant and longstanding concerns regarding fraud and abuse risks associated with remuneration for such programs. Speaker programs—events […]

Welcome News for Health Care Providers: It’s Not as Bad as You Thought – At Least for Now

by Karin Chernoff Kaplan, Director
and Richard Chasinoff, Principal

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In the final days of 2020, Congress passed, and the President signed into law, the latest coronavirus relief package. This additional round of COVID relief legislation contains welcome news for health care providers: a one-time, one-year increase to physician fee schedule payments for 2021. The legislation creates a 3.75 percent increase in Medicare Physician Fee […]

Taking Virtual Meetings to the Next Level: 7 Tips for Facilitation

by John Harris Director
and Meredith Inniger, Manager

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Are you deciding whether to hold a virtual retreat/meeting or to postpone until it can be in person? Virtual retreats can be very effective, preparing your organization for quicker action when the pandemic clears. Remote meetings will continue well into 2021, and maybe beyond as work models and meeting expectations shift. How can you effectively […]

3 Questions Every System Should Answer Following the Medicare Hospital Outpatient Prospective and ASC Payment System Final Rule (Part 1 of 4)

by Lynda Mischel, Principal
and Meredith Inniger, Manager

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One of the most impactful final rules released by CMS in recent months is the CY 2021 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS-1736-FC). This rule includes several important policy changes, most notably the elimination of the Inpatient Only List on a phased schedule through CY2024 (when […]

Radiation Oncology Alternative Payment Model: 3 Things to Do Now

by Lynda Mischel, Principal
and Scott Stuecher, Manager

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CMS is launching a Radiation Oncology Alternative Payment Model (“RO Model”) that will profoundly affect radiation oncology economics, with a target start date of January 1, 2022. The RO Model will apply (or at least test) a bundled payment methodology affecting about 30% of eligible radiation oncology episodes. Revenue reductions may be as high as […]

Hospital M&A Series Part 6: Hospital M&A: Is This a Fair Deal? What to Consider

by Daniel Grauman, Managing Director & CEO
and Kevin Cope, Manager

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Board members of not-for-profit community hospitals face enormous pressure to protect their community’s access to care. Even when the economic reasons for hospital mergers and acquisitions (M&A) are compelling, the decision to give up control to another system cannot be made based on purchase price alone. It’s just one reason why not-for-profit board members must […]

Proposed Changes in The Medicare Physician Fee Schedule Will Challenge Your Compensation Plans

by Karin Chernoff Kaplan, Director
and Monica Nuñez, Manager

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CMS announced proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS) and indicated that it will waive the 60-day publication requirement for the Final Rule and replace it with a 30-day notification. This means that the Final Rule will be effective January 1, 2021 even though it may not be published until December […]

4 Due Diligence Considerations in the COVID Era

by Daniel M. Grauman, Managing Director & CEO
Robert F. Hill, Jr., Principal

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The health care industry continues to consolidate at a rapid pace.  Although the pandemic has delayed the implementation of some transactions and even compelled some organizations to cancel plans to merge or affiliate, others that would not likely have sought out affiliation options are now doing so. Under normal circumstances, key due diligence considerations pertaining […]