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.
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 […]
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 […]
In partnership with the AHA, Episode 1 of “Transformation Talks, Leveraging the Community and Innovation to Improve Health” focuses on where we are in the evolution of efforts to solve for social determinants of health (SDOH) and what opportunities we should be leveraging to improve efforts in this area.
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 […]
Please click here for the updated Physician Schedule Final Rule.
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 This means that the Final Rule will be effective January 1, 2021 even though it may not be published until December […]
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 […]
We’re excited to share a 4-part series where Pam Knecht covers topics like: the board’s overarching role, the key fiduciary duties the board is responsible for upholding, six core responsibilities of the hospital board, the difference between the role of the board and the role of management, and the the characteristics and behaviors of an […]
