Value Based Arrangements News Today

Discover the impressive growth of healthcare leader Optum through 5 key numbers.

The Nelson Mullins 2023 Value Based Care Conference: Implementing Value Based Strategies, was held on November 2, 2023, at the Tower Club in Fort Lauderdale. By any definition, the...

Rules create new standards that reduce compliance risk. Wade discusses the key issues in value-based arrangements with Kelly Conroy, Principal at Pinnacle Healthcare, and Ed White, partner at Nelson Mullins. Hear why now is the time to start your value-based care strategy.

Scottsdale, AZ (PRWEB) November 05, 2021 -- NCPDPannounced its 2021 Educational Summit on Value Based Arrangements (VBA) for Prescription Medications, a

On October 13th our friends over at STAT broke the news [sorry, Paywall] about a "warranty" pilot program from Pfizer that offers both patients and health plans (including Medicare Part D plans) the opportunity to receive a refund ...

“Full Financial Risk” A. Overview of Key Safe Harbors and Exceptions An important initial consideration is that there are multiple differing requirements between corresponding Stark Law exceptions and AKS safe harbors. Stakeholders must navigate the requirements under both regulatory regimes for arrangements that potentially implicate each law. Although a number of commenters sought a unified set of requirements between Stark Law and AKS requirements, CMS and OIG rejected this approach, not...

Tuesday, February 2, 2021 On 2 December 2020, the U.S. Department of Health and Human Services’ (HHS) issued two Final Rules in conjunction with its “Regulatory Sprint to Coordinated Care,” which will markedly change the regulatory fraud and abuse landscape for “value-based” arrangements: (i) The HHS Office of the Inspector General (OIG) published a Final Rule that introduces new safe harbor protections under the federal Anti-Kickback Statute (AKS) for certain coordinated c...

To embed, copy and paste the code into your website or blog: On Thursday, December 17, 2020, senior representatives of the US Department of Health and Human Services’ Office of Inspector General (“OIG”) and the Centers for Medicare & Medicaid Services (“CMS”) delivered a virtual presentation to American Health Law Association members and other health industry stakeholders to explain and elaborate on significant new regulations that become final on January 19, 2021. OIG Senior Counselo...

To embed, copy and paste the code into your website or blog: On November 20, 2020, the Department of Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS) issued the final rule “Modernizing and Clarifying the Physician Self-Referral Regulations” (Final Rule). HHS Deputy Secretary Eric Hargan described the new rules as “historic reforms, and come as part of the regulatory sprint to coordinated care …“ The new rules give great flexibility for providers to part...