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Innovative MedTech Business Models Will Enable Cost-effective, Decentralized and Patient-centric Care

The global MedTech market is expected to reach $529.23 billion by 2024, finds Frost & Sullivan Santa Clara, Calif., May 13, 2021 /PRNewswire/ Frost & Sullivan's recent analysis finds ....

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Report: Obama administration veteran Fowler tapped to head CMMI

Feb 19, 2021 11:43am
President Joe Biden has reportedly chosen Liz Fowler, who played a key role in drafting the Affordable Care Act, to lead the Center for Medicare and Medicaid Innovation, a report in Politico said. (Pixabay)
President Joe Biden has chosen Obama administration veteran Liz Fowler to lead the Center for Medicare and Medicaid Innovation (CMMI), which has authority to shape key payment models, according to a report in Politico.
Fowler is the latest Obama administration veteran to be reportedly chosen by Biden to oversee his healthcare agenda. He has reportedly chosen Chiquita Brooks-Lasure, another Obama veteran, to lead the Centers for Medicare & Medicaid Services (CMS). ....

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CMS Evaluation of Innovation Center Models

Friday, February 5, 2021
On January 13, 2021, Brad Smith, the fourth director of the Center for Medicare and Medicaid Innovation (the “
Center”), published an article[1] in the New England Journal of Medicine in which he evaluates the Center’s performance over its decade-long history against the Center’s stated goals – to decrease health care spending and improve health care quality. Smith describes an underwhelming showing from the Center and puts forward several key lessons from the Center’s past performance as a way to inform and improve future performance.
Ten Years With Very Little to Show
Over the past ten years, the Center has used $20 billion to launch 54 payment models – all payment models targeting various areas of the health care sector with almost 1 million participating health care providers and approximately 26 million covered patients. Despite this financial outlay and scope, most of the Center’s models have operated at ....

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EKRA Rules, Regulations & Compliance: 5 Tips that Health Care Providers Need to Know | Oberheiden P.C.

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Most health care providers have at least a basic understanding of the Anti-Kickback Statute. This federal law prohibits providers from offering, paying, soliciting, or accepting any form of “remuneration” for patient referrals paid with funds received from government health care benefit programs. Most physicians are aware of the Stark Law as well a federal law that imposes civil fines for doctors who engaging in unlawful “self-referrals” involving Medicare and Medicaid beneficiaries.
However, there is another federal law that prohibits unlawful referral-related compensation and that is far less well-known in the health care sector. This is the Eliminating Kickbacks in Recovery Act (EKRA), which was enacted in 2018 as part of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act). ....

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