Healthcare
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What the Transparency in Coverage Proposed Rule Could Mean for the Healthcare Marketplace
The Department of Health and Human Services recently released the Transparency in Coverage proposed rule. It is a response to President Trump’s executive order to “Improve Pricing and Quality Transparency...
Recent Legislative Impacts to Telemedicine in Care Delivery
Legislative support is growing for the reimbursement of care delivery via telemedicine. The Centers for Medicare and Medicaid Services (CMS) and the Office of Inspector General (OIG) have recently made...
New Payment Models Overview
Moving to value-based payment models is not simply a decision to accept the financial risk and is not a short-term transition.
2020 Medicare Physician Fee Schedule Final Rule Highlights
A final rule updating the physician fee schedule rates was issued by The Centers for Medicare and Medicaid Services (CMS) this month. The new regulation, which increases the 2019 conversion...
Valuation of Specialty Pharmacies
The specialty pharmacy marketplace in the US has experienced rapid growth in recent years. The number of specialty pharmacies operating in the US has more than doubled since 2015. US...
Proposed Changes to Stark Law Encourage Transition to a Value-Driven Healthcare System
Last week, the Department of Health and Human Services (HHS) and the Center for Medicare and Medicaid (CMS) revealed proposed changes to “modernize” and clarify regulations that interpret the Physician...
Is Your Physician Contract Commercially Reasonable?
When considering Stark Law exceptions for vetting financial arrangements with physicians, we often witness a tendency to focus primarily on Fair Market Value (FMV). This is rightly so, as ensuring...
Selecting the Right Level of Appraisal or Valuation
For those seeking valuation or appraisal services, the varying levels of services offered can often be confusing to navigate. Appraisers/valuators offer many different services to meet the needs of a...
Fair Market Valuation of Accountable Care Organizations
An accountable care organization (“ACO”) is a healthcare delivery entity characterized by a payment model that facilitates coordination among providers — charged with the care of a specified patient population....
6 Questions to Ask When Assessing a Physician On-Call Arrangement
On-call pay is the hospital’s payment for access to physicians providing call coverage. The provision of on-call pay to physicians continues to be a hot topic for hospital leaders and...
Fair Market Value Physician Compensation Fails
Determining fair market value (FMV) compensation in a healthcare setting generally requires the use of multiple, objective data points and an understanding of how to apply that information given the...
Do Your Real Estate Activities Qualify for the New Pass-Through Deduction?
199A deduction regulations address what rental activities qualify for the deduction. The IRS issued Notice 2019-07, establishing a proposed safe harbor for real estate enterprises.
Tax Reform Guidance for Pass-Throughs is Here
Section 199A—commonly referred to as the “20% pass-through deduction,” provides a deduction of up to 20% of income from a domestic business operating as a sole proprietorship or through a partnership, S corporation, trust or estate.
Physician Compensation
It's time to change the way you pay your physicians. Here's why. To succeed in the healthcare industry, you need to attract and retain the most talented physicians. The U.S. faces a shortage of up to 120,000 physicians by 2030*, which means that competition for talent will be fiercer than ever.
Managing FMV/CR Risk
Mitigating the risk of a qui tam relator should be a top priority for healthcare risk management systems.
What Can't Go On Forever...Won't.
The current healthcare system is headed for a crash. Are you adapting?
Value-Based Compensation
8 Considerations in Moving Employed Physicians from Volume to Value-Based Compensation
Payment Model Reform Infographic
Are You Prepared For Success In The Ever-Changing World Of Healthcare Reimbursements?
6 Considerations in Choosing a Healthcare Valuation Appraiser
Trusting HORNE for healthcare valuation counsel is the first step in successfully managing operations toward clinical excellence. Here are six considerations in choosing your organization's valuation appraisal.
Healthcare Revenue Recognition
The new revenue recognition standard is a fundamental change in how healthcare providers recognize patient revenue. It’s likely you will recognize revenue earlier or later than you would under the current revenue recognition standard, and that impacts your financial health.
Healthcare Hard Trends and Opportunities
No industry has seen such monumental changes as healthcare has in the past decade—changes in the regulatory environment, the populations we serve, as well as the technology used to deliver care and improve operational processes. In the course of our work advising healthcare organizations, we have observed the following trends and challenges.
