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Hospitals and health systems face mounting financial pressures from Medicaid cuts, reimbursement changes, and site-neutral payment shifts. Strategic physician alignment offers a cost-effective solution to strengthen margins, improve network integrity, and leverage underutilized regulatory flexibilities in the Stark Law and Anti-Kickback Statute to create innovative compensation structures and value-based arrangements.

In August 2019, the Centers for Medicare & Medicaid Services ("CMS") released proposed changes to its Stark Law advisory opinion process.

In late August, the Office of the Inspector General of the United States Department of Health and Human Services (“OIG”) issued Advisory Opinion No. 08-10, which reviewed a block lease arrangement involving urologists using Intensity Modulated Radiation Therapy (“IMRT”).

The Affordable Care Act amended the federal Stark Law to eliminate the "whole hospital exception" that permitted certain self-referrals.

The Situation: Despite the ongoing evolution of cybersecurity technology and services, patients' health information and other confidential data remain vulnerable to cyberattacks because such...

For years, the Stark Law had little if anything to do with nuclear medicine. The federal prohibition against a physician’s referral of a Medicare beneficiary to a health care entity with which that physician (or a member of his or her immediate family) had a financial relationship, unless an exception applied, had no relationship to nuclear imaging, because nuclear studies were not ‘‘designated health services’’ (DHS).

On November 4, 2016, the Centers for Medicare & Medicaid Services (CMS) published its "final rule with comment period" implementing the Medicare Access and CHIP Reauthorization Act (MACRA).

On January 19, 2021, significant changes to the regulations implementing the Anti-Kickback Statute (AKS) and the Physician Self-Referral Law (commonly known as the Stark Law) went into effect.

Beginning in September 2007, the Centers for Medicare & Medicaid (CMS) will require hospitals to report on their relationships with physicians and their immediate family members.

First Tuesday Update is our monthly take on current issues in commercial disputes, international arbitration, and judgment enforcement.

Niall Hearty of Rahman Ravelli outlines the concerns voiced by the international police organisation.

The general take away is that, in order to make a showing of willful infringement, the patentee must prove, among other things, that the accused infringer acted with a specific intent...

This is the latest in the series titled "NPE Showcase," where we discuss high-volume non-practicing entities (or as some call them, "patent trolls").

In the proposed 2009 Medicare Physician Fee Schedule, CMS proposes two alternatives to its 2008 "same office suite" location test that was partially delayed until January 1, 2009.

The time to start working on your next election is the day after your last election.

Alix Partners hat zuletzt bei Home Depot in den USA und bei zwei führenden europäischen DIY-Händlern harte Entscheidungen getroffen.

Recent natural disasters, such as the catastrophic and tragic flooding in Germany and neighbouring countries are making it increasingly difficult to ignore the new reality of ...

A recent Sixth Circuit decision on permit shield protection reinforces the importance of full disclosure to the permitting agency