Disrupting the Outpatient Playbook: Site Neutrality and What’s Next for Hospitals
By Karl Rebay,
Principal, Health Care Consulting Practice, Moss Adams (now Baker Tilly)
By Mandy Mori,
Senior Manager, Health Care Consulting Practice, Moss Adams (now Baker Tilly)
By Justin Stewart,
Senior Manager, Health Care Consulting Practice, Moss Adams (now Baker Tilly)
Site-neutral payment reform—the concept that Medicare should pay the same rate for the same service, regardless of the care setting—continues to gain momentum. This policy direction has drawn consistent recommendations from the Medicare Payment Advisory Commission (MedPAC) and favorable budgetary analyses from the Congressional Budget Office (CBO) when scored for potential federal savings. Together, these perspectives underscore growing attention to the financial and policy implications of site-neutrality for hospitals, particularly those operating hospital outpatient departments (HOPDs).
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Telehealth’s Weight-Loss Boom and the Corporate Practice of Medicine
By Allison Tuohy DolsonAttorney, Dickinson Wright PLLC
Telehealth weight-loss platforms offering rapid GLP-1 prescriptions have become one of the fastest-growing segments in healthcare. These platforms connect consumers with clinicians via virtual consultations to assess eligibility for drugs like semaglutide or tirzepatide. This model has attracted significant venture capital as demand surges. Yet, behind the glossy marketing and rapid expansion lies a longstanding legal principle that many companies are confronting anew: the corporate practice of medicine (CPOM).
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Health Plan Financial Reports for California and Washington State
By David PeelPublisher and Editor, Healthcare News
We recently updated our financial reporting for health plans in California and Washington State. Click on the links below to see the numbers.