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Reflecting Lake in the Mountains

11 Changes Hospitals Should Know in CMS’ Proposed 2027 Outpatient Payment Rule


By Karl Rebay, Principal, Baker Tilly
By Eric Lucas, Managing Director, Baker Tilly
By Kevin Coonan, Principal, Baker Tilly
By Brian Restivo, Principal, Baker Tilly
By Marisol Cooke, Director, Baker Tilly

The Centers for Medicare & Medicaid Services (CMS) has released the Calendar Year (CY) 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule, introducing several significant policy and payment changes that could materially affect hospital outpatient reimbursement, operational strategy, and long-term planning.
While the proposed rule includes dozens of policy updates, several stand out for their potential financial and operational impact. Chief among them is a sweeping overhaul of Medicare’s 340B payment policy, alongside continued expansion of site-neutral payment, additional migration of procedures to outpatient settings, and new transparency and quality reporting initiatives. Read article
Non-Compete Agreement

Is a Non-Compete Enforceable Against a Departing Healthcare Provider?


By Kimberly J. Ruppel
Chair, Healthcare Litigation Task Force, Dickinson Wright PLLC

Non-compete provisions are common in healthcare employment agreements. These provisions are designed to prohibit an employed or contracted provider from competing against their employer by preventing them from working for or starting a competing business within a certain geographic area for a set period. In the healthcare space, enforcing such restrictions presents challenges. Courts tend to disfavor limiting a patient’s ability to be treated by a known provider. At the same time, providers may be unwilling to comply with a non-compete by moving out of a restricted area, uprooting family and leaving behind established patient relationships. Yet, employers are faced with the prospect of losing not only a valued employee, but also potentially the patients that the provider treated. This article discusses terms and concepts that employers may include in employment agreements in order to legally protect business interests. Read article

Most Downloaded Articles


The following articles were downloaded most often from May 2025 through October 2025.
  1. An Overview of the Nurse Manager’s Guide to Budgeting and Finance 2nd Edition By Al Rundio, PhD, DNP, RN, APRN, NEA-BC, FNAP, FIAAN, FAAN
  2. Imagination Is Essential for Good Legal Defense By Erica Erman, Attorney, Dickinson Wright, PLLC
  3. Enhanced Crackdown on Non-Compete Agreements By Kimberly J. Ruppel, Chair, Healthcare Litigation Task Force, Dickinson Wright, PLLC
  4. Prepare for Nationwide Change to HIPAA Regulations By Marisol Cook, Director, Health Care Consulting Practice, Moss Adams (now Baker Tilly)