Tim Reimers’ Post

Big changes in healthcare this year. Regulatory oversight and deal volume spiked in Q1 2024, with a major focus on private equity in healthcare. States are rolling out new rules for transaction notices, and federal agencies are pushing for more transparency. Data breaches are also a hot topic, prompting new actions to protect sensitive health info.

Join Capsticks’ Mary Mundy and Peter Edwards on Thursday 14 March to reflect on the first 3 months of the Provider Selection Regime (PSR). They will share emerging learning from the early experiences of healthcare commissioners and providers in getting to grips with the new procurement regime for NHS services. Key topics that will be covered include: • An overview of some common issues that have arisen • Deciding when to use the different contract award processes including in particular how to apply the Most Suitable Provider process • What is a “considerable change”, how to calculate it and how it impacts the choice of contract award process • How will challenges be handled by the Independent Patient Choice and Procurement Panel and what legal remedies might be available? Register here: https://lnkd.in/eDvuGTXf

Private Practice Transaction Oversight May Be Coming to NY State The 2024 New York State Executive Budget included a first-of-its-kind bill that would require certain physician practice and management services organization (MSO) transactions to undergo regulatory review and approval by the state Department of Health (DOH). An MSO is an entity that provides administrative and business services to healthcare providers. They can free up physicians and other healthcare providers from non-clinical duties, allowing them to focus more on patient care. However, the impact on patient care can vary based on the quality of the MSO. A high-quality MSO can improve efficiency, streamline processes, and improve patient satisfaction by creating a more organized, smooth-running practice. However, if the MSO prioritizes cost-saving measures over patient care, it may lead to understaffing, inadequate resources, or rushed appointments that can negatively affect patient care. What are your thoughts on this proposed legislation? #healthcare #business #management #quality https://lnkd.in/d9g3vAV6

Lonny Rosen and Elyse Sunshine, founding partners of Rosen Sunshine LLP emphasize the importance of healthcare businesses aligning with professional regulations in Canada. https://hubs.la/Q01XXjcS0 #HealthcareBusinesses #ProfessionalRegulations #Compliance #LegalAdvice

Get your medical practice ready for 2024! #HealthPrimeblog #HealthPrime

Most doctors didn't spend 8 years becoming specialists, only to have to learn how to negotiate with healthcare payers. It's the theme we hear from all of our 80+ clients—they prefer to focus on providing exceptional care, not managing and negotiating payer contracts. Aroris is a team of payer analysts, legal contract experts, and negotiators who come alongside healthcare providers to take ownership of payer contracts to ensure they are generating the right level of revenue for providers. Learn more about our “High Reward, No Risk” promise. Our compensation is generated by the increased revenue we negotiate for your practice. To date, we’ve generated over $30M in additional revenue for providers.

My Goodwin healthcare colleagues, Joseph Harrington, John Jones, Jonathan Ishee, JD, MPH, MS, LLM, CIPP/US, Asher Funk, Yale H. Bohn, and Rebecca Kennedy published a great piece on California's new pre-closing notification requirements for certain healthcare transactions. If you are involved in or contemplating a healthcare M&A transaction in California, this is a must read. This is the latest in our series of pieces covering similar requirements that have been adopted in 9 states. #goodwinlaw #healthcare

For FQHC and traditional healthcare providers, effectively navigating the intricacies of medical billing is paramount to financial stability and administrative efficiency. However, building and maintaining an in-house billing team can present significant challenges, prompting many practices to consider outsourcing these critical functions. In our latest blog, it delves into both approaches’ financial and operational implications, highlighting the potential advantages of outsourcing for improved cost-effectiveness and enhanced practice focus: https://hubs.li/Q02jHVjp0

Clinical Documentation Investigation (CDI) is a rapidly growing field in healthcare. With the increasing complexity of healthcare regulations, accurate coding and reimbursement are more complex than ever. CDI experts can help ease and simplify the process by keeping you up to date on coding requirements and compliances. If you want to learn more about implementing CDI for your healthcare organization, book an appointment with our experts - https://zurl.co/1XEz #Pioneersliterally #CDI #MedicalCoding

Here are three Stark law updates that may affect ASCs: 1. A law passed in Florida amending the state's Stark law supervision requirements. The new legislation removes the direct supervision requirement, which required the supervising physician to be present in the office while the referred services were being performed or provided. Now, the direct supervision requirement is replaced with the requirement that the service be subject to supervision if "such supervision complies with all applicable Medicare payment and coverage rules for services." 2. The Consolidated Appropriations Act of 2023 updated exceptions to Stark law and anti-kickback law that will allow hospitals and healthcare providers to improve mental health services for physicians. The law issues a new exception for physician wellness programs offered by healthcare entities, including ASCs, hospitals and physician practices. 3. CMS updated its voluntary self-referral disclosure laws Jan. 23, including an updated version of the self-referral disclosure protocol form, an updated physician information form and a new group practice information form. The new self-referral disclosure protocol form includes an update to signed certification — it no longer needs to be submitted as a hard copy and can now be submitted electronically. https://ow.ly/B8CC50PMeEs