posts tagged as Long term Care

Commercial Reasonableness Analysis for an Increasingly Regulated Healthcare Environment

With all the effort that goes into increasingly complex healthcare transactions, the last thing decision-makers want is to be hit with regulatory sanctions once the agreement is signed. Healthcare transactions are increasingly vulnerable... read more

By Venson Wallin | March 03, 2015

2015 OIG Work Plan Offers Clues to Future of Reimbursement

The crystal ball of reimbursement policy is often cloudy, but hints of coming change abound for those who know where to look. The Department of Health and Human Services Office of Inspector General (OIG) has laid out its 2015 focus areas... read more

King v. Burwell SCOTUS Case: A Potential Game-Changing Challenge to Obamacare

The U.S Supreme Court ruling on King v. Burwell will decide the legality of federal tax credits that subsidize individuals’ health plan costs in the 34 states that didn’t establish health insurance exchanges.  read more

By William Bithoney | February 05, 2015

HHS Aims to Make Healthcare “Better, Smarter, Healthier” with Historic Announcement

Health and Human Services (HHS) Secretary Sylvia Burwell’s recent announcement to tie 90 percent of all traditional Medicare payments to quality or value by 2018 shouldn’t take anyone by surprise. This move has been a long... read more

Establishing the Groundwork for Joint Ventures between Nonprofit and For-Profit Organizations

Joint ventures between nonprofit and for-profit entities are very popular these days, especially in the healthcare arena, where nonprofits are hungry for access to new sources of capital to fund efforts that will give them a competitive... read more

The Urge to Merge in Healthcare: This Time, Will It Be Different?

There’s a flurry of deal activity in the healthcare space – hospitals merging, physician groups consolidating into multi-specialty groups, insurers and hospitals acquiring physician groups; the list goes on. From 2012 to 2013... read more

Digging for Fraud Can Help Discover Lost Revenue for Nonprofit Healthcare Providers

The combination of healthcare reform, weak demand for inpatient services and the shift to value-based payments is tightening the squeeze on revenue and margins for nonprofit healthcare facilities. But institutions on the hunt for revenue... read more

By William Bithoney | August 18, 2014

Making Dollars and Sense: How Nonprofit Healthcare Organizations Can Prevent Improper Payments

The Government Accountability Office (GAO) recently reported that the federal government made $105.8 billion in improper payments during fiscal year 2013. In fact, the... read more

10 Questions Nonprofit Hospitals Should Ask When Vetting Post-Acute Care Facilities

As a nonprofit hospital seeks to drive down readmission and mortality rates, it is more important than ever that the organization understands where in the post-acute care continuum it is discharging patients and what kind of medical care... read more

By Laura Kalick | January 23, 2014

IRS Publishes Guidance for Tax-exempt Hospitals on How to Avoid, Remedy and Disclose IRC 501(r) Failures

The IRS recently issued two notices for tax-exempt hospitals and... read more