Tag Archives: health system

You won’t believe what happens next for healthcare

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2017 was a year of mega-mergers in healthcare as providers and payers alike seek economies of scale, often by joining forces, on the journey toward value-based care. This patient-centric model of quality over quantity creates more risk, and responsibility, causing health systems of all sizes and geographies to reevaluate their delivery of care model, build efficiencies and hopefully gain a leg up on the competition.

With downward cost pressures and such a huge emphasis on results, the healthcare of tomorrow is going to look a whole lot different from today’s hospitals and doctors’ offices. In fact, the tech-forward, community-first evolution has already started.

Telehealth: A Skype date with doc

Imagine you’re in a rural community miles from the nearest hospital, or you’re just across the street from one but are challenged by limited mobility. Telehealth leverages technology so patients can seek treatment without ever leaving the house, significantly reducing costs for the health system while shielding vulnerable patients from healthcare-associated infections.

At the $54-million Mercy Virtual Care Center in St. Louis, a nearly 200-year-old health system is pioneering the idea of a “hospital without beds.” With regular virtual visits and remote health data monitoring technology, Mercy can observe even the most critical patients with an even closer eye, learning individual baselines and gaining the ability to distinguish true emergencies from issues that could be solved by changing medications. It’s already reducing readmission rates, improving outcomes and changing the way we think about house calls.… Read More

Your Stark Law and Anti-Kickback Statute Playbook

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If you’re a health system and think patient referrals have nothing to do with your real estate, think again. Arm’s length isn’t just for anatomy lessons; it’s necessary to ensure real estate transactions don’t corrupt professional, medical judgement, resulting in fines and criminal charges.

Stark Law

Click the image to download our complete Stark/AKS Playbook

Two intertwined federal laws concern patient referrals influenced by improper financial incentives (ex. below fair market value rents) and are a critical consideration in the management of a health system’s real estate:

Stark Law

For services paid for by Medicare, Medicaid or other state healthcare plans, Stark prevents physician self-referral and patient referral to entities with which the physician has a financial interest or relationship.

Anti-Kickback Statute

Prohibits kickbacks, bribes, rewards and other economic incentives that induce physicians to refer patients for services or recommend purchase of medical supplies that are reimbursable under government-funded healthcare programs.… Read More