SCOTUS Rejects Chevron Deference: Healthcare Industry Implications

On June 28, 2024, the U.S. Supreme Court issued a seismic decision explicitly overruling the “Chevron doctrine,” which will limit the ability of federal agencies to rely on their own interpretation of the laws they administer. Under the Chevron doctrine, more commonly referred to as Chevron deference, courts were mandated to uphold a federal agency’s interpretation of a statute as long as it was reasonable. This Health Capital Topics article discusses the Chevron doctrine, the Supreme Court’s decision, and the impact of this ruling on the healthcare industry. (Read more...)

2025 Proposed Physician Fee Schedule Cuts Payments Again

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) released its proposed Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2025. In addition to the agency’s suggested cut to physician payments, the proposed rule also announced new covered services. According to CMS, the proposed rule “reflect[s] a broader Administration-wide strategy to create a more equitable health care system that results in better accessibility, quality, affordability, empowerment, and innovation for all Medicare beneficiaries.” (Read more...)

CMS Proposes Updates to the OPPS

On July 10, 2024, CMS released the proposed rule for the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for CY 2025. The agency proposes increased payments to all outpatient providers, updates to current programs, and a new standard to address the ongoing maternal health crisis. This Health Capital Topics article reviews the payment increases, other proposals included in the OPPS, and the new maternal health Conditions of Participation (CoPs) for certain hospitals. (Read more...)

Valuation of Hospitals: Introduction

Hospitals are one of the key elements in the market for healthcare services in the U.S., both as a clinical provider and as an economic actor. Clinically, hospitals operate as one of the fundamental elements of the continuum of care, providing intensive services to patients with severe conditions, whose treatment requires a significant investment of time and resources. Economically, hospitals control a dominant portion of U.S. healthcare expenditures, with healthcare expenditures for hospital care expected to overtake healthcare expenditures for physician clinical services. (Read more...)

NEW ARTICLE

Federal Regulators Launch Inquiry into PE-Backed Healthcare Deals authored by HCC’s Todd Zigrang and Jessica Bailey-Wheaton, was featured in the May 2024 issue of Chicago Medicine, published by the Chicago Medical Society.

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