Wyatt Ritchie, Group Head of Cain Brothers, Discusses Physician Consolidation and Investment Trends in Healthcare
CFO Straine’s Jeff Staser on The Future of the DSO Market
SCALE Payer and Regulatory Research Policy Updates: August 21, 2024
KFF Publishes Research on MA Prior Authorization and Financial Metrics On August 8, the Kaiser Family Foundation (KFF) released data on the total number of Medicare Advantage (MA) prior authorization requests that were denied in 2022. The study using the Medicare Limited Data Set found that 7.4% of all requests had adverse determinations out of […]
Red Spot Interactive’s Jason Tuschman on Overcoming the Challenges of Healthcare IT Adoption
CEO Leadership Series: Vol 38 LISTEN TO PODCAST Share Key Takeaways Key Challenges to Adopting Transformative Technologywithin Provider-Based Healthcare Services Lack of EMR Standardization: The government has promoteddigitization of patient records, but it has not mandatedstandardization of the patient record. The lack of patient recordstandardization makes broadly applicable technology solutionsmore difficult to develop and creates […]
Establishing Sustainable Competitive Differentiation in Home Health
CEO Leadership Series: Vol 37 LISTEN TO PODCAST Share Key Takeaways Aligning Ownership Principles with Core Business Mission Challenges encountered when Burning The Ships to rethink everything, breaking form the norm to develop a great business under private equity ownership Contained hold periods and rapid growth expectations mean that the CEOs can often be forced […]
SCALE Payer and Regulatory Research Policy Updates: July 17, 2024
CMS Releases Proposed Physician Payment Rule On July 10, CMS released the 2024 Medicare Physician Fee Schedule (MPFS) proposed rule which sets reimbursements and implements other policy changes for Medicare providers and specialists. In this rule, CMS proposes a statutory reduction of 2.93% compared to 2024 when factoring in the expiration of an increase from […]
SCALE Payer and Regulatory Research Policy Updates: June 20, 2024
MultiPlan and Major Insurers Face Price Fixing Lawsuits On June 11, healthcare service provider MultiPlan was sued by a group of substance use providers over an alleged price-fixing scheme related to out-of-network (OON) claims, joining other health systems that had taken legal action in April. Major insurers use Multiplan to determine their reimbursement rates for […]
SCALE Healthcare’s Suzy Engwall and David Reese, MS Explore the Critical Role of Scaled Corporate MSOs in Life Sciences, Innovation Pathways, and the Future of Healthcare Delivery.
SCALE Healthcare’s Suzy Engwall and David Reese, MS Explore the Critical Role of Scaled Corporate MSOs in Life Sciences, Innovation Pathways, and the Future of Healthcare Delivery Share Key Takeaways The emergence of multi-site corporate MSOs has cascading impacts across the life sciences market. Large scale corporate MSOs are emerging as viable players in the […]
Clearway Pain Solutions’ President Ira Kornbluth, MD on Redefining Pain Management, Strategic Growth in Surgery Centers, and Addressing Opioid Challenges
Clearway Pain Solutions’ President Ira Kornbluth, MD on Redefining Pain Management, Strategic Growth in Surgery Centers, and Addressing Opioid Challenges Below is an excerpt of the full interview conducted with Chris M. Kane. PDF now for the full article. Download PDF for the Full Interview Request Work Session with SCALE Team Key Takeaways What is […]