PYA Webinar Recast

On August 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the 2025 Medicare Hospital Inpatient Prospective Payment System (IPPS) final rule. PYA's Martie Ross, Kathy Reep, and Carine Leslie hosted a discussion of the final rule's key provisions:

• Rate increases and wage index changes
• Mandatory Transforming Episode Accountability Model (TEAM)
• New quality measure reporting requirements
• Updates to the Promoting Interoperability program
• Payments for establishing and maintaining access to essential medicines
• Resources for treating patients with inadequate housing
• Overview of the inpatient psychiatric facility (IPF), inpatient rehab facility (IRF), and skilled nursing facility (SNF) prospective payment systems for FY 2025

The webinar was presented on September 4, 2024.

This webinar was part of PYA's twice-monthly Healthcare Regulatory Roundup, a popular series during which PYA experts provide practical insights on the latest industry regulatory developments.

If you would like assistance with preparing for TEAM or with reimbursement, regulatory impacts, or any matter involving compliance, valuation, or strategy and transactions, our executives would be happy to assist.

In 2024, PYA has sought to understand the toughest, timeliest, and trickiest topics in fair market value (FMV) and physician compensation in our Timely, Tough, or Tricky (TTT) webinar series. We started with a survey of more than 100 physician compensation experts and other healthcare professionals and have continued to collect questions during the 2024 TTT season with the goal of tackling those questions each month.

In the spirit of the Olympics, PYA Principals Lyle Oelrich and Angie Caldwell addressed your timeliest, toughest, or trickiest issues during the webinar, "Going for Gold in Physician Compensation Planning," on August 27, 2024.

Webinar attendees gained knowledge through these discussion topics:

• What lessons can be learned from recent governmental complaints involving physician compensation to help with your planning efforts?
• What are some tips and best practices to remember when planning and designing physician compensation?

Many providers have significantly improved their revenue by participating in value-based contracts. Most providers, however, remain reluctant to enter into such arrangements because they do not believe they are prepared to manage downside risk.

Presented on August 22, 2024.

During this webinar, we examined many aspects of value-based care and how it impacts your revenue. PYA Principals Jane Jerzak and Martie Ross addressed the following key learning objectives:

• Explain the mechanics of various value-based payment models
• Discuss the status of the transition from fee-for-service to value-based payments
• Make the case for providers to move forward with a value-based contracting strategy
• Discuss critical first steps in pursuing such a strategy

PYA executives Sarah Bowman, Katie Croswell, Lori Foley, and Martie Ross will wrap up the four-part series, focusing on the following topics:

• Quality Payment Program (MIPS)
• Medicare Shared Savings Program
• SDOH-related services
• Clinical Laboratory Fee Schedule payment reductions

Presented August 21, 2024.

On July 17, PYA presented the first part of its webinar series on the proposed Medicare payment rules for 2025. In parts 2, 3, and 4 of the series, on July 31, August 14, and August 21, we will address the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule, taking a deep dive into the rule's most impactful provisions.

On July 17, PYA presented the first part of its webinar series on the proposed Medicare payment rules for 2025. In parts 2, 3, and 4 of the series, on July 31, August 14, and August 21, we will address the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule, taking a deep dive into the rule's most impactful provisions.

2025 Proposed Rules Part 3 – MPFS

Presented August 14, 2024.

PYA executives Kimberly Campbell, Katie Croswell, Carine Leslie, Brian Raabe, and Valerie Rock covered these proposals:

• Global surgery payment accuracy
• Evaluation & management services (including HCPCS G2211)
• New reimbursement for preventive services
• Digital therapeutics for behavioral health
• Supervision of outpatient therapy services
• Opioid treatment programs
• Skin substitutes

The popular twice-monthly PYA Healthcare Regulatory Roundup provides practical insights on the latest industry regulatory developments.

If you would like assistance with legislative or regulatory impacts or any matter involving compliance, valuation, or strategy and transactions, one of our executives would be happy to assist.

Lowering the overall cost of healthcare is a constant struggle for both providers and consumers. Patients, payers, and providers seek to find the operational inflection point that affords financial success while simultaneously improving quality and value.

During this webinar on August 13, 2024, PYA Principal Deuce Lukemeyer led a robust panel discussion with industry leaders sitting in the key seats responsible for optimizing lower cost-of-care environments. Joining Lukemeyer on the panel were these experts:

• Scott Black, VP and Chief Financial Officer for System Health Solutions, Indiana University Health
• Dan Handel, MD, Chief Medical Officer, Atrium Health
• Jim Laughlin, MD, Indiana University Health/Indiana University School of Medicine

The panel addressed these learning objectives:

• Significant trends from the last 25 years
• The impact of these historical events on today's ambulatory care models
• Looking forward, where physicians and providers will find opportunities for ambulatory care improvements
• Why investments in ambulatory care create opportunities for efficiency in both inpatient and outpatient care settings
• Discussion of the next webinar episode taking a deeper dive into tactics for optimizing individual ambulatory care settings

On July 17, PYA presented the first part of its webinar series on the proposed Medicare payment rules for 2025. In parts 2, 3, and 4 of the series, on July 31, August 14, and August 21, we will address the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule, taking a deep dive into the rule's most impactful provisions.

PYA executives Miriam Murray, Valerie Rock, and Martie Ross covered the following topics from the proposed rule:

• 2025 payment rate reduction
• Deadline for reporting overpayments
• Advanced primary care management payments
• Telehealth
• Rural health clinics and federally qualified health centers

The popular twice-monthly PYA Healthcare Regulatory Roundup provides practical insights on the latest industry regulatory developments.

If you would like assistance with legislative or regulatory impacts or any matter involving compliance, valuation, or strategy and transactions, one of our executives would be happy to assist.

Throughout 2024, PYA has sought to understand the toughest, timeliest, and trickiest topics in fair market value (FMV) and physician compensation in our Timely, Tough, or Tricky (TTT) webinar series. We started with a survey of more than 100 physician compensation experts and other healthcare professionals and have continued to collect questions during the 2024 TTT season to tackle those questions each month.

This webinar took place on July 23, 2024. Webinar attendees gained knowledge through these discussion topics:

• What are some tips and best practices to help you assess physician compensation risk?
• What are several common management services agreement structures, and how are these valued?

PYA's Timely, Tough, or Tricky—Physician Compensation and Fair Market Value webinar series is in its third successful season. To learn about all of PYA's webinars, follow PYA on LinkedIn and bookmark the PYA Webinars page.

PYA performs more than 1,200 fair market value opinions and reviews or develops hundreds of physician compensation plans each year. If you would like assistance with physician compensation, fair market value, or any matter involving valuation, compliance, or strategy and integration, our executives would be happy to assist.

Whether you're looking to activate a clinical trial or you need help streamlining the management of your clinical trials program, PYA's webinar, "Optimizing Clinical Trial Administration," can help. Learn about some common challenges to clinical trial administration and ways you can address them in your organization. The webinar took place on July 18, 2024.

During this webinar, PYA Principal Deborah Biggs, Director Jennifer Parnell, and Manager Katie Croswell discussed some common clinical trial administration challenges and provided tips for addressing them in your organization.

Attendees gained knowledge from these learning objectives:

• Understanding common clinical trial administration challenges in study startup and management
• Identifying process improvement opportunities and ways to optimize how trials are managed
• Learning key best practices for clinical trial administration

Learn about the PYA Clinical Research Administration Office.

If you would like assistance with activating or managing clinical trials or any matter involving compliance, budgeting, or contracting, one of our executives would be happy to assist.

Part 1: CMS CY 2025 Proposed RulesPresented July 17, 2024

The Centers for Medicare & Medicaid Services (CMS) have released the Calendar Year (CY) 2025 proposed rules.

In Part 1 of our two-part series, PYA's Martie Ross and Kathy Reep covered the following proposed rules:

• CY25 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates
• CY25 Changes to the End-Stage Renal Disease (ESRD) PPS and Quality Incentive Program
• CY 2025 Home Health PPS Rate Update and Home Infusion Therapy and Home IVIG Services Payment Update

In addition, Martie and Kathy discussed two recently published final rules (the Cures Act Final Rule and the Consumer Financial Protection Bureau Final Rule) and the impact of recently published Supreme Court decisions, including Loper Bright Enterprises (overruling Chevron deference to administrative agencies).

The popular twice-monthly PYA Healthcare Regulatory Roundup provides practical insights on the latest industry regulatory developments.

If you would like assistance with legislative or regulatory impacts or any matter involving compliance, valuation, or strategy and transactions, one of our executives would be happy to assist.