-
Wisconsin Health Law Posts
- The Physician Board Member – Meeting Your Responsibilities as a Director
- Concierge Medicine Agreements – Five Key Contract Clauses for Medical Practices
- Telehealth Membership Platforms: A Provider Compliance Guide
- Medicare Opt-Out – A Make-or-Break Decision for Concierge Physicians
- Hybrid Concierge Models – Why Popularity Comes With Compliance Risk
- Cash-Based Clinics – A Regulatory Landscape More Complex Than It Appears
- State Spotlight: Wisconsin, Illinois, and Michigan — Three Distinct Regulatory Environments
- Understanding HIPAA and Its Interaction with State and Federal Confidentiality Laws
- Concierge Medicine Legal Guide: Key Compliance and Business Issues for Physicians
- Direct Primary Care (DPC) vs. Concierge Medicine: A Regulatory Comparison
- Physician Autonomy in the Value-Based Care Era: Legal and Operational Priorities for Health Care Providers
- Telehealth and Concierge Medicine – A Strong Fit with Complex Rules
- Preparing for Certification Surveys at Ambulatory Surgery Centers
- Podcast – ASC 2030: The New Playbook
- Podcast – ASC Life Safety Code Decoded
- Podcast – ASC Survey Ready Now
- Podcast – QAPI: Build It Right
- Podcast – Closing Infection Control Gaps
- Podcast – ASC Governance Accountability
- ACO Primary Care Exclusivity Requirement – Not As Broad As Some Believe
Categories
- Accountable Care Organizations
- Ambulatory Surgery Centers
- Anesthesiologists
- Antitrust in Healthcare
- Behavioral Health
- Clinical Integration
- Compliance Issues
- Consierge & Cash-Based Practices
- COVID-19 Resources
- Dental Practice
- Dental Practice Issues
- False Claims Act
- Fraud and Abuse
- Governance
- Health Care Contracting
- Health Care Legislation
- Health Law Practice
- HIPAA – Health Information Privacy
- Home Health
- Hospital Issues
- Legal Pulse Podcast
- Licensing
- Long Term Care
- Managed Care Contracting
- Medical Staff Organization & Structure
- Medicare and Medicaid
- Medicare and Medicaid Reimbursement
- Physician Contracting and Alignment
- Physician Issues
- Physician-Owned Hospitals
- Radiology Issues
- Reimbursement & Payment Practices
- Reimbursement Issues
- Self Disclosure Protocols
- Stark Law and Anti-Kickback Issues
- Telemedicine
- Uncategorized
- Wisconsin Government
- Wisconsin Health Laws
- Wisconsin Hospitals
- Wisconsin Long Term Care
- Wisconsin Physician Issues
-
Category Archives: Managed Care Contracting
MSSP Contracting Rules Create Operational and Revenue Risk for ACOs
For Health System and ACO Executives | Medicare Shared Savings Program Current as of: July 2026 Executive Takeaway: Current MSSP regulations at 42 C.F.R. § 425.116 make ACO contracting infrastructure an executive-level compliance and revenue issue. CMS requires ACOs to … Continue reading
Posted in Clinical Integration, Compliance Issues, Hospital Issues, Managed Care Contracting, Medical Staff Organization & Structure, Medicare and Medicaid Reimbursement, Physician Issues
Comments Off on MSSP Contracting Rules Create Operational and Revenue Risk for ACOs
Bundled Payment Arrangements for Clinically Integrated Networks
By John Fisher, JD, CHC, CCEP Bundled Payment and ACO Arrangements – Clinically Integrated Payment Methodologies Overview of Bundled Payment Bundled payment represents a significant shift in healthcare reimbursement models, aiming to improve efficiency and quality while controlling costs. Under … Continue reading
Posted in Accountable Care Organizations, Antitrust in Healthcare, Clinical Integration, Managed Care Contracting, Medicare and Medicaid Reimbursement, Reimbursement & Payment Practices, Uncategorized
Tagged ACO Payment Structures, Bundled Payment, Managed Care Contracting
Comments Off on Bundled Payment Arrangements for Clinically Integrated Networks
Population Health Management and Clinical Integration
By John Fisher, JD, CHC, CCEP Population Health Management and Clinical Integration June 13, 2016 Population Health Management and Clinical Integration: Structural Foundations of a Reformed Health Care Delivery System Abstract Population health management and clinical integration have emerged as … Continue reading
Posted in Accountable Care Organizations, Clinical Integration, Managed Care Contracting
Comments Off on Population Health Management and Clinical Integration
