Navigate Change in Provider Strategy and Compliance
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In today’s shifting healthcare environment, leaders need practical strategies to stay ahead of regulatory changes and evolving performance models. This week, we’re sharing resources to help you manage provider compensation with clarity and restructure organizations for greater flexibility. We’re here to guide you through complexity with insights that support smarter decision-making and long-term success.?
Split/Shared Billing in 2025: What’s Changing and How to Prepare
- CMS may redefine “substantive portion†based solely on time, impacting who can bill for split/shared services.?
- This shift could significantly affect revenue, staffing models, and provider compensation, especially in NPP-driven service lines.?
- Our blog outlines four key impacts and offers steps to assess claims, adjust contracts, and prepare for compliance.?
As CMS regulations evolve, we provide healthcare organizations with expert insight and strategic support to stay compliant, minimize risk, and optimize performance in the face of billing and compensation changes.?
Strategic Restructuring for Flexibility and Growth in Value-Based Care?
Faced with structural challenges and conflicting stakeholder needs, a multi-hospital value-based care entity restructured its operations by creating a new management services organization (MSO) and introducing flexible participation tiers. Through this transformation, complex governance and financial overlaps between its ACO and CIN were resolved, enabling the organization to adapt to change, support growth, and operate with greater efficiency.?
A Smarter Way to Manage Provider Compensation
Our checklist-based approach brings structure, transparency, and accountability to provider compensation planning. With clear governance and defined processes, healthcare organizations can align compensation with strategic goals, ensure compliance, and make more informed, consistent decisions. This method simplifies complexity and builds a foundation for long-term operational success.?
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