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Hospitals and health systems must continue to find ways to reduce expenses and improve revenue and recover positive cash flows. One area many organizations are turning to is their pharmacy departments with 340B Drug Program optimization and strategic management of drug spend and pricing structure. By conducting a review of their organization’s 340B participation, compliance,...
Mark your calendars: Fraud Summit is back! Mark your calendars for May 3, 2024, as we embark on another year of hot topics and conversations. Back for the fourth year, the Fraud Summit offers educational sessions led by distinguished industry professionals. This year, we are excited to bring you a more expansive list of topics: from...
The CECL standard requires institutions to consider adjusting their historical dataset due to a range of potential qualitative and quantitative factors. Equip your institution with the knowledge to analyze your dataset, consider qualitative and quantitative factors as well as document adjustments. Baker Tilly’s CECL professionals Ivan Cilik and Sean Statz are excited to host ARCSys...
Examining the implications of the IPPS proposed rule The Centers for Medicare & Medicaid Services’ (CMS) recently published the Inpatient Prospective Payment System (IPPS) fiscal year 2025 proposed rule. Many hospitals and health systems are trying to identify how the proposed regulations and updates under the Medicare IPPS system will impact them and where to...
Network management is larger and more complex than ever as the market observes an increasing number and variety of networks, large growth in value-based care arrangements, a significant population shift towards Medicare advantage, which has risen from 19% in 2007 to 51% in 2023, and new regulations. It is crucial for health plans to continue...
The Sarbanes-Oxley (SOX) Act continues to place significant requirements on financial services organizations. SOX Section 404 requires that organizations establish, maintain and regularly assess internal control over financial reporting (ICFR). Considering the level of effort needed to build and maintain an effective SOX program, it is imperative that organizations periodically assess the program to identify...
