White Paper

Managing the Transition to Transformation: Quality and Payment Reform

 

Who Is Asking for What and Why?

"Linking payment for health care services to quality, value and outcomes rather than the mere provision of the services themselves has been a feature of health reform proposals in one form or another for decades. However, only now has the link been forged with an alliance of purpose among payors—federal health care programs, private insurers and consumers—and providers whose participation in such programs holds the promise of sharing in incentive programs designed to reward high quality over high volume.

Federal Health Care Programs
Over 55 million Americans are Medicare beneficiaries. National spending on Medicare grew 5.5 percent to $618.7 billion in 2014, while Medicaid spending grew 11 percent to $495.8 billion in the same time period. Health spending over the next ten years is projected to grow at an average rate of 5.8 percent per year, which will outpace the growth in the Gross Domestic Product (GDP) by 1.3 percentage points. The costs for health care attributable to Medicare, Medicaid and other federal health care programs, and the volume of beneficiaries, have put these programs front and center in the shift to predicating payment on achieving quality and outcomes measures."

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Ibrahim Barakat focuses his practice on mergers and acquisitions in the health care sector and health care private equity. He has experience working on domestic and international business transactions, including mergers and acquisitions, joint ventures, financings, and general corporate and commercial advisory matters. Ibrahim serves as counsel to public and private corporations, private equity funds, physician practices and strategic investors in connection with a wide range of transactional and corporate matters.

Sandra (Sandy) M. DiVarco focuses her practice on the representation of hospitals and health systems. She has counseled health care facility and system clients regarding all aspects of health law transactions and health system restructurings. In addition to maintaining an active transactional practice, Sandy has a deep knowledge of regulatory, licensing and accreditation issues of particular concern to health care providers in today’s heightened enforcement climate.

Agenda

Faculty

Ibrahim Barakat

McDermott Will & Emery

Ibrahim Barakat focuses his practice on mergers and acquisitions in the health care sector and health care private equity. He has experience working on domestic and international business transactions, including mergers and acquisitions, joint ventures, financings, and general corporate and commercial advisory matters. Ibrahim serves as counsel to public and private corporations, private equity funds, physician practices and strategic investors in connection with a wide range of transactional and corporate matters.

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