Powers Principal Jim Jorling, Associate Leela Baggett, and Summer Associate Allie Hussey authored a memorandum summarizing key aspects of an ESRD program under the Centers for Medicare and Medicaid Services’ (CMS) proposed rule on Specialty Care Models to Improve Quality of Care and Reduce Expenditure.

Released on July 18th, 2019, CMS’s proposed rule outlines two new mandatory Medicare payment models that are expected to reduce expenditures while enhancing quality of care. In their memorandum, Jorling, Baggett, and Hussey summarize key provisions of one of the proposed payment models—the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model, which is intended to encourage the use of home dialysis and kidney transplants.

Read the full memo here.

Jim Jorling is the President of Powers and a Principal in the Powers Healthcare practice. Jim counsels clients with respect to the impact of federal healthcare laws and regulations, providing targeted and strategic advice on business transactions and regulatory issues. Jim’s areas of healthcare expertise include Medicare and Medicaid coverage, reimbursement, provider conditions of participation, telemedicine and telehealth regulation, and pharmacy and diagnostic service provider laws, and more. He advises on a range of matters affecting healthcare organizations.

Leela Baggett is an Associate in the Powers Healthcare practice. She counsels healthcare providers and practitioners on a wide variety of regulatory, litigation, and legislative matters. Her practice includes advising clients on Medicare coverage, coding, reimbursement, and enrollment requirements.  She also provides legal assistance with Medicare fee-for-service claims and cost report appeals.

Allie Hussey was a Summer Associate in the Powers Healthcare practice during the summer of 2019. She is a student at the University of Virginia School Of Law.