{"id":947,"date":"2021-11-16T04:22:25","date_gmt":"2021-11-16T04:22:25","guid":{"rendered":"https:\/\/acadia.pro\/?p=947"},"modified":"2021-11-16T04:24:38","modified_gmt":"2021-11-16T04:24:38","slug":"why-providers-in-value-based-care-programs-should-suddenly-care-about-the-collateral-source-rule","status":"publish","type":"post","link":"https:\/\/acadia.pro\/why-providers-in-value-based-care-programs-should-suddenly-care-about-the-collateral-source-rule\/","title":{"rendered":"Why Providers in Value-Based Care Programs Should Suddenly Care about the Collateral Source Rule"},"content":{"rendered":"

[et_pb_section fb_built=”1″ _builder_version=”4.11.1″ _module_preset=”default” background_color=”gcid-5ca81056-cbbc-4343-b15a-aa9b6f661d19″ use_background_color_gradient=”on” background_color_gradient_start=”rgba(83,104,158,0.92)” background_color_gradient_end=”rgba(33,50,94,0.86)” background_color_gradient_type=”radial” background_color_gradient_direction_radial=”top left” background_color_gradient_start_position=”25%” background_color_gradient_end_position=”70%” background_color_gradient_overlays_image=”on” background_image=”https:\/\/acadia.pro\/wp-content\/uploads\/2021\/08\/church-01.jpg” background_blend=”multiply” max_width=”100%” module_alignment=”center” custom_margin=”||||false|false” custom_padding=”55px|0px|55px|0px|true|false” animation_style=”slide” animation_direction=”bottom” animation_intensity_slide=”2%” box_shadow_style=”preset1″ box_shadow_vertical=”-10px” box_shadow_blur=”60px” global_colors_info=”{%22gcid-5ca81056-cbbc-4343-b15a-aa9b6f661d19%22:%91%22background_color%22%93}”][et_pb_row _builder_version=”4.11.1″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.11.1″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.11.1″ _module_preset=”default” header_font=”Didact Gothic||||||||” header_text_align=”center” header_text_color=”#FFFFFF” header_font_size=”60px” header_line_height=”1.3em” global_colors_info=”{}”]<\/p>\n

Why Providers in Value-Based Care Programs Should Suddenly Care about the Collateral Source Rule<\/h1>\n

 <\/p>\n

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The collateral source rule (CSR) prevents attorneys from using to their advantage whether defendants in a negligence lawsuit have insurance (a \u201ccollateral source\u201d) to cover awards.\u00a0 The concern is if a jury knows that a defendant has insurance, it will rule for the plaintiff; if not, it will rule for the defendant.\u00a0 Under the CSR, each state has established a framework to address money already paid out by insurance companies on behalf of its insureds \u2013 assuming it becomes part of the lawsuit\u2019s \u201cdamage\u201d calculation.<\/p>\n

By the time a medical malpractice lawsuit is initiated, medical services have often been paid by health insurers.\u00a0 If a plaintiff successfully establishes negligence, accounting for the money for these services is addressed under state CSR laws.\u00a0 Depending on the state, the money might go back to the health insurer, to the injured patient or to the liability carrier as an offset to the total award. \u00a0Regardless of state law, the federal government is always entitled to reimbursement.<\/p>\n

Under a value-based care model, a subcategory should be created to receive reimbursement when health insurers recover these funds: The provider group that technically incurred the expense.<\/p>\n

Alternatively, provider groups should negotiate language into value-based contracts with both the government and private payors to ensure subrogation rights. \u00a0They should also coordinate a strategy with their liability and stop loss carriers.<\/p>\n

If you are a provider group, management company or an attorney involved in value-based care arrangements, contact\u00a0info@tororisk.com<\/a>\u00a0for more information.<\/p>\n

For a deeper dive into the CSR and its impact on bundled payments, see\u00a0This Article<\/a><\/p>\n

Brian S. Kern, Esq., Partner, Acadia Professional.\u00a0<\/i><\/b><\/p>\n

bkern@acadia.pro<\/i><\/b><\/a> | View Bio<\/a><\/i><\/b><\/p>\n

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Why Providers in Value-Based Care Programs Should Suddenly Care about the Collateral Source Rule  The collateral source rule (CSR) prevents attorneys from using to their advantage whether defendants in a […]<\/p>\n","protected":false},"author":1,"featured_media":950,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[12,11],"tags":[],"_links":{"self":[{"href":"https:\/\/acadia.pro\/wp-json\/wp\/v2\/posts\/947"}],"collection":[{"href":"https:\/\/acadia.pro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/acadia.pro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/acadia.pro\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/acadia.pro\/wp-json\/wp\/v2\/comments?post=947"}],"version-history":[{"count":3,"href":"https:\/\/acadia.pro\/wp-json\/wp\/v2\/posts\/947\/revisions"}],"predecessor-version":[{"id":953,"href":"https:\/\/acadia.pro\/wp-json\/wp\/v2\/posts\/947\/revisions\/953"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/acadia.pro\/wp-json\/wp\/v2\/media\/950"}],"wp:attachment":[{"href":"https:\/\/acadia.pro\/wp-json\/wp\/v2\/media?parent=947"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/acadia.pro\/wp-json\/wp\/v2\/categories?post=947"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/acadia.pro\/wp-json\/wp\/v2\/tags?post=947"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}