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Two Roads Merging

The CMS Volume Decrease Adjustment: What hospitals need to know



By Patrick McGreevy
Consulting Senior Manager
Bakertilly



The CMS Volume Decrease Adjustment (VDA) helps qualifying hospitals mitigate financial impact when they experience a sudden, temporary decline in inpatient volume that's outside of their control.
As healthcare utilization patterns are affected by workforce shortages, economic shifts, and seasonal disruptions, the VDA has become an increasingly significant financial stabilizer and indicator of broader volume trends that may require attention.
Hospitals that understand the VDA framework and clearly document the factors driving volume disruptions are better positioned to mitigate financial volatility while protecting access to care in their communities. Read article
Contract with legal mallot on top

From Intent to Agreement: Closing the Gap on LOI Drift in Healthcare Deals


By Dana Ulrich, Partner
Dickinson Wright PLLC


LOI drift is one of the more underappreciated risks in healthcare transactions, and one of the more avoidable ones. It happens when the terms agreed to in a letter of intent, such as a co-branding commitment or a governance right, simply don’t make it into the definitive agreement. Whether by oversight or negotiating attrition, the result is the same: the deal you thought you closed isn’t the deal that governs the relationship. For healthcare organizations entering complex affiliations, joint ventures, or MSO arrangements, that gap can be costly. Read article
Stones stacked on a beach

The Dark Side of Unhealthy


By Craig B. Garner, Founder
Garner Health Law Corporation


Empathy is a poor replacement for the proverbial apple. Indeed, the 19th-century idiom suggests that mindful eating habits practiced on a daily basis serve as an integral foundation to a healthy lifestyle. Read article

Most Downloaded Articles


The following articles were downloaded most often from May 2025 through October 2025.
  1. An Overview of the Nurse Manager’s Guide to Budgeting and Finance 2nd Edition By Al Rundio, PhD, DNP, RN, APRN, NEA-BC, FNAP, FIAAN, FAAN
  2. Imagination Is Essential for Good Legal Defense By Erica Erman, Attorney, Dickinson Wright, PLLC
  3. Enhanced Crackdown on Non-Compete Agreements By Kimberly J. Ruppel, Chair, Healthcare Litigation Task Force, Dickinson Wright, PLLC
  4. Prepare for Nationwide Change to HIPAA Regulations By Marisol Cook, Director, Health Care Consulting Practice, Moss Adams (now Baker Tilly)