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Key Considerations: Management Services Organization Tax and Fee Structures



By Robert Grannum, Partner, Health Care Practice, Moss Adams
By Shane Griffiths, CPA, Partner, State & Local Tax Services, Moss Adams
By Sarah Buhl, Managing Director, Health Care Practice, Moss Adams


The management services organization (MSO) structure has gained prominence in the health care sector, driven by ongoing M&A activity in digital health and provider groups. As health care organizations increasingly seek to expand their service offerings, MSOs play a critical role in enabling nonphysicians to have legal ownership while navigating complex regulatory environments. Read article
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Federal Enforcement of Mental Health Parity: Key Updates and Challenges Ahead


By Nicolette Taber
Attorney, Dickinson Wright PLLC

On January 17, 2025, the U.S. Departments of Labor, Health and Human Services, and the Treasury (“the Departments”) issued their 2024 Report to Congress on the enforcement and implementation of the Mental Health Parity and Addiction Equity Act (“MHPAEA”). This regularly required report follows the Departments’ Final Rules issued in September 2024. Read article
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Bridging the Healthcare Communication Gap In 2025


By Andrew Mignatti
Co-founder and CEO, Careviso

The U.S. healthcare system is experiencing continued drastic changes at all levels, with persistent challenges in communication and financial transparency. Recent survey data underscores the growing frustration among patients and physicians alike, particularly regarding prior authorizations and pricing accessibility. Read article
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Health Plan Financial Reports for California and Washington State


By David Peel
Publisher and Editor, Healthcare News

We recently updated our financial reporting for health plans in California and Washington State. Click on the links below to see the numbers.

Most Downloaded Articles


The following articles were downloaded most often from January 2024 through June 2024.
  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. Top Five Shoes for Nurses By David Peel, Publisher and Editor, Healthcare News
  3. Rethink Performance Management to Serve Your Employees - and Your Organization By Brett Addis, Director, Human Capital Advisory of Moss Adams
  4. Recharge and Illuminate Your Workplace in 2024 By Danna Beal, M.Ed., International Speaker, Author and Coach
  5. New California Health Care Worker Minimum Wage Requirements in 2024 By Georgia Green and Pat Oungpasuk of Moss Adams
  6. TikTok Does Not Like Your Hospital By Craig B. Garner, Founder, Garner Health Law Corporation
  7. Mitigate Risk in Your Emergency Department By Dawn Isaacs and Pat Oungpasuk of Moss Adams
  8. CMS to Provide Incentive Payments to ACOs and Primary Care Providers in 2025 By Georgia Green and Steven Hartley of Moss Adams
  9. Top Health Care Concerns: Prepare for Reimbursement and Transaction Constraints By Chris Pritchard, Partner and Health Care Industry Practice Leader, Moss Adams
  10. FTC Declares Employees Free from Most Noncompetes, But How Far Does the Ban Go and Will It Last? By Jeffrey M. Beemer and Alleanna B. Siacon of Dickinson Wright PLLC