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How Does the Supreme Court’s Recent Decision Impact Employers and...
In the wake of the U.S. Supreme Court’s June 28, 2012, decision upholding the constitutionality of the 2010 Patient Protection and Affordable Care Act, employers who had been awaiting the decision...
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What Healthcare Organizations can do to Prepare for the Mandatory Compliance...
With the passage of the ACA, the voluntary nature of compliance programs is about to change. Smaller healthcare organizations and other ancillary providers who have previously not established...
View ArticlePaul Ryan May View the ACA as Medicare’s Biggest Threat, But Many Hospitals...
Last week, Paul Ryan accepted the nomination for Vice President. In his acceptance speech, he cited “Obamacare” as the greatest threat to Medicare, but many hospitals view the expansion of coverage...
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New Technology May Help an Old Problem: Remote Monitoring to Reduce...
In less than two weeks, CMS will begin reducing a hospital’s Medicare reimbursements by as much as 1% if the hospital’s readmission rates are too high. This reduction is part of a program authorized...
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Government Announces Record-Breaking Recoveries of Healthcare Fraud Money
The Departments of Justice and Health and Human Services released a report last week showing that the government has achieved the highest return on investment in the 16-year history of the Health Care...
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Disincentives to Physician-Patient Discussions of End-of-Life Care
Harvey Tettlebaum, a Husch Blackwell attorney specializing in healthcare law with an emphasis in post-acute care, contributed an article to the June 2013 issue of the Journal of Health & Life...
View ArticleCMS Approves Texas Bundled Payment Pilot Programs
On January 31, 2013, the Centers for Medicare & Medicaid Services (CMS) announced the health care organizations selected to participate in the Bundled Payments for Care Improvement initiative...
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DSH Program Takes a Hit Under Healthcare Reform
Pursuant to the Affordable Care Act, the Centers for Medicare and Medicaid Services recently adopted a final rule implementing $1.1 billion in cuts to the Medicaid disproportionate share hospital (DSH)...
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DOJ intervenes in first False Claim Act case involving ACA ’60-day repayment...
The U.S. Department of Justice (DOJ) and the New York State Attorney General intervened in a federal False Claims Act (FCA) case on June 27, 2014, accusing Mount Sinai Health System of failing to...
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District court interprets ‘identification’ of overpayment under 60-day rule
A New York district court issued the first judicial opinion Monday, Aug. 3 on the Affordable Care Act’s “60-day rule,” which requires that a Medicare or Medicaid overpayment be reported and returned...
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Slow Repeal of the ACA and Its Effect on Physicians
This is the second article in our series on the effect of a “slow repeal” of the ACA, which began January 3, 2017, when Senate Budget Committee Chairman Mike Enzi introduced a budget resolution with...
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Slow Repeal of the ACA and Its Effect on the Pharmaceutical Industry
This is the third article in our series on the effect of a “slow repeal” of the ACA. This week’s discussion focuses on the potential impact of a slow repeal of the ACA on the pharmaceutical industry...
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Slow Repeal of the ACA and Its Impact on the Individual Health Insurance...
This is the fourth article in our series on the effect of the “slow repeal” of the ACA. This week’s article starts a three-part discussion on the potential impact of the slow repeal of the ACA on the...
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Managing MACRA – Part VII: What happens to MACRA if the Affordable Care Act...
Even without potential changes to the Medicare program, MACRA poses a significant challenge for any clinician trying to determine the best strategy to maximize Medicare reimbursement – there are...
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IRS announces changes to individual mandate enforcement
On February 15, 2017, the IRS announced on its website that, based upon its review of the White House’s January 20, 2017, executive order, it would continue to accept returns filed by taxpayers that do...
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Slow Repeal of the ACA and Its Impact on Rural Healthcare and Communities
This is the fifth article in our series on the effect of the “slow repeal” of the Affordable Care Act (ACA). This week’s article focuses on the potential impact of the slow repeal of the ACA on rural...
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Slow Repeal of the ACA and Its Impact on Post-Acute Care Providers
This is the sixth article in our series on the effect of a “slow repeal” of the ACA. This week’s discussion focuses on the potential impact on post-acute care providers. The term “post-acute care...
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Slow Repeal of the ACA and Its Effect on Healthcare Technology
This is the seventh article in our series on the effect of a “slow repeal” of the ACA. This week’s discussion focuses on the potential impact on healthcare technology. Industry experts are predicting...
View ArticleSlow Repeal of the ACA Just Got Slower…
On March 20th, House Republicans rolled out a number of changes to their bill, the American HealthCare Act (AHCA), seeking to repeal and replace the Affordable Care Act, the healthcare law better known...
View ArticleSlow Repeal of the ACA: Efforts to Reduce Prescription Drug Prices
The decision by the House Leadership to choose not to bring the American Health Care Act (AHCA) to a vote left industry analysts speculating both about the fate of “Obamacare,” and the prospects for...
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