Category Archives: Fred Segal

Mount Sinai Affiliated Hospitals to Pay $3 Million Settlement for Delaying Medicaid Overpayments

By: Fred Segal On August 24, 2016, the US Attorney for the Southern District of New York, in conjunction with the US Department of Health and Human Services, Office of the Inspector General (OIG) announced that it settled a whistleblower … Continue reading

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Reminder to Health Care Providers: You Have to Disclose to Patients That You Are an Investor in the Entity To Which You Are Referring Them

By: Fred Segal Attorneys may sometimes discover that, unknown to the client, their clients may be engaging in conduct that is violative of the law. Much of the time, the client simply isn’t aware that such law exists. One of … Continue reading

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The Next Generation ACO Model – CMS’s Most Crucial Experiment Yet?

By: Fred Segal After its first two “performance years,” the Medicare Shared Savings Program (MSSP), established by the Affordable Care Act, and launched in 2012 by Centers for Medicare and Medicaid Services’ (CMS) Center for Medicare & Medicaid Innovation, has … Continue reading

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Medicare Announces New ACO Initiative: The Next Generation ACO Model

By: Fred Segal On March 10, 2015, CMS announced that it will offer a new ACO Model in the near future:  The Next Generation (Next Generation) ACO Model.  The Next Generation Model will be separate and apart from the Pioneer … Continue reading

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CMS Releases Interim Financial Results for ACOs Enrolled in the Medicare Shared Savings Program

By: Fred Segal On January 30, 2014, the Centers for Medicare and Medicaid Services (“CMS”) released interim financial results of the first contract year of its Shared Savings Program (“MSSP”). According to these results, ACOs that began the MSSP in … Continue reading

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Some States See Surprisingly Good Enrollment in the Obamacare Healthcare Exchange Plans

By: Fred Segal The consensus opinion by just about every expert, journalist, and even the White House itself, is that the Government did a poor job in its execution of rollout of the Healthcare Exchanges under the Patient Protection and … Continue reading

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Health First To Partner With Florida Hospital to Create a Health Plan

By: Fred Segal Florida Hospital Healthcare System, Central Florida’s largest nonprofit healthcare provider is close to a deal with Health First Health Plans to join forces to create a health plan for patients in the Orlando and Tampa areas.  Health … Continue reading

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Affordable Care Act’s “Employer Mandate” to Be Delayed One Year

By: Fred Segal On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (P.L. 111-148) (i.e. “PPACA” or “Obamacare”). PPACA’s “employer mandate” penalizes certain employers who do not offer affordable coverage to its employees. … Continue reading

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Consequences and Rewards for an Employer’s Decision to Provide Health Insurance for Their Employees Under Health Reform

By: Fred Segal On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (P.L. 111-148) (i.e. “PPACA” or “Obamacare”). One of the main purposes of this health reform law is to expand healthcare coverage … Continue reading

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Four Broad and Cassel Attorneys Pen Chapter in National Health Law Book

Mike Segal, Heather S. Miller, Stephen H. Siegel and Fred Segal of Broad and Cassel’s Health Law Practice Group collaborated on a chapter for the 2013 Health Law and Compliance Update, which was published this month by Aspen Publishers. The … Continue reading

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