Category Archives: Reform

Legalize Marijuana: Don’t Count Your Chickens Before They Hatch

By: Stephen H. Siegel In the aftermath of the elections, last November, proponents of legalizing marijuana scored a number of victories. For them, the goal of legalizing marijuana nationwide seems closer than ever. However, the elections have released counter-forces that … Continue reading

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Disclosing Patient Substance Abuse Information, It’s Complicated!

By: Heather Miller On February 5, the Department of Health and Human Services (“HHS”) proposed changes to the Confidentiality of Alcohol and Drug Abuse Patient Records regulations (42 CFR Part 2) “to facilitate information exchange within new health care models … Continue reading

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Do Not Expect the Pace of Change to Slow in 2016

By: Stephen Siegel This year  has been a challenging one for healthcare providers. Just to recall, a few of the challenges in 2015 were: the final implementation of ICD-10; two multi-million dollar Civil False Claims settlements involving physician-hospital relationships in … Continue reading

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CMS Steps Up Medicare Revocation Actions

By: Anne Branan The Centers for Medicare and Medicaid Services (“CMS”) published a final rule, effective February 3, 2015, that drastically expanded CMS’s ability to revoke a provider’s Medicare billing privileges (“Final Rule”). This Final Rule has proved to be … Continue reading

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Hospital lobby to Scott: We like Senate plan; don’t raise our taxes

The Florida budget crisis continues.  The Governor’s request that hospitals share profits with the State to help offset the deficit has, not surprisingly, been summarily rejected. Please view the following article to learn more: http://www.orlandosentinel.com/news/politics/political-pulse/os-hospital-lobby-dont-raise-our-taxes-post.html?track=rss

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What the historic SGR replacement bill means for providers

While all physicians and physician groups should be excited about the passage of the Doc-Fix Bill, a rare bipartisan achievement now headed for the expected signature of the President, everyone should also recognize that the bill itself makes clear Congress’ … Continue reading

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Tavenner to Step Down as Head of CMS

By: Fred Segal Marilyn Tavenner, the much embattled Administrator of Centers for Medicare and Medicaid Services, announced last Friday that she will be stepping down at the end of the month. Tavenner was integral in the implementation of Healthcare.gov, the … Continue reading

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The ACA has been live for a year. So why are millions still uninsured?

Last year, more than seven million people purchased health insurance plans on the Affordable Care Act’s (ACA) exchanges. At the same time, about six million Americans enrolled in states’ Medicaid programs. But despite this—and a mandate requiring people to obtain … Continue reading

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Florida Shifts Medicaid Mental Health Strategy

Kaiser Health News today published information about state experimentation to coordinate physical and mental health care for those enrolled in Medicaid. Florida recently became the first state to offer a Medicaid health plan designed exclusively for people with serious mental … Continue reading

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Why Medicare Advantage costs taxpayers billions more than it should

Regulators have kept problems secret, and there’s no fix in sight, according to an article published by The Center for Public Integrity. Key Findings: Federal officials have made billions in “improper” payments to Medicare Advantage plans traced to risk score … Continue reading

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