Tag Archives: PPACA

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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Clearing the Clutter: Wading Through Health Care

Please click here to see Christine Burke Worthen’s recent article in i4 Business magazine, where she provides a list of resources for professionals to stay abreast of health care reform.

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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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Electronic Health Records: Present State and Future Trends

By: Christine Burke Worthen Since the passage of the Affordable Care Act (ACA), there has been a flurry of activity in the realm of electronic health records (EHRs). From the realization that EHRs are a vital component to effectively manage … 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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‘Qualified health plans’ sold on exchanges not ‘federal health care programs’

The Department of Health and Human Services today issued guidance concluding that it does not consider qualified health plans and other programs related to federal health exchanges, state health exchanges and certain other programs to be federal health care programs. … 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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ACO or Bundled Payment? The Choices are Not Mutually Exclusive

By: Stephen Siegel Full implementation of “Obamacare” is drawing closer and one important question these reforms were designed to answer is becoming clearer: How will mechanisms designed to infuse accountability into the healthcare delivery system be implemented? Please click here … 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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Healthcare Marketplace Developments

By Mike Segal A recent article in USA Today, received courtesy of Kaiser News, once again highlights the virtually universal opinion of those in the know that the healthcare marketplace is irrevocably changing. The article focuses on the ongoing evolution … Continue reading

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