We are pleased to announce that Claudia Hinrichsen, Esq. will be speaking in an upcoming Strafford live phone/web seminar, “Drafting Managed Care Contracts: Considerations for Providers” scheduled for Thursday, September 6, 1:00pm-2:30pm EDT. Healthcare reform is driving fundamental changes in the relationship between providers and managed care companies and introducing new approaches for contract negotiations. […]
On Thursday, August 23, 2012, the Final Rule regarding the Stage II Meaningful Use requirements was published. This Final Rule sets forth the requirements eligible hospitals and other eligible providers must meet in order to receive payments under the program, which provides incentive payments to Medicare and Medicaid providers that adopt qualifying EHRs. Stage II […]
This summer the Centers for Medicare & Medicaid Innovation announced 81 Health Care Innovation Awards made pursuant to the Affordable Care Act. Recipients were selected based upon their innovative solutions to addressing problems facing their communities and their ability to “deliver high-quality medical care, enhance the health care workforce, and save money.” See The U.S. […]
Claudia Hinrichsen, Esq. will be presenting “Drafting Managed Care Contracts: Considerations for Providers”, A live 90- minute CLE webinar/teleconference with interactive Q&A on Thursday, September 6, 2012. Continue Reading →
On July 26, 2012, Health and Human Services (HHS) Secretary Kathleen Sebelius and Attorney General Eric Holder announced that the federal government and several leading private and state organizations have teamed up to detect and prevent payment of fraudulent health care billings. In the short term, the voluntary partnership will be a medium through which […]
Kevin Clinton, the Michigan Insurance Commissioner, issued an order on July 18, 2012 that bans insurance companies from enforcing most favored nation clauses in health insurance contracts unless they are first submitted to him for approval. The order is effective February 1, 2013. As defined by the order, a most favored nation clause is one […]
MEDICARE APPROVES 89 NEW ACOs WHILE NEW YORK STATE AND PRIVATE PAYERS CONTINUE TO ADOPT ACO-RELATED STRATEGIES –Federal Government On July 9th, the U.S. Department of Health and Human Services added 89 new accountable care organizations to its list of entities which have been approved to participate in the Medicare Shared Savings Program. Nine of […]
Proposed changes to policies and payment rates for services paid under the Medicare Physician Fee Schedule (MPFS) for 2013 were released on July 6. The Centers for Medicare & Medicaid Services (CMS) released the proposed rules and the public is free to comment on the changes throughout a 60-day period that ends September 4, 2012. […]
On June 13, 2012, the California Supreme Court unanimously denied review in the case of California Society of Anesthesiologists v. Superior Court, 204 Cal.App.4th 390 (1st Dist. 2012) ending an over two year battle by the California Society of Anesthesiologists and the California Medical Association who challenged former governor Arnold Schwarzenegger’s certification to the federal […]
In the recently released Federal Register, The Office of Inspector General (OIG) informed the public that that it intends to update the Provider Self-Disclosure Protocol (the Protocol) and is soliciting input. The Protocol, which was first introduced in 1998, is the process that health care providers can take in order to disclose potential fraud involving […]
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