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D.C. Circuit Allows Medicare Challenge to Proceed in Federal Court
The Legal Intelligencer
Monday, January 23, 2012
On Dec. 23, the U.S. Court of Appeals for the D.C. Circuit issued a decision reversing the district court's dismissal of a civil action brought by a group of physician-owned joint ventures challenging 2008 Stark regulations that would effectively deny them reimbursement.
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Recent Reimbursement Programs Outside ACOs for Providers
The Legal Intelligencer
Thursday, December 29, 2011
While much of the "buzz" in the health care industry is over the concept of accountable care organizations (ACOs), the Centers for Medicare and Medicaid Services have developed other programs pursuant to the Patient Protection and Affordable Care Act that don't get as much press.
Final Rule for Medicare Shared Savings Program Released by CMS
The Legal Intelligencer
Monday, November 28, 2011
Recently, the Centers for Medicare and Medicaid Services (CMS) released the much-anticipated final rule for the Medicare Shared Savings Program. In light of the tepid — at best — reaction by all segments of the health care field to the proposed rule, which came out in the spring, the issuance of a revised rule was highly anticipated.
Consent Agreement Reached in Pa. Urology Group Antitrust Suit
The Legal Intelligencer
Monday, October 24, 2011
Recently, a merged group, Urology of Central Pennsylvania Inc. (UCPI), consisting of five formerly independent urology practices in the Harrisburg area, and the Pennsylvania Attorney General's Office reached an agreement to settle the case filed by the attorney general alleging antitrust theories arising out of the merger. The consent agreement was reached just a day after the suit was filed by the Attorney General's Office in the U.S. District Court for the Middle District of Pennsylvania styled as Pennsylvania v. Urology of Central Pennsylvania Inc.
CMA Issues Final Medicaid Recovery Audit Contractors Rule
The Legal Intelligencer
Monday, September 26, 2011
Pursuant to Section 6411 of the Patient Protection and Affordable Care Act (PPACA), on Sept. 14, the Centers for Medicare & Medicaid Services (CMS) published a final rule in the Federal Register (76 Fed. Reg. 57808) for the Medicaid Recovery Audit Contractor Program (Medicaid Program).
CMS Approves Noncompetition Clause in Physician Recruitment Agreement
The Legal Intelligencer
Monday, August 22, 2011
Recently, the Centers for Medicare and Medicaid Services issued an advisory opinion (No. 2011-01) approving under the federal Physician Self-Referral statute a physician recruitment arrangement that included a noncompetition clause.
Health Care Organizations and Providers React to Proposed ACO Rules
The Legal Intelligencer
Monday, June 27, 2011
The approach and implementation of accountable care organization (ACOs) was highly anticipated and buzzed about in the health care industry.
AMA Weighs in With Its CMS Regulatory Concerns
The Legal Intelligencer
Monday, May 23, 2011
In response to an executive order issued Jan. 18 by President Obama aimed at reducing regulatory burdens, this April 13 the American Medical Association (AMA) issued a letter to Donald Berwick, administrator of the Centers for Medicare and Medicaid Services (CMS), summarizing the most burdensome regulations for the AMA's members.
Highlights From Proposed Rule on Medicare Shared Savings Program
The Legal Intelligencer
Friday, April 22, 2011
Almost exactly a year after President Obama signed health care reform legislation into law, on March 31, 2011, the Centers for Medicare and Medicaid Services released the much-anticipated proposed rule for the Medicare Shared Savings Program.
Judge Won't Issue Injunction Over Trade Secrets, Noncompetes
The Legal Intelligencer
Monday, March 28, 2011
Recently, the U.S. District Court for the Western District of Pennsylvania ruled in the matter of Wound Care Centers Inc., Diversified Clinical Services Inc. v. Catalane et al., against a motion for preliminary injunction brought against a hospital and individual physicians by a company engaged by a hospital to develop and manage a hospital-based program for the diagnosis and treatment of wound care for non-healing wounds.
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