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Tuesday, October 2nd, 2012

Two major but less discussed programs under the Affordable Care Act took effect October 1, 2012, which are part of the government’s effort to deliver better quality health care.  Both programs aim to reward hospitals for providing more efficient and…

Thursday, August 30th, 2012

“Same Doctor Visit, Double the Cost” – this is the title of a recent Wall Street Journal article written by Anna Wilde Mathews, which provides a view on the hospital-physician integration phenomenon.  The article describes the higher fees charged by hospitals that…

Wednesday, August 22nd, 2012

The federal government’s war on healthcare fraud is going high-tech with the opening of a $3.6 million command center.  The Centers for Medicare and Medicaid Services (CMS) pays $750 billion each year to more than 1.5 million healthcare providers, and healthcare…

Thursday, August 16th, 2012

After the dust has settled from the Supreme Court’s upholding of the Accountable Care Act, one key takeaway from the provider perspective appears to be reimbursement strategy. Providers must continue to determine how best to absorb looming reimbursement cuts and…

Tuesday, August 7th, 2012

Forward-thinking hospital systems are taking advantage of new technology to facilitate patient-doctor interaction.  Providence Health Ministry in Mobile, Alabama  recently announced the launch of a new smart phone app to connect patients with the doctors and physician groups practicing at…

Friday, July 27th, 2012

With all the recent focus on the Affordable Care Act, providers need to remember the increased resources for enforcement and the need to ensure regulatory compliance at every turn.  One trap for the unwary health care provider is the failure…

Tuesday, July 10th, 2012

On July 9, 2012, the Centers for Medicare and Medicaid Services (“CMS”) posted 43 frequently asked questions (“FAQs”) addressing various issues concerning the 3-day Payment Window Rule (the “Rule”).  As background, the Rule applies to outpatient services furnished (1) by…

Tuesday, April 17th, 2012

For 20 years beginning in the 1960s, IBM was king of its universe: the mainframe computer.  Then came along such interesting start-ups as Microsoft, Intel and Dell and, as personal computers became more powerful, IBM’s mainframe business could no longer…

Tuesday, April 10th, 2012

Regardless of the brilliant strategy or the fantastic business plan – if the people in a business deal “don’t work”, then the deal won’t work.  Savvy hospitals and physician groups understand this phenomenon as they approach negotiation.  Their conduct facilitates…

Tuesday, April 3rd, 2012

One of the questions I am routinely asked in an early meeting with a physician group is: who should we have as our physician-negotiators? There are three keys to arriving at an answer. Key #1. Do you have shareholders with…