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Management Services Agreements

This article briefly discusses the current trends in the practice management industry, as these trends may directly and indirectly affect both the management company and the healthcare entity. This overview of the services provided by practice management groups, is followed by a discussion of the competitive, reimbursement, regulatory, and technological environments in which practice management groups opera ...

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The Due Diligence Imperative

Healthcare Regulatory Environment (Part III of VI) In the March/April 2018 issue of The Value Examiner, the author underscores the importance of undertaking rigorous due diligence to better understand the regulatory burdens and operational risks notwithstanding efforts to repeal and replace. ...

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Obama Administration Issues Rules for Employee-Wellness Plans

Guidelines Released for Employee Wellness Programs The Equal Employment Opportunity Commission has released guidelines for structuring employee wellness programs that adhere to health privacy regulations and anti-discrimination rules.  Employers should notify workers about how their health data will be used and encrypt sensitive information to ensure confidentiality.  Bertha Coombs, CNBC reporter, also sugg ...

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IRS Rewriting Tax Law?

  Among many legal challenges to the validity of the Affordable Care Act (ACA), is Halbig vs. Burwell. The challenge concerns a passage in the statute, when literally read as worded, makes federal tax credits for insurance programs available only to those enrollees in states that have created a state-designed and operated healthcare exchange. Read as it currently exists, the statute does not allow for ...

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Accountable Care Organizations

Value metrics and capital formation Robert Cimasi serves as chief executive officer of HEALTH CAPITAL CONSULTANTS (HCC). Mr. Cimasi’s firm is a nationally recognized healthcare financial and economic consulting agnecy headquartered in St. Louis, MO, serving clients in 49 states since 1993. He is author of a three-volume set that offers a comprehensive reference guide to the factors involved in consulting wi ...

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Will “Pay for Performance Work in Healthcare?” Times Editor has Doubts. Here’s Why. —NY Times

Pay-for-Performance Provisions are a "Triumph of Theory Over Experience," Writes Bill Keller in "Carrots for Doctors."    "Pay for performance, or P4P in the jargon, is embraced by right and left. It has long been the favorite egghead prescription for our absurdly overpriced, underperforming health care system. The logic  . . .  If only it worked," writes former New York Times executive editor Bill Keller, ...

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Health Law Pinches Colleges —Wall Street Journal

Some Schools Cut Hours of Hard-Pressed Adjuncts to Avoid Rules on Insurance Mark Peters and Douglas Belkin at the Wall Street Journal report that the federal health-care overhaul is prompting some colleges and universities to cut the hours of adjunct professors, renewing a debate about the pay and benefits of these freelance instructors who handle a significant share of teaching at U.S. higher-education ins ...

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“Health Scare for Small Businesses” — WSJ Law Blog — Growing Trend — Stories in NYT, Economist, WaPo, CNN, Forbes, US News & World Report, The Hill, & More.

Ahead of the new health-care law, small firms worry about crossing the crucial 50-person threshold — and about rising premium rates  Emily Maltby at the WSJ Law blog reports on increasing concerns about the forthcoming healthcare laws among small business owners.  This seems to be a prominent issue and concern among small business owners, and has been noted in most every major media outlet in recent weeks, ...

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With New Health Law, Sharp Rise in Premiums—New York Times, 20+ Other Outlets

2013 California Filings:   Aetna: 22 percent.  Anthem Blue Cross: 26 percent.  Blue Shield of California: 20 percent. Reed Abelson at the New York Times reported last week that health insurance companies across the country are seeking and winning double-digit increases in premiums for some customers, even though one of the biggest objectives of the Obama administration’s health care law was to stem the rapi ...

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Small Business Considers How to Manage Growth, Comply With Healthcare Mandates —Wall Street Journal

Health Costs on His Mind, Small Factory Owner Looks for Ways to Cope With New Law Emily Maltby and Sarah E. Needleman at The Wall Street Journal talk with a small business owner outside of Chicago who's considering ways to manage growth, preserve profit, and comply with the new healthcare law. Automation Systems, with with sales of about $1.6 million for 2012, currently employs 40 full-time workers, mostly ...

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Five Strategies to Survive as a Physician Under the ACA —Physicians Practice

There’s Good Reason for Long-Term Concern, Uncertainty, and Fear. Here's What To Do. James Doulgeris at Physicians Practice explains:  "Everyone in the practice and allied health world should take the title of the legislation seriously — The Patient Protection and Affordable Care Act (ACA). It does not say physician protection nor does it say it will be affordable for you. Most practices will suffer serious ...

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More on Healthcare Tax Increases Kicking in on Jan. 1, 2013 —WSJ Tax Report

Two New Taxes on Net Investment Income and Medicare Will Take Effect on January First At the Wall Street Journal's Tax Report, Laura Saunders explains.   The word is out: Two new taxes on the affluent and wealthy will take effect as scheduled next year as a result of the Supreme Court's decision upholding the health-care overhaul. One is a new 3.8% tax on net investment income, and the other is a 0.9% incre ...

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What the Supreme Court’s ACA Ruling Means for Physicians —Physicians Practice

The Big Picture: Medicaid Impact,  Patient Demand, Physician Pay, and More.   Physicians Practice, a leading practice management resource, has examined the implications of the historic Supreme Court healthcare decision. Eschewing opinion about John Roberts or the impact on insurance company stock prices, the coverage helps physicians understand what it means for them.  Offering commentary as well as analyzi ...

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Healthcare Practice Trends: M&A, Compliance, and Standard-of-Care Metrics — Metropolitan Corporate Counsel

Metropolitan Corporate Counsel interviews Monte I. Dube, Partner, and Elizabeth M. Mills, Senior Counsel, of Proskauer’s Health Care Department in Chicago. Excerpts: What are the current trends in M&A within the healthcare industry? Dube: Increasingly and for multiple reasons, U.S. hospitals and healthcare systems of all types are looking for potential partnerships or affiliations. Financially distresse ...

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