Healthcare provisions in the American Taxpayer Relief Act – the good, the bad and the ugly *

USA - January 10 2013
In late night action on December 31, 2012, the American Taxpayer Relief Act of 2012 (ATRA) was passed by the Senate and finalized days later by Congress…

Co-authors: Kathleen P. Rubinstein.

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Multi-payor initiatives receive renewed attention *

USA - October 25 2012
The Centers for Medicare and Medicaid Innovation (CMMI), a unique creature of the Patient Protection and Affordable Care Act (PPACA), which authorizes CMMI to spend $10 billion to test and evaluate innovations in payment and service delivery arrangements, commented recently on its multi-payor initiative, originally announced July 19, 2012.

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Medicaid: issues continue to arise following the Supreme Court decision *

USA - October 12 2012
In the wake of June's Supreme Court opinion on the Patient Protection and Affordable Care Act (PPACA), government officials at the federal and state level and budget analysts have been thinking about implementation and analyzing the impact of the curve ball thrown by Chief Justice John Roberts and the majority of the Court as to implementation of Medicaid expansion.

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If sequestration occurs -- what happens to healthcare? *

USA - October 12 2012
On September 14, 2012, the Office of Management and Budget (OMB) issued its preliminary report detailing the estimated percentage cuts for more than 1,200 federal budget line items impacted by sequester.

Co-authors: Kathleen P. Rubinstein.

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California providers turn the tables in out-of-network dispute with Aetna *

USA - July 19 2012
The California Medical Association is headlining a suit with several other medical societies and provider plaintiffs that sued Aetna in California state court on July 3, alleging that Aetna is retaliating against patients, physicians and out-of-network facilities alike for using out-of-network benefits.

Co-authors: Darby Allen.

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