health law notes
health reform: aco game on?
May 2nd, 2011
“Should we form an ACO?” questioned the primary care physician at a presentation by legal counsel at a business meeting of her medical group. “Do you mean an ACO or Medicare ACO?” replied the group’s general counsel. “What’s the difference?” quizzed the physician. “Well, quite a bit,” replied the lawyer.
hipaa: enforcement begins
March 5th, 2011
In rather dramatic fashion like the tornado in the Wizard of Oz, enforcement of the Health Insurance Portability and Accountability Act (“HIPAA”) privacy law twirled into action. Two publicized cases telegraphed clearly will begin assessing significant monetary penalties.
health reform: a federal summit on acos
October 1st, 2010
On Tuesday, October 5, 2010, the federal government will host a workshop on legal issues related to the development of accountable care organizations (“ACOs”).
health reform: a second glance
June 23rd, 2010
“You must form an ACO or you will miss the health reform boat,” said the health care consultant. “An ACO? Okay, I do not know what that is, but how do we get started?” replied the primary care physician. In the 1970s, we heard the acronym HMOs (health maintenance organizations), in the 1980s it was PPOs (preferred provider organizations), and IPAs and PHOs in the 1990s (independent practice associations and…
health insurance: buyer beware
May 24th, 2010
While the days of junk faxes should be nearing an end, yet another story surfaces that demonstrates the deceptive side of the practice is still alive and, unfortunately, profitable. In May 2010, the Oregon Insurance Division (OID) reported that some Oregonians had been solicited by fax to buy “affordable health care” for $369 for an entire family. Even though that sounded way too good to be true, nearly 400 unsuspecting…
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