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|Concerns about Aerotoxic Syndrome|
Christopher Adams, Anne Davies; Withers Bergman LLP;
March 18, 2015, previously published on March 11, 2015A coroner has been investigating the death of a 43 year old British Airways ('BA') pilot on medical leave, who believed that he had been poisoned by repeated exposure during his career to contaminated aircraft cabin air.
|Affordable Care Act: Medical Expense Reimbursement Plans May Need Amendment|
John T. Mulligan, Antoinette M. Pilzner, Dale R. Vlasek; McDonald Hopkins LLC;
March 18, 2015, previously published on February 11, 2015At one time medical expense reimbursement plans (MERPs) were a very popular fringe benefit, particularly for small employers, and most particularly for small professional corporations maintained by healthcare providers. Under a MERP, a corporation could reimburse its employees (including...
|HHS proposes new Medicare reimbursement policies|
McDonald Hopkins LLC;
March 18, 2015, previously published on January 30, 2015 The Health and Human Services (HHS) Department laid down an ambitious plan for changing the way Medicare pays healthcare providers, and officials hope the changes will spread throughout the healthcare system.
|Administration Touts Tax, Healthcare, and Education Proposals|
Michael Caputo, Rebecca M. Kuhns, Aaron M. Ockerman, Todd A. Snitchler; McDonald Hopkins LLC;
March 18, 2015, previously published on February 13, 2015The House Finance Committee continued hearings on Gov. Kasich's budget proposal this week. House Bill 64, a nearly 3,000 page bill, includes details on the governor’s spending proposal for fiscal years 2016 and 2017.
|Physicians Beware: Collection and Handling Payments under Scrutiny|
Jane Marie Pine Wood; McDonald Hopkins LLC;
March 18, 2015, previously published on February 20, 2015On June 25, 2014, the Office of Inspector General (OIG) issued a special fraud alert entitled “Laboratory Payments to Referring Physicians.” The alert deals specifically with laboratories paying compensation to physicians and group practices for blood specimen collection, processing,...
|News on Legislation in State Procurements|
Pavel Karpunin, Rimma Leshcheva; Capital Legal Services;
March 18, 2015, previously published on February 2015A draft Government Resolution is developed, restricting foreign pharmaceuticals for state procurement
|Virtual Credit Card Payments|
Patricia S. Hofstra; Duane Morris LLP;
March 18, 2015, previously published on February 6, 2015On January 30, 2015, several healthcare organizations sent a group letter to CMS protesting the use of virtual credit cards by health plans to pay providers. In a virtual credit card payment (a nonstandard type of electronic funds transfer EFT), a health plan or its payment vendor issues single-use...
|Vietnam: Changes in Health Insurance Regulations|
Quynh-Anh Lam, Viet Hung Nguyen; Mayer Brown LLP;
March 18, 2015, previously published on March 9, 2015On 13 June 2014 the National Assembly issued Law No. 46/2014/QH11 ("Law 46") amending and supplementing some provisions of the Law on Health Insurance. Law 46 took effect on 1 January 2015. In order to provide implementing guidance to Law 46, on 15 November 2014 the Government issued...
|Health System Integration and Antitrust Laws on Collision Course|
Philip H. Lebowitz; Duane Morris LLP;
March 18, 2015, previously published on February 3, 2015Health systems attempting to fulfill the mandate of integrating hospitals and physicians may find themselves accused of going too far. Although the Affordable Care Act, shared savings, gainsharing and other alternative payment methodologies have made integration of physicians, hospitals and other...
|OIG Would Not Sanction Arrangement Involving Payment to Excluded Provider for Pre-Exclusion Services|
Steven Boutwell, Lyn S. Savoie; Kean Miller LLP;
March 17, 2015, previously published on February 19, 2015The latest OIG Advisory Opinion, issued February 9, 2015, addresses the issue of sharing federal health care program payments with an excluded practitioner. While federal statutes prohibit payment by any federal health care program, including Medicare or Medicaid, for items or services furnished by...