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HTMLMedicare Pre-Claim Review Demonstration for Home Health Services
Nancy E. Taylor; Greenberg Traurig, LLP;
Legal Alert/Article
July 29, 2016, previously published on July 18, 2016
Beginning Aug. 1, 2016, the Centers for Medicare & Medicaid Services (CMS or Agency) will implement a three-year pre-claim demonstration for home health services in Illinois, followed by Florida, Texas, Michigan, and Massachusetts. The demonstration will begin in Florida no earlier than Oct 1,...

 

HTMLHIPAA Enforcement Against Business Associates Heats Up with $650k Settlement
Rick L. Hindmand; McDonald Hopkins LLC;
Legal Alert/Article
July 28, 2016, previously published on July 1, 2016
The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) announced a $650,000 settlement with a business associate this week, proving the office is serious about taking strong enforcement action and imposing severe penalties against business associates for failure to...

 

HTMLOhio Appellate Court Upholds the Use of the Affordable Care Act to Substantially Reduce a Jury’s Award of Future Damages
John J. Hare, Leslie M. Jenny; Marshall Dennehey Warner Coleman & Goggin, P.C.;
Legal Alert/Article
July 28, 2016, previously published on July 11, 2016
Lawyers handling catastrophic injury cases have closely followed the emerging body of case law regarding the impact, if any, of the Affordable Care Act (ACA) on claims for future damages. Before the ACA, it was uncertain whether injured individuals would have health insurance in the future....

 

HTMLThe Heightened Standard for Expert Testimony under MCARE Only Applies to Medical Doctors Licensed by the State Board of Medicine
Daniel Dolente; Marshall Dennehey Warner Coleman & Goggin, P.C.;
Legal Alert/Article
July 28, 2016, previously published on July 19, 2016
The Superior Court was faced with the issue of whether a board-certified orthopedic surgeon met the qualification requirements of the MCARE Act to render a standard of care opinion against a board-certified podiatrist. Under MCARE, an expert testifying on a medical matter must: (1) possess a...

 

HTMLIL Supreme Court Outlines Doctor’s Remedies Against Hospital for Termination of Practice Privileges
Richard Hunsaker; Heyl, Royster, Voelker & Allen Professional Corporation;
Legal Alert/Article
July 26, 2016, previously published on Second Quarter 2016
In Steven Valfer, M.D. vs. Evanston Northwestern Healthcare, 2016 IL 119220, the Illinois Supreme Court has further outlined what is necessary to enforce actions of a hospital in revoking practice privileges or disciplining a staff physician.

 

HTMLIL Supreme Court Limits Claims of Privilege in Neglect Credentialing Cases
Mark Hansen, J. Matthew Thompson; Heyl, Royster, Voelker & Allen Professional Corporation;
Legal Alert/Article
July 26, 2016, previously published on First Quarter 2016
In its recent opinion in Klaine v. Southern Illinois Hospital Services, 2016 IL 118217, the Illinois Supreme Court addressed the privileged nature of certain documents when negligent credentialing is alleged. While, the court rejected arguments in support of certain privileges, defendants can argue...

 

HTMLAcademic Health Center Settles Alleged HIPAA Violations With $2.7 Million Penalty
Carol A. Hyde; Iseman, Cunningham, Riester & Hyde LLP;
Legal Alert/Article
July 26, 2016
Oregon’s only academic health center has agreed to pay a penalty of $2.7 million to settle alleged HIPAA violations.

 

HTMLApp. Court Decision Discusses Issues of Apparent Agency and Admissibility of Practice Algorithms
Richard Hunsaker; Heyl, Royster, Voelker & Allen Professional Corporation;
Legal Alert/Article
July 26, 2016, previously published on First Quarter 2016
In a medical liability case tried in Cook County, the issues of apparent agency between a physician and hospital and the admissibility of medical literature at trial were reviewed by the First District Appellate Court. The case, Fragogiannis v. Sisters of St. Francis Health Services Inc., 2015 IL...

 

HTMLConsent Forms & the Non-English Speaking Patient: Court Rules for Hospitals and Others in Healthcare
J. Matthew Thompson; Heyl, Royster, Voelker & Allen Professional Corporation;
Legal Alert/Article
July 26, 2016, previously published on Second Quarter 2016
In Mizyed v. Palos Cmty. Hosp., 2016 IL App (1st) 142790, the Illinois Appellate Court considered the impact of a patient’s inability to speak or read English on the effectiveness of a signed consent form. In a positive outcome, the court found that a hospital has no duty to determine a...

 

HTMLTackling the Dragon of Hospital Price Disparity: Massachusetts’s On-Going Efforts to Address Price Equity
Eric R. Blythe, Stephen M. Weiner; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
Legal Alert/Article
July 22, 2016, previously published on June 8, 2016
Price disparities among hospitals pose one of the more intractable issues for policy makers, regulators and the government. That they exist is indisputable. Why they exist is a source of much contention. And the issue creates great disunity within the hospital world, causing fissures especially...

 


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