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Tag: legal

Posted July 9, 2013 with Tags , ,

The Rise of Associations, the Risk of Antitrust

There is an association for every type of health care provider and for every type of business that serves health care providers. Associations struggle with the allure of wanting to help their members share information and practices. If information sharing …

Posted July 9, 2013 with Tags , ,

My Health Plan Is Now My Provider?

In effort to more effectively manage their members, health plans are getting into the business of providing care. Some larger HMOs now employ nurse practitioners, for example, to work in the field and service long-term care centers. Are plans being …

Posted July 9, 2013 with Tags , ,

Charity Care in the Age of ObamaCare

The amount of charity care delivered has often been a key differentiator between a traditional for-profit health care provider and what might be a tax-exempt care provider. With the Affordable Care Act’s stipulation that everyone must have health insurance essentially …

Posted July 9, 2013 with Tags , , ,

The Stronger Push for Incentives

With CMS relaxing its cap on member benefits, what new initiatives might health plans roll out and how far will they push the envelope to incent members towards specific kinds of care services? Similarly, recent opinions from the OIG seem …

Posted June 24, 2013 with Tags , , , , , , , , , , ,

Background Check? Not so Fast. “Ban the Box” Efforts Expanding Nationally

On May 13, 2013, Minnesota became the latest state to put new measures into place restricting employers’ abilities to inquire about criminal histories on job applications. Many cities and counties nationwide have also taken this step, with others considering similar …

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