Healthcare Law Briefs

October 11, 2005

 

*READ PAST ISSUES OF THE HEALTHCARE LAW BRIEFS

 

 

1. Asset Protection Announcement
 

The volatile malpractice environment and escalating malpractice verdicts have created new interest in asset protection planning. Including:

We are planning a program for physicians and their families to discuss these issues.

If you are interested in attending, please send an e-mail to Mike Cassidy at mcassidy@tuckerlaw.com.

 

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2. OIG Reiterates Support Of Gain Sharing Arrangements

In testimony before the subcommittee on Health of the House Ways and Means Committee, Lewis Morris, the Chief Counsel of the HHS Office of Inspector General, stated that the OIG will continue to support gain sharing arrangements that provide adequate safeguards, i.e.:

  1. measures that promote accountability;
     

  2. adequate quality controls; and
     

  3. controls on payments that may change referral patterns.

 

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3. California Court Rules PPO May Exclude Providers

In Lori Rubenstein Physical Therapy, Inc. v. PTPN, Inc. and Blue Cross of California, Inc., the Superior Court of California ruled that the PPO exclusionary practices did not violate the antitrust provisions of the California Business & Professional Code.

 

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4. P4P Advocates Support Additional Reimbursement

The AMA news reported that, “In recent testimony before the Medicare Payment Advisory Committee, (key representatives of major stakeholders) agreed that Congress must come up with more money to pay physicians who do well on federal quality measures - not take money away from those who don’t make the grade.” To read more about this funding issue, read Mike Cassidy’s article “Is P4P 4U”.

 

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>For more information about the topics presented in this newsletter please contact one of the Healthcare Attorneys:

 

Read the August 2005 issue of our HEALTHCARE NEWSLETTER.

 

 

Tucker Arensberg, P.C.

1500 One PPG Place  Pittsburgh, PA 15222   412/566-1212

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