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Challenge is increasing health coverage while keeping costs contained
Implementation of meaningful health care reform has been identified as a critical federal and state budget issue that will continue regardless of the outcome of the litigation.Medicaid Recovery Audit Contractors Coming Soon
In his Health Law column, Francis J. Serbaroli, a shareholder in Greenberg Traurig, reviews the new federal requirement that all states contract with Recovery Audit Contractors (RACs) to recover Medicaid overpayments. These RACs are essentially private bounty-hunters that will be paid a contingency fee based upon how much they recover. He cautions that this new assault on Medicaid fraud points up the need for effective internal compliance programs.CMS Releases Guidance on Medicaid Alternative Benefit Plans and EHBs
As part of the Patient Protection and Affordable Care Act (ACA), certain expansions were required to the Medicaid program. In its landmark ruling on health care reform, the U.S. Supreme Court determined that it was unconstitutional to require states to expand their Medicaid programs as called for in the ACA.An Update on Electronic Health Records and 'Meaningful Use'
This summer, the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) issued final regulations on the definition of "meaningful use" for purposes of health care providers obtaining incentive benefits for use of electronic health records (EHR) pursuant to the American Recovery and Reinvestment Act of 2009 (ARRA).Correctional Medical Services Inc. v. Department of Corrections
Neither the deliberative process privilege nor the official information privilege protects the documents plaintiff seeks in this breach-of-contract action.Traps for the Unwary: Defendant's Obligations Under Medicare
In their Medical Malpractice Defense column, John L.A. Lyddane and Barbara D. Goldberg of Martin Clearwater & Bell provide an overview of some of the basic Medicare reporting requirements and offer compliance suggestions. They also address the issue of whether funds should be held, withheld or placed in trust to fund future medical payments.Law Firm Inks $852 Million Outsourcing Deal
Legal process outsourcing company Integreon has entered into what it describes as the largest legal outsourcing deal ever, worth $852 million over 10 years, with British law firm CMS Cameron McKenna. CMS employees whose "middle office" duties are covered by the deal will continue with their jobs but will draw their paychecks from Integreon rather than from the law firm. CMS Cameron's openness about both the price tag and the deal itself marks a departure from law firms' more typical habit of outsourcing on the down low.Accountable Care Organizations Are Key to Health Reform Law
David A. Manko, a partner at Rivkin Radler, and George Choriatis, and associate at the firm, write that, now that the Health Reform Act has been enacted, the most important next step with respect to the Medicare Shared Savings Program is for CMS to issue regulations implementing the program.Trending Stories
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