Attention Seniors! Check Into a Hospital and Get $100!

OIG Advisory Opinion 15-03 approves a Medigap insurer’s program that, among other things, calls for (a) network hospitals to waive the deductible for Medicare enrollees, (b) the insurer to pay the hospital network a fee each time it admits a Medicare enrollee, and (c) pay the Medicare enrollee $100 for being …

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Florida Hospitals Face Glenn Close-Like Threat

Remember the evil Glenn Close character in Fatal Attraction?  We were sure Michael Douglas had drowned her in the bathtub, but she popped up again, still alive and scary as all get-out. Class actions by uninsured patients against hospitals are like that character.  For a couple of decades now, hospitals have …

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Peer Review Concludes with Termination of Reviewer

You read that correctly:  the hospital fired the physician who did the reviewing in a medical staff peer review proceeding.  Hospital executives present at the proceeding felt the reviewing physician was too harsh in questioning the physician under review.  They reported it to administration, and the result was …

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These Doctors Work Hard – Over 24 Hours a Day

Sir Arthur Conan Doyle might have called it “The Case of the Doctors Who Work More than 24 Hours a Day.”  Unfortunately for the physician group in question, Sir Arthur wasn’t the author; the federal court for the Northern District of Illinois was. And that court took a dim view of the practice of billing …

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U.S. Supreme Court Denies Antitrust Protection for State Professional Boards

In a 6-3 decision in North Carolina State Board of Dental Examiners v. Federal Trade Commission, the United States Supreme Court ruled today that state professional boards comprised of active professionals in the occupation the board regulates cannot invoke state-action antitrust immunity unless the board is …

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Black Tuesday Falls on a Friday for Nation’s Nursing Homes

If you think of CMS quality ratings as the Dow Jones index, then last Friday, February 20, was the equivalent of Black Tuesday, October 29, 1929, the day the stock market collapsed.  Why?  Because on February 20 quality rankings dropped for a whopping 63% of the nation’s nursing homes. Did care at …

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