Get Ready for Obamacare

Get Ready for Obamacare

On October 1, 2013 Health Insurance Exchanges (aka Insurance Marketplaces or HIX) will start operating.  Here is an overview of some of the things consumer can expect.  Click the “play” icon to view a presentation from Kaiser Family Foundation.  “Obamacare” is short for the Patient Protection and Affordable Care Act.

Interestingly, Obamacare including HIX and Accountable Care Organization (ACO), will be impacted by a new data standard called ICD-10.  Many don’t see the second order impact of multiple regulations.  The data that wil be used in future coverage determinations, health of patients, and the financial exchange will be based on ICD-10 which was mandated before Obamacare.  The  healthcare economics related to disruptive standards such as ICD-10,, Meaningful Use of Electronic Health Records, and CORE Operating Rules, and other components come together in a mosaic of sorts that create unprecedented risk and unprecedented opportunities in health care.

We have worked with leading employers, law firms, healthcare IT firms, health plans, and hospital systems on all aspects of the law.

By | 2017-05-04T04:06:39+00:00 September 23rd, 2013|Accountable Care, health care reform, Obamacare|0 Comments

About the Author:

Michael is Managing Partner & CEO of No World Borders, a leading health care management and IT consulting firm. He leads a team that provides Cybersecurity best practices for healthcare clients, ICD-10 Consulting, Meaningful Use of Electronic Health Records. He advises legal teams as an expert witness in HIPAA Privacy and Security, medical coding and billing and usual and customary cost of care, the Affordable Care Act and benefits enrollment, white collar crime, False Claims Act, Anti-Kickback, Stark Law, Insurance Fraud, payor-provider disputes, and consults to venture capital and private equity firms on mHealth, Cloud Computing in Healthcare, and Software as a Service. He advises self-insured employers on cost of care and regulations. Arrigo was recently retained by the U.S. Department of Justice (DOJ) regarding a significant false claims act investigation. He has provided opinions on over $1 billion in health care claims and due diligence on over $4 billion in healthcare mergers and acquisitions. Education: UC Irvine - Economics and Computer Science, University of Southern California - Business, Stanford Medical School - Biomedical Informatics, Harvard Law School - Bioethics.
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