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.

Michael F. Arrigo

Michael is Managing Partner & CEO of No World Borders, a leading healthcare management and IT consulting firm. He serves as an expert witness in Federal and State Court and was recently ruled as an expert by a 9th Circuit Federal Judge. He serves as a patent expert witness on intellectual property disputes, both as a Technical Expert and a Damages expert. 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 $8 billion in healthcare mergers and acquisitions. Education: UC Irvine - Economics and Computer Science, University of Southern California - Business, studies at Stanford Medical School - Biomedical Informatics, studies at Harvard Medical School - Bioethics. Trained in over 10 medical specialties in medical billing and coding. Trained by U.S. Patent and Trademark Office (USPTO) and PTAB Judges on patent statutes, rules and case law (as a non-attorney to better advise clients on Technical and Damages aspects of patent construction and claims). Mr. Arrigo has been quoted in the Wall Street Journal, New York Times, and National Public Radio.

Leave a Reply