Telehealth Visits Show Growth in Benefits for Insureds
Telehealth Update - CMS to Start Covering in Home Monitoring Telehealth update: Health plans are beginning to offer telemedicine services to their insureds that offer 24/7 access to online doctor…
Cybersecurity Expert Witness & WannaCry in Healthcare
Cybersecurity Expert WitnessWhen WannaCry ransomeware harms the patients of health care providers or members of a health plan, litigation raises questions. Were all measures taken to protect the plaintiff's information? Either…
American Health Care Act DOA. What Does it Mean for Medical Cost Litigation?
American Health Care Act supporters, such as Paul Ryan, had to acknowledge that the Act was dead on arrival Friday. Despite the fact that the Trump Administration presides over a…
Secretary Tom Price Explains American Health Care Act
On the eve of the house vote on the Trump Administration’s proposed health care law, the American Health Care Act of 2017 - H.R. 1628, HHS Secretary Tom Price appeared on Fox…
Rand Paul: Affordable Care Act Under Trump Administration “Legalize Low Cost Insurance”
Senator Rand Paul (R) Kentucky was re-elected on November 8, 2016. In his interview on Fox News Channel Wednesday November 9, 2016 he re-iterated his statement that one of the first…
Trump Executive Order, ACA No Immediate Impact Promises Simplification and Freer Markets
The Trump Executive Order, ACA sends more of a message rather than effecting any immediate change. It signals a reduction in administrative burden to the American healthcare economy. TrumpCare may…
MACRA : “A” is for Access and “C” is for Children
MACRA Changes Health Care Economics with a Focus on ChildrenMACRA Background: A final rule released on Oct. 14, 2016 by the Centers for Medicare and Medicaid Services (CMS) details the final…
Value Based Insurance Design New Clinical Categories for MA Plans
The Centers for Medicare & Medicaid Services (CMS) is announcing refinements to the Medicare Advantage Value-Based Insurance Design (MA-VBID) model. Beginning January 1, 2018, CMS will add rheumatoid arthritis and dementia…
Dual Eligibles for Medicare, Medicaid come under fire
Dual Eligibles for Medicare, Medicaid cost too much. The administration that created the Patient Protection and Affordable Care Act with Medicaid expansion as a centerpiece to cover more low-income insureds…
CMS Moves forward with CPC+ that Includes PMPM to PCPs
According to CMS, the Original Comprehensive Primary Care (Original CPC) Model, is being replaced with the Comprehensive Primary Care Plus (CPC+) which is intended to allow health care provider practices to apply for one of two program tracks, with increasing payment and care redesign expectations from Tracks 1 to 2.
Expert Witness for Future Medical Costs in Life Care Plans
In our experience, one strategy is to work within the Superior Court or State Court level and then appeal to a higher court perhaps at the Federal level. Some courts have elected not to hear testimony regarding future care costs under the Affordable Care Act, only to find that it is the law of the land and now has an impact. There are also unintended consequences in product liability cases. Third party liability and subrogation may also be affected.
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