Do Risk Corridors Help Health Plan Beneficiaries?
The Supreme Court found that the U.S. Government breached a commitment to Pay $12 Billion to Health Insurers, but are these payments going to help beneficiaries? Introduction The U.S. Supreme…
OIG Regulatory Guidance from the Office of the Inspector General for U.S. Department of Health and Human Services
OIG Regulatory Guidance Standards
What is OIG Regulatory Guidance in Healthcare? OIG Regulatory Guidance has seven elements and is divided by the healthcare industry sector. The U.S. HHS Office of the Inspector General (OIG)…
Paul Ryan failed to marshall enough Republicans to vote for the American Health Care Act
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…
Re-elected Senator Rand Paul interviewed on Fox News Channel November 9, 2016 hints at what changes may be in store under a Trump administration regarding the Affordable Care Act
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…
Trumpcare, President Donald Trumps first executive order regarding the Affordable Care Act
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…
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…
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.
Expert Witness Medicaid Expansion Affordable Care Act
As an expert witness I am regularly requested to provide opinions regarding the value of medical care under the Affordable Care Act. A misunderstood and often overlooked centerpiece of the Patient Protection and Affordable Care Act—often referred to as “Obamacare” or "ACA"—is the expansion of Medicaid eligibility to people with annual incomes below 138 percent of the federal poverty level.
Affordable Care Act Expert Witness Work Requires Attorney Education
In my work as an expert witness regarding the Patient Protection and Affordable Care Act (also known as the "ACA" or "Obamacare"), I find that more medical malpractice and personal industry cases as well as cases involving requirements for insurance coverage for self-insured employer's employees encompass ACA in their scope. The ACA may change the economics of healthcare as they apply to a legal matter involving damages, value of care, or insurance coverage and benefits.
Employer Deadlines for Insurance Under the Affordable Care Act Extended by IRS
The deadline for employers to electronically file the so-called 1094 forms for 2015 which provide coverage information to the IRS was extended to June 30, 2016 from March 31, while non-electronic form reporting was delayed to May 31, 2016 from Feb. 29.
How to Avoid Penalties Under the Affordable Care Act
Buy insurance by Sunday, January 31, 2016 which is the last day to buy health insurance to avoid a $695 per adult and $347.50 per child penalty, or 2.5% of annual household income whichever is higher
