With the permission of the American Health Lawyers Association, here's this week's Table of Contents for its Health Lawyers Weekly (free member benefit):Top Stories
- CMS Projects 5.1% Reduction In Medicare Physician Payment Rates For 2007: The Centers for Medicare and Medicaid Services (CMS) is projecting a negative 5.1% update in the Medicare physician fee schedule for 2007 under the Sustainable Growth Rate (SGR) formula, according to a proposed rule released August 8.Under the proposal, CMS expects payments of roughly $61.5 billion to 875,000 physicians and other healthcare professionals in 2007. Full Story
- CMS Issues Proposed OPPS Rule Containing Significant Revisions To ASC Payment: Hospitals will receive an overall average increase in Medicare payments of 3% in calendar year (CY) 2007 for outpatient services under the proposed hospital outpatient prospective payment system (OPPS) rule issued August 8 by the Centers for Medicare and Medicaid Services (CMS). Full Story
Articles & Analyses
- New IRS Independent Contractor Test, By Sidney S. Welch and Tizgel K. S. Mark, Powell Goldstein LLP
- 2005-2006 Physician Organizations Year In Review, Compiled by Health Lawyers' Physician Organizations Practice Group
- 2005-2006 Regulation, Accreditation, And Payment Year In ReviewCompiled by Health Lawyers' Regulation, Accreditation, And Payment Practice Group
Current Topics
- Antitrust
U.S. Court In Missouri Says Medical Group's Antitrust Suit Against Hospital Failed To Allege Relevant Geographic Market- EMTALA
U.S. Court In Missouri Dismisses EMTALA Claim, Finding No Evidence That Uninsured Patient Was Treated Differently- Food and Drug Law
GlaxoSmithKline Agrees To Pay $70 Million To Settle AWP Dispute- Fraud and Abuse
1. U.S. Court In Nevada Finds No Fact Issue Regarding Whether Government Knew Of FCA Defendant's Billing Practices
2. U.S. Court In Nevada Finds Government Failed To Establish FCA Claims Alleging Physician Improperly Billed Medicare For Tests- Health Policy
Tommy Thompson Issues Paper Urging Medicaid Program Reform- Hospitals and Health Systems
1. Uninsured Settle Pricing Lawsuit With Sutter Health
2. CMS Issues Final Report Outlining Its Strategic Plan For Specialty Hospitals- Long Term Care
1. Sixth Circuit Affirms Civil Money Penalty Imposed On Nursing Home
2. Nursing Home Care Continues To Fall Short, New Report Finds- Managed Care
1. U.S. Court In Maryland Grants Class Certification For Lawsuit Against HMO For Collecting Subrogation Claims
2. U.S. Court In Michigan Finds HMO Had Rational Basis For Denying Out-Of-Network Provider's Reimbursement Claim
3. Kaiser Agrees To Pay $5 Million For Lack Of Oversight Of Transplant Facility- Medicaid
Group Dismisses Lawsuit Seeking To Enjoin D.C. From Enforcing Medicaid
Proof-Of-Citizenship Requirements- Medical Malpractice
New Jersey Supreme Court Says Psychiatrist Can Be Liable For Abandonment Even Absent Duty To Warn- News in Brief
FDA Seeks Comments On UDI System For Medical Devices- Physicians
U.S. Court Of Federal Claims Dismisses Physician's Action Against U.S. Stemming From Loss Of Medical Licenses(c) 2006. Reprinted by permission of AHLA. All rights reserved.
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