Health Law & Policy

Thomas W. Brewer, Ph.D., M.Jur., CHC

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CMS delays expansion of bundled payment programs – Modern Healthcare

21 Mar
Tom Brewer
For now, it’s a delay of three months, but the CMS is considering pushing back the Comprehensive Care for Joint Replacement program and its cardiac bundles until 2018. Source: CMS delays expansion of bundled payment programs – Modern ... Read more »

Compliance, Law, Policy aca, cost, medicare

UnitedHealth sued by U.S. government over Medicare charges | Reuters

21 Feb
Tom Brewer
Source: UnitedHealth sued by U.S. government over Medicare charges | ... Read more »

Compliance compliance, medicare, Qui Tam

Santa Fe cardiologist admits health care, wire fraud | Albuquerque Journal

20 Feb
Tom Brewer
Doctor faces two years in federal prison, followed by supervised release Source: Santa Fe cardiologist admits health care, wire fraud | Albuquerque ... Read more »

Compliance, Law compliance, false claims, medicare

Delaware County Podiatrist Sentenced to 8 Years in Prison for Health Care Fraud | USAO-EDPA | Department of Justice

10 Feb
Tom Brewer
Source: Delaware County Podiatrist Sentenced to 8 Years in Prison for Health Care Fraud | USAO-EDPA | Department of ... Read more »

Compliance compliance, false claims, medicaid, medicare

How to Build an Effective Compliance Program (Without Breaking the Bank) [Presentation]

16 Jul
Tom Brewer
In this presentation from the 2014 Clinical Practice Compliance Conference, Brigid Maloney walks us through nine steps to develop an effective compliance program without breaking the bank. She includes best practices for essential steps like how to identify an appropriate ... Read more »

Compliance compliance, cost

Questions that Leadership Should Ask the Compliance Officer

5 Jul
Tom Brewer
By Roy Snell roy.snell@corporatecompliance.org Below are some questions leadership should ask the compliance officer and a suggestion about how to implement these questions in your organization.  You need to collaborate with leadership to pick a subset of the questions to ... Read more »

Compliance compliance

The Effects of Medicaid Expansion under the ACA: Findings from a Literature Review | The Henry J. Kaiser Family Foundation

21 Jun
Tom Brewer
Research on the effects of Medicaid expansions under the Affordable Care Act (ACA) can help increase understanding of how the ACA has impacted coverage; access to care, utilization, and health outcomes; and various economic outcomes, including state budgets, the payer ... Read more »

Policy aca, expansion, medicaid

Rx Pizza: 1 Free Meal Can Sway Doctor Prescribing – The New York Times

21 Jun
Tom Brewer
As little as one free meal from a drug company can influence which medicines doctors prescribe for Medicare patients, according to a study using Medicare records and recently released data from the health care law’s Open Payments program. Source: Rx ... Read more »

Compliance anti-kickback, compliance, cost

Bill would require more hospital transparency on charity care, other financials – Winston-Salem Journal: Local News

12 May
Tom Brewer
A bill introduced Tuesday in the state Senate would require hospitals to provide more transparency of their charity-care policies, particularly making that information more accessible on their websites. Source: Bill would require more hospital transparency on charity care, other financials ... Read more »

Compliance 501(c)(3), business, compliance

New legislation would increase Medicare payments to rural hospitals – Waynesboro News Virginian: News

12 May
Tom Brewer
FISHERSVILLE-Rural hospitals like Augusta Health suffer financially on the reimbursement for Medicare patients, who account for about 50 percent of the operation’s patient load. Source: New legislation would increase Medicare payments to rural hospitals – Waynesboro News Virginian: ... Read more »

Law cost, medicare

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RSS Kaiser Health News-Law

  • KFF Health News' 'What the Health?': Trump’s Nontraditional Health Picks
    Not only has President-elect Donald Trump chosen prominent vaccine skeptic Robert F. Kennedy Jr. to lead the Department of Health and Human Services, Trump also has said he will nominate controversial TV host Mehmet Oz to run the Centers for Medicare & Medicaid Services, which oversees coverage for nearly half of Americans. Meanwhile, the lame-duck […]
  • KFF Health News' 'What the Health?': Readying for Republican Rule
    With Republicans now set to control the White House, Senate, and House of Representatives starting in January, their health agenda remains unclear. What is clear, however, is that just about anything could be on the table, from Medicare, Medicaid, and the Affordable Care Act, to drug prices and public health. Meanwhile, anti-abortion groups are preparing […]
  • KFF Health News' 'What the Health?': Trump 2.0
    As Donald Trump readies for his return to the White House — with the backing of a GOP majority in the Senate and, possibly, the House — the entire health care industry is waiting to see what happens next. Clearly on the agenda: the future of abortion and reproductive rights, Medicare, Medicaid, the Affordable Care […]
  • What’s at Stake: A Pivotal Election for Six Big Health Issues
    Health care has ebbed and surged as an election issue throughout the presidential campaign. Here are the ways some of the most consequential changes in health policies could hinge on whether Vice President Kamala Harris or former President Donald Trump wins.
  • KFF Health News' 'What the Health?': The Campaign’s Final Days
    It’s the final days of the 2024 campaign, and Republicans are suddenly talking again about making changes to the Affordable Care Act if former President Donald Trump wins. Meanwhile, new reporting uncovers more maternal deaths under state abortion bans — and a case in which a Nevada woman was jailed after a miscarriage. Lauren Weber […]
  • In Montana, Conservative Groups See Chance To Kill Medicaid Expansion
    Conservative groups are working to undermine support for Montana’s Medicaid expansion ahead of a political fight over whether to keep the program.
  • ‘Dreamers’ Can Enroll in ACA Plans This Year — But a Court Challenge Could Get in the Way
    Nineteen states are seeking to stall a Biden administration rule that would allow recipients of the Deferred Action for Childhood Arrivals program to enroll in ACA coverage and qualify for subsidies. DACA provides work authorization and temporary deportation protection to people brought to the U.S. as children without immigration paperwork.
  • Ahora los “Dreamers” pueden inscribirse en planes de salud de ACA. Pero una demanda podría acabar con el sueño
    Del medio millón de beneficiarios de DACA, el gobierno estima que alrededor de 100.000 que anteriormente no tenían seguro podrían inscribirse a partir del 1 de noviembre.
  • Presidential Election Puts Affordable Care Act Back in the Bull’s-Eye
    The outcome of the upcoming presidential election could affect the number of insured Americans, the fate of premium-reducing subsidies, the shape of Medicaid, and the cost of coverage for tens of millions of people.
  • KFF Health News' 'What the Health?': LIVE From KFF: Health Care and the 2024 Election
    The Affordable Care Act has not been a major issue in the 2024 campaign, but abortion and reproductive rights have been front and center. Those are just two of the dozens of health issues that could be profoundly affected by who is elected president and which party controls Congress in 2025. In this special live […]
© 2024 by Thomas W. Brewer