This symposium, sponsored by the University of Pennsylvania Law Review, is taking place at Penn Law School in Philadelphia from Oct. 28-30. There is no cost to attend, but registration is requested in advance.  There is up to 12.5 hours of CLE credit available for this seminar.

For more information or to register, please click here.

The Department of Justice has filed a civil anti-trust lawsuit against BlueCross/Blue Shield of Michigan alleging that the Most Favored Nations’ Clause (MFN) in their hospital contracts prevent other insurers from entering the market place and discourage discounts, resulting in higher prices for Michigan health care consumers. The state of Michigan has joined the lawsuit. MFNs generally

The Centers for Medicare and Medicaid Services (CMS) has issued new proposed fraud and abuse rules in accordance with requirements of the Affordable Care Act (ACA) — first known as the Patient Protection and Affordable Care Act (PPACA). 

Section 6501(a) of ACA added Social Security section 1866(j), and required CMS to establish screening procedures for

The case of Wood v. Archbold Medical Center Inc., presents an interesting twist regarding HCQIA immunity. The holding basically provides that “professional review activity” is a lesser level of adverse activity and need not meet the due process standards of HCQIA in order for a hospital to retain HCQIA.

In Dr. Wood’s situation, there were

HHS has issued a memorandum on amendments to the HIPAA opt-out provision (formerly section 2721(b)(2) of the Public Health Service Act) made by the Affordable Care Act.  More information is available at: http://www.hhs.gov/ociio/regulations/opt_out_memo.pdf.

The ONC Certified HIT Product List (CHPL) provides a comprehensive listing of Complete EHRs and EHR Modules that have been tested and certified under the Temporary Certification Program. 

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What Every Business should know about Healthcare Reform

Thursday, October 14, 2010

8:30 a.m. – 10:30 a.m.

Pittsburgh Athletic Association

4215 Fifth Ave

Pittsburgh, PA 15213

Complimentary Breakfast & Parking

RSVP by October 10 to:

Susan Zelenak at 724-322-0116 or susan.zelenak@pnc.com

The impact of healthcare reform on businesses is quickly becoming a major topic of

Section 6409 of the Patient Protection and Affordable Care Act (PPACA) required CMS to develop a Medicare Self-Referral Disclosure Protocol (SRDP) to facilitate the resolution of potential Stark violations. The SRDP was published on September 23, 2010 with two caveats:

1.         Despite the fact that potential violations or situations might violate more than just the Stark

Contributed by Michael Cassidy & Donna Kell

mcassidy@tuckerlaw.com, djk@kellgroup.com

An overlooked byproduct of health care reform and the general economic recession is the “multiplier” effect of larger deductibles and co-pays and the reduced ability of patients to make those payments, resulting in more collection problems and the perhaps unintended creation of consumer financing issues. This