By Shilpa S. Patel and Lawrence W. Vernaglia "Bundled payment" is one of the health reform
strategies that received considerable attention during the health reform
debates. Under this payment model, a group of providers (potentially
Many spouses or adult children of
seniors come to see me when their loved one has been admitted to, or is
soon going into, a nursing home for long-term care. They are traumatized
over their loved one's situation, of course. Often they are feeling...
In a breach of contract action involving an automobile policy, a
federal judge dismissed an insured's claim brought under the Medicare
Secondary Payer statute against her insurer, ruling July 6 that the
injured insured party must establish that...
By Anne Rabuck
A federal appeals court has ruled [ enhanced version available to lexis.com subscribers ] that those over age 65 and eligible for Social Security cannot escape their automatic entitlement to Medicare Part A benefits unless they repay...
Elderlawanswers reports this week that congressional proposals to change Medicaid funding target cutting services to seniors. The report takes the position that block funding of Medicaid will underfund Medicaid to the states. The states will then have...
Steve Mullins of Luckey & Mullins co-chaired HB's May
19, 2010, conference on Medicare, Medicaid & SCHIP in Torts. Information about recordings and upcoming
events on the subject can be found at LitigationConferences.com. In this clip, shares...
Tom Blackwell, director of strategic services at Gould
& Lamb in Bradenton, Fla., spoke on Medicare secondary payer filing
concerns in the context of tort, construction and personal injury litigation
during HB Litigation Conferences May 19, 2010,...
Recently, the New York Times published an article that describes how the modern medical system destroyed a family's life and journey through the aging process. The family featured in the article centered around a couple in their mid-eighties who had...
insurance can pay for non-covered services, deductibles, and co-payments not
otherwise covered by Medicare Part A and Part B. Except for Minnesota,
Massachusetts, and Wisconsin, U.S. territories, and D.C., states must limit the
Some things just aren't supposed to happen. In health care, they are referred to as "never events" and include hospital-acquired infections or injuries, medication errors and objects left inside patients during surgery. Yikes.
From the US Department of Justice :
WASHINGTON - A Miami-area resident who owned and operated an HIV infusion
clinic pleaded guilty today for her participation in a $23 million HIV infusion
Medicare fraud scheme, the Departments of Justice and...
The Obama Administration reports today that they will subsidize employers who are providing medical benefits to "early retirees". The issue is that Medicare kicks in at age 65. Given the costs of private health insurance, older, and sometimes...
Mediator Alexander Polsky of JAMS spoke to an audience
gathered for HB Litigation Conferences May 19 program on Medicare, Medicaid
& SCHIP in Torts, during a session titled "Litigation Management &
Case Resolution Under the New Medicare Guidelines...
Medicare can be a wonderful benefit for those 65 and older. However, Medicare eligibility rules can be very complicated, and you may feel that you're in a trap more complicated than running the gauntlet in medieval times. There are many factors which...
From the US Department of Justice :
WASHINGTON - An operator of a Detroit-area medical clinic was sentenced
Tuesday to 56 months in prison for his role in a conspiracy to defraud the
Medicare program, the Departments of Justice and Health and Human...