Spotlight on Health Care Reform Resource Center

Spotlight on Health Care Reform Resource Center

Welcome! We've designed this resource center to help you locate materials on health care reform, here on the LexisNexis Emerging Issues Law Community, the Internet, and lexis.com. Please be sure to check back often for new updates to the Spotlight on Health Care Reform Resource Center.

TABLE OF CONTENTS

LEGISLATION

HEALTH BLOG REVIEW

COMMENTARY

HEALTH CARE REFORM SPECIAL ALERT PUBLICATION

MEDICARE SECONDARY PAYER COMPLIANCE PUBLICATION

VIDEOCASTS/PODCASTS

 

LEGISLATION

Download a copy of the Patient Protection and Affordable Care Act of 2010.

Download a copy of the Health Care & Education Reconciliation Act.

TRACK HEALTH CARE BILLS

Access various bills proposed for health care reform. Subscribers can access these legislative materials on lexis.com.  Additional fees may be incurred.

2009 H.R. 3200
Bill Tracking Report for 2009 H.R. 3200: 2009 Bill Tracking H.R. 3200

2009 H.R. 3459
Bill Tracking Report for 2009 H.R. 3459: 2009 Bill Tracking H.R. 3459

2009 S. 1240
Bill Tracking Report for 2009 S. 1240: 2009 Bill Tracking S. 1240

 

HEALTH BLOG REVIEW

Additional information and insight about health care reform is available at following industry blogs: 

Alan Katz Health Care Reform Blog - http://alankatz.wordpress.com/
Published by Alan Katz
This blog contains posts about health care reform from one broker's perspective.

The Commonwealth Fund Blog - http://www.commonwealthfund.org/Publications/Blog.aspx
Published by the Commonwealth Fund
This blog provides commentary on health policy from a private foundation working towards a high performance health system.

The Foundry - http://blog.heritage.org/tag/side-effects/
Published by The Heritage Foundation
Adopting a conservative viewpoint on policies and principles by marrying public policy research with the day's current events, this blog's "Side Effects" feature examines the Obama Health Care Plan under a virtual microscope.

Healthblawg - http://healthblawg.typepad.com/
Published by David Harlow
Harlow's blog covers health care legislation and regulations (both at the federal level and in his home state of Massachusetts) as well as public health innovations in the private sector.

The Health Care Blog - http://www.thehealthcareblog.com/
Published by Matthew Holt
This blog prints original material from many contributors (some regular, some not so regular), syndicates great posts from other bloggers, and purports to tell us everything we always wanted to know about the health care system-but were afraid to ask.

Health Care Law Blog - http://healthcarebloglaw.blogspot.com/
Published by Bob Coffield
A blog that keeps an eye on health care law; provides thoughts and comments on the health care industry, privacy, security, technology and other odds and ends.

Health Care Law Reform - http://www.healthcarelawreform.com/
Published by McDermott Will & Emery
Edited by Joel Michaels, Karen Sealander, and Eric Zimmerman, this blog provides insights from Washington D.C. on U.S. health care law developments.

Health Care Policy and Marketplace Review - http://healthpolicyandmarket.blogspot.com/
Published by Bob Laszewski
A review of the latest developments in federal health policy and marketplace activities in the health care financing business.

Health Care Reform - http://web20.nixonpeabody.com/healthcare/default.aspx
Published by Nixon Peabody
All the latest from Washington on PPACA and HCERA, and Alerts outlining legal developments affecting employee benefits as well as recent developments in business tax law.

Health Disparities Blog - http://blog.case.edu/ccrhd/
Published by Case Western Reserve University
A blog that promotes research, education and community partnerships thru the university's Center for Reducing Health Disparities.

Health Reform Watch - http://www.healthreformwatch.com/
Published by Seton Hall University School of Law
A web log of Seton Hall's Health Law & Policy Program that features content from faculty, attorney and student contributors.

InsureBlog - http://insureblog.blogspot.com/
Published by Bob Vineyard, Henry Stern, William Halper and Mike Feehan
This tell-it-like-it-is blog offers principles and solutions about health care and insurance.

Kaiser Health News Blog Watch - http://blog.kaiserhealthnews.org/
Published by Henry J. Kaiser Family Foundation
This blog provides in-depth coverage of health policy issues, politics and developments at the federal and state levels.

Managed Care Matters - http://www.joepaduda.com/
Published by Joseph Paduda
Since October 2004 Managed Care Matters has been the "go to" weblog on health care cost containment, health policy, health research, and medical news for insurers, employers, and healthcare providers. This weblog is a must read for anyone who wants to understand the intersection of health care and workers' compensation issues.

von Briesen Health Law Blog - http://blog.vonbriesenhealth.com/
Published by vonBriesen & Roper, S.C.
Insightful posts on a variety of timely topics, including fraud and abuse, issues affecting hospitals and physicians, Medicare/Medicaid compliance, labor and employment, legislation, patient care issues, records and technology, and more.

 

COMMENTARY- INSIGHTS AND ANALYSIS ON HEALTH CARE

New Federal Health Care Reform Legislation - Its Impact on Employers and Employee Benefit Plans
By Brian Kopp, Eric Paley, David L. Bacon and David S. Foster
This article explores the impact the PPACA and HCERA will have on employers and employee benefit plans and includes analysis of employer 'play or pay' mandates, excise tax penalties and fees, employer and employee subsidies, health care exchanges, disclosure requirements, automatic enrollment, and future economic impacts. Originally published as Special Alert in Release 26 of Employee Benefits Guide.
  
Subscribers can access the complete commentary on lexis.com Additional fees may be incurred.

Introduction to the PPACA and HCERA of 2010
By Professor Timothy Stolzfus, Washington and Lee University School of Law
This article provides insightful, expert analysis of each provision of The Patient Protection and Affordable Care Act and the accompanying reconciliation bill, the most far reaching and complicated piece of federal legislation passed in over 50 years.
 
Subscribers can access the complete commentary on lexis.com Additional fees may be incurred.

Legal and Practical Reasons for Incorporating Advance Directives Into Healthcare Practice
By Nathan A. Kottkamp
With the costs of healthcare continuing to rise, and with care at the end-of-life constituting a disproportionate share of total healthcare dollars spent in the U.S., the role of advance directives is among the hotly debated topics in the national conversation about healthcare. Research suggests that engaging in discussions about end-of-life wishes may result in cost-savings as a result of better coordinated care. This article provides an overview of advance directives, the applicable legal requirements for addressing advance directives, best practices, and several practical considerations.
 
Subscribers can access the complete commentary on lexis.com Additional fees may be incurred. 

The National Nursing Shortage: Is Mandatory Nurse-to-Patient Staffing Ratio Legislation the Solution?
By Jason Greis and Lara Duda
This article provides an overview of various short- and long-term strategies hospitals have implemented to address nursing recruitment and retention challenges caused by the nursing shortage. The article then discusses the benefits and drawbacks of one of the most contested legislative solutions offered to address the nursing shortage: mandatory unit-specific nurse-to-patient staffing ratios ("Nurse Staffing Ratios").
 
Subscribers can access the complete commentary on lexis.com Additional fees may be incurred.

Pre- and Post-Commencement of an Investigation of Health Care Compliance: Key Considerations for all Providers
By Gretchen Heinze Townshend and Elizabeth Bedore Campbell
With the economic incentives on the part of the government and private parties to target health care fraud, implementing compliance policies, including routine and directed internal audits, and understanding how to respond when being investigated are crucial to a health care provider avoiding entanglement in the vast web of regulations and penalties encompassing the health care industry. This article highlights some key considerations for providers before and after a government investigation commences.
 
Subscribers can access the complete commentary on lexis.com Additional fees may be incurred.

Measure for Measure: The Government's Response to H1N1 and Remaining Liability Issues
By Sharona Hoffman
The increasing number of H1N1 cases raises significant liability concerns. This article provides an overview of the governments' legal response to the H1N1 influenza outbreak and relevant statutory provisions. It also highlights current gaps in the law and remaining concerns for health-care providers. Ms Hoffman is Professor of Law and Bioethics and Co-Director of the Law-Medicine Center, Case Western Reserve University School of Law.
 
Subscribers can access the complete commentary on lexis.com Additional fees may be incurred.

The Lebron Decision: Court Says No Again to Caps in Medical Malpractice Lawsuits
By Brian J. Hickey and Jennifer A. Bollow
In this Emerging Issues commentary, Brian J. Hickey and Jennifer A. Bollow, both partners with Cassiday Schade LLP, examine a recent decision by the Illinois Supreme Court. In Lebron v. Gottlieb Memorial Hospital, the court struck down the third attempt by Illinois lawmakers to impose caps on noneconomic damages. Since the law only applied to medical malpractice actions, the court held that it violated the separation of powers clause of the Illinois Constitution.
 
Subscribers can access the complete commentary on lexis.com Additional fees may be incurred.

California Healthcare Reform: How State Politics and Ideology Derailed California Healthcare Reform
By Peter Harbage and Hilary Haycock
This extensive commentary explains the substance and history of California's ambitious attempts at comprehensive health reform legislation. This commentary fully sets forth the details of the plan.
 
Subscribers can access the complete commentary on lexis.com. Additional fees may be incurred.

Massachusetts Take-Away Messages for National Health Care Reform
By Regina S. Rockefeller
Focusing on the close alignment between Congress and the Bay State in terms of health care challenges, this article outlines the many reasons why health reform in Massachusetts remains a so-far-successful work-in-progress.

U.S. House of Representatives Passes Health Care Reform Bill: Nationwide Physician Disclosure Obligations May Soon Be a Reality
By Brian K. French & Michele A. Masucci
This article summarizes the various facets of physician payment disclosure provisions, details the information that covered manufacturers may need to report to HHS, and outlines reporting exemptions.

In This Era of Bitter Partisanship, Politics Often Subsume Policy
By Eric R. Paley
This article addresses the “play or pay” concept and its anticipated significant impact on employers, and also describes the 2006 play-or-pay laws enacted in  Maryland, Massachusetts and the City of San Francisco.

Patient-Centered Medical Homes May Reduce Health Care Costs and Improve Patient Health
By Michele A. Masucci & Brooke A. Santeramo
This article discusses the “medical home” model of patient care, outlines various examples of Joint Principles illustrating the medical profession’s commitment to quality centralized patient care, describes the Adirondack Region Medical Home Pilot, and underscores the challenges that will need to be addressed by the players in the medical home revolution.

Advantages of Physicians and Hospitals Connecting To an HIE In Order To Achieve Meaningful Use to Obtain Stimulus Funding
By Linn Foster Freedman
Stimulus payments to providers for “meaningful use” of health information technology (HIT) begins in 2011, penalties for failure to achieve “meaningful use” begin in 2017. This article explains the qualification requirements for the full amount of stimulus funding and shares the viewpoint of industry expert Laura Adams on the advantage for providers to link to an HIE in order to achieve the “meaningful use” requirement of a demonstrated ability to exchange health information with external clinical entitles. 

A Linchpin of Health Care Reform: Accountable Health Care Organizations
By Stephen D. Zubiago
This article explains how accountable health care organizations (ACOs) could operate and encourages health care provider clients to focus on this potential lynchpin of the reform to the nation’s health care system.

 

HEALTH CARE REFORM SPECIAL ALERT

LexisNexis' new Health Care Reform Special Alert provides insightful, expert analysis of the most far reaching and complicated piece of federal legislation passed in over 50 years, The Patient Protection and Affordable Care Act. This two volume set includes:

   In-depth analysis of the legislation written by Professor Timothy Jost of Washington and Lee School of Law, a renowned expert on health care reform

   White papers written by experienced health care attorneys, focusing on the critical issues health care organizations need to be aware of in the face of this historic legislation

   Summary charts explaining the legislation in an easy to understand way, including information such as the effective dates for each provision and cross references to the more in-depth analysis

   Complete text of the Patient Protection and Affordable Care Act and the accompanying reconciliation bill

The Health Care Reform Special Alert is authored by a distinguished panel of health care law experts, notably including Timothy Stoltzfus Jost and Robert L. Willett Professor, Washington and Lee University School of Law. This portable set is an easy and efficient way for attorneys and health care professionals to quickly get up to speed on the landmark health care reform legislation, as well as an excellent desk reference guide useable for years to come.
Order your copy of
Health Care Reform Special Alert this week at The Store.

 

MEDICARE SECONDARY PAYER COMPLIANCE PUBLICATION

There are many people who don’t understand that the Centers for Medicare and Medicaid Services’ (“CMS”) approval process of a Medicare set-aside arrangement (“MSA”) is voluntary and carries an inherent cost. In fact, many of the decisions that need to be made in a settlement negotiation are risk management decisions rather than being truly Medicare Secondary Payer (“MSP”)-oriented. Once you understand why CMS wants what it wants, you will realize that its preference may not be the only way to achieve MSP compliance. The Complete Guide to Medicare Secondary Payer Compliance will help you take control of your insurance settlements.

The Complete Guide to Medicare Secondary Payer Compliance is designed to help attorneys, employers, insurance companies, labor representatives, and others navigate this complex area of the law. The handbook combines expert analysis of the substantive law with practice tips and other helpful tools.

   The Complete Guide to Medicare Secondary Payer Compliance was written by experts in the field, headed by Jennifer C. Jordan, Editor-in-Chief. Ms. Jordan is General Counsel at MEDVAL, LLC. She has become recognized nationally as an expert in Medicare Secondary Payer compliance.

The Complete Guide to Medicare Secondary Payer Compliance is a living document. Given the rapid pace in which MSP law is developing, we plan to issue a new edition each year. An interim supplement will also be issued to keep you abreast of the latest changes in the law until the next edition of this handbook is issued. Feedback and suggestions are welcomed from readers.

To preorder the book, call 1-800-223-1940. To view the flyer for the bookclick here. The book is scheduled to ship to customers in late October. For further inquiries, contact Robin.E.Kobayashi@lexisnexis.com.

 

VIDEOCASTS/PODCASTS

Videocast: Transparency Reporting: Meeting the Challenge of PPACA and Beyond - a high-level review of the PPACA's "transparency reporting" provisions and discuss the global implications of the move toward transparency.
Videocast: PPACA and Healthcare Reform Statutes Fraud and Abuse Provisions: Impact On Providers - outlines 10 new PPACA fraud and abuse provisions which impact the provider community.
Arnold & Porter's Video Webcast: Snapshot of Critical Issues and Challenges in the New Biosimilars Framework - discusses the PPACA's new regulatory framework for FDA licensure of biosimilar products.

Online videos - citizen views on health care reform - watch clips of speeches from President Obama, official White House communications, opinions from both sides of the aisle, responses from civilians, and more.

More online videos - Republican Senators on health care reform - additional video clips that outline alternative reform solutions.

Official White House Videos - witness a Presidential Town Hall on health care and view several Obama speeches, including a Weekly Address.

Podcast featuring Mary Alice Jackson, Bradley Frigon and Stuart Zimring on the Changes to Medicare and Medicaid by the Patient Protection and Affordable Care Act – Podcast on changes Part D coverage and how Medicare premiums are determined, tax issues created by the act such as the new Medicare tax on individuals and Medicaid issues including how the act expands the number of people eligible for Medicaid.

Comments

Larkin8790
  • 09-24-2010

This is very well put together and contains excellent information.  So many of us have quite a few questions about Health Care.