Mandatory Compliance Programs: Coming Soon to a Provider Near You

May 3, 2012 By: Melissa Berry

Under the PPACA, compliance programs that were once voluntary will become mandatory for Medicare and Medicaid providers.

Balancing States of “Conscience”

Mar 8, 2012 By: Melissa Berry

The new “contraception mandate” announced by the Obama administration earlier this year have caused an uproar over moral “conscience” objections to them.

Insurers profit under the ACA

Feb 2, 2012 By: Melissa Berry

Despite the Affordable Care Act being labelled as bad for business, there is one industry segment that has definitely profited under the ACA – health insurers.

The Cost of Medicaid Expansion Under the ACA

Jan 19, 2012 By: Melissa Berry

The states’ challenge to the ACA Medicaid expansion is motivated by the increasing costs the program will impose on state budgets. The challenge will still likely fail.

Painful Pills

Jan 5, 2012 By: Melissa Berry

The increased use of legal narcotics has resulted in more overdose deaths and increased Medicare and Medicaid fraud.

Proposing Sunshine for Pharma

Dec 19, 2011 By: Melissa Berry

CMS has finally issued its proposed rule to require manufacturers of drugs, devices, biologicals, or medical supplies to report payments of $10 or more made to physicians or teaching hospitals.

Pfizer Fights to Keep Lipitor Market Share

Dec 8, 2011 By: Melissa Berry

Pfizer recently lost patent protection on its popular drug Lipitor. However, it is fighting to keep its market share regardless, an effort that will drive up healthcare costs.

Using Predictive Modeling to Prevent Healthcare Fraud

Dec 1, 2011 By: Melissa Berry

In my last post, I discussed a few of the changes federal and state governments have made in their ongoing efforts to…

Focusing on Medicaid Fraud

Nov 22, 2011 By: Melissa Berry

In efforts to reduce costs, federal Medicaid fraud enforcement has increased recently.

Walmart Rolls Back Employee Health Benefits

Nov 18, 2011 By: Melissa Berry

In October, Walmart announced it will no longer offer health insurance to new part-time employees who work fewer than 24 hours a week, adding to the existing Medicare burden.

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Lawsuit: LSAT prep company founder lied about perfect score. http://t.co/rOLm0ggd

Headnote of the Day: You can't just shop through the trial record for brand new issues to raise on appeal? http://t.co/Kw63p4Jv

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