Medicare & Medicaid Issues. Legal news and articles for April 21 - 27, 2017

California's healthcare-for-all bill passes first committeeGAO Report: Medicare Reimbursement Policies Impede Telehealth ...Jury starts deliberating Medicare fraud case against eye doc MelgenA Simple Fix Will Save Medicare Millions and Protect Vulnerable PatientsMelgen Medicare fraud trial costs both sides big bucksDoctors look to Price for tweaks in Medicare rule | TheHillFive Ways To Get Better Medicare Supplement InsuranceAfter 7 years, Albany to reimburse police retirees for MedicareStudy: National medical marijuana laws would save lives — and a billion taxpayer dollarsER Now unable to accept Medicare, MedicaidArkansas Act 1058: What About a Carrier's Obligations Under the Medicare Secondary Payer Act?Arkansas Act 1058: What About a Carrier's Obligations Under the Medicare Secondary Payer Act?Medical marijuana laws may decrease Medicaid costs, study findsArkansas Act 1058: What About a Carrier's Obligations Under the Medicare Secondary Payer Act?How is Medicare affected by the House GOP health plan?

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How Obamacare affects everyone
CNNMoneyMarch 27, 2017

The law froze the threshold for the Medicare premium surcharge at $85,000 for individuals and $170,000 for couples, so more people have become subject to it. The Affordable Care Act also added a premium surcharge on drug coverage for higher-income ...more »

California Hospitals Must Follow Two Laws for Observation Status
HealthLeaders MediaMarch 27, 2017

A new federal law that went into effect March 8 requires hospitals to provide a form to Medicare patients being held in observation that explains observation status and how it could impact their out-of-pocket costs. The new version of the Medicare ...more »

Medicare & Medicaid Issues. News and Stories

California's healthcare-for-all bill passes first committee
The Mercury NewsApril 27, 2017

Lara and Atkins are relying on the federal government's approval to divert $261 billion of federal dollars currently sent to California to pay for Medicaid, Medicare, and the Affordable Care Act, among other programs. Under this new program, that money ...more »

GAO Report: Medicare Reimbursement Policies Impede Telehealth ...
The National Law ReviewApril 26, 2017

Although telehealth has the potential to improve or maintain quality of care for Medicare beneficiaries, payment and coverage restrictions create barriers that ...more »

Jury starts deliberating Medicare fraud case against eye doc Melgen
Palm Beach PostApril 26, 2017

Melgen, 62, is accused of bilking Medicare out of as much as $105 million. Federal prosecutors claim he misdiagnosed and mistreated scores of patients to rake in millions from the federal insurer. To underscore the depths of his alleged fraud ...more »

A Simple Fix Will Save Medicare Millions and Protect Vulnerable Patients
Morning ConsultApril 26, 2017

The 21st Century Cures Act, passed in the final days of 2016 with broad bipartisan support, represents a rare instance in which both parties came together to advance landmark health care legislation. But while the law is designed to boost medical ...more »

Melgen Medicare fraud trial costs both sides big bucks
Palm Beach PostApril 24, 2017

During the trial that began in West Palm Beach last month, one of Ogrosky's partners at the prestigious Arnold & Porter law firm in Washington, D.C. also testified that the firm had been paid $5 million to represent Melgen in his decade-long dispute ...more »

Doctors look to Price for tweaks in Medicare rule | TheHill
The HillApril 24, 2017

Doctors are hoping Health and Human Services Secretary Tom Price, a fellow physician, will address challenges for small practices in a proposed Medicare rule ...more »

Five Ways To Get Better Medicare Supplement Insurance
Yahoo FinanceApril 24, 2017

California's Medicare Supplement insurance law, also known as the "Birthday Rule" allows individuals with Medigap insurance to switch to a different insurance plan or provider during the 30 days following their birthday. "Individuals who take advantage ...more »

After 7 years, Albany to reimburse police retirees for Medicare
Albany Times UnionApril 23, 2017

The city's past practice of reimbursing for Medicare Part B to Albany Police Department retirees and their spouses over 65 years old was reaffirmed by a state Supreme Court Appellate Division decision. ... The courts determined Albany violated civil ...more »

Study: National medical marijuana laws would save lives — and a billion taxpayer dollars
Colorado Springs GazetteApril 23, 2017

Last summer the DEA affirmed yet again marijuana's status in Schedule 1 of the Controlled Substances Act, a category reserved for the most dangerous, addictive drugs that have no medical applications. “This decision was made despite the substantial and ...more »

ER Now unable to accept Medicare, Medicaid
Times Record NewsApril 22, 2017

According to the NAFEC website, certificate of need laws were created in the 1880s to regulate railroads and public utilities. The federal government in 1974 established certificate of need laws for hospital-related facilities to prevent costs from ...more »

Arkansas Act 1058: What About a Carrier's Obligations Under the Medicare Secondary Payer Act?
WorkersCompensation.com (press release)April 22, 2017

Senate Bill 760, or Act 1058 (“the Act”) was signed into law on April 7, 2017. The initial purpose of the Act was to clarify the Workers' Compensation Death and Permanent Total Disability Trust Fund. However, the bill was revised to expand the Arkansas ...more »

Arkansas Act 1058: What About a Carrier's Obligations Under the Medicare Secondary Payer Act?
WorkersCompensation.com (press release)April 22, 2017

Senate Bill 760, or Act 1058 (“the Act”) was signed into law on April 7, 2017. The initial purpose of the Act was to clarify the Workers' Compensation Death and Permanent Total Disability Trust Fund. However, the bill was revised to expand the Arkansas ...more »

Medical marijuana laws may decrease Medicaid costs, study finds
Becker's Hospital ReviewApril 21, 2017

"These results are similar to those in a previous study we conducted, regarding the effects of medical marijuana laws on the number of prescriptions within the Medicare population. Together, the studies suggest that in states with such laws, Medicaid ...more »

Arkansas Act 1058: What About a Carrier's Obligations Under the Medicare Secondary Payer Act?
WorkersCompensation.com (press release)April 21, 2017

Senate Bill 760, or Act 1058 (“the Act”) was signed into law on April 7, 2017. The initial purpose of the Act was to clarify the Workers' Compensation Death and Permanent Total Disability Trust Fund. However, the bill was revised to expand the Arkansas ...more »

How is Medicare affected by the House GOP health plan?
Washington PostApril 21, 2017

Second, the proposed law would limit the per capita growth of Medicaid, the health program for the poor, to the medical-care component of the consumer price index starting in 2020. But that could affect people who qualify for both Medicaid and Medicare.more »

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