Congress Moves to Permanently Repeal Vexatious SGR – Bill Removes Barriers to Hospital-Physician “Gainsharing” Programs

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Summary of the Bill The United States House of Representatives overwhelmingly approved a measure this week to repeal the Sustainable Grow Rate (“SGR”), which has been used to determine Medicare physician payment rates for more than a decade.  The SGR was established as part of the Balanced Budget Act of... Continue Reading →


Accelerating Toward ACOs: Let’s Review ACO Exclusivity

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In January, HHS Secretary Sylvia Burwell announced that HHS is accelerating Medicare’s transition to “alternative payment models.”  HHS’s goal is to shift 30 percent of all Medicare provider payments to alternative payment models by 2016 and for 50 percent of all Medicare payments to be in alternative payment models by 2018.  These goals,... Continue Reading →



Indiana Court of Appeals Issues Opinion Addressing Plaintiff’s Attorney Fees Under the Indiana Medical Malpractice Act

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In Indiana Patient’s Compensation Fund v. Holcomb, the Indiana Supreme Court addressed a question of first impression regarding whether Indiana’s Medical Malpractice Act’s cap on attorney fees from a Patient Compensation Fund (“Fund”) award also applies to reduce the Fund’s liability. Holcomb was an adult wrongful death medical malpractice case... Continue Reading →