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  • Is gainsharing illegal? CMS cites clash between antifraud laws and value-based purchasing

    Summer 2017
    Newsletter: Healthcare Management Advisor

    Price: $225.00, Subscriber Price: $157.50

    Word count: 796

    Abstract: In gainsharing, participants share in cost savings or increased profits resulting from the efforts or actions of the provider receiving payment. But some federal regulations intended to fight health care fraud may have the unintended effect of impeding some of these incentive compensation arrangements. This article discusses several antifraud laws, including the Stark Law. According to the Centers for Medicare and Medicaid Services (CMS), the Stark Law “presents a particularly difficult obstacle to structuring effective programs that do not run afoul of the fraud and abuse laws.” The CMS suggests that waivers of some of these antifraud laws may be on the way. A sidebar explains that the Department of Health and Human Services has previously waived some fraud and abuse laws.

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  • How to stay safe during election season

    Spring 2016
    Newsletter: Nonprofit Observer

    Price: $225.00, Subscriber Price: $157.50

    Word count: 796

    Abstract: During an election year, nonprofits need to be particularly careful about their political activities. This article warns 501(c)(3) organizations against “campaign intervention,” which includes endorsing and financially supporting candidates or otherwise showing bias for particular parties or campaigns. It also discusses how the rules differ for other types of nonprofits. A sidebar summarizes the U.S. Supreme Court’s Citizens United ruling.

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  • 5 revenue-generating avenues for hospitals

    Winter 2016
    Newsletter: Healthcare Management Advisor

    Price: $225.00, Subscriber Price: $157.50

    Word count: 796

    Abstract: The financial landscape for community hospitals has shifted in recent years — often with a negative effect on the facility’s profits. For example, reductions in reimbursement, cuts to Medicaid programs and increased cost sharing for patients have cut into hospital profit margins, leading many to look for dollars in other ways. This article offers five ways the facility can survive, including joining referral networks and bringing in new service lines. A sidebar offers tips on how to cut labor and supply costs.

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  • Taking center stage – Patent damages calculations are more important than ever

    Fall 2014
    Newsletter: Expert / Valuation & Litigation Concepts

    Price: $225.00, Subscriber Price: $157.50

    Word count: 796

    Abstract: With the different types of damages available and significant case law on the issue, attorneys involved in patent litigation should take the time to understand how patent infringement damages are assessed. This article discusses what damages are considered reasonable and how lost profits are recovered. A sidebar explains how damages experts prove price erosion. Georgia-Pacific Corp. v. United States Plywood Corp., 318 F.Supp. 1116 (S.D.N.Y. 1970) Uniloc USA Inc. v. Microsoft Corp., 632 F.3d 1292 (Fed. Cir. 2011) Panduit Corp. v. Stahlin Bros., 575 F.2d 1152 (6th Cir. 1978) SynQor, Inc. v. Artesyn Technologies, Inc., 709 F.3d 1365 (Fed. Cir. 2013)

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