Recent proposals by payors have caused Maryland's Health Services Cost Review Commission (HSCRC) to review, to revise, and to reissue its policy relating to Alternative Rate Methodologies (ARMs).
Dually Eligible: Did you know that the Court of Appeals for the District of Columbia has upheld a lower court decision that validated the District of Columbia's practice of reimbur
When the Medicare Program adopted the Prospective Payment System (PPS) in the mid-eighties, regulators were concerned that by paying hospitals a fixed amount per diagnosis, hospitals might be
1. In September at its final meeting, the Health Resources Planning Commission (HRPC) approved a new open heart surgery program for Sacred Heart Hospital in Western Maryland.
While Congress is wrangling over a federal Patients' Bill of Rights, it should be remembered that Maryland passed its own Patients' Bill of Rights Act in 1999.
The Office of Inspector General of the Department of Health and Human Services (OIG), the agency charged with enforcing Medicare fraud and abuse prohibitions, has recently released its Work Plan fo
The Council on Ethical and Judicial Affairs of the Medical and Chirurgical Faculty of Maryland (MedChi), Maryland's largest medical society, recently issued a Report concerning restrictive covenant
Health care providers should take notice of the expanding role of State Attorneys General in the internal corporate activities of nonprofit health care entities.
Maryland's hospital rate-setting commission, the Health Services Cost Review Commission (HSCRC), has traditionally allowed third-party payors to pay Maryland hospitals 4% less than the hospitals' a
Tax-exempt hospitals appear to be swinging back from the days of experimenting with for profit ventures that assumed managed care risk or operated physician practices.
In May of 1999, Maryland's highest court addressed two issues of interest to the medical community - sexual harassment and the definition of the practice of medicine.
Thanks to a recent U.S. Supreme Court decision, involving the Employee Retirement Income Security Act (ERISA), state regulation of health care is likely to increase substantially.
Gordon Feinblatt's recent physician seminar attracted the press, and the following is a reprint of the resulting article that ran in several local newspapers.
Health Lawyers Acquitted: Did you know that two health care attorneys were acquitted of criminal charges that they allegedly participated in an anti-kickback violation involving a
1. In March, the Health Care Access and Cost Commission (HCACC) released its annual report on health care expenditures and utilization based on 1997 data.
Can physicians increase their bargaining power in negotiations with managed care plans (MCPs)? One way is for physicians collectively to negotiate their contracts with MCPs.
Earlier in 1998, the United States Supreme Court ruled, in a case involving dental services, that an individual who is HIV positive, but who has no symptoms of AIDS, is disabled and protected again
Third-Party Payments: Did you know that the Department of Justice has settled charges brought against an Ohio health care insurer's practice of requiring hospitals not to charge lo
