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Maryland Regulatory News - Fall 1997

1.

Medical Center Punished for Kickbacks to Doctors

Various components of an Indiana health care system have been subject to serious sanctions in regard to the federal anti-kickback law.

Public to Private Hospital Conversions

Public to private hospital conversions have grabbed headlines in recent months.

The Continued Demise of Gag Clauses

In recent years, HMOs have come under increasing fire for the practices used by some, but not all, HMOs.

Those Trademark Licensing Blues

You would be singing a sad song, indeed, if your right to use a prominent name in the health care industry was taken away from you.

1997 Maryland Legislative Session

The following is a sampling of health care/health insurance measures enacted by the Maryland General Assembly during its 1997 Session:

Antitrust Guidelines

In 1996, the Department of Justice and the Federal Trade Commission (the Agencies) updated their joint Statements of Antitrust Enforcement Policy in health Care (the Statements).

AWP Statutes and ERISA Preemption

Last fall, the Supreme Court declined to review the 1996 Fifth Circuit decision in State of Louisiana v. CIGNA.

Did You Know? - Summer 1997

Antitrust Settlement for Mental Health Networks.

Grandfathering Period Ends for Maryland's Self-Referral Law

Maryland's self-referral law, enacted in 1993, generally prohibits health care practitioners from referring patients to entities in which they have an ownership interest, or with which they have a

Maryland Regulatory News - Summer 1997

1. The Health Services Cost Review Commission's (HSCRC) 1997 Annual Disclosure Report revealed that Maryland's cost per hospital admission was about 3% below the U.S. average in FY 1996.

MDs, PPMCs and the SEC

Health care providers are long used to living with and talking in acronyms, from M.D. and Ph.D., to CT and EKG.

New Law Makes It Harder to Deny Coverage for Preexisting Conditions

The federal Health Insurance Portability and Accountability Act (HIPAA) imposes certain new obligations on group health plans.

Physician Incentive Plans Under Siege

Physicians are, of course, expected to provideappropriate levels of patient care. However someargue that, under a fee-for-service paradigm,

Provider-Sponsored Organizations

In the fast moving world of risk bearing, managed health care entities, a new player has emerged, namely "provider-sponsored organizations" (or PSOs).

Supreme Court Finds No Constitutional Right to Physician-Assisted Dying

In a pair of decisions, the U.S. Supreme Court held, on June 26, 1997, that terminally ill individuals do not have a constitutionally protected right to a physician's assistance to die.