Report finds hospitals could benefit financially from Medicaid expansion

insurance, medicaid, claim formUnder the Affordable Care Act, hospitals will see a $2.59 increase in Medicaid revenue for every dollar they lose in private payments, according to a new report from the Urban Institute and the Robert Wood Johnson Foundation.

Click here to read the full report.

As of next January, ACA’s Medicaid expansion will extend public coverage to adults making below 138 percent of the federal poverty level (FPL). The expansion will increase hospitals’ public insurance revenue by creating a larger Medicaid coverage pool.

Originally mandated by ACA, the Supreme Court ruling allowed states to opt out of the law’s Medicaid expansion, leaving each state’s decision to participate in the hands of state lawmakers. In Florida, about 20 percent of the population is already on Medicaid.

Although Florida Gov. Rick Scott, who had been among the plan’s harshest critics is now championing Medicaid expansion, Florida lawmakers are showing signs they are unwilling to pass it during this session.

The report notes that “even with a Medicaid expansion, hospitals will continue to provide uncompensated care, 46 percent of which will go to patients with incomes at or below 138 percent of FPL. Medicaid expansion could let the ACA’s new provision for hospital-based presumptive eligibility cover a sizable portion of these remaining uncompensated care costs

If states choose to expand their Medicaid programs, hospitals would get another $293.9 billion from 2013 to 2022, a 22.8 percent increase in Medicaid reimbursements, the study notes.

However, it also notes that hospitals must still help to pay for health reform’s coverage expansion, even if their state opts out.

ASC Partnering Picks Up

Jan. – Feb. 2013 – Now that the U.S. Supreme Court has upheld the Affordable Care Act, ambulatory surgery center operators and other healthcare providers are preparing for a new future with increased collaboration.

In an article published in Florida Medical Business, Florida Health Law Center co-founder Jodi Laurence says it’s all about trying to provide quality care at an efficient cost and being able to track outcomes.

Click here to read the full story.

Jodi Laurence talks with AMN Healthcare about what’s new for 2013 in healthcare reform

Jan  5, 2013 – The American Taxpayer Relief Act of 2012–passed by Congress on January 1, 2013, and signed by President Obama the next day to extend several tax cuts and help avert the so-called “fiscal cliff”–postponed the sustainable growth rate cuts to physicians, but “roughly $15 billion of the cost of this measure will be funded by hospitals in the form of reduced payments over the next decade.”

Congress may revisit those cuts, because hospitals are “up in arms,” said attorney Jodi B. Laurence, a founding partner of the Florida Health Law Center in Davie.

Click here to read the full story.

Contraception mandate likely on its way to U.S. Supreme Court

Federal appeals courts seem to be falling on both sides of the contraception mandate, creating a split among the circuits and making it likely that the Supreme Court will be asked to settle the question.

At stake is whether the Affordable Care Act’s requirement that employers provide health insurance coverage for abortion services violates the rights of employers who have religious objections to providing birth control coverage in their employees’ health plans.

Click here to read more from Fox news.

Click here to read more from USA Today.

Click here to read more from The New American.

Lee Lasris featured in South Florida Legal Guide

Florida Health Law Center co-founder Lee Lasris is among South Florida’s top health care lawyers featured in the October issue of the South Florida Legal Guide.

The article titled “Navigating Healthcare’s Changing Financial Landscape” has Lasris, and other health care attorneys, discussing the impact the Affordable Care Act is having on providers, payors and investors.

Click here to read the article.

8 Points of Survival for Surgery Centers After ACOs

Oct. 17, 2012 – Florida Health Law Center co-founder Jodi Laurence was interviewed by Becker’s ASC Review about why surgery centers are assessing whether they should join accountable care organizations, or if it would make more sense to go in a different direction.

“We do know there will be healthcare reform in some way and I would think ASCs need to figure out how they will survive in this new healthcare regime,” said Laurence.

Click here to read the entire story.

SCOTUS healthcare ruling asserts rule of law over politics

June 29, 2012 – By Jodi Laurence and Karen Schapira

By upholding most provisions of the Affordable Care Act, the U.S. Supreme Court in its watershed ruling has asserted the rule of law over politics.

The court was asked to decide two issues: First, whether it was constitutional to mandate individuals to purchase health insurance or pay a penalty. And second, whether it was constitutional to require states to expand eligibility of the Medicaid program.

Whether you agree or disagree with Obamacare, it is indisputable that many will benefit from the individual mandate, while others will benefit from those states opting into the Medicaid expansion program.

Ensuring that all individuals purchase insurance coverage to defray the cost of insuring an unhealthy population is the premise behind the individual mandate requirement. That is because the law prohibits insurance companies from denying coverage based on pre-existing conditions or increasing premiums to a level that makes the purchase of a health insurance policy financially prohibitive.

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Implementation of Physician Payments Sunshine Act delayed until 2013

May 7, 2012 – The federal government is putting off, until 2013, a key provision of the country’s healthcare overhaul that’s designed to shed light on the financial relationships between doctors, pharmaceutical companies and medical device makers.

The Centers for Medicare and Medicaid (CMS) recently announced that it needs more time to implement the provision in order to give those reporting organizations time to prepare, and for the agency to read through the more than 300 public comments it received.

In a blog post, CMS said delay of the provision, which was included as section 6002 in the Affordable Care Act of 2010, will give it time to address operational and implementation issues in a thoughtful manner and to ensure the accuracy of the data that is collected.

The act requires companies to record physician payments worth more than $10 in 2012 and to report them on March 31, 2013. Payments include: stock options, research grants, consulting fees and travel to medical conferences. Details of these offerings will be posted on the web starting Sept. 30, 2013.

One of the sponsors of the act, Sen. Chuck Grassley of Iowa, said it was imperative that consumers know more about the financial relationships between their doctors and drug companies.

Pew Health Group reported that direct marketing by the pharmaceutical industry to medical professionals is estimated at $20 billion to $57 billion a year.

CMS said it plans to release the final rule later this year.


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