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September 21, 2018
Susan Burns, JD, RN and Laurie Moon, JD
Should we stay or should we go? Hurricane preparedness in long-term care

Vivid memories of desperate nursing home residents in wheelchairs submerged waist-high in flood waters will forever be etched in our minds, especially during hurricane season. The shocking photos and tragic heat-related deaths of numerous skilled nur…

September 21, 2018 by Susan Burns, JD, RN and Laurie Moon, JD
September 07, 2018
Michael R. Merlino II, ESQ
SVP Medicare Compliance
The quantum mechanics of a CMS-approved Medicare set-aside

In my spare time, I enjoy reading and learning about the strangeness of the subatomic world. Quantum theory is difficult to understand and really hard to believe because it is counterintuitive and contrary to what we witness in reality. Quantum physi…

September 07, 2018 by Michael R. Merlino II, ESQ, SVP Medicare Compliance
October 05, 2017
Mike Merlino
SVP Medicare Compliance
LMSAs: CMS thankfully delays LMSA announcement

Over the past several months there have been direct communications from the Centers for Medicare & Medicaid Services (CMS) that liability Medicare set-aside arrangements (LMSAs) were on the horizon. In this blog we commented on a February announcemen…

October 05, 2017 by Mike Merlino, SVP Medicare Compliance
September 18, 2017
Mike Merlino
SVP Medicare Compliance
Centers for Medicare & Medicaid Services (CMS) retains new review contractor

On September 1, CMS hired Capitol Bridge, LLC to be the new review contractor for MSAs. According to CMS employees that we’ve spoken to, the transition is currently underway. The old contractor is staying on for an indeterminate amount of time to h…

September 18, 2017 by Mike Merlino, SVP Medicare Compliance
July 14, 2017
Mike Merlino
SVP Medicare Compliance
MSAs: A second bite at the apple

CMS now permits some old MSAs to be re-approved Before this week, the Centers for Medicare & Medicaid Services (CMS) had a simple philosophy: Parties get one bite at the apple when it comes to CMS approval. However, on Monday, CMS released an upda…

July 14, 2017 by Mike Merlino, SVP Medicare Compliance
March 01, 2017
Mike Merlino
SVP Medicare Compliance
It is happening: LMSAs (and NFMSAs) are almost here

For the past several years, the Centers for Medicare & Medicaid Services (CMS) has been providing the industry with vague hints about liability Medicare set-aside arrangements (LMSAs). The absence of clarity left the liability community unable to…

March 01, 2017 by Mike Merlino, SVP Medicare Compliance
October 13, 2015
April Clemens, Business Relationship Manager-PL
Transparency and pharmaceutical drug samples

Kathy Shostek, Vice President Healthcare Risk Management contributed a recent post about the management of drug samples in physician offices. The blog outlined the need for strategies for documentation and management of drug samples for reducing ri…

October 13, 2015 by April Clemens, Business Relationship Manager-PL
January 21, 2015
Mike Merlino
SVP Medicare Compliance
Could you cut $185,000 from your MSA?

What if I told you that you could save $185,000 at no cost to you? No, I am not advertising for some late night TV infomercial where the offer is too good to be true. I am talking about the world of Medicare set-asides (MSA). It is well known that pr…

January 21, 2015 by Mike Merlino, SVP Medicare Compliance
October 30, 2014
Mike Merlino
SVP Medicare Compliance
Change, non-change important to Medicare compliance regulations

If you have been trying to keep up with the latest Medicare compliance changes, you might feel like you are watching the carnival vendor who used to say, “around and around it goes and where it stops nobody knows.” Fortunately, with these answers y…

October 30, 2014 by Mike Merlino, SVP Medicare Compliance
January 24, 2014
Kimberly George
SVP Corporate Development, M&A, and Healthcare
Moody's downgrade of U.S. health insurance sector - examining the causes

Speculation is rife about what will happen with healthcare in 2014. Now one of the first predictors has publicly voiced its opinion. On Wednesday, I read with great interest that Moody's revised its outlook for the U.S. healthcare sector to negativ…

January 24, 2014 by Kimberly George, SVP Corporate Development, M&A, and Healthcare
October 24, 2013
Barbara Youngberg, Senior Healthcare Risk Management Specialist
Managing the risks of ACOs

In any given week, a health care risk manager can find themselves involved in something new – investigating a patient injury, preparing a statement for a liability claim, educating staff on safety, assisting in designing risk transfer or financing …

October 24, 2013 by Barbara Youngberg, Senior Healthcare Risk Management Specialist
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