eMeasurement is the application of electronic health data for quality improvement has not yet been realized. Quality is the objective, but technology ability, education of clinician and administrative staff, and alignment of incentives must come first. Electronic clinical quality measurement (eCQM) is another label that CMS has placed on the eMeasurement initiative. eMeasurement will require [...]
Health plans are beginning to offer telemedicine services to their insureds that offer 24/7 access to online doctor visits. For example, BlueCare is a benefit for most insureds of BlueShield of Louisiana. As a result, online visits are intended to serve members with non-emergency minor illnesses such as colds (ICD-10 code R09.81 - Nasal congestion). Also, [...]
Cybersecurity Expert WitnessWhen WannaCry ransomeware harms the patients of health care providers or members of a health plan, litigation raises questions. Were all measures taken to protect the plaintiff's information? Either plaintiff or defendant may retain a Cybersecurity expert witness. First of all, WannaCry ransomware increased focus on securing health data. Consequently, by raising the visibility of the [...]
American Health Care Act supporters, such as Paul Ryan, had to acknowledge that the Act was dead on arrival Friday. Despite the fact that the Trump Administration presides over a Republican House and Senate, it became clear that the American Health Care Act will not pass. The House of Representative members were released to go home for [...]
On the eve of the house vote on the Trump Administration’s proposed health care law, the American Health Care Act of 2017 - H.R. 1628, HHS Secretary Tom Price appeared on Fox News on March 22, 2017 on Tucker Carlson Tonight. According to Price:A. The American Health Care Act of 2017 (AHCA) is not just the AHCA, [...]
Senator Rand Paul speaks regarding low cost insurance, affordable care act Senator Rand Paul (R) Kentucky was re-elected on November 8, 2016. In his interview on Fox News Channel Wednesday November 9, 2016 he re-iterated his statement that one of the first tasks for a Trump - led Republican Administration is to make it legal [...]
Michael Arrigo healthcare data, regulatory, economic and anti-trust expert witness in Federal State and Civil Courts on ACA, HIPAA, Healthcare costs in malpractice and personal injury, False Claims Act cases involving Medicare Advantage and Electronic Health Records. Contact now As promised, President Trump signed the first executive order regarding the Affordable Care Act. [...]
MACRA Changes Health Care Economics with a Focus on ChildrenMACRA Background: A final rule released on Oct. 14, 2016 by the Centers for Medicare and Medicaid Services (CMS) details the final regulations for implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), the historic Medicare reform law that repealed the Sustainable Growth Rate (SGR) formula [...]
The Centers for Medicare & Medicaid Services (CMS) is announcing refinements to the Medicare Advantage Value-Based Insurance Design (MA-VBID) model. Beginning January 1, Value Based Insurance Design Model for Medicare Part C018, CMS will add and to the clinical categories for which participants may offer benefits. CMS will also make adjustments to existing clinical categories and [...]
Michael Arrigo expert witness in Federal State and Civil Courts on ACA, HIPAA, Healthcare costs in malpractice and personal injury, False Claims Act cases involving Medicare Advantage and Electronic Health Records. CONTACT Dual Eligibles for Medicare, Medicaid cost too much. The administration that created the Patient Protection and Affordable Care Act with Medicaid expansion as [...]
According to CMS, the Original Comprehensive Primary Care (Original CPC) Model, is being replaced with the Comprehensive Primary Care Plus (CPC+) which is intended to allow health care provider practices to apply for one of two program tracks, with increasing payment and care redesign expectations from Tracks 1 to 2.
Expert Witness for Future Medical Costs : Personal Injury, Medical Malpractice, Product Liability – ACA
In our experience, one strategy is to work within the Superior Court or State Court level and then appeal to a higher court perhaps at the Federal level. Some courts have elected not to hear testimony regarding future care costs under the Affordable Care Act, only to find that it is the law of the land and now has an impact. There are also unintended consequences in product liability cases. Third party liability and subrogation may also be affected.