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Medicine & the Law

Medicare out-of-network payments

Unlike claims for out-of-network services submitted to commercial health plans – which are often paid based on a percentage of charges or some other negotiated process – payment for out-of-network services provided to Medicare Advantage enrollees are dictated by Medicare law and regulations.

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Corporate medicine in 21st century health care

States need to reevaluate the prohibition on the corporate practice of medicine and recognize that in order to truly move toward a health care system that encourages technological advancement, improved patient care, and cost-efficiencies, corporate medicine not only has a place in the system, but could ultimately benefit such a system.

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Top medical malpractice risk areas

The good news is that we understand more than ever before how to impact this liability. The open question is, Will we do anything about it? Two of the leading the areas of risk are physician-patient relationship and appropriate disclosure after an adverse event.

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