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Arizona court rules in favor of noncompete: 5 things to know
An Arizona federal court recently granted a franchisor company's motion to temporarily restrain a former franchisee from operating a competing business in a noncompete lawsuit, law firm Lathrop GPM wrote in a Feb. 19 article published by JDSupra. -
ASCs are catching the eye of Medicare
The number of Medicare-certified ASCs has increased by 870 since 2011, according to a Feb. 13 report from financial advisory firm VMG Health. -
Stark law violators facing massive penalties
Some of the largest recoveries by the Justice Department in the last year were Stark law violations, according to a Feb. 8 report from law firm Mintz, which could mean the law could be enforced more strictly moving forward. -
Medicaid disenrollments pass 16 million
At least 16,430,000 Medicaid enrollees have been disenrolled as of Feb. 1, according to data from KFF. -
Another state moves to restrict noncompetes
Legislation further amending noncompete policy in Washington has passed the state's Senate. -
From Denial to Approval: Winning More Prior Authorizations Starts with Tech-Driven Strategies
Preauthorization. Precertification. Prior authorization. One of the most time-consuming, costly, and complex paperchase processes for the healthcare industry goes by many names. -
Fee-for-service model still reigns supreme
Forty-six percent of physicians participate in the fee-for-service payment model, according to Medscape's "Physician Compensation Report 2023." -
Who's participating in value-based care?
Despite its growing popularity, only 14% of physicians participate in the value-based payment model, according to Medscape's "Physician Compensation Report 2023." -
Reimbursements for 11 new ASC-payable procedures
CMS recently added 11 surgical codes to the ASC payable list and finalized a 3.1% payment rate for ASCs in its 2024 final rule. -
The states with no certificate-of-need laws
Sixteen states have no certificate-of-need laws, according to a report from HealthCare Appraisers, a consulting firm. -
Prior authorization reform ball in states' court
Recent prior authorization reforms by CMS are a significant step in the right direction but are not an all-encompassing solution, according to the American Medical Association. -
Noncompetes enforced in Delaware court decision
The Delaware Supreme Court ruled that financial services company Cantor Fitzgerald properly denied $9 million to former partners under noncompete agreements, Bloomberg Law reported Jan. 29. -
The push to change certificate-of-need laws
More states have been looking to repeal or reform their certificate-of-need laws with the intention of increasing access to care. -
Tennessee couple sentenced in $65M healthcare fraud scheme
A married couple living in Birchwood, Tenn., have been sentenced for a $65 million TriCare fraud scheme. -
3 payer splits, resolutions affecting ASCs
Becker's has reported on three major payer contract splits and resolutions that have affected ASCs since Dec. 5: -
Surgeon's lawsuit over North Carolina's certificate-of-need policy: Where it stands
The North Carolina Supreme Court has granted review in September for a lawsuit from Jay Singleton, MD, who owns an ophthalmology practice in New Bern, N.C., challenging the state's certificate-of-need laws. -
Bad news for FTC's noncompete ban
The Federal Trade Commission has been largely silent on its proposed ban on noncompete contracts for full-time employees and independent contractors introduced January 2023, according to an article by law firm BakerHostetler published in JDSupra. -
What a $345M Stark law ruling means for physician pay structure
Indianapolis-based Community Health Network recently agreed to pay $345 million to resolve claims it violated the False Claims Act and Stark law, indicating the importance for providers to pay close attention to physician compensation arrangements, law firm Baker Donelson wrote in a Jan. 22 article published by JDSupra. -
What every physician should know about Stark law
Many physicians have experienced challenges stemming from Stark law, which bans them from making referrals for Medicare-payable health services if the physician or immediate family member has a financial relationship with the entity. -
Which states have banned noncompetes?
Earlier this year, New York Gov. Kathy Hochul vetoed a bill that would've banned noncompetes and added the state to a short list of those prohibiting noncompetes.
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