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    Carmin D. Grandinetti has practiced in the legal field for more than 30 years with a focus in complex strategic transactions involving health care operations, including mergers, acquisitions and dispositions, real estate ...

This article originally appeared in Medical News on June 27, 2018.  

There is a recent trend of physician practices partnering with private equity firms (PE Firms) as hospitals and other large health systems have curtailed their acquisition of physician practices.

6 Suggested Affordable Care Act Replacement Plans from the Republican Party: A High Level Overview

Republicans have been rolling out their suggestions for replacing Patient Protection and Affordable Care Act (ACA). The number and the differences between the plans show the disparity within the party on how to reverse the direction that ACA is taking the country. Additionally, leaks from the Republican conclave in Philadelphia last month show that the Republicans are nowhere near an agreement, or even a consensus, on a replacement for ACA. The divisions among the Republicans not only include ideas on what the replacement of ACA should be, but on how quickly to repeal the law, how long it should take to phase it out, and whether a replacement needs to be passed at the same time. The Republicans, however, are united around one idea — that there must be some sort of health care reform.

Currently, there are six different plans that are being touted by various senators, representatives and the Republican Party. Two plans, one offered by House Speaker Paul Ryan and the other from Health and Human Services Secretary nominee Tom Price, are expected to be the most important guides to a replacement. Below is a high-level summary of each of those proposals and several other ideas Republicans have suggested in recent months.

The Ryan Plan (“A Better Way”)

Announced in June 2016, Ryan’s plan is a board framework for repealing and replacing ACA that draws from many conservative ideas to reform health care.

The Department of Health & Human Services Centers for Medicare & Medicaid Services (CMS) has released a new Memorandum that aims to protect resident privacy and prevent mental abuse by nursing home staffs. The memorandum from the Center for Clinical Standards and Quality/Survey & Certification Group (the “Group”) follows recent media reports that brought to light occurrences ...

On June 30, the Health and Human Services Office for Civil Rights (“OCR”) announced the first-ever settlement under the Health Insurance Portability and Accountability Act (HIPAA) with a business associate.

In the new Louisville Business First Legal Forum Column, BGD attorney Carmin D. Grandinetti discussed the CMS Comprehensive Care for Joint Replacement program. Read his advice below and don’t miss our monthly Legal Forum Column in Louisville Business First.

Topic
What do I need to know about the proposed CMS Comprehensive Care for Joint Replacement program?

Advice
In July, the ...

In July of this year, the federal Centers for Medicare & Medicaid Services (“CMS”) proposed a new model to support better and more efficient care for beneficiaries undergoing the most common inpatient surgeries for Medicare beneficiaries: hip and knee replacements. On Nov. 16, 2015, CMS issued the final rule, which is codified at 42 CFR Part 510.

The U.S. Circuit Court of Appeals for the District of Columbia recently clarified the formulation of the “primary purpose” test for determining whether the attorney-client privilege applies to communications made to in-house attorneys during internal investigations. This clarification will likely have a direct effect on risk managers of health care companies that ...

New York-Presbyterian Hospital and Columbia University have reached a $4.8 million settlement with the Office for Civil Rights at HHS after 6,800 patients’ records were exposed to the internet. The breach included the release of ePHI that included patients’ vital signs, medications and lab test results. This settlement amount marks the largest Health Insurance Portability ...

Did you miss this Legal Forum Column in Business First of Louisville? Bingham Greenebaum Doll LLP attorney Carmin D. Grandinetti discussed the difference between a private exchange and group coverage, as well as the issues employers must consider with a private exchange.

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