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  • Posts by Peter Thurman Jr.
    Partner

    Peter concentrates his practice in the areas of health care and insurance law, including state and federal regulatory compliance, certificate of need, licensure, fraud and abuse, and litigation. He also advises clients on issues ...

Combatting the opioid epidemic in the U.S. is a top priority for federal and state agencies in 2017. On August 10, 2017, President Donald Trump declared the country’s opioid epidemic a national emergency and committed to expending a lot of time, effort and money to combat the crisis. That same day, the U.S. Department of Health and Human Services (HHS) Secretary Tom Price lauded President Trump for directing his Administration to use all appropriate authority in responding to the opioid crisis.

It is no secret, combatting the opioid epidemic in the U.S. is a top priority for federal and state agencies in 2017.  On August 10, 2017, President Trump declared the country’s opioid epidemic a “national emergency” and committed to expending “a lot” of time, effort and money to combat the crisis.  

The Advance Notice of Methodological Changes for Calendar Year 2018 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2018 Call Letter (Call Letter) was issued by the Centers for Medicare & Medicaid Services (CMS) on February 1. Comments are due by March 3. The final call letter is to be published April 3. The Call Letter proposes several updates and ...

Posted in Litigation

On January 31, 2014, the U.S. Department of Health and Human Services, Office of Inspector General (OIG) released its 2014 Work Plan.  The stated goals for the 2014 Work Plan are the facilitation of "systemic changes, successful prosecutions, negotiated settlements, and recovery of funds."  Since the OIG’s five-year Strategic Plan identified combating fraud, waste, and abuse as a ...

Did you miss this Legal Forum Column in Business First of Louisville? Bingham Greenebaum Doll LLP attorney Peter L. Thurman Jr. discussed medical practice meaningful use incentives and if those payments must be returned if a CMS audit uncovers errors.

On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (PPACA), which contains a number of items that will affect employer group health plans and health care providers in the coming months and years.  Certain provisions under PPACA were further modified by the Health Care and Education Tax Credit Reconciliation Act of 2010 (Reconciliation ...

Posted in General

Please click here for a complete PDF of the issue.

In the recent case of Gilbert v. Kentucky Cabinet for Health and Family Services, the Kentucky Court of Appeals ruled that a Kentucky physician and his group practice violated state law by operating three offices providing magnetic resonance imaging (MRI) services without first obtaining a Certificate of Need (CON) from the Cabinet for Health and Family Services (Cabinet). The ...

Posted in General

When a new physician with a physician recruitment agreement joins an existing physician group practice, the group and the new physician need to document their understanding of the recruitment arrangement clearly and fully. A misunderstanding of the arrangement at the outset could drag the group and the new physician into litigation at the end.

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