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Joint ventures involving physicians and institutions or lay investors had fallen out of favor in recent years because of concerns about transgressing government regulations. These regulations have now been clarified leading to a resurgent interest in these arrangements. This article outlines the business principles, control issues, legal setting, and the…
On March 26, 2004, the Centers for Medicare & Medicaid Services (“CMS”) issued the long-awaited Phase II Stark regulations (the “Phase II Regulations”). The Phase II Regulations, which become effective on July 26, 2004, address important issues not covered in the Phase I Regulations (which were issued in January 2001)….
On December 8, 2003, President Bush signed into law the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (the “Act”). The centerpiece of the Act, which has been characterized as the most significant reform of the Medicare program since its creation, is greatly expanded Medicare prescription drug coverage under…
Noteworthy speeches in 2004: Fraud and Abuse Prevention, California Hospital Association, Sacramento, California, November 15, 2004. 1st Annual Healthcare Compliance Symposium, Los Angeles County Bar Association, Los Angeles, California, September 30, 2004. The Medicare Modernization Act, Los Angeles County Bar Association, Los Angeles, California, June 10, 2004. Compliance and Payment…