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December 2019 Archives

Pharmacies: 3 lessons from Walgreens' evolution in 2019

The giant, nationwide pharmacy Walgreens went through many changes in 2019. The year began with a new partnership with Microsoft to help better ensure the pharmacy was up to date on technological innovations for health care delivery as well as retail innovations. The company also made additional investments in digital health throughout the year.

Private investors and NY's strict non-physician ownership laws

Private investors are a big part of the health care market. But how are these entrepreneurs getting into markets that have strict rules against such relationships? In New York, for example, state law prohibits non-physician ownership in a medical practice. Yet, private investors have been able to break into this market.

Will HHS increase oversight of patient assistance charities?

Lawmakers are encouraging the United States Department of Health and Human Services (HHS) to increase oversight of patient assistance charities. These charities are set up to help pay for the cost of prescription medications. However, there are allegations the charities are involved in Anti-Kickback Statute violations. As a result, lawmakers are calling for increased regulation of patient assistance charities.

Speaker fees or bribery? NY doctor fights criminal charges.

Physicians may accept speaker fees for certain engagements. In some cases, the speaker fees may result from leading a course for others within the medical community. In others, the compensation may result from a talk given to share information about a new technique that may be useful for treating patients. Although it is often legal to accept such fees in certain situations, there are cases where acceptance is illegal.

New York ophthalmologist faces health care fraud charges

The Department of Justice (DOJ) recently announced criminal charges against a New York ophthalmologist. In this case, the prosecution claims a physician fraudulently billed Medicare and private insurance companies for procedures that patients never received. According to the indictment, the ophthalmologist allegedly made these fraudulent charges from 2010 through 2017.

Private equity groups and medical practices, a good or bad combo?

The acquisition of medical practices by private equity groups has increased in recent years. The reasons behind this recent trend vary depending on the details of each case, but a surface level discussion of the risks and benefits can provide some background into the jump in the rate of these deals.

Medical practices take note: 3 tips to avoid billing disputes

Hospital billing disputes can have a negative impact on a private practice’s ability to care for their patients. Private practices can reduce the risk of these disputes by putting into place proactive measures. Hospitals and private practices throughout the country have found the following tips have helped to better ensure smooth payment:  

New York prosecutors accuse physician of selling prescriptions

New York officials have accused a Long Island doctor of selling prescriptions for opioids like Oxycodone and methadone. According to the allegations, the physician allegedly sold two million prescriptions over a five-year period at various locations throughout Nassau County.

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