Across the nation, America's community hospitals are under siege. Once considered indispensable to our health care system, the twenty-first century finds the local hospital fighting an uphill battle against a convergence of factors that favors the sharing of resources by multiple facilities....

This article explores the ways in which health care has evolved over the past few years for patients, doctors and hospitals in the United States, and the impact these changes have made on modern American health care. As the amount of money the nation spends on health care continues to increase...

In February the Centers for Medicare & Medicaid Services (“CMS”) clarified an oft quoted existing rule: Providers must return overpayments to Medicare within 60 days “after the date on which the overpayment was identified,” or in the alternative, “the date any corresponding cost report...

This article explores the ways in which health care has evolved over the past few years for patients, doctors, and hospitals, and the impact these changes have made on modern American health care. As the amount of money our nation spends on health care continues to increase at alarming rates,...

Distressed hospitals in America operate on small or non-existent profit margins.3 For many of those hospitals, the federal Medicare program and the individual States' Medicaid programs are the largest payors. While the Patient Protection and Affordable Care Act of 2010 (the 'Affordable Care...

An adjective, the word “broken” encompasses a multitude of meanings, most of which identify a magnitude of concern, while very few provide comfort. Recognizing that which is broken often remains elusive, creating a daunting challenge when facing this dangerous combination. Even when a...

Since the inception of the Affordable Care Act (the ACA) six years ago, the nation's struggle over the proper provision of health care has been fought on many fronts, with both sides remaining passionately true to their convictions. Instances where both patients and providers initially...

Today's health care provides its own spin on the word "complex". Somewhere in between the 2015 Physician Quality Reporting System (PQRS), the Physician Value-Based Payment Modifying Policies (VBP) and tenth revision of the International Statistical Classification of Diseases and Related Health...

To date, there exists no thermometer to measure vacillations in a person's mental health, which is a good thing for febriphobics, and generally speaking, neither acetaminophen nor ibuprofen can cure mental illness, especially if the diagnosis is pharmacophobia. Unlike a fractured bone or sinus...

The recently resolved case against Tuomey Healthcare System ("Tuomey") provides useful insight into the Medicare Program today. Settled in 1845, the city of Sumter rests in the bucolic middle of South Carolina and boasts the only public park in the United States containing all eight known...