Admissibility of Medical Write-Offs

Posted in Healthcare

            In Patchett v. Lee, the Indiana Supreme Court addressed the admissibility of evidence of the actual amount paid for medical expenses by government-sponsored healthcare programs. See Patchett v. Lee, 60 N.E.3d 1025...


Maximizing the Legal Protections Provided by PSO Participation:

The Affordable Care Act requires that by January 1, 2017, hospitals with more than 50 beds that contract with Qualified Health Plans (QHPs) participate in a Patient Evaluation System (PSES) through a federally certified Patient Safety Organization (PSO).   The...


Medicare Advantage Plans Win and Lose in Arizona

Posted in Healthcare

With Mandatory Insurer reporting and the Medicare Secondary Payer Act (MSP) at the forefront of everyone’s minds, Medicare Advantage Plans (MAPs) are working to leverage certain MSP provisions to establish the favorable recovery hierarchy enjoyed only by Medicare. MAPs are private...


The Amendment to the Illinois Health Care Services Lien Act: To Lien or Not to Lien

House Bill 5823 (“HB5823”) became law on January 1, 2013. This amendment to the Illinois Health Care Services Lien Act (“Act”), 770 ILCS 23/1 et seq., made significant changes to the Act. It established a new process for medical providers who are lien holders on personal injury judgments....