Monthly Archives: February 2018

Medicare Secondary Payer Compliance: Conditional Payments (Part II)

This is our second blog post on compliance with the Medicare Secondary Payer (MSP) law. Over the past three years, enforcement trends have focused attention on this often-overlooked area of law and highlighted why providers and suppliers need to know more about it. In this post, we will discuss Medicare conditional payment and subsequent repayment requirements.

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They Giveth and They Taketh Away: CMS Policy Proposals on Supplemental Benefits under MA Plans

The Centers for Medicare and Medicaid Services’ (“CMS”) recently announced its intent to expand what may be considered “supplemental benefits,” broadening the scope of items and services that could be offered to Medicare Advantage (“MA”) plan enrollees over and above the benefits covered under original Medicare. However, in articulating the standards for covering this broadened group of items and services, CMS proposed a new requirement that could greatly limit enrollees’ ability to access all types of supplemental benefits and increase the already substantial burden on MA participating providers; CMS now proposes to require that the supplemental benefits be ordered by a licensed provider.

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Health Plan Insurance on the Blockchain: An Interview with James Schutzer, Vice President, JDM Benefits

James D. Schutzer is the Vice President at JDM Benefits, a consulting group that provides strategic benefits services to small and mid-size employers. His career in healthcare spans over 20 years and has included leadership roles in employee benefits and insurance sales. He spent 10 years working in sales for carriers like Wellpoint and Oxford Health Plans.

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ILN Today Post

Credit union consolidation gains steam in West Michigan

The consolidation trend among Michigan credit unions remained strong in 2017, leading to a further reduction in the number of institutions in the state.

Many of the deals that closed last year involved some of the state’s smallest credit unions merging into a larger organization.

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OCBF president aims to extend group’s legacy

Oakland County Bar Foundation (OCBF) President Patrick M. McCarthy’s “million-dollar dream” for the foundation is that its legacy of community support, fostering access to justice and promoting the public’s education of the law lives on far beyond his presidency. He’s taking steps to ensure that dream becomes a reality through such things as inducting new fellows into the organization. “A fellow pledges to donate $100 per year for 10 years,” McCarthy explained.

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William McCullough Returns to Shutts as Partner; 2nd Major ‘Homecoming’ in Two Weeks

William McCullough has rejoined Shutts & Bowen LLP as a partner in its Corporate Practice Group in the firm’s Miami office. Mr. McCullough, who previously practiced with Shutts & Bowen for about 20 years, returns after four years as a partner in the Miami office of Holland & Knight LLP.

McCullough’s return coincides with that of partner Kimberly Prior, who rejoined Shutts & Bowen last week after two years as a partner with the Miami office of Baker McKenzie.

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ILN Today Post

Public-Private Partnerships Becoming More Popular

The utilization by local governments of public-private deals, otherwise known as public-private partnerships or P3s, continued to grow in popularity over the course of 2017. We expect that popularity to continue as more and more local governments become familiar with and experience the benefits of such projects.

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Seasoned Trial Lawyers Michael Mortenson Joins Stradling

Newport Beach, Calif., February 9, 2018 — Stradling Yocca Carlson & Rauth, P.C. announced today the addition of trial lawyer Michael Mortenson as a shareholder and member of the firm’s litigation practice group. Mortenson, a former private equity analyst, comes to Stradling from BakerHostetler.

Mortenson represents entities and individuals in class actions, breach of contract, breach of warranty, fraud and breach of fiduciary duty matters, including RICO and fraudulent transfer claims and retaliation actions as well as various commercial and employment litigation matters. He also handles appeals to the California Courts of Appeal and the United States Court of Appeals for the Ninth Circuit and tries cases on behalf of clients before arbitration panels.

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ILN Today Post

Firm defends doctor in Medical Council disciplinary inquiry

We successfully defended a doctor in a Medical Council disciplinary inquiry against two charges of professional misconduct.

The doctor was charged for failing to explain the nature of a box of cream to the complainant and to label the box of cream appropriately. This is remarkably the first time a doctor in Hong Kong is charged for professional misconduct in prescribing a non-medicine (the box of cream in the present case). These unprecedented charges were tested by our complex legal arguments on the application of the Code of Professional Conduct of the Medical Council to non-medicines.

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Chambers & Partners: ‘Chambers Global 2018’ Legal Rankings Released

Today, 15th February 2018, Chambers & Partners has released their Global Legal Rankings, and we are very proud to announce Quijano & Associates’ Offshore Department has been ranked.

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